ATI RN Medical Surgical Proctored Exam 2023 with NGN: Real
100 Screenshot Questions and Correct
Cardiovascular Disorders (1–12)
1. A client with heart failure has jugular vein distention, crackles, and 3+ pitting
edema. Which medication is most appropriate?
• A) Metoprolol
• B) Furosemide
• C) Digoxin
• D) Spironolactone
Correct Answer: B
Rationale: Furosemide is a loop diuretic that reduces fluid overload, relieving
JVD, crackles, and edema.
2. A client with atrial fibrillation is prescribed warfarin. Which lab value
indicates therapeutic effect?
• A) aPTT 60 seconds
• B) INR 2.5
• C) Platelets 150,000
• D) PT 12 seconds
Correct Answer: B
Rationale: For atrial fibrillation, therapeutic INR is 2.0–3.0. INR 2.5 is within
this range.
3. A client reports crushing chest pain radiating to the jaw, with diaphoresis and
nausea. What is the priority action?
, • A) Administer aspirin
• B) Obtain a 12-lead ECG
• C) Administer nitroglycerin
• D) Apply oxygen
Correct Answer: A
Rationale: Aspirin reduces mortality in MI by inhibiting platelet aggregation.
Give it first, then oxygen, nitroglycerin, and morphine.
4. A client with hypertension is prescribed hydrochlorothiazide. Which lab
finding requires monitoring?
• A) Hypernatremia
• B) Hypokalemia
• C) Hypercalcemia
• D) Hypermagnesemia
Correct Answer: B
Rationale: Thiazide diuretics cause potassium wasting, leading to
hypokalemia.
5. A client with an abdominal aortic aneurysm reports sudden, severe back pain
and hypotension. What is the priority?
• A) Administer pain medication
• B) Prepare for emergency surgery
• C) Obtain a CT scan
• D) Apply a binder to the abdomen
, Correct Answer: B
Rationale: Sudden back pain and hypotension suggest ruptured AAA, a
surgical emergency.
6. A client with infective endocarditis has a fever, heart murmur, and splinter
hemorrhages. Which diagnostic test is most important?
• A) Chest X-ray
• B) Blood cultures
• C) ECG
• D) Echocardiogram
Correct Answer: B
Rationale: Blood cultures identify the causative organism to guide antibiotic
therapy.
7. A client with pericarditis reports sharp chest pain that worsens when lying
flat and improves when leaning forward. What is the priority intervention?
• A) Administer morphine
• B) Position client upright and leaning forward
• C) Apply oxygen
• D) Give nitroglycerin
Correct Answer: B
Rationale: Leaning forward reduces pericardial friction and pain. This is a
hallmark position for pericarditis relief.
8. A client with a pacemaker has a heart rate of 52 bpm and reports dizziness.
What is the priority?
• A) Check the pacemaker settings
, • B) Notify the provider
• C) Obtain an ECG
• D) Assess for pacemaker malfunction
Correct Answer: D
Rationale: Dizziness with low heart rate suggests pacemaker failure to
capture. Assess and notify provider.
9. A client with peripheral artery disease has a non-healing ulcer on the toe.
Which finding is expected?
• A) Warm, pink foot
• B) Diminished or absent pulses
• C) Brown discoloration around the ankle
• D) Edema and varicose veins
Correct Answer: B
Rationale: PAD causes decreased arterial flow, leading to diminished pulses,
cool skin, and delayed wound healing.
10. A client after cardiac catheterization reports bleeding at the femoral site.
What is the priority?
• A) Apply a pressure dressing
• B) Apply firm pressure 1 inch above the site
• C) Remove the dressing to assess
• D) Elevate the leg
Correct Answer: B
Rationale: Firm pressure above the insertion site controls bleeding. Do not
remove the dressing.
100 Screenshot Questions and Correct
Cardiovascular Disorders (1–12)
1. A client with heart failure has jugular vein distention, crackles, and 3+ pitting
edema. Which medication is most appropriate?
• A) Metoprolol
• B) Furosemide
• C) Digoxin
• D) Spironolactone
Correct Answer: B
Rationale: Furosemide is a loop diuretic that reduces fluid overload, relieving
JVD, crackles, and edema.
2. A client with atrial fibrillation is prescribed warfarin. Which lab value
indicates therapeutic effect?
• A) aPTT 60 seconds
• B) INR 2.5
• C) Platelets 150,000
• D) PT 12 seconds
Correct Answer: B
Rationale: For atrial fibrillation, therapeutic INR is 2.0–3.0. INR 2.5 is within
this range.
3. A client reports crushing chest pain radiating to the jaw, with diaphoresis and
nausea. What is the priority action?
, • A) Administer aspirin
• B) Obtain a 12-lead ECG
• C) Administer nitroglycerin
• D) Apply oxygen
Correct Answer: A
Rationale: Aspirin reduces mortality in MI by inhibiting platelet aggregation.
Give it first, then oxygen, nitroglycerin, and morphine.
4. A client with hypertension is prescribed hydrochlorothiazide. Which lab
finding requires monitoring?
• A) Hypernatremia
• B) Hypokalemia
• C) Hypercalcemia
• D) Hypermagnesemia
Correct Answer: B
Rationale: Thiazide diuretics cause potassium wasting, leading to
hypokalemia.
5. A client with an abdominal aortic aneurysm reports sudden, severe back pain
and hypotension. What is the priority?
• A) Administer pain medication
• B) Prepare for emergency surgery
• C) Obtain a CT scan
• D) Apply a binder to the abdomen
, Correct Answer: B
Rationale: Sudden back pain and hypotension suggest ruptured AAA, a
surgical emergency.
6. A client with infective endocarditis has a fever, heart murmur, and splinter
hemorrhages. Which diagnostic test is most important?
• A) Chest X-ray
• B) Blood cultures
• C) ECG
• D) Echocardiogram
Correct Answer: B
Rationale: Blood cultures identify the causative organism to guide antibiotic
therapy.
7. A client with pericarditis reports sharp chest pain that worsens when lying
flat and improves when leaning forward. What is the priority intervention?
• A) Administer morphine
• B) Position client upright and leaning forward
• C) Apply oxygen
• D) Give nitroglycerin
Correct Answer: B
Rationale: Leaning forward reduces pericardial friction and pain. This is a
hallmark position for pericarditis relief.
8. A client with a pacemaker has a heart rate of 52 bpm and reports dizziness.
What is the priority?
• A) Check the pacemaker settings
, • B) Notify the provider
• C) Obtain an ECG
• D) Assess for pacemaker malfunction
Correct Answer: D
Rationale: Dizziness with low heart rate suggests pacemaker failure to
capture. Assess and notify provider.
9. A client with peripheral artery disease has a non-healing ulcer on the toe.
Which finding is expected?
• A) Warm, pink foot
• B) Diminished or absent pulses
• C) Brown discoloration around the ankle
• D) Edema and varicose veins
Correct Answer: B
Rationale: PAD causes decreased arterial flow, leading to diminished pulses,
cool skin, and delayed wound healing.
10. A client after cardiac catheterization reports bleeding at the femoral site.
What is the priority?
• A) Apply a pressure dressing
• B) Apply firm pressure 1 inch above the site
• C) Remove the dressing to assess
• D) Elevate the leg
Correct Answer: B
Rationale: Firm pressure above the insertion site controls bleeding. Do not
remove the dressing.
