ATI PN ADULT MEDICAL SURGICAL (MED SURG )
2026/2027 FINAL PROCTORED EXAM| ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS |A+
GUARANTEED PASS !!!
PART 1: CARDIOVASCULAR DISORDERS (Questions 1–60)
Question 1
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of
the client's pulse, which term should the nurse use?
Answer: Irregular
Question 2
A nurse is caring for a client who has been prescribed a potassium-wasting diuretic. Which dietary
recommendation should the nurse make?
Answer: Encourage oranges, bananas, and whole grain breads
Question 3
A nurse is monitoring a client who is taking acarbose. Which finding should the nurse identify as an
adverse effect?
Answer: Abdominal cramps
Question 4
A nurse is collecting data on a client scheduled for cardiac catheterization. Which laboratory level
should the nurse review prior to the procedure?
Answer: BUN (blood urea nitrogen)
Question 5
,A nurse is caring for a client with heart failure who reports increased shortness of breath. What is
the priority nursing action?
Answer: Assess respiratory status and oxygen saturation
Question 6
What is the expected therapeutic range for digoxin?
Answer: 0.8–2.0 ng/mL
Question 7
A client on warfarin has an INR of 5.0. What is the priority nursing action?
Answer: Hold the next dose and notify the provider
Question 8
What are classic signs of left-sided heart failure?
Answer: Dyspnea, crackles, orthopnea, cough, fatigue
Question 9
What are classic signs of right-sided heart failure?
Answer: Peripheral edema, JVD, hepatomegaly, ascites
Question 10
A client with angina is prescribed nitroglycerin sublingual. What teaching should the nurse
reinforce?
Answer: Take one tablet at onset of pain; if pain persists after 5 minutes, call 911 and take a second tablet
Question 11
What is the antidote for heparin overdose?
Answer: Protamine sulfate
Question 12
What is the antidote for warfarin overdose?
Answer: Vitamin K (phytonadione)
Question 13
,A client is 1 day post-MI. Which activity should the nurse encourage?
Answer: Bed rest with bedside commode use
Question 14
What laboratory test is most specific for myocardial infarction?
Answer: Troponin I or T
Question 15
A client with hypertension is prescribed a beta-blocker. What adverse effect should the nurse
monitor for?
Answer: Bradycardia and hypotension
Question 16
What is the normal range for blood pressure?
Answer: <120/80 mmHg
Question 17
A client with peripheral arterial disease (PAD) reports leg pain with walking. What is this called?
Answer: Intermittent claudication
Question 18
What is a key difference between arterial and venous insufficiency?
Answer: Arterial: pale, cool, painful, hair loss; Venous: brownish discoloration, edema, ulcers
Question 19
A client is prescribed furosemide. What electrolyte imbalance should the nurse monitor for?
Answer: Hypokalemia
Question 20
What are signs of digitalis toxicity?
Answer: Nausea, vomiting, visual disturbances (yellow/green halos), bradycardia
Question 21
A client has an elevated D-dimer. What condition does this suggest?
Answer: Deep vein thrombosis (DVT) or pulmonary embolism (PE)
, Question 22
What is the priority intervention for a client with a suspected pulmonary embolism?
Answer: Administer oxygen and prepare for anticoagulation therapy
Question 23
A client with heart failure is prescribed enalapril. What adverse effect requires immediate
notification?
Answer: Angioedema (swelling of lips, tongue, throat)
Question 24
What dietary restriction is recommended for a client with heart failure?
Answer: Sodium restriction (typically <2 g/day)
Question 25
A client has a pacemaker inserted. What post-procedure teaching should the nurse reinforce?
Answer: Avoid MRI, avoid lifting arm above shoulder, monitor incision site
Question 26
What is the normal sinus rhythm rate?
Answer: 60–100 beats per minute
Question 27
A client is in ventricular fibrillation. What is the priority intervention?
Answer: Defibrillation
Question 28
What medication is used for acute management of atrial fibrillation?
Answer: Amiodarone or diltiazem
Question 29
A client has an abdominal aortic aneurysm (AAA). What is the priority assessment?
Answer: Monitor for sudden severe back or abdominal pain (signs of rupture)
Question 30
2026/2027 FINAL PROCTORED EXAM| ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS |A+
GUARANTEED PASS !!!
PART 1: CARDIOVASCULAR DISORDERS (Questions 1–60)
Question 1
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of
the client's pulse, which term should the nurse use?
Answer: Irregular
Question 2
A nurse is caring for a client who has been prescribed a potassium-wasting diuretic. Which dietary
recommendation should the nurse make?
Answer: Encourage oranges, bananas, and whole grain breads
Question 3
A nurse is monitoring a client who is taking acarbose. Which finding should the nurse identify as an
adverse effect?
Answer: Abdominal cramps
Question 4
A nurse is collecting data on a client scheduled for cardiac catheterization. Which laboratory level
should the nurse review prior to the procedure?
Answer: BUN (blood urea nitrogen)
Question 5
,A nurse is caring for a client with heart failure who reports increased shortness of breath. What is
the priority nursing action?
Answer: Assess respiratory status and oxygen saturation
Question 6
What is the expected therapeutic range for digoxin?
Answer: 0.8–2.0 ng/mL
Question 7
A client on warfarin has an INR of 5.0. What is the priority nursing action?
Answer: Hold the next dose and notify the provider
Question 8
What are classic signs of left-sided heart failure?
Answer: Dyspnea, crackles, orthopnea, cough, fatigue
Question 9
What are classic signs of right-sided heart failure?
Answer: Peripheral edema, JVD, hepatomegaly, ascites
Question 10
A client with angina is prescribed nitroglycerin sublingual. What teaching should the nurse
reinforce?
Answer: Take one tablet at onset of pain; if pain persists after 5 minutes, call 911 and take a second tablet
Question 11
What is the antidote for heparin overdose?
Answer: Protamine sulfate
Question 12
What is the antidote for warfarin overdose?
Answer: Vitamin K (phytonadione)
Question 13
,A client is 1 day post-MI. Which activity should the nurse encourage?
Answer: Bed rest with bedside commode use
Question 14
What laboratory test is most specific for myocardial infarction?
Answer: Troponin I or T
Question 15
A client with hypertension is prescribed a beta-blocker. What adverse effect should the nurse
monitor for?
Answer: Bradycardia and hypotension
Question 16
What is the normal range for blood pressure?
Answer: <120/80 mmHg
Question 17
A client with peripheral arterial disease (PAD) reports leg pain with walking. What is this called?
Answer: Intermittent claudication
Question 18
What is a key difference between arterial and venous insufficiency?
Answer: Arterial: pale, cool, painful, hair loss; Venous: brownish discoloration, edema, ulcers
Question 19
A client is prescribed furosemide. What electrolyte imbalance should the nurse monitor for?
Answer: Hypokalemia
Question 20
What are signs of digitalis toxicity?
Answer: Nausea, vomiting, visual disturbances (yellow/green halos), bradycardia
Question 21
A client has an elevated D-dimer. What condition does this suggest?
Answer: Deep vein thrombosis (DVT) or pulmonary embolism (PE)
, Question 22
What is the priority intervention for a client with a suspected pulmonary embolism?
Answer: Administer oxygen and prepare for anticoagulation therapy
Question 23
A client with heart failure is prescribed enalapril. What adverse effect requires immediate
notification?
Answer: Angioedema (swelling of lips, tongue, throat)
Question 24
What dietary restriction is recommended for a client with heart failure?
Answer: Sodium restriction (typically <2 g/day)
Question 25
A client has a pacemaker inserted. What post-procedure teaching should the nurse reinforce?
Answer: Avoid MRI, avoid lifting arm above shoulder, monitor incision site
Question 26
What is the normal sinus rhythm rate?
Answer: 60–100 beats per minute
Question 27
A client is in ventricular fibrillation. What is the priority intervention?
Answer: Defibrillation
Question 28
What medication is used for acute management of atrial fibrillation?
Answer: Amiodarone or diltiazem
Question 29
A client has an abdominal aortic aneurysm (AAA). What is the priority assessment?
Answer: Monitor for sudden severe back or abdominal pain (signs of rupture)
Question 30
