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ATI MEDICAL SURGICAL CMS
PROCTORED EXAM UPDATED THIS YEAR
WITH 250 QUESTIONS AND CORRECT
ANSWERS WITH JUST RELEASED
Question: 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. - CORRECT 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"
Question: 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
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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. - CORRECT
ANSWER✔✔a. I will need to have my partner take over shopping for groceries and cooking the
meal for us
Question: 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 - CORRECT 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
Question: 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
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d. Nitroprusside - CORRECT 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"
Question: 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" - CORRECT 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"
Question: 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
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d. using a nicotine transdermal patch - CORRECT 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"
Question: 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 - CORRECT ANSWER✔✔d. clamp the catheter
Question: 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 - CORRECT ANSWER✔✔d. perform the
irrigation with sterile water for irrigation
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SUCCESS!
ATI MEDICAL SURGICAL CMS
PROCTORED EXAM UPDATED THIS YEAR
WITH 250 QUESTIONS AND CORRECT
ANSWERS WITH JUST RELEASED
Question: 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. - CORRECT 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"
Question: 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
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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. - CORRECT
ANSWER✔✔a. I will need to have my partner take over shopping for groceries and cooking the
meal for us
Question: 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 - CORRECT 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
Question: 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
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d. Nitroprusside - CORRECT 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"
Question: 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" - CORRECT 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"
Question: 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
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d. using a nicotine transdermal patch - CORRECT 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"
Question: 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 - CORRECT ANSWER✔✔d. clamp the catheter
Question: 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 - CORRECT ANSWER✔✔d. perform the
irrigation with sterile water for irrigation
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