ATI MED SURG PRACTICE B 2026 EXAM STUDY GUIDE LATEST 2026
UPDATED QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago.
The nurse should identify which of the following findings as an indication of a myocardial
infarction (MI)?
Creatine kinase (CK-MB) 85 units/L
High-density lipoprotein (HDL) 65 mg/dL
Alanine aminotransferase (ALT) 28 units/L
Troponin I 8 ng/mL
Troponin 18
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the
following findings should the nurse report to the provider?
The client's urinary output has increased.
The client reports back pain.
The client's urine color is red tinged.
The client's BUN is 18 mg/dL.
The client reports back pain
A nurse is providing teaching to a client who has AIDS. Which of the following statements by
the client indicates an understanding of the teaching?
"I should clean my toothbrush in the dishwasher once a month."
"I should eat more fresh fruit and vegetables."
"I will avoid drinking a glass of cold liquid that has been standing for 30 minutes."
"I will take my temperature once a day."
I will take my temperature once a day.
A nurse is providing teaching to a client who has asthma about the use of a metered-dose
inhaler. The nurse should identify that which of the following client actions indicates an
understanding of the teaching?
1|Page
,Breathing in rapidly while administering the medication
Washing the plastic case and cap of the inhaler in the dishwasher
Holding breath for 10 seconds after inhaling
Waiting 15 seconds between puffs, if two puffs are required
Holding breathe 10 secs after inhaling
A nurse is providing discharge teaching about infection prevention to a client who has AIDS.
Which of the following statements by the client indicates understanding of the teaching?
"I will eat a salad at least once each day to increase my intake of vitamin K."
"I can work in my flower garden as long as I wear gardening gloves to cover my skin."
"I will no longer floss my teeth after brushing my teeth."
"I can sip on a glass of juice for at least 2 hours before I should discard it."
I will no longer floss my teeth after brushing
A nurse is providing discharge teaching to a client who is postoperative following a modified
radical mastectomy. Which of the following instructions should the nurse include?
Flex the affected arm when ambulating.
Numbness can occur along the inside of the affected arm.
Begin active range-of-motion exercises 1 day after surgery.
Dress in clothing that fits snugly.
numbness can occur along the inside of the affected arm
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty.
Which of the following instructions should the nurse include?
Flex the foot every hour when awake.
Place a pillow under the knee when lying in bed.
Lower the leg when sitting in a chair.
Ensure the leg is abducted when resting in bed.
Flex the foot every hour when awake
A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include?
Begin taking glucosamine supplements.
2|Page
, Walk for 30 min four times per week.
Jog for 15 min two times per week.
Avoid taking over-the-counter calcium supplements.
walk for 30 mins 4x a week
A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy.
Which of the following statements should the nurse make?
"You should accept your body image change before discharge."
"It is important for you to look at the incisional site when the dressings are removed."
"I will refer you to community resources that can provide support."
"The scar will remain red and raised for many years after surgery."
I will refer you to community resources that can provide support
A nurse is caring for a client who has hypothyroidism. Which of the following manifestations
should the nurse expect?
Constipation
Insomnia
Tachycardia
Diaphoresis
constipation
A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I wish I could
stop these treatments. I am ready to die." Which of the following statements should the
nurse make?
"Discontinuing with the treatments is your choice if it is your wish to do so."
"Your daughter is named as your health care surrogate. I will ask her if you can stop them."
"I will call your spiritual advisor to come in, so you can discuss this with them."
"Next time you have an oncology appointment, you should ask the oncologist."
discontinuing treatments is your choice
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic
reaction. After ensuring a patent airway, which of the following nursing interventions is the
priority?
3|Page
UPDATED QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago.
The nurse should identify which of the following findings as an indication of a myocardial
infarction (MI)?
Creatine kinase (CK-MB) 85 units/L
High-density lipoprotein (HDL) 65 mg/dL
Alanine aminotransferase (ALT) 28 units/L
Troponin I 8 ng/mL
Troponin 18
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the
following findings should the nurse report to the provider?
The client's urinary output has increased.
The client reports back pain.
The client's urine color is red tinged.
The client's BUN is 18 mg/dL.
The client reports back pain
A nurse is providing teaching to a client who has AIDS. Which of the following statements by
the client indicates an understanding of the teaching?
"I should clean my toothbrush in the dishwasher once a month."
"I should eat more fresh fruit and vegetables."
"I will avoid drinking a glass of cold liquid that has been standing for 30 minutes."
"I will take my temperature once a day."
I will take my temperature once a day.
A nurse is providing teaching to a client who has asthma about the use of a metered-dose
inhaler. The nurse should identify that which of the following client actions indicates an
understanding of the teaching?
1|Page
,Breathing in rapidly while administering the medication
Washing the plastic case and cap of the inhaler in the dishwasher
Holding breath for 10 seconds after inhaling
Waiting 15 seconds between puffs, if two puffs are required
Holding breathe 10 secs after inhaling
A nurse is providing discharge teaching about infection prevention to a client who has AIDS.
Which of the following statements by the client indicates understanding of the teaching?
"I will eat a salad at least once each day to increase my intake of vitamin K."
"I can work in my flower garden as long as I wear gardening gloves to cover my skin."
"I will no longer floss my teeth after brushing my teeth."
"I can sip on a glass of juice for at least 2 hours before I should discard it."
I will no longer floss my teeth after brushing
A nurse is providing discharge teaching to a client who is postoperative following a modified
radical mastectomy. Which of the following instructions should the nurse include?
Flex the affected arm when ambulating.
Numbness can occur along the inside of the affected arm.
Begin active range-of-motion exercises 1 day after surgery.
Dress in clothing that fits snugly.
numbness can occur along the inside of the affected arm
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty.
Which of the following instructions should the nurse include?
Flex the foot every hour when awake.
Place a pillow under the knee when lying in bed.
Lower the leg when sitting in a chair.
Ensure the leg is abducted when resting in bed.
Flex the foot every hour when awake
A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include?
Begin taking glucosamine supplements.
2|Page
, Walk for 30 min four times per week.
Jog for 15 min two times per week.
Avoid taking over-the-counter calcium supplements.
walk for 30 mins 4x a week
A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy.
Which of the following statements should the nurse make?
"You should accept your body image change before discharge."
"It is important for you to look at the incisional site when the dressings are removed."
"I will refer you to community resources that can provide support."
"The scar will remain red and raised for many years after surgery."
I will refer you to community resources that can provide support
A nurse is caring for a client who has hypothyroidism. Which of the following manifestations
should the nurse expect?
Constipation
Insomnia
Tachycardia
Diaphoresis
constipation
A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I wish I could
stop these treatments. I am ready to die." Which of the following statements should the
nurse make?
"Discontinuing with the treatments is your choice if it is your wish to do so."
"Your daughter is named as your health care surrogate. I will ask her if you can stop them."
"I will call your spiritual advisor to come in, so you can discuss this with them."
"Next time you have an oncology appointment, you should ask the oncologist."
discontinuing treatments is your choice
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic
reaction. After ensuring a patent airway, which of the following nursing interventions is the
priority?
3|Page
