,
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, Genuine ATI RN Adult Medical Surgical 2026 Proctored
Exam NGN Actual and Retake Versions Level 3 Score 100
Screenshot Questions Answers and Rationales
Section 1: Cardiovascular & Hematologic (Questions 1-18)
1. A nurse is assessing a client with left-sided heart failure. Which finding should
the nurse expect?
A. Jugular venous distention
B. Hepatomegaly
C. Crackles in the lungs
D. Peripheral edema
Rationale: Left-sided heart failure causes blood to back up into the pulmonary
circulation, producing crackles, dyspnea, and orthopnea. Jugular venous
distention, hepatomegaly, and peripheral edema are signs of right-sided heart
failure (systemic congestion) .
2. A client with COPD has an O₂ saturation of 88%. Which action should the
nurse take?
A. Administer oxygen at 6 L/min via nasal cannula
B. Administer oxygen at 1-2 L/min via nasal cannula
C. Withhold oxygen and reassess in 1 hour
D. Place the client in a supine position
Rationale: Clients with COPD who are CO₂ retainers need low-flow oxygen (1-2
L/min) to avoid suppressing their hypoxic drive. High-flow oxygen can cause CO₂
narcosis. The target SpO₂ for COPD clients is 88-92% .
3. A client with heart failure is receiving IV furosemide. Which finding indicates
the medication is having the desired therapeutic effect?
,
, Genuine ATI RN Adult Medical Surgical 2026 Proctored
Exam NGN Actual and Retake Versions Level 3 Score 100
Screenshot Questions Answers and Rationales
Section 1: Cardiovascular & Hematologic (Questions 1-18)
1. A nurse is assessing a client with left-sided heart failure. Which finding should
the nurse expect?
A. Jugular venous distention
B. Hepatomegaly
C. Crackles in the lungs
D. Peripheral edema
Rationale: Left-sided heart failure causes blood to back up into the pulmonary
circulation, producing crackles, dyspnea, and orthopnea. Jugular venous
distention, hepatomegaly, and peripheral edema are signs of right-sided heart
failure (systemic congestion) .
2. A client with COPD has an O₂ saturation of 88%. Which action should the
nurse take?
A. Administer oxygen at 6 L/min via nasal cannula
B. Administer oxygen at 1-2 L/min via nasal cannula
C. Withhold oxygen and reassess in 1 hour
D. Place the client in a supine position
Rationale: Clients with COPD who are CO₂ retainers need low-flow oxygen (1-2
L/min) to avoid suppressing their hypoxic drive. High-flow oxygen can cause CO₂
narcosis. The target SpO₂ for COPD clients is 88-92% .
3. A client with heart failure is receiving IV furosemide. Which finding indicates
the medication is having the desired therapeutic effect?
