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ATI Medical Surgical CMS Proctored Exam
ATI MED SURG CMS 2025 /ATI RN MEDICAL SURGICAL CMS 3 2025/2026 LATEST
VERSIONS (VERSION A, B, AND C) EACH VERSION CONTAINS QUESTIONS AND
CORRET DETAILED 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"
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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
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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 hypotension, decreased central venous pressure, tachypnea, hypoxia
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output
was 4,000 ml over the past 24 hours. The nurse should anticipate a prescription for which of the following IV
medications?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside-
ANSWER - a. Desmopressin
M/S c. 14/p. 85 "Diabetes insipidous is a possible complication"
Pharm c. 40/ p.323 "desmopressin is an agent of choice for DI"
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and
reports a nagging dry coug. Which of the following response by the nurse is appropriate?
a. "your cough may require that you stop or change your medicaiton"
b. "increasing your daily fluid intake may eliminate your cough
c. "sucking on a lozenge may reduce the frequency of your cough"
d. "your cough should go away in time"-
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ANSWER - a. "your cough may require that you stop or change your medicaiton"
Pharm c. 20/ p. 155 "Cough is a complication. Inform clients of the possibility of experiencing a dry cough and
to notify the provider. Discontinue the medication"
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following
assessment findings should the nurse identify as a potentional trigger for exacerbations?
a. eating a strict vegetarian diet
b. a history of herpes zoster
c. taking amiodipine for hypertension
d. using a nicotine transdermal patch-
ANSWER - d. using a nicotine transdermal patch
M/S C. 35/ p. 223 "Risk factors for peripheral artery disease like Raynaud's disease include cigarette smoking"
A nurse is caring for a client who has a central venous access devise and notes the tubing has become
disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse
take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter-
ANSWER - d. clamp the catheter
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony
prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the
plan of care?
a. Turn and reposition the client every 4 hours
b. apply an occlusive dressing
c. support bony prominences with pillows
d. massage the reddened areas three times a day.-
ATI Medical Surgical CMS Proctored Exam
ATI MED SURG CMS 2025 /ATI RN MEDICAL SURGICAL CMS 3 2025/2026 LATEST
VERSIONS (VERSION A, B, AND C) EACH VERSION CONTAINS QUESTIONS AND
CORRET DETAILED 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"
,2|Page
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
,3|Page
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 hypotension, decreased central venous pressure, tachypnea, hypoxia
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output
was 4,000 ml over the past 24 hours. The nurse should anticipate a prescription for which of the following IV
medications?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside-
ANSWER - a. Desmopressin
M/S c. 14/p. 85 "Diabetes insipidous is a possible complication"
Pharm c. 40/ p.323 "desmopressin is an agent of choice for DI"
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and
reports a nagging dry coug. Which of the following response by the nurse is appropriate?
a. "your cough may require that you stop or change your medicaiton"
b. "increasing your daily fluid intake may eliminate your cough
c. "sucking on a lozenge may reduce the frequency of your cough"
d. "your cough should go away in time"-
, 4|Page
ANSWER - a. "your cough may require that you stop or change your medicaiton"
Pharm c. 20/ p. 155 "Cough is a complication. Inform clients of the possibility of experiencing a dry cough and
to notify the provider. Discontinue the medication"
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following
assessment findings should the nurse identify as a potentional trigger for exacerbations?
a. eating a strict vegetarian diet
b. a history of herpes zoster
c. taking amiodipine for hypertension
d. using a nicotine transdermal patch-
ANSWER - d. using a nicotine transdermal patch
M/S C. 35/ p. 223 "Risk factors for peripheral artery disease like Raynaud's disease include cigarette smoking"
A nurse is caring for a client who has a central venous access devise and notes the tubing has become
disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse
take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter-
ANSWER - d. clamp the catheter
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony
prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the
plan of care?
a. Turn and reposition the client every 4 hours
b. apply an occlusive dressing
c. support bony prominences with pillows
d. massage the reddened areas three times a day.-
