RN VATI ADULT MEDICAL SURGICAL ASSESSMENT
EXAM | COMPREHENSIVE PRACTICE TEST WITH
VERIFIED ANSWERS | LATEST 2026 EDITION | ATI RN
REVIEW | EXAM PREP | STUDY GUIDE PDF
SECTION 1: CARDIOVASCULAR SYSTEM DISORDERS
1. A nurse is caring for a client with acute decompensated heart failure with preserved
ejection fraction who presents with tachycardia, hypertension, and jugular venous
distension. Which intervention should the nurse question?
A. Initiate intravenous furosemide bolus
B. Start intravenous nitroglycerin infusion
C. Administer intravenous metoprolol 5 mg
D. Obtain echocardiogram to assess diastolic function
Answer: C
2. A client with chronic heart failure is prescribed digoxin. Which finding indicates digoxin
toxicity?
A. Heart rate of 72 beats per minute
B. Serum digoxin level of 1.2 ng/mL
C. Visual disturbances with yellow-green halos
,D. Blood pressure of 130/80 mmHg
Answer: C
3. A nurse is assessing a client who recently had a myocardial infarction. Which finding
indicates the client might be developing pulmonary edema? (Select all that apply)
A. Excessive somnolence
B. Pink, frothy sputum
C. Tachypnea
D. Bradycardia
E. Hypertension
Answer: A, B, C
4. A client is receiving heparin via continuous IV infusion for deep-vein thrombosis. The
client's weight is 80 kg. The nurse notes a platelet count of 45,000/L and a skin lesion at the
injection site. Which diagnostic test should the nurse anticipate to confirm the suspected
condition?
A. Platelet factor 4 antibody assay (ELISA)
B. Bleeding time
C. Partial thromboplastin time (aPTT)
D. D-dimer
Answer: A
,5. A nurse is providing teaching to a group of clients about the prevention of coronary artery
disease. Which information should the nurse include?
A. Walk 30 minutes daily at a comfortable pace
B. Maintain a diet high in saturated fats
C. Avoid all physical activity
D. Increase consumption of processed foods
Answer: A
6. A client with hypertension is prescribed lisinopril. Which adverse effect should the nurse
monitor for?
A. Hyperkalemia
B. Tachycardia
C. Weight gain
D. Hyperglycemia
Answer: A
7. A nurse is caring for a client following cardiac catheterization. The client has a pressure
dressing in the femoral area and reports sudden pain. Which finding should the nurse
report immediately?
A. Blood on the pressure dressing
B. Client requesting pain medication
C. Dark red coloration of left toes and absent pedal pulse
, D. Heart rate of 88 beats per minute
Answer: C
8. A client is prescribed warfarin for atrial fibrillation. Which laboratory value should the
nurse monitor to evaluate therapeutic effectiveness?
A. Platelet count
B. International Normalized Ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Hemoglobin level
Answer: B
9. A nurse is assessing a client with infective endocarditis. Which finding should the nurse
expect?
A. Splinter hemorrhages
B. Decreased white blood cell count
C. Hypotension
D. Bradycardia
Answer: A
10. A client with peripheral arterial disease is being discharged. Which instruction should
the nurse include in the teaching?
EXAM | COMPREHENSIVE PRACTICE TEST WITH
VERIFIED ANSWERS | LATEST 2026 EDITION | ATI RN
REVIEW | EXAM PREP | STUDY GUIDE PDF
SECTION 1: CARDIOVASCULAR SYSTEM DISORDERS
1. A nurse is caring for a client with acute decompensated heart failure with preserved
ejection fraction who presents with tachycardia, hypertension, and jugular venous
distension. Which intervention should the nurse question?
A. Initiate intravenous furosemide bolus
B. Start intravenous nitroglycerin infusion
C. Administer intravenous metoprolol 5 mg
D. Obtain echocardiogram to assess diastolic function
Answer: C
2. A client with chronic heart failure is prescribed digoxin. Which finding indicates digoxin
toxicity?
A. Heart rate of 72 beats per minute
B. Serum digoxin level of 1.2 ng/mL
C. Visual disturbances with yellow-green halos
,D. Blood pressure of 130/80 mmHg
Answer: C
3. A nurse is assessing a client who recently had a myocardial infarction. Which finding
indicates the client might be developing pulmonary edema? (Select all that apply)
A. Excessive somnolence
B. Pink, frothy sputum
C. Tachypnea
D. Bradycardia
E. Hypertension
Answer: A, B, C
4. A client is receiving heparin via continuous IV infusion for deep-vein thrombosis. The
client's weight is 80 kg. The nurse notes a platelet count of 45,000/L and a skin lesion at the
injection site. Which diagnostic test should the nurse anticipate to confirm the suspected
condition?
A. Platelet factor 4 antibody assay (ELISA)
B. Bleeding time
C. Partial thromboplastin time (aPTT)
D. D-dimer
Answer: A
,5. A nurse is providing teaching to a group of clients about the prevention of coronary artery
disease. Which information should the nurse include?
A. Walk 30 minutes daily at a comfortable pace
B. Maintain a diet high in saturated fats
C. Avoid all physical activity
D. Increase consumption of processed foods
Answer: A
6. A client with hypertension is prescribed lisinopril. Which adverse effect should the nurse
monitor for?
A. Hyperkalemia
B. Tachycardia
C. Weight gain
D. Hyperglycemia
Answer: A
7. A nurse is caring for a client following cardiac catheterization. The client has a pressure
dressing in the femoral area and reports sudden pain. Which finding should the nurse
report immediately?
A. Blood on the pressure dressing
B. Client requesting pain medication
C. Dark red coloration of left toes and absent pedal pulse
, D. Heart rate of 88 beats per minute
Answer: C
8. A client is prescribed warfarin for atrial fibrillation. Which laboratory value should the
nurse monitor to evaluate therapeutic effectiveness?
A. Platelet count
B. International Normalized Ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Hemoglobin level
Answer: B
9. A nurse is assessing a client with infective endocarditis. Which finding should the nurse
expect?
A. Splinter hemorrhages
B. Decreased white blood cell count
C. Hypotension
D. Bradycardia
Answer: A
10. A client with peripheral arterial disease is being discharged. Which instruction should
the nurse include in the teaching?
