ATI MED-SURG PROCTORED EXAM
200 Questions with Rationales (priority-based & case-based questions)
1. A nurse is caring for a client with heart failure. Which finding indicates fluid overload?
A. Weight gain
B. Dry skin
C. Low BP
D. Bradycardia
Answer: A
Rationale: Fluid retention causes rapid weight gain.
2. A client with COPD should be positioned in:
A. High Fowler’s
B. Supine
C. Trendelenburg
D. Flat
Answer: A
Rationale: Improves lung expansion.
3. A client receiving Furosemide should be monitored for:
A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypercalcemia
Answer: A
Rationale: Causes potassium loss.
4. A client with chest pain receives Nitroglycerin. What is expected?
A. Decreased pain
B. Increased BP
C. Bradycardia
D. Fever
Answer: A
Rationale: Dilates coronary arteries.
5. A client post-op is at risk for DVT. Best prevention?
A. Early ambulation
B. Bed rest
C. Fluid restriction
D. Sedation
Answer: A
Rationale: Promotes circulation.
,6. A client with diabetes has blood glucose 60 mg/dL. Action?
A. Give glucose
B. Give insulin
C. Restrict fluids
D. Monitor only
Answer: A
Rationale: Treat hypoglycemia immediately.
7. A client with pneumonia shows improvement with:
A. Clear breath sounds
B. Fever
C. Tachycardia
D. Dyspnea
Answer: A
Rationale: Indicates recovery.
8. A client receives Heparin. Monitor:
A. aPTT
B. INR
C. Platelets only
D. Sodium
Answer: A
Rationale: Measures anticoagulation.
9. A client with hypertension should reduce:
A. Sodium
B. Protein
C. Carbs
D. Vitamins
Answer: A
Rationale: Sodium increases BP.
10. A burn patient priority is:
A. Fluid resuscitation
B. Nutrition
C. Exercise
D. Sleep
Answer: A
Rationale: Prevent shock.
11. A client with anemia shows:
A. Fatigue
B. Hypertension
C. Fever
D. Rash
, Answer: A
Rationale: Low oxygen delivery.
12. A client with asthma uses Albuterol. Effect?
A. Bronchodilation
B. Constriction
C. Fever
D. Sleep
Answer: A
Rationale: Opens airway.
13. A client with MI should avoid:
A. Straining
B. Rest
C. Oxygen
D. Monitoring
Answer: A
Rationale: Increases cardiac workload.
14. A client with CKD should limit:
A. Potassium
B. Water
C. Oxygen
D. Sleep
Answer: A
Rationale: Risk of hyperkalemia.
15. A client post-surgery has fever. Likely cause?
A. Infection
B. Recovery
C. Sleep
D. Hydration
Answer: A
Rationale: Common complication.
16. A client with stroke priority:
A. Airway
B. Nutrition
C. Exercise
D. Sleep
Answer: A
Rationale: ABC first.
17. A client with liver disease shows:
A. Jaundice
B. Fever
, C. Rash
D. Sleep
Answer: A
Rationale: Bilirubin buildup.
18. A client receives Morphine. Monitor:
A. Respiration
B. Vision
C. Skin
D. Hearing
Answer: A
Rationale: Risk of respiratory depression.
19. A client with UTI symptom:
A. Dysuria
B. Headache
C. Rash
D. Sleep
Answer: A
Rationale: Painful urination.
20. A client with hypoxia shows:
A. Cyanosis
B. Red skin
C. Fever
D. Sleep
Answer: A
Rationale: Low oxygen.
21. A client with pancreatitis priority:
A. NPO
B. Feed
C. Exercise
D. Sleep
Answer: A
Rationale: Rest pancreas.
22. A client receives Insulin overdose sign?
A. Hypoglycemia
B. Hyperglycemia
C. Fever
D. Sleep
Answer: A
Rationale: Low blood sugar.
200 Questions with Rationales (priority-based & case-based questions)
1. A nurse is caring for a client with heart failure. Which finding indicates fluid overload?
A. Weight gain
B. Dry skin
C. Low BP
D. Bradycardia
Answer: A
Rationale: Fluid retention causes rapid weight gain.
2. A client with COPD should be positioned in:
A. High Fowler’s
B. Supine
C. Trendelenburg
D. Flat
Answer: A
Rationale: Improves lung expansion.
3. A client receiving Furosemide should be monitored for:
A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypercalcemia
Answer: A
Rationale: Causes potassium loss.
4. A client with chest pain receives Nitroglycerin. What is expected?
A. Decreased pain
B. Increased BP
C. Bradycardia
D. Fever
Answer: A
Rationale: Dilates coronary arteries.
5. A client post-op is at risk for DVT. Best prevention?
A. Early ambulation
B. Bed rest
C. Fluid restriction
D. Sedation
Answer: A
Rationale: Promotes circulation.
,6. A client with diabetes has blood glucose 60 mg/dL. Action?
A. Give glucose
B. Give insulin
C. Restrict fluids
D. Monitor only
Answer: A
Rationale: Treat hypoglycemia immediately.
7. A client with pneumonia shows improvement with:
A. Clear breath sounds
B. Fever
C. Tachycardia
D. Dyspnea
Answer: A
Rationale: Indicates recovery.
8. A client receives Heparin. Monitor:
A. aPTT
B. INR
C. Platelets only
D. Sodium
Answer: A
Rationale: Measures anticoagulation.
9. A client with hypertension should reduce:
A. Sodium
B. Protein
C. Carbs
D. Vitamins
Answer: A
Rationale: Sodium increases BP.
10. A burn patient priority is:
A. Fluid resuscitation
B. Nutrition
C. Exercise
D. Sleep
Answer: A
Rationale: Prevent shock.
11. A client with anemia shows:
A. Fatigue
B. Hypertension
C. Fever
D. Rash
, Answer: A
Rationale: Low oxygen delivery.
12. A client with asthma uses Albuterol. Effect?
A. Bronchodilation
B. Constriction
C. Fever
D. Sleep
Answer: A
Rationale: Opens airway.
13. A client with MI should avoid:
A. Straining
B. Rest
C. Oxygen
D. Monitoring
Answer: A
Rationale: Increases cardiac workload.
14. A client with CKD should limit:
A. Potassium
B. Water
C. Oxygen
D. Sleep
Answer: A
Rationale: Risk of hyperkalemia.
15. A client post-surgery has fever. Likely cause?
A. Infection
B. Recovery
C. Sleep
D. Hydration
Answer: A
Rationale: Common complication.
16. A client with stroke priority:
A. Airway
B. Nutrition
C. Exercise
D. Sleep
Answer: A
Rationale: ABC first.
17. A client with liver disease shows:
A. Jaundice
B. Fever
, C. Rash
D. Sleep
Answer: A
Rationale: Bilirubin buildup.
18. A client receives Morphine. Monitor:
A. Respiration
B. Vision
C. Skin
D. Hearing
Answer: A
Rationale: Risk of respiratory depression.
19. A client with UTI symptom:
A. Dysuria
B. Headache
C. Rash
D. Sleep
Answer: A
Rationale: Painful urination.
20. A client with hypoxia shows:
A. Cyanosis
B. Red skin
C. Fever
D. Sleep
Answer: A
Rationale: Low oxygen.
21. A client with pancreatitis priority:
A. NPO
B. Feed
C. Exercise
D. Sleep
Answer: A
Rationale: Rest pancreas.
22. A client receives Insulin overdose sign?
A. Hypoglycemia
B. Hyperglycemia
C. Fever
D. Sleep
Answer: A
Rationale: Low blood sugar.
