ATI RN MEDICAL-SURGICAL PROCTORED EXAM QUESTION COMPREHENSIVE ATI-STYLE PRACTICE EXAM QUESTIONS 1–40 WITH ANSWERS & RATIONALES

ATI RN MEDICAL-SURGICAL PROCTORED EXAM
QUESTION COMPREHENSIVE ATI-STYLE PRACTICE
EXAM
QUESTIONS 1–40 WITH ANSWERS & RATIONALES
.




Question 1 xz




A nurse is caring for a client who has heart failure. Which assessment finding indicates fluid volume
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excess?

A. Weight loss of 1 kg in 24 hr
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B. Dry mucous membranes
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C. Bilateral crackles in the lungs
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D. Decreased jugular venous distention
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Answer: C. Bilateral crackles in the lungs xz xz xz xz xz xz




Rationale: Crackles indicate pulmonary fluid accumulation, a common manifestation of fluid overl
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oad in heart failure.
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Question 2 xz




A nurse is caring for a client who is experiencing a myocardial infarction. Which laboratory value sh
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ould the nurse expect to be elevated?
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A. Hemoglobin
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B. Troponin I
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C. Calcium
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D. Albumin
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Answer: B. Troponin I xz xz xz




Rationale: Troponin I is the most specific biomarker for myocardial injury and remains elevated for
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several days after an MI.
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, Question 3 xz




A nurse is assessing a client who has hypokalemia. Which manifestation should the nurse expect?
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A. Peaked T waves
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B. Hyperactive bowel sounds
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C. Muscle weakness
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D. Bradycardia
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Answer: C. Muscle weakness
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Rationale: Hypokalemia decreases neuromuscular excitability, resulting in weakness and fatigue.
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Question 4 xz




A nurse is caring for a client who has COPD. Which finding requires immediate intervention?
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A. Oxygen saturation 91%
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B. Barrel-shaped chest
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C. Respiratory rate 8/min
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D. Chronic productive cough
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Answer: C. Respiratory rate 8/min
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Rationale: A respiratory rate of 8/min indicates respiratory depression and requires immediate inter
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vention.



Question 5 xz




A nurse is caring for a client who has diabetes mellitus. Which finding is most indicative of hypogly
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cemia?

A. Fruity breath odor
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B. Warm, dry skin
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C. Tremors and diaphoresis
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D. Kussmaul respirations
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Answer: C. Tremors and diaphoresis
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