Latest 2026 – ATI RN Adult Medical-Surgical Proctored
2023/2026 Exam with NGN # All RN ATI Adult Med-Surg
Nursing Exam NGN-Based – 100 Solved Questions &
Graded A+
SECTION 1: CARDIOVASCULAR DISORDERS
Question 1
A nurse is assessing a client who is 12 hours postoperative following a colon
resection. Which finding should be reported to the surgeon immediately?
A. Absent bowel sounds
B. Heart rate 90/min
C. Hemoglobin 8.2 g/dL
D. Temperature 99.2°F (37.3°C)
Correct Answer: C. Hemoglobin 8.2 g/dL
Rationale: Normal hemoglobin is 13–18 g/dL for males and 12–16 g/dL for
females. A sudden drop to 8.2 g/dL suggests active bleeding (possibly intra-
abdominal) and requires immediate notification. Absent bowel sounds are
expected after bowel surgery, and a heart rate of 90/min is within normal range .
Question 2
A nurse is caring for a client with heart failure who has crackles in the lung
bases, 2+ pitting edema, and jugular vein distension. Which prescribed
medication should the nurse administer first?
A. Metoprolol (Lopressor)
B. Furosemide (Lasix) IV
,C. Lisinopril (Prinivil)
D. Digoxin (Lanoxin)
Correct Answer: B. Furosemide (Lasix) IV
Rationale: The client has signs of fluid overload. IV furosemide rapidly reduces
preload by promoting diuresis, relieving pulmonary congestion and edema. This is
the priority intervention .
Question 3
A nurse is administering digoxin 0.25 mg orally to a client with atrial fibrillation.
Prior to administration, the nurse obtains an apical pulse of 52 beats per minute.
Which of the following actions should the nurse take?
A. Administer the medication as prescribed
B. Hold the medication and document the finding
C. Hold the medication and notify the healthcare provider
D. Administer the medication and then notify the provider
Correct Answer: C. Hold the medication and notify the healthcare provider
Rationale: The standard hold parameter for digoxin is an apical pulse less than 60
beats per minute in adults. A pulse of 52 is below this threshold, indicating
potential digoxin toxicity. The nurse must hold the dose and notify the provider for
further instructions .
Question 4
A client with hypertension is started on lisinopril, an ACE inhibitor. Which of the
following findings requires immediate discontinuation of the medication and
emergency intervention?
A. Dry, persistent cough
B. Angioedema with swelling of the lips and tongue
, C. Serum potassium level of 4.2 mEq/L
D. Orthostatic hypotension upon standing
Correct Answer: B. Angioedema with swelling of the lips and tongue
Rationale: Angioedema is a life-threatening allergic reaction to ACE inhibitors
characterized by swelling of the lips, tongue, pharynx, and larynx, which can cause
rapid airway compromise. This requires immediate discontinuation of the drug
and emergency management .
Question 5
A nurse is providing discharge teaching to a client who had a mechanical heart
valve replacement. Which of the following statements by the client indicates
understanding of the teaching?
A. "I will stop taking my warfarin if I notice any bruising on my arms."
B. "I will take my blood pressure daily and report readings over 140/90."
C. "I need to take antibiotics before any dental procedures."
D. "I can resume heavy lifting and yard work in 2 weeks."
Correct Answer: C. "I need to take antibiotics before any dental procedures."
Rationale: Clients with mechanical heart valves are at high risk for infective
endocarditis. The American Heart Association recommends prophylactic
antibiotics before dental procedures that involve manipulation of gingival tissue .
Question 6
A nurse is assessing a client with right-sided heart failure. Which of the following
findings should the nurse expect?
A. Crackles in the lung bases
B. Paroxysmal nocturnal dyspnea
C. Jugular venous distension (JVD)
D. Frothy sputum
2023/2026 Exam with NGN # All RN ATI Adult Med-Surg
Nursing Exam NGN-Based – 100 Solved Questions &
Graded A+
SECTION 1: CARDIOVASCULAR DISORDERS
Question 1
A nurse is assessing a client who is 12 hours postoperative following a colon
resection. Which finding should be reported to the surgeon immediately?
A. Absent bowel sounds
B. Heart rate 90/min
C. Hemoglobin 8.2 g/dL
D. Temperature 99.2°F (37.3°C)
Correct Answer: C. Hemoglobin 8.2 g/dL
Rationale: Normal hemoglobin is 13–18 g/dL for males and 12–16 g/dL for
females. A sudden drop to 8.2 g/dL suggests active bleeding (possibly intra-
abdominal) and requires immediate notification. Absent bowel sounds are
expected after bowel surgery, and a heart rate of 90/min is within normal range .
Question 2
A nurse is caring for a client with heart failure who has crackles in the lung
bases, 2+ pitting edema, and jugular vein distension. Which prescribed
medication should the nurse administer first?
A. Metoprolol (Lopressor)
B. Furosemide (Lasix) IV
,C. Lisinopril (Prinivil)
D. Digoxin (Lanoxin)
Correct Answer: B. Furosemide (Lasix) IV
Rationale: The client has signs of fluid overload. IV furosemide rapidly reduces
preload by promoting diuresis, relieving pulmonary congestion and edema. This is
the priority intervention .
Question 3
A nurse is administering digoxin 0.25 mg orally to a client with atrial fibrillation.
Prior to administration, the nurse obtains an apical pulse of 52 beats per minute.
Which of the following actions should the nurse take?
A. Administer the medication as prescribed
B. Hold the medication and document the finding
C. Hold the medication and notify the healthcare provider
D. Administer the medication and then notify the provider
Correct Answer: C. Hold the medication and notify the healthcare provider
Rationale: The standard hold parameter for digoxin is an apical pulse less than 60
beats per minute in adults. A pulse of 52 is below this threshold, indicating
potential digoxin toxicity. The nurse must hold the dose and notify the provider for
further instructions .
Question 4
A client with hypertension is started on lisinopril, an ACE inhibitor. Which of the
following findings requires immediate discontinuation of the medication and
emergency intervention?
A. Dry, persistent cough
B. Angioedema with swelling of the lips and tongue
, C. Serum potassium level of 4.2 mEq/L
D. Orthostatic hypotension upon standing
Correct Answer: B. Angioedema with swelling of the lips and tongue
Rationale: Angioedema is a life-threatening allergic reaction to ACE inhibitors
characterized by swelling of the lips, tongue, pharynx, and larynx, which can cause
rapid airway compromise. This requires immediate discontinuation of the drug
and emergency management .
Question 5
A nurse is providing discharge teaching to a client who had a mechanical heart
valve replacement. Which of the following statements by the client indicates
understanding of the teaching?
A. "I will stop taking my warfarin if I notice any bruising on my arms."
B. "I will take my blood pressure daily and report readings over 140/90."
C. "I need to take antibiotics before any dental procedures."
D. "I can resume heavy lifting and yard work in 2 weeks."
Correct Answer: C. "I need to take antibiotics before any dental procedures."
Rationale: Clients with mechanical heart valves are at high risk for infective
endocarditis. The American Heart Association recommends prophylactic
antibiotics before dental procedures that involve manipulation of gingival tissue .
Question 6
A nurse is assessing a client with right-sided heart failure. Which of the following
findings should the nurse expect?
A. Crackles in the lung bases
B. Paroxysmal nocturnal dyspnea
C. Jugular venous distension (JVD)
D. Frothy sputum
