ATI RN Medical Surgical CMS Proctored Exam 2026 – UPDATED VERSION A, B & C –
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
100% Verified Questions and Correct Answers with Detailed Rationales –
dt dt dt dt dt dt dt dt dt dt
Pass the ATI Med Surg CMS Exam with Confidence dt dt dt dt dt dt dt dt dt
A nurse in an emergency department is preparing to perform ocular irrigation for a client. Which of the following a
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ctions should the nurse plan to take?
dt dt dt dt dt dt
a. Assess the client's visual acuity prior to irrigation
dt dt dt dt dt dt dt
b. Have the client turn their head toward the unaffected eye
dt dt dt dt dt dt dt dt dt
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
dt dt dt dt dt dt dt dt dt
d. Perform the irrigation with sterile water for irrigation dt dt dt dt dt dt dt
d. perform the irrigation with sterile water for irrigation
dt dt dt dt dt dt dt dt
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a dro
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
p factor of 10 drops / mL. How many gtt/min should the nurse set the IV pump to administer? Round to the neares
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
t whole number
dt dt
33 gtt/min dt
A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
of the following client statements indicates an understanding of the teaching?
dt dt dt dt dt dt dt dt dt dt
a. I can keep my medications for 1 year before replacing it.
dt dt dt dt dt dt dt dt dt dt
b. I should lie down when I take this medication
dt dt dt dt dt dt dt dt
c. I should discontinue this medication if I develop a headache.
dt dt dt dt dt dt dt dt dt
d. I can take up to 5 tablets in 15 minutes before seeking medical attention
dt dt dt dt dt dt dt dt dt dt dt dt dt
b. I should lie down when I take this medication
dt dt dt dt dt dt dt dt
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of this medication, change positions slowly"
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A nurse is providing discharge teaching to an older adult following a left total hip arthroplasty. Which of the follwo
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ing instructions should the nurse include in the teaching?
dt dt dt dt dt dt dt dt
a. clean the incision daily with hydrogen peroxid
dt dt dt dt dt dt
b. you can cross your legs and the ankles when sitting down
dt dt dt dt dt dt dt dt dt dt
c. you should use an incentive spirometer every 8 hours
dt dt dt dt dt dt dt dt
d. install a raised toilet in your bathroom dt dt dt dt dt dt
d. install a raised toilet in your bathroom
dt dt dt dt dt dt dt
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use elevated seating and a raised toilet seat"
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
,A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
nurse take? dt
a. keep the client on bed rest for 24 hours
dt dt dt dt dt dt dt dt
b. limit the client's fluid intake to 1L per day.
dt dt dt dt dt dt dt dt
c. maintain the client's affected extremity in extension dt dt dt dt dt dt
d. change the client's dressing every 8 hours. dt dt dt dt dt dt
c. maintain the client's affected extremity in extension dt dt dt dt dt dt
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity straight for prescribed time"
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the follo
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
wing client statements indicates the client is adapting to their role change?
dt dt dt dt dt dt dt dt dt dt dt
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
b. These crutches make it impossible to care for my child
dt dt dt dt dt dt dt dt dt
c. I feel bad that I have to ask my partner to keep the house clean
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
d. it's going to be difficult to tell my parents I can't take them to their appointment.
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
recognize as an indication that the client is experiencing dehydration?
dt dt dt dt dt dt dt dt dt
a. pitting, dependent edema dt dt
b. distended jugular veins dt dt
c. increased BP dt
d. decreased BP dt
d. decreased BP dt
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include, hypothermia, tachycardia, thready pulse, HYPO
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
TENSION, orthostatic hypotension, decreased central venous pressure, tachypnea, hypoxia
dt dt dt dt dt dt dt dt
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output wa
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
s 4,000 ml over the past 24 hours. The nurse should anticipate a prescription for which of the following IV medic
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ations?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
a. Desmopressin
, M/S c. 14/p. 85 "Diabetes insipidous is a possible complication" Pharm
dt dt dt dt dt dt dt dt dt dt dt
c. 40/ p.323 "desmopressin is an agent of choice for DI"
dt dt dt dt dt dt dt dt dt dt
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and repor
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ts a nagging dry coug. Which of the following response by the nurse is appropriate?
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a. "your cough may require that you stop or change your medicaiton"
dt dt dt dt dt dt dt dt dt dt
b. "increasing your daily fluid intake may eliminate your cough dt dt dt dt dt dt dt dt
c. "sucking on a lozenge may reduce the frequency of your cough" dt dt dt dt dt dt dt dt dt dt
d. "your cough should go away in time" dt dt dt dt dt dt
a. "your cough may require that you stop or change your medicaiton"
dt dt dt dt dt dt dt dt dt dt
Pharm c. 20/ p. 155 "Cough is a complication. Inform clients of the possibility of experiencing a dry cough and to
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
notify the provider. Discontinue the medication"
dt dt dt dt dt
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assess
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ment findings should the nurse identify as a potentional trigger for exacerbations?
dt dt dt dt dt dt dt dt dt dt dt
a. eating a strict vegetarian diet dt dt dt dt
b. a history of herpes zoster
dt dt dt dt
c. taking amiodipine for hypertension dt dt dt
d. using a nicotine transdermal patch dt dt dt dt
d. using a nicotine transdermal patch
dt dt dt dt dt
M/S C. 35/ p. 223 "Risk factors for peripheral artery disease like Raynaud's disease include cigarette smoking"
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A nurse is caring for a client who has a central venous access devise and notes the tubing has become
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse take f
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
irst?
a. Perform an ECG dt dt
b. Obtain ABG values dt dt
c. Turn the client to his left side dt dt dt dt dt dt
d. Clamp the catheter dt dt
d. clamp the catheter
dt dt dt
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the pl
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
an of care?
dt dt
a. Turn and reposition the client every 4 hours
dt dt dt dt dt dt dt
b. apply an occlusive dressing dt dt dt
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
100% Verified Questions and Correct Answers with Detailed Rationales –
dt dt dt dt dt dt dt dt dt dt
Pass the ATI Med Surg CMS Exam with Confidence dt dt dt dt dt dt dt dt dt
A nurse in an emergency department is preparing to perform ocular irrigation for a client. Which of the following a
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ctions should the nurse plan to take?
dt dt dt dt dt dt
a. Assess the client's visual acuity prior to irrigation
dt dt dt dt dt dt dt
b. Have the client turn their head toward the unaffected eye
dt dt dt dt dt dt dt dt dt
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
dt dt dt dt dt dt dt dt dt
d. Perform the irrigation with sterile water for irrigation dt dt dt dt dt dt dt
d. perform the irrigation with sterile water for irrigation
dt dt dt dt dt dt dt dt
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a dro
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
p factor of 10 drops / mL. How many gtt/min should the nurse set the IV pump to administer? Round to the neares
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
t whole number
dt dt
33 gtt/min dt
A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
of the following client statements indicates an understanding of the teaching?
dt dt dt dt dt dt dt dt dt dt
a. I can keep my medications for 1 year before replacing it.
dt dt dt dt dt dt dt dt dt dt
b. I should lie down when I take this medication
dt dt dt dt dt dt dt dt
c. I should discontinue this medication if I develop a headache.
dt dt dt dt dt dt dt dt dt
d. I can take up to 5 tablets in 15 minutes before seeking medical attention
dt dt dt dt dt dt dt dt dt dt dt dt dt
b. I should lie down when I take this medication
dt dt dt dt dt dt dt dt
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of this medication, change positions slowly"
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A nurse is providing discharge teaching to an older adult following a left total hip arthroplasty. Which of the follwo
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ing instructions should the nurse include in the teaching?
dt dt dt dt dt dt dt dt
a. clean the incision daily with hydrogen peroxid
dt dt dt dt dt dt
b. you can cross your legs and the ankles when sitting down
dt dt dt dt dt dt dt dt dt dt
c. you should use an incentive spirometer every 8 hours
dt dt dt dt dt dt dt dt
d. install a raised toilet in your bathroom dt dt dt dt dt dt
d. install a raised toilet in your bathroom
dt dt dt dt dt dt dt
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use elevated seating and a raised toilet seat"
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
,A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
nurse take? dt
a. keep the client on bed rest for 24 hours
dt dt dt dt dt dt dt dt
b. limit the client's fluid intake to 1L per day.
dt dt dt dt dt dt dt dt
c. maintain the client's affected extremity in extension dt dt dt dt dt dt
d. change the client's dressing every 8 hours. dt dt dt dt dt dt
c. maintain the client's affected extremity in extension dt dt dt dt dt dt
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity straight for prescribed time"
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the follo
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
wing client statements indicates the client is adapting to their role change?
dt dt dt dt dt dt dt dt dt dt dt
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
b. These crutches make it impossible to care for my child
dt dt dt dt dt dt dt dt dt
c. I feel bad that I have to ask my partner to keep the house clean
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
d. it's going to be difficult to tell my parents I can't take them to their appointment.
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
recognize as an indication that the client is experiencing dehydration?
dt dt dt dt dt dt dt dt dt
a. pitting, dependent edema dt dt
b. distended jugular veins dt dt
c. increased BP dt
d. decreased BP dt
d. decreased BP dt
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include, hypothermia, tachycardia, thready pulse, HYPO
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
TENSION, orthostatic hypotension, decreased central venous pressure, tachypnea, hypoxia
dt dt dt dt dt dt dt dt
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output wa
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
s 4,000 ml over the past 24 hours. The nurse should anticipate a prescription for which of the following IV medic
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ations?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
a. Desmopressin
, M/S c. 14/p. 85 "Diabetes insipidous is a possible complication" Pharm
dt dt dt dt dt dt dt dt dt dt dt
c. 40/ p.323 "desmopressin is an agent of choice for DI"
dt dt dt dt dt dt dt dt dt dt
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and repor
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ts a nagging dry coug. Which of the following response by the nurse is appropriate?
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a. "your cough may require that you stop or change your medicaiton"
dt dt dt dt dt dt dt dt dt dt
b. "increasing your daily fluid intake may eliminate your cough dt dt dt dt dt dt dt dt
c. "sucking on a lozenge may reduce the frequency of your cough" dt dt dt dt dt dt dt dt dt dt
d. "your cough should go away in time" dt dt dt dt dt dt
a. "your cough may require that you stop or change your medicaiton"
dt dt dt dt dt dt dt dt dt dt
Pharm c. 20/ p. 155 "Cough is a complication. Inform clients of the possibility of experiencing a dry cough and to
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
notify the provider. Discontinue the medication"
dt dt dt dt dt
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assess
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ment findings should the nurse identify as a potentional trigger for exacerbations?
dt dt dt dt dt dt dt dt dt dt dt
a. eating a strict vegetarian diet dt dt dt dt
b. a history of herpes zoster
dt dt dt dt
c. taking amiodipine for hypertension dt dt dt
d. using a nicotine transdermal patch dt dt dt dt
d. using a nicotine transdermal patch
dt dt dt dt dt
M/S C. 35/ p. 223 "Risk factors for peripheral artery disease like Raynaud's disease include cigarette smoking"
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A nurse is caring for a client who has a central venous access devise and notes the tubing has become
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse take f
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
irst?
a. Perform an ECG dt dt
b. Obtain ABG values dt dt
c. Turn the client to his left side dt dt dt dt dt dt
d. Clamp the catheter dt dt
d. clamp the catheter
dt dt dt
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the pl
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
an of care?
dt dt
a. Turn and reposition the client every 4 hours
dt dt dt dt dt dt dt
b. apply an occlusive dressing dt dt dt
