ATI Med Surg II (Exam 2)
Questions 2026 Practice
Questions & Rationales
1. A Nurse In The Emergency Department Is Admitting A Client Who Has A
Possible Dissecting Abdominal Aortic Aneurysm. Which Of The Following
Actions Is The Priority For The Nurse To Take?
A. Administer Pain Medication As Prescribed
B. Provide A Warm Environment
C. Administer IV Fluids As Prescribed
D. Initiate A 12-Lead ECG
C. Administer IV Fluids As Prescribed
2. A Nurse Is Reviewing Manifestations Of A Thoracic Aortic Aneurysm With
A Newly Hired Nurse. Which Of The Following Findings Should The Nurse
Include In The Discussion (SATA)
A. Cough
B. Shortness Of Breath
C. Upper Chest Pain
D. Diaphoresis
E. Altered Mental Status
A. Cough
B. Shortness Of Breath
C. Upper Chest Pain
3. What Instructions Should The Nurse Give The Client Experiencing Signs
And Symptoms Related To Decreased Arterial Insufficiency? Select All That
Apply.
A) Avoid Smoking And Exposure To Cold.
B) Take Acetaminophen If Experiencing Pain At Night.
C) Take Aspirin Or Clopidogrel As Prescribed.
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, D) Use Additional Bed Clothes At Night.
E) Wear Tight Socks To Keep Feet Warm.
A) Avoid Smoking And Exposure To Cold.
C) Take Aspirin Or Clopidogrel As Prescribed.
D) Use Additional Bed Clothes At Night.
Rationale: (Smoking And Exposure To Cold Could Cause Vasoconstriction And
Should Be Avoided. Aspirin And Clopidogrel Should Be Taken As Prescribed For
The Antiplatelet Properties. Using Extra Bedclothes At Night Provides Warmth,
Which Increases Vasodilatation. The Presence Of Pain Should Be Investigated As
It Could Indicate Increasing Arterial Insufficiency. Tight Socks Should Be Avoided
As They Could Impair Circulation.)
4. A Sedentary, Obese Middle Aged Client Is Recovering From Surgery To
Remove An Embolus In The Right Iliac Artery. The Nurse Should Develop
A Discharge Plan With The Client That Will Focus On Participating In
Which Activities? Select All That Apply.
A) Aerobic Activity
B) Strength Training
C) Weight Control
D) Stress Management
E) Wearing Supportive Athletic Shoes
A) Aerobic Activity
C) Weight Control
Rationale: (Discharge Teaching Begins When The Client Enters The Hospital. One
Of The Risk Factors For Clot Formation Is A Sedentary Lifestyle, And The Client
Should Engage In Daily Aerobic Activity, Such As Biking Or Swimming, (Non-
Weight Bearing). The Client Is Also Overweight And Should Plan To Control The
Weight Through Dietary Counseling Or Attending Weight Management Programs
In The Community. Strength Training Is Beneficial By Increasing Strength And
Lean Body Mass, But Not Helpful In Preventing Vascular Disease. Stress
Management Is Not A Focus Based On The Client's Needs At This Time. It Is Not
2|Page
,Necessary To Wear Special Supportive Shoes: Comfortable Shoes For Walking
Are Adequate.
5. The Nurse Is Assessing A 48 Year Old Client With A History Of Smoking
During A Routine Clinic Visit. The Client, Who Exercises Regularly,
Reports Having Pain In The Calf During Exercise That Disappears At Rest.
Which Finding Requires Further Evaluation?
A) Heart Rate 57 Bpm
B) Spo2 94% On Room Air
C) Blood Pressure 134/82 Mm Hg
D) Ankle-Brachial Index 0.65
D) Ankle-Brachial Index 0.65
6. The Nurse Is Caring For A Client With Peripheral Artery Disease Who
Has Recently Been Prescribed Clopidogrel. Which Statement By The Client
Indicates That The Nurse Should Continue Giving Information To The
Client About This Medication.
A) "I Should Not Be Surprised If I Bruise Easier Or If My Gums Bleed A
Little When Brushing My Teeth."
B) "It Does Not Really Matter If I Take This Medicine With Or Without
Food, Which Ever Works Best For My Stomach."
C) "I Should Stop Taking My Medicine If It Makes Me Feel Weak And
Dizzy."
D) " The Doctor Prescribed This Medicine To Make My Platelets Less
Likely To Stick Together And Help Prevent Clots From Forming."
C) "I Should Stop Taking My Medicine If It Makes Me Feel Weak And Dizzy."
7. The Client With Peripheral Artery Disease Reports Both Legs Hurt When
Walking. What Should The Nurse Instruct The Client To Do?
A) Avoid Walking When The Pain Occurs.
B) Rest Frequently With Legs Elevated.
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, C) Wear Support Stockings.
D) Enroll In A Supervised Exercise Training Program.
D) Enroll In A Supervised Exercise Training Program.
8. A Client Is Receiving Cilostazol For Peripheral Artery Disease Causing
Intermittent Claudication. Which Statement By The Client Indicates To The
Nurse That This Medication Is Effective?
A) " I Am Having Fewer Aches And Pains."
B) "I Do Not Have Headaches Anymore."
C) " I Am Able To Walk Further Without Leg Pain."
D) "My Toes Are Turning Grayish Black In Color."
C) " I Am Able To Walk Further Without Leg Pain."
9. The Nurse Is Assessing The Lower Extremities Of The Client With
Peripheral Artery Disease. Which Findings Are Expected? Select All That
Apply.
A) Hairy Legs
B) Mottled Skin
C) Pink Skin
D) Coolness
E) Moist Skin
B) Mottled Skin
D) Coolness
10. The Nurse Is Unable To Palpate The Client's Left Pedal Pulses. What
Should The Nurse Do First?
A) Auscultate The Pulses With A Stethoscope.
B) Call The Health Care Provider.
C) Use A Doppler Ultrasound Device.
D) Inspect The Lower Left Extremity.
C) Use A Doppler Ultrasound Device.
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Questions 2026 Practice
Questions & Rationales
1. A Nurse In The Emergency Department Is Admitting A Client Who Has A
Possible Dissecting Abdominal Aortic Aneurysm. Which Of The Following
Actions Is The Priority For The Nurse To Take?
A. Administer Pain Medication As Prescribed
B. Provide A Warm Environment
C. Administer IV Fluids As Prescribed
D. Initiate A 12-Lead ECG
C. Administer IV Fluids As Prescribed
2. A Nurse Is Reviewing Manifestations Of A Thoracic Aortic Aneurysm With
A Newly Hired Nurse. Which Of The Following Findings Should The Nurse
Include In The Discussion (SATA)
A. Cough
B. Shortness Of Breath
C. Upper Chest Pain
D. Diaphoresis
E. Altered Mental Status
A. Cough
B. Shortness Of Breath
C. Upper Chest Pain
3. What Instructions Should The Nurse Give The Client Experiencing Signs
And Symptoms Related To Decreased Arterial Insufficiency? Select All That
Apply.
A) Avoid Smoking And Exposure To Cold.
B) Take Acetaminophen If Experiencing Pain At Night.
C) Take Aspirin Or Clopidogrel As Prescribed.
1|Page
, D) Use Additional Bed Clothes At Night.
E) Wear Tight Socks To Keep Feet Warm.
A) Avoid Smoking And Exposure To Cold.
C) Take Aspirin Or Clopidogrel As Prescribed.
D) Use Additional Bed Clothes At Night.
Rationale: (Smoking And Exposure To Cold Could Cause Vasoconstriction And
Should Be Avoided. Aspirin And Clopidogrel Should Be Taken As Prescribed For
The Antiplatelet Properties. Using Extra Bedclothes At Night Provides Warmth,
Which Increases Vasodilatation. The Presence Of Pain Should Be Investigated As
It Could Indicate Increasing Arterial Insufficiency. Tight Socks Should Be Avoided
As They Could Impair Circulation.)
4. A Sedentary, Obese Middle Aged Client Is Recovering From Surgery To
Remove An Embolus In The Right Iliac Artery. The Nurse Should Develop
A Discharge Plan With The Client That Will Focus On Participating In
Which Activities? Select All That Apply.
A) Aerobic Activity
B) Strength Training
C) Weight Control
D) Stress Management
E) Wearing Supportive Athletic Shoes
A) Aerobic Activity
C) Weight Control
Rationale: (Discharge Teaching Begins When The Client Enters The Hospital. One
Of The Risk Factors For Clot Formation Is A Sedentary Lifestyle, And The Client
Should Engage In Daily Aerobic Activity, Such As Biking Or Swimming, (Non-
Weight Bearing). The Client Is Also Overweight And Should Plan To Control The
Weight Through Dietary Counseling Or Attending Weight Management Programs
In The Community. Strength Training Is Beneficial By Increasing Strength And
Lean Body Mass, But Not Helpful In Preventing Vascular Disease. Stress
Management Is Not A Focus Based On The Client's Needs At This Time. It Is Not
2|Page
,Necessary To Wear Special Supportive Shoes: Comfortable Shoes For Walking
Are Adequate.
5. The Nurse Is Assessing A 48 Year Old Client With A History Of Smoking
During A Routine Clinic Visit. The Client, Who Exercises Regularly,
Reports Having Pain In The Calf During Exercise That Disappears At Rest.
Which Finding Requires Further Evaluation?
A) Heart Rate 57 Bpm
B) Spo2 94% On Room Air
C) Blood Pressure 134/82 Mm Hg
D) Ankle-Brachial Index 0.65
D) Ankle-Brachial Index 0.65
6. The Nurse Is Caring For A Client With Peripheral Artery Disease Who
Has Recently Been Prescribed Clopidogrel. Which Statement By The Client
Indicates That The Nurse Should Continue Giving Information To The
Client About This Medication.
A) "I Should Not Be Surprised If I Bruise Easier Or If My Gums Bleed A
Little When Brushing My Teeth."
B) "It Does Not Really Matter If I Take This Medicine With Or Without
Food, Which Ever Works Best For My Stomach."
C) "I Should Stop Taking My Medicine If It Makes Me Feel Weak And
Dizzy."
D) " The Doctor Prescribed This Medicine To Make My Platelets Less
Likely To Stick Together And Help Prevent Clots From Forming."
C) "I Should Stop Taking My Medicine If It Makes Me Feel Weak And Dizzy."
7. The Client With Peripheral Artery Disease Reports Both Legs Hurt When
Walking. What Should The Nurse Instruct The Client To Do?
A) Avoid Walking When The Pain Occurs.
B) Rest Frequently With Legs Elevated.
3|Page
, C) Wear Support Stockings.
D) Enroll In A Supervised Exercise Training Program.
D) Enroll In A Supervised Exercise Training Program.
8. A Client Is Receiving Cilostazol For Peripheral Artery Disease Causing
Intermittent Claudication. Which Statement By The Client Indicates To The
Nurse That This Medication Is Effective?
A) " I Am Having Fewer Aches And Pains."
B) "I Do Not Have Headaches Anymore."
C) " I Am Able To Walk Further Without Leg Pain."
D) "My Toes Are Turning Grayish Black In Color."
C) " I Am Able To Walk Further Without Leg Pain."
9. The Nurse Is Assessing The Lower Extremities Of The Client With
Peripheral Artery Disease. Which Findings Are Expected? Select All That
Apply.
A) Hairy Legs
B) Mottled Skin
C) Pink Skin
D) Coolness
E) Moist Skin
B) Mottled Skin
D) Coolness
10. The Nurse Is Unable To Palpate The Client's Left Pedal Pulses. What
Should The Nurse Do First?
A) Auscultate The Pulses With A Stethoscope.
B) Call The Health Care Provider.
C) Use A Doppler Ultrasound Device.
D) Inspect The Lower Left Extremity.
C) Use A Doppler Ultrasound Device.
4|Page
