ATI RN ADULT MEDICAL SURGICAL 2026-2027
PROCTORED EXAM WITH NGN STUDY AND TEST
PRACTICE EXAM WITH ALL POSSIBLE AND
CURRENTLY MOST TESTED 100 PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
ANSWER KEY ALREADY A+ GRADED MOST
RECENT!!!
1. A nurse is caring for a client who has heart
failure and is receiving furosemide. Which of
the following findings indicates the client is
experiencing an adverse effect of the
medication?
A. Serum potassium 3.1 mEq/L
B. Serum sodium 138 mEq/L
C. Blood pressure 118/74 mm Hg
D. Urine output 60 mL/hr
A. Serum potassium 3.1 mEq/L
, Furosemide is a loop diuretic that causes
potassium excretion, leading to hypokalemia.
A potassium level of 3.1 mEq/L is below the
expected reference range and requires
intervention.
2. A nurse is assessing a client who has peritonitis.
Which of the following findings should the
nurse expect?
A. Bradycardia
B. Board-like abdomen
C. Hyperactive bowel sounds
D. Painless abdominal distention
B. Board-like abdomen
Peritonitis causes inflammation of the
peritoneum, resulting in rigidity and a board-
like abdomen due to muscle guarding and
spasms.
3. A nurse is providing discharge teaching to a
client who has a new prescription for warfarin.
Which of the following statements by the client
indicates an understanding of the teaching?
, A. “I will take ibuprofen for headaches.”
B. “I will avoid eating large amounts of
spinach.”
C. “I will stop taking the medication if I notice
bruising.”
D. “I will need to have my blood glucose
checked regularly.”
B. “I will avoid eating large amounts of
spinach.”
Spinach is high in vitamin K, which antagonizes
the effects of warfarin. Clients should maintain
consistent intake of vitamin K-containing
foods.
4. A nurse is caring for a client who has increased
intracranial pressure following a traumatic brain
injury. Which of the following actions should
the nurse take?
A. Elevate the head of the bed to 30 degrees
B. Suction the client every 2 hours
C. Place the client in a supine position
D. Encourage coughing and deep breathing
every hour
, A. Elevate the head of the bed to 30 degrees
Elevating the head of the bed promotes venous
drainage from the brain and helps decrease
intracranial pressure.
5. A nurse is monitoring a client who is receiving a
blood transfusion. Which of the following
findings indicates the client is experiencing a
hemolytic transfusion reaction?
A. Hypertension
B. Flank pain
C. Bradycardia
D. Polyuria
B. Flank pain
Hemolytic transfusion reactions cause
destruction of red blood cells, leading to flank
pain, fever, chills, and hemoglobinuria.
6. A nurse is caring for a client who has diabetic
ketoacidosis. Which of the following laboratory
findings should the nurse expect?
A. Serum bicarbonate 24 mEq/L
B. Blood glucose 320 mg/dL
PROCTORED EXAM WITH NGN STUDY AND TEST
PRACTICE EXAM WITH ALL POSSIBLE AND
CURRENTLY MOST TESTED 100 PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
ANSWER KEY ALREADY A+ GRADED MOST
RECENT!!!
1. A nurse is caring for a client who has heart
failure and is receiving furosemide. Which of
the following findings indicates the client is
experiencing an adverse effect of the
medication?
A. Serum potassium 3.1 mEq/L
B. Serum sodium 138 mEq/L
C. Blood pressure 118/74 mm Hg
D. Urine output 60 mL/hr
A. Serum potassium 3.1 mEq/L
, Furosemide is a loop diuretic that causes
potassium excretion, leading to hypokalemia.
A potassium level of 3.1 mEq/L is below the
expected reference range and requires
intervention.
2. A nurse is assessing a client who has peritonitis.
Which of the following findings should the
nurse expect?
A. Bradycardia
B. Board-like abdomen
C. Hyperactive bowel sounds
D. Painless abdominal distention
B. Board-like abdomen
Peritonitis causes inflammation of the
peritoneum, resulting in rigidity and a board-
like abdomen due to muscle guarding and
spasms.
3. A nurse is providing discharge teaching to a
client who has a new prescription for warfarin.
Which of the following statements by the client
indicates an understanding of the teaching?
, A. “I will take ibuprofen for headaches.”
B. “I will avoid eating large amounts of
spinach.”
C. “I will stop taking the medication if I notice
bruising.”
D. “I will need to have my blood glucose
checked regularly.”
B. “I will avoid eating large amounts of
spinach.”
Spinach is high in vitamin K, which antagonizes
the effects of warfarin. Clients should maintain
consistent intake of vitamin K-containing
foods.
4. A nurse is caring for a client who has increased
intracranial pressure following a traumatic brain
injury. Which of the following actions should
the nurse take?
A. Elevate the head of the bed to 30 degrees
B. Suction the client every 2 hours
C. Place the client in a supine position
D. Encourage coughing and deep breathing
every hour
, A. Elevate the head of the bed to 30 degrees
Elevating the head of the bed promotes venous
drainage from the brain and helps decrease
intracranial pressure.
5. A nurse is monitoring a client who is receiving a
blood transfusion. Which of the following
findings indicates the client is experiencing a
hemolytic transfusion reaction?
A. Hypertension
B. Flank pain
C. Bradycardia
D. Polyuria
B. Flank pain
Hemolytic transfusion reactions cause
destruction of red blood cells, leading to flank
pain, fever, chills, and hemoglobinuria.
6. A nurse is caring for a client who has diabetic
ketoacidosis. Which of the following laboratory
findings should the nurse expect?
A. Serum bicarbonate 24 mEq/L
B. Blood glucose 320 mg/dL
