ATI RN MEDICAL-SURGICAL NURSING — EXAM 2 ACTUAL EXAM QUESTIONS AND ANSWERS
ALREADY GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Cardiovascular Disorders
Respiratory Disorders
Renal and Urinary Disorders
Endocrine and Metabolic Disorders
Gastrointestinal and Hepatic Disorders
Neurological and Sensory Disorders
Musculoskeletal and Perioperative Care
Hematologic and Oncologic Disorders
Fluid, Electrolyte, and Acid-Base Balance
Emergency and Critical Care Nursing
Introduction:
,This comprehensive examination assesses the practical nurse's mastery of medical-surgical nursing
concepts essential for safe, effective adult client care. The assessment evaluates knowledge across
cardiovascular, respiratory, renal, endocrine, gastrointestinal, neurological, musculoskeletal, and
hematologic systems, with an emphasis on emergency and critical care. Questions are structured in
multiple-choice and scenario-based formats to simulate real-world clinical situations. Emphasis is
placed on clinical judgment, prioritization, and application of evidence-based practice. Successful
completion demonstrates readiness to deliver competent, compassionate nursing care in diverse
healthcare settings while adhering to professional standards and regulatory requirements.
Section One: Questions 1–100
Question 1
A nurse is caring for a client who is 24 hours postoperative following a coronary artery bypass
graft (CABG). Which assessment finding requires immediate notification of the provider?
A. Chest tube drainage of 50 mL in the past hour
B. Serum potassium of 4.0 mEq/L
C. Heart rate of 92 beats/min
D. Urine output of 40 mL/hr
🟢 A. Chest tube drainage of 50 mL in the past hour
,🔴 RATIONALE: Chest tube drainage greater than 100 mL/hr or sudden increase in drainage may
indicate hemorrhage. Drainage of 50 mL in one hour is approaching the threshold and requires
close monitoring and provider notification.
Question 2
A client with heart failure is prescribed metoprolol. The nurse should question this prescription if
which finding is noted?
A. Heart rate of 58 beats/min
B. Blood pressure of 128/76 mm Hg
C. Respiratory rate of 18 breaths/min
D. Serum potassium of 4.2 mEq/L
🟢 A. Heart rate of 58 beats/min
🔴 RATIONALE: Beta-blockers such as metoprolol can cause bradycardia. A heart rate below 60
beats/min may be a contraindication, and the nurse should question the prescription.
Question 3
A nurse is assessing a client with peripheral arterial disease (PAD). Which finding is expected?
, A. Warm, swollen extremities
B. Decreased or absent pedal pulses
C. Brown discoloration of the lower legs
D. Pitting edema
🟢 B. Decreased or absent pedal pulses
🔴 RATIONALE: PAD causes decreased blood flow to the extremities, resulting in diminished or
absent pedal pulses. Other findings include cool, pale, hairless skin and intermittent claudication.
Question 4
A client with a new diagnosis of hypertension is prescribed lisinopril. Which instruction should
the nurse include?
A. "Avoid potassium-rich foods."
B. "Report a persistent dry cough."
C. "Take the medication at bedtime."
D. "Stop taking the medication if you feel better."
🟢 B. "Report a persistent dry cough."
🔴 RATIONALE: ACE inhibitors like lisinopril commonly cause a dry, persistent cough. Clients
should report this to the provider, who may switch to an ARB.
ALREADY GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Cardiovascular Disorders
Respiratory Disorders
Renal and Urinary Disorders
Endocrine and Metabolic Disorders
Gastrointestinal and Hepatic Disorders
Neurological and Sensory Disorders
Musculoskeletal and Perioperative Care
Hematologic and Oncologic Disorders
Fluid, Electrolyte, and Acid-Base Balance
Emergency and Critical Care Nursing
Introduction:
,This comprehensive examination assesses the practical nurse's mastery of medical-surgical nursing
concepts essential for safe, effective adult client care. The assessment evaluates knowledge across
cardiovascular, respiratory, renal, endocrine, gastrointestinal, neurological, musculoskeletal, and
hematologic systems, with an emphasis on emergency and critical care. Questions are structured in
multiple-choice and scenario-based formats to simulate real-world clinical situations. Emphasis is
placed on clinical judgment, prioritization, and application of evidence-based practice. Successful
completion demonstrates readiness to deliver competent, compassionate nursing care in diverse
healthcare settings while adhering to professional standards and regulatory requirements.
Section One: Questions 1–100
Question 1
A nurse is caring for a client who is 24 hours postoperative following a coronary artery bypass
graft (CABG). Which assessment finding requires immediate notification of the provider?
A. Chest tube drainage of 50 mL in the past hour
B. Serum potassium of 4.0 mEq/L
C. Heart rate of 92 beats/min
D. Urine output of 40 mL/hr
🟢 A. Chest tube drainage of 50 mL in the past hour
,🔴 RATIONALE: Chest tube drainage greater than 100 mL/hr or sudden increase in drainage may
indicate hemorrhage. Drainage of 50 mL in one hour is approaching the threshold and requires
close monitoring and provider notification.
Question 2
A client with heart failure is prescribed metoprolol. The nurse should question this prescription if
which finding is noted?
A. Heart rate of 58 beats/min
B. Blood pressure of 128/76 mm Hg
C. Respiratory rate of 18 breaths/min
D. Serum potassium of 4.2 mEq/L
🟢 A. Heart rate of 58 beats/min
🔴 RATIONALE: Beta-blockers such as metoprolol can cause bradycardia. A heart rate below 60
beats/min may be a contraindication, and the nurse should question the prescription.
Question 3
A nurse is assessing a client with peripheral arterial disease (PAD). Which finding is expected?
, A. Warm, swollen extremities
B. Decreased or absent pedal pulses
C. Brown discoloration of the lower legs
D. Pitting edema
🟢 B. Decreased or absent pedal pulses
🔴 RATIONALE: PAD causes decreased blood flow to the extremities, resulting in diminished or
absent pedal pulses. Other findings include cool, pale, hairless skin and intermittent claudication.
Question 4
A client with a new diagnosis of hypertension is prescribed lisinopril. Which instruction should
the nurse include?
A. "Avoid potassium-rich foods."
B. "Report a persistent dry cough."
C. "Take the medication at bedtime."
D. "Stop taking the medication if you feel better."
🟢 B. "Report a persistent dry cough."
🔴 RATIONALE: ACE inhibitors like lisinopril commonly cause a dry, persistent cough. Clients
should report this to the provider, who may switch to an ARB.
