ATI RN MEDICAL-SURGICAL PROCTORED
ASSESSMENT NEWEST 2026 ACTUAL
EXAM| RN MED SURG PROCTORED
EXAM WITH COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT 100%
VERIFIED ANSWERS WITH RATIONALES
GUARANTEED PASS (GRADED A+)
Question 1
A nurse is caring for a client who has heart failure. Which
assessment finding indicates fluid volume excess?
A. Dry mucous membranes
B. Weight loss of 1 kg in 24 hr
C. Bilateral crackles in the lungs
D. Decreased jugular vein distention
Answer: C. Bilateral crackles in the lungs
Rationale: Crackles indicate fluid accumulation in the lungs, a
common manifestation of fluid volume excess in clients with
heart failure.
Question 2
,A client with diabetes mellitus reports shakiness, diaphoresis,
and hunger. Which action should the nurse take first?
A. Administer insulin
B. Check the client's blood glucose level
C. Encourage exercise
D. Restrict carbohydrate intake
Answer: B. Check the client's blood glucose level
Rationale: These symptoms suggest hypoglycemia. The nurse
should first assess blood glucose to confirm the condition before
intervening.
Question 3
A nurse is caring for a client 24 hr after a thyroidectomy. Which
finding requires immediate intervention?
A. Hoarse voice
B. Pain rated 4/10
C. Temperature of 37.4°C (99.3°F)
D. Stridor during inspiration
Answer: D. Stridor during inspiration
Rationale: Stridor may indicate airway obstruction from edema
or hemorrhage and requires immediate action.
Question 4
,Which laboratory value should the nurse monitor closely in a
client receiving warfarin therapy?
A. Hemoglobin A1C
B. INR
C. Serum potassium
D. Creatinine kinase
Answer: B. INR
Rationale: The International Normalized Ratio (INR) is used to
evaluate the effectiveness and safety of warfarin therapy.
Question 5
A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen therapy. Which finding indicates effective
treatment?
A. Respiratory rate decreases to 20/min
B. Increased use of accessory muscles
C. Oxygen saturation decreases to 88%
D. Development of cyanosis
Answer: A. Respiratory rate decreases to 20/min
Rationale: A decrease in respiratory distress and normalization
of respiratory rate indicate improved oxygenation.
Question 6
, A nurse is teaching a client who has hypertension. Which
statement by the client indicates understanding of the teaching?
A. “I will stop taking my medication when I feel better.”
B. “I will monitor my blood pressure regularly.”
C. “I can add salt if my food tastes bland.”
D. “Exercise is not important if I take medication.”
Answer: B. “I will monitor my blood pressure regularly.”
Rationale: Regular monitoring helps evaluate treatment
effectiveness and supports long-term blood pressure control.
Question 7
A client with a deep-vein thrombosis is prescribed heparin.
Which assessment finding should the nurse report immediately?
A. Mild bruising at injection sites
B. Platelet count of 75,000/mm³
C. Heart rate of 82/min
D. Blood pressure of 128/76 mm Hg
Answer: B. Platelet count of 75,000/mm³
Rationale: A significantly decreased platelet count may indicate
heparin-induced thrombocytopenia, a serious complication.
Question 8
ASSESSMENT NEWEST 2026 ACTUAL
EXAM| RN MED SURG PROCTORED
EXAM WITH COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT 100%
VERIFIED ANSWERS WITH RATIONALES
GUARANTEED PASS (GRADED A+)
Question 1
A nurse is caring for a client who has heart failure. Which
assessment finding indicates fluid volume excess?
A. Dry mucous membranes
B. Weight loss of 1 kg in 24 hr
C. Bilateral crackles in the lungs
D. Decreased jugular vein distention
Answer: C. Bilateral crackles in the lungs
Rationale: Crackles indicate fluid accumulation in the lungs, a
common manifestation of fluid volume excess in clients with
heart failure.
Question 2
,A client with diabetes mellitus reports shakiness, diaphoresis,
and hunger. Which action should the nurse take first?
A. Administer insulin
B. Check the client's blood glucose level
C. Encourage exercise
D. Restrict carbohydrate intake
Answer: B. Check the client's blood glucose level
Rationale: These symptoms suggest hypoglycemia. The nurse
should first assess blood glucose to confirm the condition before
intervening.
Question 3
A nurse is caring for a client 24 hr after a thyroidectomy. Which
finding requires immediate intervention?
A. Hoarse voice
B. Pain rated 4/10
C. Temperature of 37.4°C (99.3°F)
D. Stridor during inspiration
Answer: D. Stridor during inspiration
Rationale: Stridor may indicate airway obstruction from edema
or hemorrhage and requires immediate action.
Question 4
,Which laboratory value should the nurse monitor closely in a
client receiving warfarin therapy?
A. Hemoglobin A1C
B. INR
C. Serum potassium
D. Creatinine kinase
Answer: B. INR
Rationale: The International Normalized Ratio (INR) is used to
evaluate the effectiveness and safety of warfarin therapy.
Question 5
A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen therapy. Which finding indicates effective
treatment?
A. Respiratory rate decreases to 20/min
B. Increased use of accessory muscles
C. Oxygen saturation decreases to 88%
D. Development of cyanosis
Answer: A. Respiratory rate decreases to 20/min
Rationale: A decrease in respiratory distress and normalization
of respiratory rate indicate improved oxygenation.
Question 6
, A nurse is teaching a client who has hypertension. Which
statement by the client indicates understanding of the teaching?
A. “I will stop taking my medication when I feel better.”
B. “I will monitor my blood pressure regularly.”
C. “I can add salt if my food tastes bland.”
D. “Exercise is not important if I take medication.”
Answer: B. “I will monitor my blood pressure regularly.”
Rationale: Regular monitoring helps evaluate treatment
effectiveness and supports long-term blood pressure control.
Question 7
A client with a deep-vein thrombosis is prescribed heparin.
Which assessment finding should the nurse report immediately?
A. Mild bruising at injection sites
B. Platelet count of 75,000/mm³
C. Heart rate of 82/min
D. Blood pressure of 128/76 mm Hg
Answer: B. Platelet count of 75,000/mm³
Rationale: A significantly decreased platelet count may indicate
heparin-induced thrombocytopenia, a serious complication.
Question 8
