ATI RN Med-Surg Proctored
Retake: 300 Practice Questions
with Rationales for Clinical
Judgment RETAKE EXAM
ALREADY GRADED A+
[GAURANTEED PASS]
1. A nurse is assessing a client who has a diagnosis of colon cancer.
Which of the following findings should the nurse expect?
• A) Steatorrhea
• B) Elevated hemoglobin
• C) Hematochezia
• D) Weight gain
Answer: C) Hematochezia. The presence of bright red blood in the
stool is a common sign of colorectal cancer, indicating bleeding in the
lower gastrointestinal tract.
2. A nurse is caring for a client diagnosed with diabetes insipidus
who reports excessive thirst and frequent urination. Which
medication should the nurse expect to administer?
• A) Desmopressin
• B) Regular insulin
• C) Furosemide
• D) Lithium carbonate
,Answer: A) Desmopressin. Desmopressin is a synthetic analog of
antidiuretic hormone (ADH) that reduces urine output by promoting
water reabsorption in the kidneys.
3. A client with chronic arthritis reports taking ibuprofen several
times daily for 3 years. Which test should the nurse prioritize in this
client's monitoring?
• A) Fasting blood glucose
• B) Stool test for occult blood
• C) Urine analysis for white blood cells
• D) Serum calcium
Answer: B) Stool test for occult blood. Long-term NSAID use increases
the risk for gastrointestinal bleeding and ulcers. Monitoring stool for
occult blood can detect bleeding early.
4. A client presents to the ED with a severe cough, fever, and weight
loss. An airborne-transmissible infection is suspected. What is the
nurse’s first action?
• A) Obtain a sputum sample for culture
• B) Prepare for a chest X-ray
• C) Initiate airborne precautions
• D) Administer ondansetron for nausea
Answer: C) Initiate airborne precautions. Preventing transmission is
the priority. Initiating airborne precautions protects other clients and
staff before obtaining diagnostic samples or treatments.
,5. A client with advanced cancer on long-acting opioids reports
severe breakthrough pain. Which medication should the nurse
expect to administer?
• A) Transmucosal fentanyl
• B) Intramuscular meperidine
• C) Oral acetaminophen
• D) Intravenous dexamethasone
Answer: A) Transmucosal fentanyl. This provides rapid-onset pain
relief for breakthrough pain. Meperidine has neurotoxic side effects, and
acetaminophen is insufficient alone.
6. Which ECG component is most indicative of a myocardial
infarction?
• A) PR interval
• B) QRS duration
• C) T wave
• D) ST segment
Answer: D) ST segment. ST-segment elevation or depression indicates
myocardial ischemia or infarction and is a key diagnostic finding.
7. A client reports chest pain. The nurse reviews the telemetry
monitor tracing. Which ECG component is most indicative of
myocardial infarction?
• A) PR interval
• B) QRS duration
• C) T wave
• D) ST segment
, Answer: D) ST segment. ST-segment elevation or depression
specifically indicates myocardial ischemia or infarction.
8. During a blood transfusion, a client develops bounding pulses,
hypertension, and jugular vein distention. Which medication should
the nurse anticipate administering?
• A) Diphenhydramine
• B) Acetaminophen
• C) Pantoprazole
• D) Furosemide
Answer: D) Furosemide. These are signs of fluid overload (Transfusion-
Associated Circulatory Overload, or TACO). Furosemide is a diuretic that
helps remove excess fluid.
9. Which client statement indicates an understanding of sublingual
nitroglycerin teaching?
• A) "I should lie down when I take this medication."
• B) "I can keep my medication for 1 year before replacing it."
• C) "I should discontinue this medication if I develop a headache."
• D) "I can take up to five tablets in 15 minutes before seeking
medical attention."
Answer: A) "I should lie down when I take this
medication." Sublingual nitroglycerin can cause hypotension. Lying
down minimizes the risk of falling due to dizziness or low blood
pressure.
Retake: 300 Practice Questions
with Rationales for Clinical
Judgment RETAKE EXAM
ALREADY GRADED A+
[GAURANTEED PASS]
1. A nurse is assessing a client who has a diagnosis of colon cancer.
Which of the following findings should the nurse expect?
• A) Steatorrhea
• B) Elevated hemoglobin
• C) Hematochezia
• D) Weight gain
Answer: C) Hematochezia. The presence of bright red blood in the
stool is a common sign of colorectal cancer, indicating bleeding in the
lower gastrointestinal tract.
2. A nurse is caring for a client diagnosed with diabetes insipidus
who reports excessive thirst and frequent urination. Which
medication should the nurse expect to administer?
• A) Desmopressin
• B) Regular insulin
• C) Furosemide
• D) Lithium carbonate
,Answer: A) Desmopressin. Desmopressin is a synthetic analog of
antidiuretic hormone (ADH) that reduces urine output by promoting
water reabsorption in the kidneys.
3. A client with chronic arthritis reports taking ibuprofen several
times daily for 3 years. Which test should the nurse prioritize in this
client's monitoring?
• A) Fasting blood glucose
• B) Stool test for occult blood
• C) Urine analysis for white blood cells
• D) Serum calcium
Answer: B) Stool test for occult blood. Long-term NSAID use increases
the risk for gastrointestinal bleeding and ulcers. Monitoring stool for
occult blood can detect bleeding early.
4. A client presents to the ED with a severe cough, fever, and weight
loss. An airborne-transmissible infection is suspected. What is the
nurse’s first action?
• A) Obtain a sputum sample for culture
• B) Prepare for a chest X-ray
• C) Initiate airborne precautions
• D) Administer ondansetron for nausea
Answer: C) Initiate airborne precautions. Preventing transmission is
the priority. Initiating airborne precautions protects other clients and
staff before obtaining diagnostic samples or treatments.
,5. A client with advanced cancer on long-acting opioids reports
severe breakthrough pain. Which medication should the nurse
expect to administer?
• A) Transmucosal fentanyl
• B) Intramuscular meperidine
• C) Oral acetaminophen
• D) Intravenous dexamethasone
Answer: A) Transmucosal fentanyl. This provides rapid-onset pain
relief for breakthrough pain. Meperidine has neurotoxic side effects, and
acetaminophen is insufficient alone.
6. Which ECG component is most indicative of a myocardial
infarction?
• A) PR interval
• B) QRS duration
• C) T wave
• D) ST segment
Answer: D) ST segment. ST-segment elevation or depression indicates
myocardial ischemia or infarction and is a key diagnostic finding.
7. A client reports chest pain. The nurse reviews the telemetry
monitor tracing. Which ECG component is most indicative of
myocardial infarction?
• A) PR interval
• B) QRS duration
• C) T wave
• D) ST segment
, Answer: D) ST segment. ST-segment elevation or depression
specifically indicates myocardial ischemia or infarction.
8. During a blood transfusion, a client develops bounding pulses,
hypertension, and jugular vein distention. Which medication should
the nurse anticipate administering?
• A) Diphenhydramine
• B) Acetaminophen
• C) Pantoprazole
• D) Furosemide
Answer: D) Furosemide. These are signs of fluid overload (Transfusion-
Associated Circulatory Overload, or TACO). Furosemide is a diuretic that
helps remove excess fluid.
9. Which client statement indicates an understanding of sublingual
nitroglycerin teaching?
• A) "I should lie down when I take this medication."
• B) "I can keep my medication for 1 year before replacing it."
• C) "I should discontinue this medication if I develop a headache."
• D) "I can take up to five tablets in 15 minutes before seeking
medical attention."
Answer: A) "I should lie down when I take this
medication." Sublingual nitroglycerin can cause hypotension. Lying
down minimizes the risk of falling due to dizziness or low blood
pressure.
