Legit ATI RN Adult Medical Surgical 2026 (Medsurg) Proctored Exam
EXAM PRACTICE 250 QUESTIONS |ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
1.
,A nurse is assessing a client who has heart failure. Which finding
requires immediate intervention?
A. 1+ bilateral ankle edema
B. Fatigue with activity
C. Pink, frothy sputum
D. Weight gain of 1 lb (0.45 kg)
Pink, frothy sputum can indicate acute pulmonary edema, a life-
threatening complication of heart failure requiring immediate
intervention.
2.
A client with heart failure is prescribed furosemide. Which laboratory
value is most important for the nurse to monitor?
A. Hemoglobin
B. Calcium
C. Potassium
D. Platelet count
Loop diuretics such as furosemide can cause potassium loss,
increasing the risk for dysrhythmias.
3.
A client reports crushing substernal chest pain radiating to the left
arm. Which action should the nurse take first?
A. Obtain a fasting lipid panel
B. Encourage ambulation
C. Assess vital signs and obtain an ECG
D. Provide a high-protein meal
Chest pain suggestive of acute coronary syndrome requires rapid
assessment and ECG evaluation to identify myocardial ischemia or
infarction.
4.
,Which finding is most concerning in a client receiving digoxin?
A. Heart rate of 88/min
B. Increased appetite
C. Yellow-green visual halos
D. Blood pressure of 128/76 mm Hg
Visual disturbances such as yellow-green halos can indicate digoxin
toxicity.
5.
A nurse is preparing to administer digoxin. Which assessment finding
should cause the nurse to withhold the medication and notify the
provider?
A. Respiratory rate 18/min
B. Blood pressure 132/78 mm Hg
C. Temperature 37°C (98.6°F)
D. Apical pulse 54/min
Digoxin can slow the heart rate. A markedly low apical pulse
warrants withholding the medication and notifying the provider.
6.
A client with peripheral arterial disease reports leg pain while
walking that improves with rest. How should the nurse document
this finding?
A. Orthopnea
B. Venous claudication
C. Intermittent claudication
D. Dependent edema
Intermittent claudication is ischemic muscle pain caused by
inadequate arterial blood flow during activity.
7.
, Which intervention is appropriate for a client with peripheral arterial
disease?
A. Elevate the legs above the heart
B. Apply cold packs to the feet
C. Encourage a progressive walking program
D. Place pillows under the knees continuously
Regular walking can promote collateral circulation and improve
functional capacity in peripheral arterial disease.
8.
A client with chronic venous insufficiency has lower-extremity
edema. Which intervention is appropriate?
A. Keep the legs dependent
B. Restrict all physical activity
C. Elevate the legs periodically
D. Apply direct heat to the legs
Leg elevation promotes venous return and helps reduce edema.
9.
Which assessment finding is expected in chronic venous
insufficiency?
A. Pale, hairless extremities
B. Cool feet
C. Absent pedal pulses
D. Brown pigmentation around the ankles
Chronic venous stasis can cause hemosiderin deposition, producing
brown discoloration around the ankles.
10.
A client with atrial fibrillation is prescribed warfarin. Which
laboratory test is used to monitor therapy?
EXAM PRACTICE 250 QUESTIONS |ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
1.
,A nurse is assessing a client who has heart failure. Which finding
requires immediate intervention?
A. 1+ bilateral ankle edema
B. Fatigue with activity
C. Pink, frothy sputum
D. Weight gain of 1 lb (0.45 kg)
Pink, frothy sputum can indicate acute pulmonary edema, a life-
threatening complication of heart failure requiring immediate
intervention.
2.
A client with heart failure is prescribed furosemide. Which laboratory
value is most important for the nurse to monitor?
A. Hemoglobin
B. Calcium
C. Potassium
D. Platelet count
Loop diuretics such as furosemide can cause potassium loss,
increasing the risk for dysrhythmias.
3.
A client reports crushing substernal chest pain radiating to the left
arm. Which action should the nurse take first?
A. Obtain a fasting lipid panel
B. Encourage ambulation
C. Assess vital signs and obtain an ECG
D. Provide a high-protein meal
Chest pain suggestive of acute coronary syndrome requires rapid
assessment and ECG evaluation to identify myocardial ischemia or
infarction.
4.
,Which finding is most concerning in a client receiving digoxin?
A. Heart rate of 88/min
B. Increased appetite
C. Yellow-green visual halos
D. Blood pressure of 128/76 mm Hg
Visual disturbances such as yellow-green halos can indicate digoxin
toxicity.
5.
A nurse is preparing to administer digoxin. Which assessment finding
should cause the nurse to withhold the medication and notify the
provider?
A. Respiratory rate 18/min
B. Blood pressure 132/78 mm Hg
C. Temperature 37°C (98.6°F)
D. Apical pulse 54/min
Digoxin can slow the heart rate. A markedly low apical pulse
warrants withholding the medication and notifying the provider.
6.
A client with peripheral arterial disease reports leg pain while
walking that improves with rest. How should the nurse document
this finding?
A. Orthopnea
B. Venous claudication
C. Intermittent claudication
D. Dependent edema
Intermittent claudication is ischemic muscle pain caused by
inadequate arterial blood flow during activity.
7.
, Which intervention is appropriate for a client with peripheral arterial
disease?
A. Elevate the legs above the heart
B. Apply cold packs to the feet
C. Encourage a progressive walking program
D. Place pillows under the knees continuously
Regular walking can promote collateral circulation and improve
functional capacity in peripheral arterial disease.
8.
A client with chronic venous insufficiency has lower-extremity
edema. Which intervention is appropriate?
A. Keep the legs dependent
B. Restrict all physical activity
C. Elevate the legs periodically
D. Apply direct heat to the legs
Leg elevation promotes venous return and helps reduce edema.
9.
Which assessment finding is expected in chronic venous
insufficiency?
A. Pale, hairless extremities
B. Cool feet
C. Absent pedal pulses
D. Brown pigmentation around the ankles
Chronic venous stasis can cause hemosiderin deposition, producing
brown discoloration around the ankles.
10.
A client with atrial fibrillation is prescribed warfarin. Which
laboratory test is used to monitor therapy?
