Legit ATI RN Adult Medical
Surgical 2026 (Medsurg) Proctored
Exam Package Containing Actual
and Retake Versions, Each Version
100 Screenshot Questions and
Answers
1. A nurse is caring for a client with heart failure. Which assessment finding
requires immediate intervention?
A. Weight gain of 1 kg over 1 week
B. Bibasilar crackles with pink frothy sputum
C. Heart rate of 92 bpm
D. 2+ pitting edema in the ankles
Answer: B
Rationale: Pink frothy sputum with crackles indicates acute pulmonary edema
— a life-threatening emergency.
2. Which lab value is most concerning for a client taking furosemide?
A. Sodium 138 mEq/L
B. Potassium 2.9 mEq/L
C. Hemoglobin 13 g/dL
D. BUN 18 mg/dL
Answer: B
Rationale: Loop diuretics cause potassium loss. K+ 2.9 risks dysrhythmias.
3. A client with COPD has an O2 saturation of 88%. What is the appropriate
action?
,A. Administer O2 at 6 L/min via nasal cannula
B. Place in high-Fowler's and administer O2 at 2 L/min
C. Encourage pursed-lip breathing only
D. Withhold oxygen and reassess in 1 hour
Answer: B
Rationale: COPD target SpO2 is 88–92%. Low-flow O2 avoids suppressing
hypoxic drive.
4. Which finding indicates a tension pneumothorax?
A. Tracheal deviation toward the affected side
B. Tracheal deviation away from the affected side with hypotension
C. Fine crackles at the bases
D. Decreased breath sounds bilaterally
Answer: B
Rationale: Mediastinal shift away from affected side with hemodynamic
collapse = emergency.
5. A post-op client reports sudden "popping" at the incision with
serosanguineous drainage. What should the nurse do first?
A. Notify the surgeon
B. Cover the wound with sterile saline-soaked gauze
C. Reinsert protruding tissue
D. Have the client cough to check
Answer: B
Rationale: Cover with sterile saline-soaked dressing first, then notify surgeon.
Never reinsert tissue.
6. Which client is at highest risk for developing pressure injury?
A. Ambulatory client with diabetes
B. Bedridden client with incontinence and albumin 2.1 g/dL
, C. Post-op client ambulating day 1
D. Client with hypertension
Answer: B
Rationale: Immobility + moisture + malnutrition = highest risk.
7. A client on heparin has an aPTT of 95 seconds. What is the priority action?
A. Continue the heparin drip
B. Stop the infusion and prepare protamine sulfate
C. Administer vitamin K
D. Increase the drip rate
Answer: B
Rationale: Protamine sulfate reverses heparin. Vitamin K reverses warfarin.
8. Which manifestation indicates hypoglycemia?
A. Kussmaul respirations
B. Diaphoresis, tremors, confusion
C. Fruity breath
D. Polyuria and polydipsia
Answer: B
Rationale: Autonomic + neuroglycopenic symptoms = hypoglycemia.
9. A client with a new colostomy has a dusky, edematous stoma. What is the
priority nursing action?
A. Document as normal
B. Notify the provider
C. Apply heat
D. Increase pouch changes
Answer: B
Rationale: Dusky/cyanotic stoma = ischemia. Notify surgeon.
Surgical 2026 (Medsurg) Proctored
Exam Package Containing Actual
and Retake Versions, Each Version
100 Screenshot Questions and
Answers
1. A nurse is caring for a client with heart failure. Which assessment finding
requires immediate intervention?
A. Weight gain of 1 kg over 1 week
B. Bibasilar crackles with pink frothy sputum
C. Heart rate of 92 bpm
D. 2+ pitting edema in the ankles
Answer: B
Rationale: Pink frothy sputum with crackles indicates acute pulmonary edema
— a life-threatening emergency.
2. Which lab value is most concerning for a client taking furosemide?
A. Sodium 138 mEq/L
B. Potassium 2.9 mEq/L
C. Hemoglobin 13 g/dL
D. BUN 18 mg/dL
Answer: B
Rationale: Loop diuretics cause potassium loss. K+ 2.9 risks dysrhythmias.
3. A client with COPD has an O2 saturation of 88%. What is the appropriate
action?
,A. Administer O2 at 6 L/min via nasal cannula
B. Place in high-Fowler's and administer O2 at 2 L/min
C. Encourage pursed-lip breathing only
D. Withhold oxygen and reassess in 1 hour
Answer: B
Rationale: COPD target SpO2 is 88–92%. Low-flow O2 avoids suppressing
hypoxic drive.
4. Which finding indicates a tension pneumothorax?
A. Tracheal deviation toward the affected side
B. Tracheal deviation away from the affected side with hypotension
C. Fine crackles at the bases
D. Decreased breath sounds bilaterally
Answer: B
Rationale: Mediastinal shift away from affected side with hemodynamic
collapse = emergency.
5. A post-op client reports sudden "popping" at the incision with
serosanguineous drainage. What should the nurse do first?
A. Notify the surgeon
B. Cover the wound with sterile saline-soaked gauze
C. Reinsert protruding tissue
D. Have the client cough to check
Answer: B
Rationale: Cover with sterile saline-soaked dressing first, then notify surgeon.
Never reinsert tissue.
6. Which client is at highest risk for developing pressure injury?
A. Ambulatory client with diabetes
B. Bedridden client with incontinence and albumin 2.1 g/dL
, C. Post-op client ambulating day 1
D. Client with hypertension
Answer: B
Rationale: Immobility + moisture + malnutrition = highest risk.
7. A client on heparin has an aPTT of 95 seconds. What is the priority action?
A. Continue the heparin drip
B. Stop the infusion and prepare protamine sulfate
C. Administer vitamin K
D. Increase the drip rate
Answer: B
Rationale: Protamine sulfate reverses heparin. Vitamin K reverses warfarin.
8. Which manifestation indicates hypoglycemia?
A. Kussmaul respirations
B. Diaphoresis, tremors, confusion
C. Fruity breath
D. Polyuria and polydipsia
Answer: B
Rationale: Autonomic + neuroglycopenic symptoms = hypoglycemia.
9. A client with a new colostomy has a dusky, edematous stoma. What is the
priority nursing action?
A. Document as normal
B. Notify the provider
C. Apply heat
D. Increase pouch changes
Answer: B
Rationale: Dusky/cyanotic stoma = ischemia. Notify surgeon.
