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ATI MED SURG CMS VERSION A /ATI RN MEDICAL SURGICAL CMS
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A critical care nurse is assessing a client who has severe head
injury. In response to painful
stimuli, the client does not open her eyes, displays decerebrate
posturing, and makes
incomprehensible sounds. Which of the following Glasgow Coma
Scale scores should the nurse
assign the client?
a. 5
b. 2
c. 13
d. 10 - ANSWER-a. 5
A nurse is providing discharge teaching to a client who has heart
failure and instructs him to
limit sodium intake to 2 g per day. Which of the following
statements by the client indicates an
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understanding of the teaching?
a. "I can season my foods with garlic and onion salts"
b. "I can have mayonnaise on my sandwiches"
c. "I can have a frozen fruit juice bar for dessert"
d. "I can drink vegetable juice with a meal" - ANSWER-c. "I can
have a frozen fruit juice bar for dessert"
A nurse is preparing to perform ocular irrigation for a client
following chemical splash to the
eye. Which of the following actions should the nurse plan to take
first?
a. Instill 0.9% sodium chloride solution into the affected eye
b. Administer proparacaine eyedrops into the affected eye
c. Collect information about the irritant that caused the injury -
ANSWER-c. Collect information about the irritant that caused the
injury
A nurse is assessing a client following extubation from a
ventilator. For which of the following
findings should the nurse intervene immediately?
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a. Rhonchi
b. SaO2 92%
c. Sore throat
d. Stridor - ANSWER-d. Stridor
A nurse is reviewing the laboratory reports of a client who has
acute pancreatitis. Which of the
following findings should the nurse expect?
a. Elevated serum calcium
b. Elevated blood glucose
c. Decreased serum amylase
d. Decreased erythrocyte sedimentation rate - ANSWER-b.
Elevated blood glucose
A nurse is reviewing the medical record of a client who has
diabetes insipidus. Which of the
following findings should the nurse expect?
a. Hypothermia
b. Urine specific gravity 1.001 (<1.005)
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c. Elevated blood pressure
d. BUN 15 mg/dl - ANSWER-b. Urine specific gravity 1.001
(<1.005)
A nurse is planning care for a client who has pulmonary
embolism. Which of the following
interventions should the nurse include?
a. Initiate a continuous IV heparin infusion
b. Instruct the client to massage the lower extremities
c. Position the client on the left side
d. Measure vital signs every 4 hour - ANSWER-a. Initiate a
continuous IV heparin infusion
A nurse is providing discharge teaching to a client who is
recovering from a sickle cell crisis.
Which of the following instructions should the nurse include?
a. Avoid extremely hot or cold temperatures
b. Limit fluids to 1.5 L per day
c. Limit alcohol intake to one drink per day
ATI MED SURG CMS VERSION A /ATI RN MEDICAL SURGICAL CMS
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A critical care nurse is assessing a client who has severe head
injury. In response to painful
stimuli, the client does not open her eyes, displays decerebrate
posturing, and makes
incomprehensible sounds. Which of the following Glasgow Coma
Scale scores should the nurse
assign the client?
a. 5
b. 2
c. 13
d. 10 - ANSWER-a. 5
A nurse is providing discharge teaching to a client who has heart
failure and instructs him to
limit sodium intake to 2 g per day. Which of the following
statements by the client indicates an
,2|Page
understanding of the teaching?
a. "I can season my foods with garlic and onion salts"
b. "I can have mayonnaise on my sandwiches"
c. "I can have a frozen fruit juice bar for dessert"
d. "I can drink vegetable juice with a meal" - ANSWER-c. "I can
have a frozen fruit juice bar for dessert"
A nurse is preparing to perform ocular irrigation for a client
following chemical splash to the
eye. Which of the following actions should the nurse plan to take
first?
a. Instill 0.9% sodium chloride solution into the affected eye
b. Administer proparacaine eyedrops into the affected eye
c. Collect information about the irritant that caused the injury -
ANSWER-c. Collect information about the irritant that caused the
injury
A nurse is assessing a client following extubation from a
ventilator. For which of the following
findings should the nurse intervene immediately?
,3|Page
a. Rhonchi
b. SaO2 92%
c. Sore throat
d. Stridor - ANSWER-d. Stridor
A nurse is reviewing the laboratory reports of a client who has
acute pancreatitis. Which of the
following findings should the nurse expect?
a. Elevated serum calcium
b. Elevated blood glucose
c. Decreased serum amylase
d. Decreased erythrocyte sedimentation rate - ANSWER-b.
Elevated blood glucose
A nurse is reviewing the medical record of a client who has
diabetes insipidus. Which of the
following findings should the nurse expect?
a. Hypothermia
b. Urine specific gravity 1.001 (<1.005)
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c. Elevated blood pressure
d. BUN 15 mg/dl - ANSWER-b. Urine specific gravity 1.001
(<1.005)
A nurse is planning care for a client who has pulmonary
embolism. Which of the following
interventions should the nurse include?
a. Initiate a continuous IV heparin infusion
b. Instruct the client to massage the lower extremities
c. Position the client on the left side
d. Measure vital signs every 4 hour - ANSWER-a. Initiate a
continuous IV heparin infusion
A nurse is providing discharge teaching to a client who is
recovering from a sickle cell crisis.
Which of the following instructions should the nurse include?
a. Avoid extremely hot or cold temperatures
b. Limit fluids to 1.5 L per day
c. Limit alcohol intake to one drink per day
