ATI NCLEX MEDICAL SURGICAL
COMPREHENSIVE EXAM 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ A nurse is caring for a client receiving IV fluid replacement therapy
for dehydration. Which laboratory result indicates effectiveness of
treatment. Answer: Urine specific gravity 1.020, within expected range
of 1.005-1.030
◉ A nurse is monitoring lab findings for a client postoperative following
total hip arthroplasty. Which value indicates increased risk for bleeding.
Answer: Platelets 80,000, range is 150,000-400,000
◉ A nurse is admitting a client with a cervical spinal cord injury
following a motor vehicle crash. What intervention is the nurse's
priority. Answer: Assist client with quad coughing to ensure airway
clearance
◉ A nurse is caring for a client receiving a blood transfusion. Which
finding indicates transfusion-associated circulatory overload. Answer:
Dyspnea, indicating possible circulatory overload or transfusion-related
lung injury
, ◉ A nurse is assessing a client with lung cancer undergoing radiation
therapy to the chest. What indicates an adverse effect of therapy.
Answer: Altered taste sensations due to release of metabolites by dead
cells
◉ A nurse is preparing to administer packed RBCs to a client with
anemia. Which actions should the nurse plan to take. Answer: Obtain
pre-transfusion temperature, verify client's blood type, use 20 gauge IV
needle for venous access
◉ A nurse is reviewing lab findings for a dehydrated client. What BUN
level should the nurse expect. Answer: 26 mg/dL, elevated levels
indicate various conditions including dehydration
◉ A nurse is reviewing ECG strips for clients. Which image indicates
atrial fibrillation. Answer: Multiple irregular waves at baseline and
irregular R to R intervals
◉ A nurse is preparing to admit a client with a new tracheostomy. What
item is the priority to have available in the client's room upon admission.
Answer: Obturator for emergency airway maintenance in case of
dislodgment or decannulation
◉ A nurse is caring for a client who had a below the knee amputation
due to a traumatic injury 2 days ago. Which of the following statements
should the nurse use to assess how the client is coping with this change
COMPREHENSIVE EXAM 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ A nurse is caring for a client receiving IV fluid replacement therapy
for dehydration. Which laboratory result indicates effectiveness of
treatment. Answer: Urine specific gravity 1.020, within expected range
of 1.005-1.030
◉ A nurse is monitoring lab findings for a client postoperative following
total hip arthroplasty. Which value indicates increased risk for bleeding.
Answer: Platelets 80,000, range is 150,000-400,000
◉ A nurse is admitting a client with a cervical spinal cord injury
following a motor vehicle crash. What intervention is the nurse's
priority. Answer: Assist client with quad coughing to ensure airway
clearance
◉ A nurse is caring for a client receiving a blood transfusion. Which
finding indicates transfusion-associated circulatory overload. Answer:
Dyspnea, indicating possible circulatory overload or transfusion-related
lung injury
, ◉ A nurse is assessing a client with lung cancer undergoing radiation
therapy to the chest. What indicates an adverse effect of therapy.
Answer: Altered taste sensations due to release of metabolites by dead
cells
◉ A nurse is preparing to administer packed RBCs to a client with
anemia. Which actions should the nurse plan to take. Answer: Obtain
pre-transfusion temperature, verify client's blood type, use 20 gauge IV
needle for venous access
◉ A nurse is reviewing lab findings for a dehydrated client. What BUN
level should the nurse expect. Answer: 26 mg/dL, elevated levels
indicate various conditions including dehydration
◉ A nurse is reviewing ECG strips for clients. Which image indicates
atrial fibrillation. Answer: Multiple irregular waves at baseline and
irregular R to R intervals
◉ A nurse is preparing to admit a client with a new tracheostomy. What
item is the priority to have available in the client's room upon admission.
Answer: Obturator for emergency airway maintenance in case of
dislodgment or decannulation
◉ A nurse is caring for a client who had a below the knee amputation
due to a traumatic injury 2 days ago. Which of the following statements
should the nurse use to assess how the client is coping with this change
