• ATI PN Adult 09/18/2026
Medical Exam
ATI PN Adult Medical Surgical 2026 Bundle
(Medsurg) Proctored Exam Comprising NGN
and All Questions and Answers| Detailed
Rationales
. A female client receiving IV vasopressin (Pitressin) for esophageal varice rupture reports to the nurse that she
feels substernal tightness and pressure across her chest. Which PRN protocol should the nurse initiate?
a. Start an IV nitroglycerin infusion.
b. Nasogastric lavage with cool saline.
c. Increase the vasopressin infusion.
d. Prepare for endotracheal intubation. - Correct Answer :A
Rationale
P 1
, • ATI PN Adult 09/18/2026
Medical Exam
Vasopressin is used to promote vasoconstriction, thereby reducing bleeding from the esophageal varice.
Vasoconstriction of the coronary arteries can lead to angina and myocardial infarction, and should be
counteracted by IV nitroglycerin per prescribed protocol.
91. The nurse is assessing a client who has a history of Parkinson's disease for the past 5 years. What symptoms
would this client most likely exhibit?
a. Loss of short-term memory, facial tics and grimaces, and constant writhing movements.
b. Shuffling gait, masklike facial expression, and tremors of the head.
c. Extreme muscular weakness, easy fatigability, and ptosis.
d. Numbness of the extremities, loss of balance, and visual disturbances. - Correct Answer :B
Rationale
Parkinson's Disease is one of the most common neurologic progressive disorder of the older client. Shuffling
gait, masklike facial expression, and tremors of the head and hands are common clinical features of
Parkinsonism.
92. A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction. The client's
history indicates the infarction occurred ten hours ago. Which laboratory test result would the nurse expect this
client to exhibit?
a. Elevated LDH.
b. Elevated serum amylase.
c. Elevated CK-MB.
d. Elevated hematocrit. - Correct Answer :C
Rationale
P 2
, • ATI PN Adult 09/18/2026
Medical Exam
The cardiac isoenzyme CK-MB (C) is the one of the cardiac markers to indicate myocardial damage in the
presence of MI symptoms and after a positive troponin. The troponin levels will elevate within 2-3 hours
indicating myocardial ischemia, followed by the CK-MB cardiac markers within 6-9 hours, peaking within 12 to 20
hours after myocardial infarction (MI).
93. In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the laboratory test
results to indicate a decreased serum level of which substance?
a. Sodium.
b. Antidiuretic hormone.
c. Potassium.
d. Glucose. - Correct Answer :C
Rationale
Clients with primary hyperaldosteronism exhibit a profound decline in the serum levels of potassium
(hypokalemia). Hypertension, along with the hypokalemia are the most prominent and universal signs for this
condition. If both of these findings are present, there is 50% likelihood the client to be diagnosed with
hyperaldosteronism.
94. Which intervention should the nurse implement for a female client diagnosed with pelvic relaxation disorder?
a. Describe proper administration of vaginal suppositories and cream.
b. Encourage the client to perform Kegel exercises 10 times daily.
c. Explain the importance of using condoms when having sexual intercourse.
d. Discuss the importance of keeping a diary of daily temperature and menstrual cycle events. - Correct Answer
:B
Rationale
P 3
, • ATI PN Adult 09/18/2026
Medical Exam
Pelvic relaxation disorders are structural disorders resulting from weakening support tissues of the pelvis. Kegel
exercises helps strengthen the surrounding muscles.
95. A client has undergone insertion of a permanent pacemaker. When developing a discharge teaching plan,
the nurse writes a goal of, "The client will verbalize symptoms of pacemaker failure." Which symptoms are most
important to teach the client?
a. Facial flushing.
b. Fever.
c. Pounding headache.
d. Feelings of dizziness. - Correct Answer :D
Rationale
Feelings of dizziness may occur as the result of a decreased heart rate, leading to a decreased cardiac output
which may be an indication of pacemaker failure.
96. The nurse is interviewing a male client with hypertension. Which additional medical diagnosis in the client's
history presents the greatest risk for developing a cerebral vascular accident (CVA)?
a. Diabetes mellitus.
b. Hypothyroidism.
c. Parkinson's disease.
d. Recurring pneumonia. - Correct Answer :A
Rationale
According to the National Stroke Association (2013), history of diabetes mellitus poses the greatest risk for
developing a CVA, 2-4Xs more than those who do not have diabetes mellitus. The reason for this occurrence is
P 4
Medical Exam
ATI PN Adult Medical Surgical 2026 Bundle
(Medsurg) Proctored Exam Comprising NGN
and All Questions and Answers| Detailed
Rationales
. A female client receiving IV vasopressin (Pitressin) for esophageal varice rupture reports to the nurse that she
feels substernal tightness and pressure across her chest. Which PRN protocol should the nurse initiate?
a. Start an IV nitroglycerin infusion.
b. Nasogastric lavage with cool saline.
c. Increase the vasopressin infusion.
d. Prepare for endotracheal intubation. - Correct Answer :A
Rationale
P 1
, • ATI PN Adult 09/18/2026
Medical Exam
Vasopressin is used to promote vasoconstriction, thereby reducing bleeding from the esophageal varice.
Vasoconstriction of the coronary arteries can lead to angina and myocardial infarction, and should be
counteracted by IV nitroglycerin per prescribed protocol.
91. The nurse is assessing a client who has a history of Parkinson's disease for the past 5 years. What symptoms
would this client most likely exhibit?
a. Loss of short-term memory, facial tics and grimaces, and constant writhing movements.
b. Shuffling gait, masklike facial expression, and tremors of the head.
c. Extreme muscular weakness, easy fatigability, and ptosis.
d. Numbness of the extremities, loss of balance, and visual disturbances. - Correct Answer :B
Rationale
Parkinson's Disease is one of the most common neurologic progressive disorder of the older client. Shuffling
gait, masklike facial expression, and tremors of the head and hands are common clinical features of
Parkinsonism.
92. A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction. The client's
history indicates the infarction occurred ten hours ago. Which laboratory test result would the nurse expect this
client to exhibit?
a. Elevated LDH.
b. Elevated serum amylase.
c. Elevated CK-MB.
d. Elevated hematocrit. - Correct Answer :C
Rationale
P 2
, • ATI PN Adult 09/18/2026
Medical Exam
The cardiac isoenzyme CK-MB (C) is the one of the cardiac markers to indicate myocardial damage in the
presence of MI symptoms and after a positive troponin. The troponin levels will elevate within 2-3 hours
indicating myocardial ischemia, followed by the CK-MB cardiac markers within 6-9 hours, peaking within 12 to 20
hours after myocardial infarction (MI).
93. In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the laboratory test
results to indicate a decreased serum level of which substance?
a. Sodium.
b. Antidiuretic hormone.
c. Potassium.
d. Glucose. - Correct Answer :C
Rationale
Clients with primary hyperaldosteronism exhibit a profound decline in the serum levels of potassium
(hypokalemia). Hypertension, along with the hypokalemia are the most prominent and universal signs for this
condition. If both of these findings are present, there is 50% likelihood the client to be diagnosed with
hyperaldosteronism.
94. Which intervention should the nurse implement for a female client diagnosed with pelvic relaxation disorder?
a. Describe proper administration of vaginal suppositories and cream.
b. Encourage the client to perform Kegel exercises 10 times daily.
c. Explain the importance of using condoms when having sexual intercourse.
d. Discuss the importance of keeping a diary of daily temperature and menstrual cycle events. - Correct Answer
:B
Rationale
P 3
, • ATI PN Adult 09/18/2026
Medical Exam
Pelvic relaxation disorders are structural disorders resulting from weakening support tissues of the pelvis. Kegel
exercises helps strengthen the surrounding muscles.
95. A client has undergone insertion of a permanent pacemaker. When developing a discharge teaching plan,
the nurse writes a goal of, "The client will verbalize symptoms of pacemaker failure." Which symptoms are most
important to teach the client?
a. Facial flushing.
b. Fever.
c. Pounding headache.
d. Feelings of dizziness. - Correct Answer :D
Rationale
Feelings of dizziness may occur as the result of a decreased heart rate, leading to a decreased cardiac output
which may be an indication of pacemaker failure.
96. The nurse is interviewing a male client with hypertension. Which additional medical diagnosis in the client's
history presents the greatest risk for developing a cerebral vascular accident (CVA)?
a. Diabetes mellitus.
b. Hypothyroidism.
c. Parkinson's disease.
d. Recurring pneumonia. - Correct Answer :A
Rationale
According to the National Stroke Association (2013), history of diabetes mellitus poses the greatest risk for
developing a CVA, 2-4Xs more than those who do not have diabetes mellitus. The reason for this occurrence is
P 4
