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