ATI Medical-Surgical CMS Review Exam
Questions and Answers with Expert
Explanation (2026/2027 Update) Complete
A+
Nursing Interventions to be Included in a plan of care for a client who has deep partial-
thickness burns over 40% of his body and is in the acute phase of the burn injury. -
correct answer - Begin performing active/passive range of motion exercises with the
client.
- Maintains mobility and prevents contractures
"RIFLE" Classification for AKI: Risk of Renal Dysfunction - correct answer - < 0.5
mL/kg/hr of urine output for 6 hours
"RIFLE" Classification for AKI: Injury to Kidney - correct answer - < 0.5 mL/kg/hr of
urine output for 12 hours
,"RIFLE" Classification for AKI: Failure or Loss of Kidney function - correct answer - no
urine (anuria) output for 12 hours or
- < 0.3 mL/kg/hr for 24 hours
"RIFLE" Classification for AKI: Loss - correct answer - no urine output without renal
replacement therapy for 4 to 12 weeks
"RIFLE" Classification for AKI: End-Stage Renal Failure - correct answer - no urine
output without renal replacement therapy for more than 3 months
Assessment Finding: Acute Intravascular Hemolytic Reaction - correct answer -
sudden oliguria
- this type of transfusion reaction causes acute kidney injury (AKI) resulting in sudden
oliguria and hemoglobinuria
,Nursing Plan of Care: A nurse is caring for a client with SIADH with mild symptoms.
What Rx will be anticipated? - correct answer - tolvaptan (Samsca) which is a
vasopressin antagonist that promotes the excretion of water and corrects the fluid
imbalance in clients who have SIADH.
Drug Name: Chlorpropamide - correct answer - an anti-diabetic agent with antidiuretic
effects that is used to treat diabetes insipidus
Drug Name: Vasopressin - correct answer - exogenous form of antidiuretic hormone
that is used to treat diabetes insipidus
Drug Name: Demopressin - correct answer - a synthetic form of antidiuretic hormone
that is used to treat diabetes insipidus
, Adverse Effect: Lasik eye surgery - correct answer - dry eyes
- blurred vision
Procedure: Lasik Eye Surgery - correct answer - A procedure that can correct (1)
nearsightedness, (2) farsightedness, and (3) astigmatism
- The procedure changes the shape of the cornea to correct vision.
Nursing Actions: For a client who is 3 days post-op following a below-the-knee
operation. - correct answer - rewrap the residual limb with a pressure bandage 3x
daily which ensures the residual limb will shrink and also provides an opportunity to
assess the skin for redness/breakdown
Drug Assessment Finding: Theophylline Toxicity - correct answer - tremors (an early
manifestation of toxicity is CNS stimulation, often seen as tremors
- seizures can occur if blood levels continue to rise
Questions and Answers with Expert
Explanation (2026/2027 Update) Complete
A+
Nursing Interventions to be Included in a plan of care for a client who has deep partial-
thickness burns over 40% of his body and is in the acute phase of the burn injury. -
correct answer - Begin performing active/passive range of motion exercises with the
client.
- Maintains mobility and prevents contractures
"RIFLE" Classification for AKI: Risk of Renal Dysfunction - correct answer - < 0.5
mL/kg/hr of urine output for 6 hours
"RIFLE" Classification for AKI: Injury to Kidney - correct answer - < 0.5 mL/kg/hr of
urine output for 12 hours
,"RIFLE" Classification for AKI: Failure or Loss of Kidney function - correct answer - no
urine (anuria) output for 12 hours or
- < 0.3 mL/kg/hr for 24 hours
"RIFLE" Classification for AKI: Loss - correct answer - no urine output without renal
replacement therapy for 4 to 12 weeks
"RIFLE" Classification for AKI: End-Stage Renal Failure - correct answer - no urine
output without renal replacement therapy for more than 3 months
Assessment Finding: Acute Intravascular Hemolytic Reaction - correct answer -
sudden oliguria
- this type of transfusion reaction causes acute kidney injury (AKI) resulting in sudden
oliguria and hemoglobinuria
,Nursing Plan of Care: A nurse is caring for a client with SIADH with mild symptoms.
What Rx will be anticipated? - correct answer - tolvaptan (Samsca) which is a
vasopressin antagonist that promotes the excretion of water and corrects the fluid
imbalance in clients who have SIADH.
Drug Name: Chlorpropamide - correct answer - an anti-diabetic agent with antidiuretic
effects that is used to treat diabetes insipidus
Drug Name: Vasopressin - correct answer - exogenous form of antidiuretic hormone
that is used to treat diabetes insipidus
Drug Name: Demopressin - correct answer - a synthetic form of antidiuretic hormone
that is used to treat diabetes insipidus
, Adverse Effect: Lasik eye surgery - correct answer - dry eyes
- blurred vision
Procedure: Lasik Eye Surgery - correct answer - A procedure that can correct (1)
nearsightedness, (2) farsightedness, and (3) astigmatism
- The procedure changes the shape of the cornea to correct vision.
Nursing Actions: For a client who is 3 days post-op following a below-the-knee
operation. - correct answer - rewrap the residual limb with a pressure bandage 3x
daily which ensures the residual limb will shrink and also provides an opportunity to
assess the skin for redness/breakdown
Drug Assessment Finding: Theophylline Toxicity - correct answer - tremors (an early
manifestation of toxicity is CNS stimulation, often seen as tremors
- seizures can occur if blood levels continue to rise
