2026-2027 ATI Maternal Newborn Proctored
Exam Prep Complete Practice Question Bank
VERSIONS
Complete Exam Package | Questions
FORMATTING LEGEND:
• Bold Italic = Correct Answer
• Italic = Rationale
TABLE OF CONTENTS
Section Questions
Cardiovascular Disorders 1-30
Respiratory Disorders 31-55
,Endocrine Disorders 56-80
Gastrointestinal Disorders 81-105
Renal & Genitourinary Disorders 106-125
Section Questions
Neurological Disorders 126-145
Musculoskeletal Disorders 146-165
Hematological & Immunological Disorders 166-185
NGN Case Study Questions 186-200
SECTION 1: CARDIOVASCULAR DISORDERS
QUESTION 1
A nurse is assessing a client with heart failure who reports sudden onset of
dyspnea and is coughing up pink, frothy sputum. Which action should the
nurse take first?
A) Administer furosemide IV push
B) Place the client in high-Fowler's position
C) Apply oxygen via non-rebreather mask
D) Notify the healthcare provider immediately
,CORRECT ANSWER: B) Place the client in high-Fowler's position
Rationale: The client is experiencing acute pulmonary edema. The priority
intervention is to position the client upright (high-Fowler's) to reduce venous
return (preload) and facilitate breathing by allowing maximum lung
expansion. Oxygen and furosemide are then given, but positioning is the
immediate first step.
QUESTION 2
A nurse is assessing a client with heart failure who has developed crackles in
the lungs and peripheral edema. Which medication should the nurse expect
to administer?
A) Digoxin
B) Furosemide
C) Metoprolol
D) Spironolactone
CORRECT ANSWER: B) Furosemide
Rationale: Furosemide is a loop diuretic that reduces fluid overload by
promoting excretion of sodium and water. It is the first-line treatment for
pulmonary edema and peripheral edema in heart failure. Digoxin improves
contractility but does not address fluid overload directly. Metoprolol is a
betablocker used for chronic management.
, QUESTION 3
A client with heart failure has a prescription for digoxin. Which finding
indicates digoxin toxicity?
A) Heart rate of 72 bpm
B) Nausea and yellow vision
C) Blood pressure of 140/90 mm Hg
D) Dry cough
CORRECT ANSWER: B) Nausea and yellow vision
Rationale: Classic signs of digoxin toxicity include GI symptoms (nausea,
vomiting, anorexia) and visual disturbances (yellow or green halos).
Hypokalemia increases the risk of digoxin toxicity. Bradycardia is also a sign,
but a heart rate of 72 bpm is within normal limits.
QUESTION 4
A nurse is assessing a client who is 6 hours postoperative following a cardiac
catheterization via the femoral artery. Which finding requires immediate
intervention?
A) Blood pressure 110/70 mm Hg
B) Heart rate 88 bpm
C) Pallor and coolness of the right foot
D) Small amount of serous drainage at the insertion site
Exam Prep Complete Practice Question Bank
VERSIONS
Complete Exam Package | Questions
FORMATTING LEGEND:
• Bold Italic = Correct Answer
• Italic = Rationale
TABLE OF CONTENTS
Section Questions
Cardiovascular Disorders 1-30
Respiratory Disorders 31-55
,Endocrine Disorders 56-80
Gastrointestinal Disorders 81-105
Renal & Genitourinary Disorders 106-125
Section Questions
Neurological Disorders 126-145
Musculoskeletal Disorders 146-165
Hematological & Immunological Disorders 166-185
NGN Case Study Questions 186-200
SECTION 1: CARDIOVASCULAR DISORDERS
QUESTION 1
A nurse is assessing a client with heart failure who reports sudden onset of
dyspnea and is coughing up pink, frothy sputum. Which action should the
nurse take first?
A) Administer furosemide IV push
B) Place the client in high-Fowler's position
C) Apply oxygen via non-rebreather mask
D) Notify the healthcare provider immediately
,CORRECT ANSWER: B) Place the client in high-Fowler's position
Rationale: The client is experiencing acute pulmonary edema. The priority
intervention is to position the client upright (high-Fowler's) to reduce venous
return (preload) and facilitate breathing by allowing maximum lung
expansion. Oxygen and furosemide are then given, but positioning is the
immediate first step.
QUESTION 2
A nurse is assessing a client with heart failure who has developed crackles in
the lungs and peripheral edema. Which medication should the nurse expect
to administer?
A) Digoxin
B) Furosemide
C) Metoprolol
D) Spironolactone
CORRECT ANSWER: B) Furosemide
Rationale: Furosemide is a loop diuretic that reduces fluid overload by
promoting excretion of sodium and water. It is the first-line treatment for
pulmonary edema and peripheral edema in heart failure. Digoxin improves
contractility but does not address fluid overload directly. Metoprolol is a
betablocker used for chronic management.
, QUESTION 3
A client with heart failure has a prescription for digoxin. Which finding
indicates digoxin toxicity?
A) Heart rate of 72 bpm
B) Nausea and yellow vision
C) Blood pressure of 140/90 mm Hg
D) Dry cough
CORRECT ANSWER: B) Nausea and yellow vision
Rationale: Classic signs of digoxin toxicity include GI symptoms (nausea,
vomiting, anorexia) and visual disturbances (yellow or green halos).
Hypokalemia increases the risk of digoxin toxicity. Bradycardia is also a sign,
but a heart rate of 72 bpm is within normal limits.
QUESTION 4
A nurse is assessing a client who is 6 hours postoperative following a cardiac
catheterization via the femoral artery. Which finding requires immediate
intervention?
A) Blood pressure 110/70 mm Hg
B) Heart rate 88 bpm
C) Pallor and coolness of the right foot
D) Small amount of serous drainage at the insertion site
