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 a new
diagnosis of hyperthyroidism. Which of the
following findings should the nurse expect?
A. Cold intolerance
B. Weight gain
C. Bradycardia
D. Exophthalmos
D. Exophthalmos
Rationale: Exophthalmos, or protrusion of the
eyeballs, is a classic manifestation of
hyperthyroidism, particularly Graves disease. Cold
,intolerance, weight gain, and bradycardia are
associated with hypothyroidism.
2. A nurse is assessing a client who has left-sided
heart failure. Which of the following findings
should the nurse expect?
A. Jugular vein distention
B. Dependent edema
C. Crackles in the lung bases
D. Hepatomegaly
C. Crackles in the lung bases
Rationale: Left-sided heart failure causes
pulmonary congestion, leading to crackles in the
lung bases. Jugular vein distention, dependent
edema, and hepatomegaly are manifestations of
right-sided heart failure.
3. A nurse is caring for a client who is receiving
total parenteral nutrition through a central
venous access device. Which of the following
actions should the nurse take?
A. Change the transparent dressing every 7 days
and as needed
, B. Use the same tubing for lipid emulsion and
parenteral nutrition
C. Check the client's blood glucose level every
12 hours
D. Flush the catheter with 0.9% sodium chloride
after drawing blood
A. Change the transparent dressing every 7 days
and as needed
Rationale: Transparent dressings over central
venous access devices should be changed every 7
days and when soiled, loose, or damp to prevent
infection. Blood glucose should be checked every 4
to 6 hours, lipid emulsion requires separate tubing,
and the catheter should not be used for routine
blood draws.
4. A nurse is providing discharge teaching to a
client who has a new permanent pacemaker.
Which of the following statements by the client
indicates an understanding of the teaching?
A. "I should avoid using a microwave oven."
B. "I will report any hiccups to my provider."
, C. "I can lift objects weighing up to 20 pounds."
D. "I will take my pulse once each week."
B. "I will report any hiccups to my provider."
Rationale: Hiccups can indicate pacemaker lead
displacement and stimulation of the diaphragm.
Microwaves are safe to use, the client should avoid
lifting more than 5 to 10 pounds initially, and the
pulse should be taken daily.
5. A nurse is planning care for a client who has
chronic kidney disease. Which of the following
laboratory values should the nurse expect?
A. Decreased serum creatinine
B. Increased hemoglobin
C. Decreased serum potassium
D. Increased serum phosphorus
D. Increased serum phosphorus
Rationale: Chronic kidney disease results in
decreased phosphorus excretion, leading to
hyperphosphatemia. Serum creatinine increases,
hemoglobin decreases due to reduced
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 a new
diagnosis of hyperthyroidism. Which of the
following findings should the nurse expect?
A. Cold intolerance
B. Weight gain
C. Bradycardia
D. Exophthalmos
D. Exophthalmos
Rationale: Exophthalmos, or protrusion of the
eyeballs, is a classic manifestation of
hyperthyroidism, particularly Graves disease. Cold
,intolerance, weight gain, and bradycardia are
associated with hypothyroidism.
2. A nurse is assessing a client who has left-sided
heart failure. Which of the following findings
should the nurse expect?
A. Jugular vein distention
B. Dependent edema
C. Crackles in the lung bases
D. Hepatomegaly
C. Crackles in the lung bases
Rationale: Left-sided heart failure causes
pulmonary congestion, leading to crackles in the
lung bases. Jugular vein distention, dependent
edema, and hepatomegaly are manifestations of
right-sided heart failure.
3. A nurse is caring for a client who is receiving
total parenteral nutrition through a central
venous access device. Which of the following
actions should the nurse take?
A. Change the transparent dressing every 7 days
and as needed
, B. Use the same tubing for lipid emulsion and
parenteral nutrition
C. Check the client's blood glucose level every
12 hours
D. Flush the catheter with 0.9% sodium chloride
after drawing blood
A. Change the transparent dressing every 7 days
and as needed
Rationale: Transparent dressings over central
venous access devices should be changed every 7
days and when soiled, loose, or damp to prevent
infection. Blood glucose should be checked every 4
to 6 hours, lipid emulsion requires separate tubing,
and the catheter should not be used for routine
blood draws.
4. A nurse is providing discharge teaching to a
client who has a new permanent pacemaker.
Which of the following statements by the client
indicates an understanding of the teaching?
A. "I should avoid using a microwave oven."
B. "I will report any hiccups to my provider."
, C. "I can lift objects weighing up to 20 pounds."
D. "I will take my pulse once each week."
B. "I will report any hiccups to my provider."
Rationale: Hiccups can indicate pacemaker lead
displacement and stimulation of the diaphragm.
Microwaves are safe to use, the client should avoid
lifting more than 5 to 10 pounds initially, and the
pulse should be taken daily.
5. A nurse is planning care for a client who has
chronic kidney disease. Which of the following
laboratory values should the nurse expect?
A. Decreased serum creatinine
B. Increased hemoglobin
C. Decreased serum potassium
D. Increased serum phosphorus
D. Increased serum phosphorus
Rationale: Chronic kidney disease results in
decreased phosphorus excretion, leading to
hyperphosphatemia. Serum creatinine increases,
hemoglobin decreases due to reduced
