ATI NCLEX Medical Surgical Assessment 1 with correct answers 100% 2026
already graded 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
A. Provide the client with a means of communication - (answer)A
Use electronic tablet computer, programmable speech generating device, alphabet board, pencil and
paper, etc
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
C. Urine specific gravity 1.020 - (answer)C
Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is postoperative following a total hip
arthroplasty 6 hr ago. Which of the following values indicates that the client has an increased risk for
bleeding
C. Platelets 80,000 - (answer)C
platelet 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
D. Assist the client with quad coughing - (answer)D
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 transfusion-associated circulatory overload
,ATI NCLEX Medical Surgical Assessment 1 with correct answers 100% 2026
already graded A+
C. Dyspnea - (answer)C
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
C. Altered taste sensations - (answer)C
Altered taste is a result of 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)
A. Obtain pre-transfusion temperature
D. Verify the client's blood type with a second nurse
E. Use a 20 gauge IV needle for venous access - (answer)A, D, E
--
A, complete assessment prior to transfusion
D, verify identification, blood compatibility, and expiration of product with second nurse
E, the nurse should use a large bore needle to transfuse the PRBCs to reduce the risk of cell hemolysis
and obstruction of flow
A nurse is reviewing the laboratory findings for a client who is dehydrated. Which of the following BUN
levels should the nurse expect
, ATI NCLEX Medical Surgical Assessment 1 with correct answers 100% 2026
already graded A+
D. 26 mg/dL - (answer)D
Normal range is 10-20, and elevated levels indicates 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 nurse is reviewing ECG strips for several clients. Which of the following images should the nurse
identify as atrial fibrillation
(cannot insert pictures, read description)
A. multiple irregular and variable waves at the baseline and irregular R to R intervals - (answer)A
A nurse is preparing to admit a client who has a new tracheostomy from the operating room. Which of
the following items is the priority for the nurse to have available in the client's room upon admission
A. Obturator - (answer)A
The obturator can be inserted in the stoma in the even of dislodgment or decannulation to maintain an
airway until a new trach tube can be placed. For the first 72 hr following the insertion of a trach,
dislodgement or decannulation is considered an emergency
A nurse is caring for a client who had a below the knee amputation due to a traumatic injury 2 days ago.
Which of the following statements should the nurse use to assess how the client is coping with this
change in their body image
A. "Tell me how the changes to your leg make you feel" - (answer)A
A nurse is teaching a client how to administer a medication using an inhaler with a spacer. Which of the
following instructions should the nurse include
already graded 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
A. Provide the client with a means of communication - (answer)A
Use electronic tablet computer, programmable speech generating device, alphabet board, pencil and
paper, etc
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
C. Urine specific gravity 1.020 - (answer)C
Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is postoperative following a total hip
arthroplasty 6 hr ago. Which of the following values indicates that the client has an increased risk for
bleeding
C. Platelets 80,000 - (answer)C
platelet 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
D. Assist the client with quad coughing - (answer)D
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 transfusion-associated circulatory overload
,ATI NCLEX Medical Surgical Assessment 1 with correct answers 100% 2026
already graded A+
C. Dyspnea - (answer)C
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
C. Altered taste sensations - (answer)C
Altered taste is a result of 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)
A. Obtain pre-transfusion temperature
D. Verify the client's blood type with a second nurse
E. Use a 20 gauge IV needle for venous access - (answer)A, D, E
--
A, complete assessment prior to transfusion
D, verify identification, blood compatibility, and expiration of product with second nurse
E, the nurse should use a large bore needle to transfuse the PRBCs to reduce the risk of cell hemolysis
and obstruction of flow
A nurse is reviewing the laboratory findings for a client who is dehydrated. Which of the following BUN
levels should the nurse expect
, ATI NCLEX Medical Surgical Assessment 1 with correct answers 100% 2026
already graded A+
D. 26 mg/dL - (answer)D
Normal range is 10-20, and elevated levels indicates 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 nurse is reviewing ECG strips for several clients. Which of the following images should the nurse
identify as atrial fibrillation
(cannot insert pictures, read description)
A. multiple irregular and variable waves at the baseline and irregular R to R intervals - (answer)A
A nurse is preparing to admit a client who has a new tracheostomy from the operating room. Which of
the following items is the priority for the nurse to have available in the client's room upon admission
A. Obturator - (answer)A
The obturator can be inserted in the stoma in the even of dislodgment or decannulation to maintain an
airway until a new trach tube can be placed. For the first 72 hr following the insertion of a trach,
dislodgement or decannulation is considered an emergency
A nurse is caring for a client who had a below the knee amputation due to a traumatic injury 2 days ago.
Which of the following statements should the nurse use to assess how the client is coping with this
change in their body image
A. "Tell me how the changes to your leg make you feel" - (answer)A
A nurse is teaching a client how to administer a medication using an inhaler with a spacer. Which of the
following instructions should the nurse include
