ATI RN MEDICAL-SURGICAL NURSING — EXAM 3 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 48 hours postoperative following a below-the-knee
amputation. Which finding requires immediate intervention?
A. Phantom limb pain
B. Incisional pain at the surgical site
C. Bright red blood saturating the dressing
D. Dependent edema of the residual limb
🟢 C. Bright red blood saturating the dressing
,🔴 RATIONALE: Bright red blood saturating the dressing indicates active hemorrhage, which is a
postoperative emergency requiring immediate intervention to prevent hypovolemic shock.
Question 2
A client with heart failure is receiving digoxin and furosemide. The client reports nausea and
visual changes. Which action should the nurse take first?
A. Administer the next scheduled dose of digoxin
B. Withhold digoxin and obtain a serum digoxin level
C. Increase the furosemide dose
D. Encourage the client to eat a potassium-rich snack
🟢 B. Withhold digoxin and obtain a serum digoxin level
🔴 RATIONALE: Nausea and visual changes (yellow-green halos) are signs of digoxin toxicity. The
nurse should withhold digoxin, obtain a serum level, and notify the provider.
Question 3
A nurse is assessing a client with a pulmonary artery catheter. Which finding indicates a
complication?
, A. Pulmonary artery wedge pressure of 12 mm Hg
B. Central venous pressure of 6 mm Hg
C. Sudden onset of dyspnea and tachycardia
D. Cardiac output of 5 L/min
🟢 C. Sudden onset of dyspnea and tachycardia
🔴 RATIONALE: Sudden dyspnea and tachycardia may indicate pulmonary artery rupture or
pulmonary embolism, both of which are life-threatening complications requiring immediate
intervention.
Question 4
A client with chronic obstructive pulmonary disease (COPD) has a respiratory rate of 28/min and
is using accessory muscles. Which action should the nurse take?
A. Administer a PRN bronchodilator
B. Place the client in a supine position
C. Increase the oxygen flow rate to 6 L/min
D. Encourage the client to breathe rapidly
🟢 A. Administer a PRN bronchodilator
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 48 hours postoperative following a below-the-knee
amputation. Which finding requires immediate intervention?
A. Phantom limb pain
B. Incisional pain at the surgical site
C. Bright red blood saturating the dressing
D. Dependent edema of the residual limb
🟢 C. Bright red blood saturating the dressing
,🔴 RATIONALE: Bright red blood saturating the dressing indicates active hemorrhage, which is a
postoperative emergency requiring immediate intervention to prevent hypovolemic shock.
Question 2
A client with heart failure is receiving digoxin and furosemide. The client reports nausea and
visual changes. Which action should the nurse take first?
A. Administer the next scheduled dose of digoxin
B. Withhold digoxin and obtain a serum digoxin level
C. Increase the furosemide dose
D. Encourage the client to eat a potassium-rich snack
🟢 B. Withhold digoxin and obtain a serum digoxin level
🔴 RATIONALE: Nausea and visual changes (yellow-green halos) are signs of digoxin toxicity. The
nurse should withhold digoxin, obtain a serum level, and notify the provider.
Question 3
A nurse is assessing a client with a pulmonary artery catheter. Which finding indicates a
complication?
, A. Pulmonary artery wedge pressure of 12 mm Hg
B. Central venous pressure of 6 mm Hg
C. Sudden onset of dyspnea and tachycardia
D. Cardiac output of 5 L/min
🟢 C. Sudden onset of dyspnea and tachycardia
🔴 RATIONALE: Sudden dyspnea and tachycardia may indicate pulmonary artery rupture or
pulmonary embolism, both of which are life-threatening complications requiring immediate
intervention.
Question 4
A client with chronic obstructive pulmonary disease (COPD) has a respiratory rate of 28/min and
is using accessory muscles. Which action should the nurse take?
A. Administer a PRN bronchodilator
B. Place the client in a supine position
C. Increase the oxygen flow rate to 6 L/min
D. Encourage the client to breathe rapidly
🟢 A. Administer a PRN bronchodilator
