1
ATI NCLEX Medical Surgical
Assessment 1 2026 Latest Questions
and Answers (100% Expert Answers)
A+
A nurse is planning care for a client who is receiving mechanical
ventilation. Which of the following actions should the nurse include in
the plan [ Ans: ] Provide the client with a means of communication
A nurse is caring for a client who is receiving IV fluid replacement
therapy for dehydration. Which of the following laboratory results
indicates effectiveness of the treatment [ Ans: ] Urine Specific Gravity
1.020
**Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is
© 2026
postoperative following a total hip arthroplasty 6 hr ago. Which of the
following values indicates that the client has an increased risk for
bleeding [ Ans: ] Platelets 80,000
**Normal range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury
following a motor vehicle crash. Which of the following interventions is
the nurse's priority while caring for this client [ Ans: ] Assist with quad
coughing
**The greatest risk to a client who has a cervical spinal cord injury is an
obstructed airway; the priority is to ensure the client can clear their
airway. Apply abdominal pressure as the client coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion. Which
of the following findings indicates that the client is experiencing
circulatory overload [ Ans: ] Dyspnea
, 2
**Dyspnea is an indication of possible transfusion-associated circulatory
overload, leading to hypertension, bounding pulses, and confusion.
Dyspnea can also indicate transfusion-related acute lung injury to an
anaphylactic response, which also causes wheezing, chest tightness,
cyanosis, and low BP
A nurse is assessing a client who has lung cancer and is undergoing
radiation therapy to the chest. Which of the following indicates an
adverse effect of the therapy [ Ans: ] Altered taste, **due to the release of
metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client who
has anemia. Which of the following actions should the nurse plan to take
(select all that apply) [ Ans: ] *Obtain pre-transfusion temperature
**Verify the client's blood type with a second nurse
***Use a 20 gauge IV needle for venous access
A nurse is reviewing the laboratory findings for a client who is
© 2026
dehydrated. Which of the following BUN levels should the nurse expect [
Ans: ] 26 mg/dL
**Normal range is 10-20.
Elevated levels indicate renal disease, dehydration, shock, excessive
protein in the diet, sepsis, glucocorticoid use, GI bleeding, or other
conditions in which blood is reabsorbed from injured tissues
--
A low BUN level can indicate malnutrition, malabsorption, liver disease,
fluid overload, or nephrotic syndrome
A nurse is reviewing ECG strips for several clients. Which of the following
images should the nurse identify as A-Fib [ Ans: ] Multiple irregular and
variable waves at the baseline and irregular R to R intervals
ATI NCLEX Medical Surgical
Assessment 1 2026 Latest Questions
and Answers (100% Expert Answers)
A+
A nurse is planning care for a client who is receiving mechanical
ventilation. Which of the following actions should the nurse include in
the plan [ Ans: ] Provide the client with a means of communication
A nurse is caring for a client who is receiving IV fluid replacement
therapy for dehydration. Which of the following laboratory results
indicates effectiveness of the treatment [ Ans: ] Urine Specific Gravity
1.020
**Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is
© 2026
postoperative following a total hip arthroplasty 6 hr ago. Which of the
following values indicates that the client has an increased risk for
bleeding [ Ans: ] Platelets 80,000
**Normal range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury
following a motor vehicle crash. Which of the following interventions is
the nurse's priority while caring for this client [ Ans: ] Assist with quad
coughing
**The greatest risk to a client who has a cervical spinal cord injury is an
obstructed airway; the priority is to ensure the client can clear their
airway. Apply abdominal pressure as the client coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion. Which
of the following findings indicates that the client is experiencing
circulatory overload [ Ans: ] Dyspnea
, 2
**Dyspnea is an indication of possible transfusion-associated circulatory
overload, leading to hypertension, bounding pulses, and confusion.
Dyspnea can also indicate transfusion-related acute lung injury to an
anaphylactic response, which also causes wheezing, chest tightness,
cyanosis, and low BP
A nurse is assessing a client who has lung cancer and is undergoing
radiation therapy to the chest. Which of the following indicates an
adverse effect of the therapy [ Ans: ] Altered taste, **due to the release of
metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client who
has anemia. Which of the following actions should the nurse plan to take
(select all that apply) [ Ans: ] *Obtain pre-transfusion temperature
**Verify the client's blood type with a second nurse
***Use a 20 gauge IV needle for venous access
A nurse is reviewing the laboratory findings for a client who is
© 2026
dehydrated. Which of the following BUN levels should the nurse expect [
Ans: ] 26 mg/dL
**Normal range is 10-20.
Elevated levels indicate renal disease, dehydration, shock, excessive
protein in the diet, sepsis, glucocorticoid use, GI bleeding, or other
conditions in which blood is reabsorbed from injured tissues
--
A low BUN level can indicate malnutrition, malabsorption, liver disease,
fluid overload, or nephrotic syndrome
A nurse is reviewing ECG strips for several clients. Which of the following
images should the nurse identify as A-Fib [ Ans: ] Multiple irregular and
variable waves at the baseline and irregular R to R intervals
