Actual Ati Rn Adult Medical Surgical 2026
Proctored Exam With Ngn ] Actual Questions And
Correct Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download Pdf
1. A nurse is assessing a client with heart failure. Which finding requires immediate
intervention?
A. 1+ ankle edema
B. Weight gain of 1 kg in 24 hr
C. Pink, frothy sputum
D. Fatigue with activity
Answer: C
Rationale: Pink, frothy sputum can indicate acute pulmonary edema, a life-threatening
complication of heart failure requiring immediate intervention.
2. Which assessment finding is most consistent with left-sided heart failure?
A. Jugular venous distention
B. Pulmonary crackles
C. Peripheral edema
D. Ascites
Answer: B
Rationale: Left-sided heart failure causes pulmonary congestion, producing crackles, dyspnea,
and orthopnea.
3. A client taking digoxin reports nausea, blurred vision, and loss of appetite. What should the
nurse do?
A. Administer the next dose
B. Encourage increased sodium intake
C. Hold the medication and notify the provider
D. Give an antacid
Answer: C
Rationale: Nausea, anorexia, and visual disturbances can indicate digoxin toxicity.
,4. Which finding should the nurse expect in a client with hypokalemia?
A. Muscle weakness
B. Hyperactive reflexes
C. Peaked T waves
D. Severe hypertension
Answer: A
Rationale: Hypokalemia can cause muscle weakness, fatigue, dysrhythmias, and flattened T
waves.
5. A client receiving furosemide should be monitored for which electrolyte imbalance?
A. Hypercalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hypernatremia
Answer: B
Rationale: Furosemide is a loop diuretic that increases potassium excretion.
6. Which finding is expected in a client experiencing an acute myocardial infarction?
A. Crushing chest pressure
B. Increased appetite
C. Bradycardia with no symptoms
D. Painless urination
Answer: A
Rationale: Acute myocardial infarction commonly presents with pressure, squeezing, or pain in
the chest, sometimes radiating to the arm or jaw.
7. A client with chest pain is prescribed sublingual nitroglycerin. Which statement indicates
understanding?
A. “I will swallow the tablet.”
B. “I will take it while standing.”
C. “I will sit down before taking it.”
D. “I should take all doses at once.”
,Answer: C
Rationale: Nitroglycerin can cause hypotension and dizziness, so the client should sit or lie
down before administration.
8. Which medication should the nurse question before administering to a client who took
sildenafil recently?
A. Acetaminophen
B. Nitroglycerin
C. Furosemide
D. Aspirin
Answer: B
Rationale: PDE-5 inhibitors such as sildenafil combined with nitrates can cause profound
hypotension.
9. Which finding suggests worsening peripheral arterial disease?
A. Warm feet
B. Bounding pedal pulses
C. Intermittent claudication
D. Bilateral ankle edema
Answer: C
Rationale: Intermittent claudication is characteristic of inadequate arterial blood flow.
10. Which intervention is appropriate for a client with chronic venous insufficiency?
A. Elevate the legs
B. Avoid all activity
C. Keep the legs dependent
D. Apply ice directly to the skin
Answer: A
Rationale: Leg elevation promotes venous return and decreases edema.
Respiratory
, 11. Which finding is most concerning in a client experiencing an asthma exacerbation?
A. Expiratory wheezing
B. Mild anxiety
C. Inability to speak in full sentences
D. Respiratory rate of 20/min
Answer: C
Rationale: Inability to speak in full sentences indicates severe respiratory compromise.
12. Which medication provides rapid relief during an acute asthma attack?
A. Salmeterol
B. Albuterol
C. Montelukast
D. Fluticasone
Answer: B
Rationale: Albuterol is a short-acting beta₂ agonist used for rapid bronchodilation.
13. A client uses an inhaled corticosteroid. Which instruction is appropriate?
A. Use it only during severe attacks
B. Rinse the mouth after use
C. Stop it when symptoms improve
D. Take it with grapefruit juice
Answer: B
Rationale: Rinsing the mouth decreases the risk of oral candidiasis.
14. Which finding is characteristic of a pneumothorax?
A. Bilateral crackles
B. Absent breath sounds on the affected side
C. Bradycardia only
D. Increased bowel sounds
Answer: B
Rationale: Air in the pleural space can cause decreased or absent breath sounds on the affected
side.
Proctored Exam With Ngn ] Actual Questions And
Correct Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download Pdf
1. A nurse is assessing a client with heart failure. Which finding requires immediate
intervention?
A. 1+ ankle edema
B. Weight gain of 1 kg in 24 hr
C. Pink, frothy sputum
D. Fatigue with activity
Answer: C
Rationale: Pink, frothy sputum can indicate acute pulmonary edema, a life-threatening
complication of heart failure requiring immediate intervention.
2. Which assessment finding is most consistent with left-sided heart failure?
A. Jugular venous distention
B. Pulmonary crackles
C. Peripheral edema
D. Ascites
Answer: B
Rationale: Left-sided heart failure causes pulmonary congestion, producing crackles, dyspnea,
and orthopnea.
3. A client taking digoxin reports nausea, blurred vision, and loss of appetite. What should the
nurse do?
A. Administer the next dose
B. Encourage increased sodium intake
C. Hold the medication and notify the provider
D. Give an antacid
Answer: C
Rationale: Nausea, anorexia, and visual disturbances can indicate digoxin toxicity.
,4. Which finding should the nurse expect in a client with hypokalemia?
A. Muscle weakness
B. Hyperactive reflexes
C. Peaked T waves
D. Severe hypertension
Answer: A
Rationale: Hypokalemia can cause muscle weakness, fatigue, dysrhythmias, and flattened T
waves.
5. A client receiving furosemide should be monitored for which electrolyte imbalance?
A. Hypercalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hypernatremia
Answer: B
Rationale: Furosemide is a loop diuretic that increases potassium excretion.
6. Which finding is expected in a client experiencing an acute myocardial infarction?
A. Crushing chest pressure
B. Increased appetite
C. Bradycardia with no symptoms
D. Painless urination
Answer: A
Rationale: Acute myocardial infarction commonly presents with pressure, squeezing, or pain in
the chest, sometimes radiating to the arm or jaw.
7. A client with chest pain is prescribed sublingual nitroglycerin. Which statement indicates
understanding?
A. “I will swallow the tablet.”
B. “I will take it while standing.”
C. “I will sit down before taking it.”
D. “I should take all doses at once.”
,Answer: C
Rationale: Nitroglycerin can cause hypotension and dizziness, so the client should sit or lie
down before administration.
8. Which medication should the nurse question before administering to a client who took
sildenafil recently?
A. Acetaminophen
B. Nitroglycerin
C. Furosemide
D. Aspirin
Answer: B
Rationale: PDE-5 inhibitors such as sildenafil combined with nitrates can cause profound
hypotension.
9. Which finding suggests worsening peripheral arterial disease?
A. Warm feet
B. Bounding pedal pulses
C. Intermittent claudication
D. Bilateral ankle edema
Answer: C
Rationale: Intermittent claudication is characteristic of inadequate arterial blood flow.
10. Which intervention is appropriate for a client with chronic venous insufficiency?
A. Elevate the legs
B. Avoid all activity
C. Keep the legs dependent
D. Apply ice directly to the skin
Answer: A
Rationale: Leg elevation promotes venous return and decreases edema.
Respiratory
, 11. Which finding is most concerning in a client experiencing an asthma exacerbation?
A. Expiratory wheezing
B. Mild anxiety
C. Inability to speak in full sentences
D. Respiratory rate of 20/min
Answer: C
Rationale: Inability to speak in full sentences indicates severe respiratory compromise.
12. Which medication provides rapid relief during an acute asthma attack?
A. Salmeterol
B. Albuterol
C. Montelukast
D. Fluticasone
Answer: B
Rationale: Albuterol is a short-acting beta₂ agonist used for rapid bronchodilation.
13. A client uses an inhaled corticosteroid. Which instruction is appropriate?
A. Use it only during severe attacks
B. Rinse the mouth after use
C. Stop it when symptoms improve
D. Take it with grapefruit juice
Answer: B
Rationale: Rinsing the mouth decreases the risk of oral candidiasis.
14. Which finding is characteristic of a pneumothorax?
A. Bilateral crackles
B. Absent breath sounds on the affected side
C. Bradycardia only
D. Increased bowel sounds
Answer: B
Rationale: Air in the pleural space can cause decreased or absent breath sounds on the affected
side.
