ATI PRACTICE TEST B MED SURG
CERTIFICATION TEST 2026
COMPREHENSIVE QUESTIONS AND
SOLUTION GUIDE
◉ A nurse is an emergency department is reviewing a client's ECG
reading. Which of the following findings should the nurse identify as
an indication that the client has a first degree heart block?
a) more p waves than QRS complexes
b) prolonged PR intervals
c) non discernible P waves
d) no correlation between P and QRS waves
Answer: b) prolonged PR intervals
◉ A nurse is reviewing the medication list of a client who is being
admitted with diabetes insipidus. Which of the following medication
places the client at an increased risk for developing diabetes
insipidus?
a) Ranitidine
b) Atorvastatin
c) Propranolol
d) lithium
,Answer: d) lithium - due to sodium retention and increased thirst
and decreased response to ADH
◉ A nurse is planning care for a client who has left-sided hemiplegia
following a stroke which of the following actions should the nurse
include in the plan of care?
a) Place a plate guard on the clients meal tray
b) position the bedside table on the client's left side
c) remind the client to use a cane on his left side while ambulating
d) provide the client with a short handled Reacher
Answer: a) Place a plate guard on the clients meal tray
◉ A nurse is administering potassium chloride via IV infusion to a
client who has severe hypokalemia. Which of the following actions
should the nurse take?
a) Start the infusion at 30 meq /hr
b) assess the client for a positive chvostek's sign
c) Monitor the client for adequate urine output
d) check infusion site at least every 4 hours
Answer: c) Monitor the client for adequate urine output - increasing
potassium will increase sodium excretion/water excretion,
medication is effective if adequate urine output
, ◉ A nurse in the PACU is caring for a client. Which of the following
assessment is the nurses priority?
a) Surgical site
b) level of consciousness
c) respiratory status
d) pain level
Answer: c) respiratory status -ABC,s, airway can lead to LOC change
◉ A nurse is reviewing the medical record of a client who is
scheduled for a CT scan with contrast media. Which of the following
medication should the nurse instruct the client to withhold for 48
hours following the procedure?
a) Carvedilol
b) Furosemide
c) Metformin
d) Clopidrogel
Answer: c) Metformin - pt. at risk for lactic acidosis and
hypoglycemia
◉ Nurse is caring for a client who has pancreatitis and has been
receiving Total parenteral Nutrition. Which of the following
Laboratory test should the nurse monitor for overall nutritional
status?
a) creatinine
CERTIFICATION TEST 2026
COMPREHENSIVE QUESTIONS AND
SOLUTION GUIDE
◉ A nurse is an emergency department is reviewing a client's ECG
reading. Which of the following findings should the nurse identify as
an indication that the client has a first degree heart block?
a) more p waves than QRS complexes
b) prolonged PR intervals
c) non discernible P waves
d) no correlation between P and QRS waves
Answer: b) prolonged PR intervals
◉ A nurse is reviewing the medication list of a client who is being
admitted with diabetes insipidus. Which of the following medication
places the client at an increased risk for developing diabetes
insipidus?
a) Ranitidine
b) Atorvastatin
c) Propranolol
d) lithium
,Answer: d) lithium - due to sodium retention and increased thirst
and decreased response to ADH
◉ A nurse is planning care for a client who has left-sided hemiplegia
following a stroke which of the following actions should the nurse
include in the plan of care?
a) Place a plate guard on the clients meal tray
b) position the bedside table on the client's left side
c) remind the client to use a cane on his left side while ambulating
d) provide the client with a short handled Reacher
Answer: a) Place a plate guard on the clients meal tray
◉ A nurse is administering potassium chloride via IV infusion to a
client who has severe hypokalemia. Which of the following actions
should the nurse take?
a) Start the infusion at 30 meq /hr
b) assess the client for a positive chvostek's sign
c) Monitor the client for adequate urine output
d) check infusion site at least every 4 hours
Answer: c) Monitor the client for adequate urine output - increasing
potassium will increase sodium excretion/water excretion,
medication is effective if adequate urine output
, ◉ A nurse in the PACU is caring for a client. Which of the following
assessment is the nurses priority?
a) Surgical site
b) level of consciousness
c) respiratory status
d) pain level
Answer: c) respiratory status -ABC,s, airway can lead to LOC change
◉ A nurse is reviewing the medical record of a client who is
scheduled for a CT scan with contrast media. Which of the following
medication should the nurse instruct the client to withhold for 48
hours following the procedure?
a) Carvedilol
b) Furosemide
c) Metformin
d) Clopidrogel
Answer: c) Metformin - pt. at risk for lactic acidosis and
hypoglycemia
◉ Nurse is caring for a client who has pancreatitis and has been
receiving Total parenteral Nutrition. Which of the following
Laboratory test should the nurse monitor for overall nutritional
status?
a) creatinine
