ATI MED SURG CMS PROCTORED EXAM
2025 (VERSION A, B, AND C) QUESTIONS
AND CORRECT ANSWERS
VERSION A
A nurse in an emergency department is preparing to perform ocular
irrigation for a client. Which of the following actions should the nurse
plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
d. Perform the irrigation with sterile water for irrigation-
ANSWER - d. perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV
infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops / mL.
How many gtt/min should the nurse set the IV pump to administer?
Round to the nearest whole number-
,ANSWER - 33 gtt/min
A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following client
statements indicates an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it.
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache.
d. I can take up to 5 tablets in 15 minutes before seeking medical attention-
ANSWER - b. I should lie down when I take this medication
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of
this medication, change positions slowly"
A nurse is providing discharge teaching to an older adult following a left
total hip arthroplasty. Which of the follwoing instructions should the nurse
include in the teaching?
a. clean the incision daily with hydrogen peroxid
b. you can cross your legs and the ankles when sitting down
c. you should use an incentive spirometer every 8 hours
,d. install a raised toilet in your bathroom-
ANSWER - d. install a raised toilet in your bathroom
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use
elevated seating and a raised toilet seat"
A nurse is planning care for a client following a cardiac catheterization.
Which of the following actions should the nurse take?
a. keep the client on bed rest for 24 hours
b. limit the client's fluid intake to 1L per day.
c. maintain the client's affected extremity in extension
d. change the client's dressing every 8 hours.-
ANSWER - c. maintain the client's affected extremity in extension
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity
straight for prescribed time"
A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates
the client is adapting to their role change?
, a. I will need to have my partner take over shopping for groceries and
cooking the meal for us
b. These crutches make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. it's going to be difficult to tell my parents I can't take them to their
appointment.-
ANSWER - a. I will need to have my partner take over shopping for
groceries and cooking the meal for us
A Nurse Is Caring For A Client Who Has Gastroenteritis. Which Of The
Following Assessment Findings Should The Nurse Recognize As An
Indication That The Client Is Experiencing Dehydration?
a. pitting, dependent edema
b. distended jugular veins
c. increased BP
d. decreased BP-
ANSWER - d. decreased BP
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include,
hypothermia, tachycardia, thready pulse, HYPOTENSION, orthostatic
2025 (VERSION A, B, AND C) QUESTIONS
AND CORRECT ANSWERS
VERSION A
A nurse in an emergency department is preparing to perform ocular
irrigation for a client. Which of the following actions should the nurse
plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
d. Perform the irrigation with sterile water for irrigation-
ANSWER - d. perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV
infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops / mL.
How many gtt/min should the nurse set the IV pump to administer?
Round to the nearest whole number-
,ANSWER - 33 gtt/min
A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following client
statements indicates an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it.
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache.
d. I can take up to 5 tablets in 15 minutes before seeking medical attention-
ANSWER - b. I should lie down when I take this medication
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of
this medication, change positions slowly"
A nurse is providing discharge teaching to an older adult following a left
total hip arthroplasty. Which of the follwoing instructions should the nurse
include in the teaching?
a. clean the incision daily with hydrogen peroxid
b. you can cross your legs and the ankles when sitting down
c. you should use an incentive spirometer every 8 hours
,d. install a raised toilet in your bathroom-
ANSWER - d. install a raised toilet in your bathroom
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use
elevated seating and a raised toilet seat"
A nurse is planning care for a client following a cardiac catheterization.
Which of the following actions should the nurse take?
a. keep the client on bed rest for 24 hours
b. limit the client's fluid intake to 1L per day.
c. maintain the client's affected extremity in extension
d. change the client's dressing every 8 hours.-
ANSWER - c. maintain the client's affected extremity in extension
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity
straight for prescribed time"
A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates
the client is adapting to their role change?
, a. I will need to have my partner take over shopping for groceries and
cooking the meal for us
b. These crutches make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. it's going to be difficult to tell my parents I can't take them to their
appointment.-
ANSWER - a. I will need to have my partner take over shopping for
groceries and cooking the meal for us
A Nurse Is Caring For A Client Who Has Gastroenteritis. Which Of The
Following Assessment Findings Should The Nurse Recognize As An
Indication That The Client Is Experiencing Dehydration?
a. pitting, dependent edema
b. distended jugular veins
c. increased BP
d. decreased BP-
ANSWER - d. decreased BP
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include,
hypothermia, tachycardia, thready pulse, HYPOTENSION, orthostatic
