ATI Medical-Surgical Proctored Exam Retake
with Questions and Verified Rationalized
Answers, 100% Passing Score Guarantee
Multiple-Choice Questions
Question 1: A nurse is assessing a client with chest pain. Which finding is most sugges-
tive of acute myocardial infarction?
A. Chest pain relieved by rest
B. Chest pain radiating to the left arm
C. Chest pain associated with coughing
D. Chest pain lasting less than 5 minutes
Answer: B
Rationale: Chest pain radiating to the left arm is a classic symptom of my-
ocardial infarction due to cardiac ischemia.
Question 2: A client with heart failure is prescribed furosemide. What is the priority
assessment before administration?
A. Blood glucose levels
B. Serum potassium levels
C. Respiratory rate
D. Skin turgor
Answer: B
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, necessi-
tating potassium level monitoring.
Question 3: A nurse is caring for a client with atrial fibrillation. Which medication is
most likely prescribed to prevent thromboembolism?
A. Aspirin
B. Warfarin
C. Digoxin
D. Metoprolol
Answer: B
Rationale: Warfarin is an anticoagulant used to prevent thromboembolism
in atrial fibrillation.
Question 4: A client with hypertension reports dizziness. Which blood pressure read-
ing requires immediate action?
A. 130/85 mmHg
B. 180/110 mmHg
1
, C. 120/80 mmHg
D. 140/90 mmHg
Answer: B
Rationale: A blood pressure of 180/110 mmHg indicates a hypertensive
crisis, requiring urgent intervention.
Question 5: A nurse is monitoring a client post-cardiac catheterization. Which finding
indicates a complication?
A. Mild bruising at the insertion site
B. Absence of pulse distal to the site
C. Warm skin at the site
D. Blood pressure of 110/70 mmHg
Answer: B
Rationale: An absent distal pulse suggests vascular occlusion, a serious
complication.
Question 6: A client with heart failure reports weight gain of 3 pounds in 2 days. What
is the nurse’s priority action?
A. Encourage increased fluid intake
B. Notify the provider
C. Administer an extra dose of diuretic
D. Restrict physical activity
Answer: B
Rationale: Rapid weight gain in heart failure indicates fluid retention, re-
quiring provider notification.
Question 7: A nurse is teaching a client about coronary artery disease. Which dietary
modification is most important?
A. Increase saturated fat intake
B. Reduce dietary cholesterol
C. Limit carbohydrate intake
D. Avoid protein-rich foods
Answer: B
Rationale: Reducing dietary cholesterol helps manage coronary artery dis-
ease by lowering LDL levels.
Question 8: A client is receiving heparin for a deep vein thrombosis. Which laboratory
value should the nurse monitor?
A. INR
B. aPTT
C. Platelet count
D. Serum creatinine
Answer: B
Rationale: Activated partial thromboplastin time (aPTT) monitors heparin’s
anticoagulant effect.
Question 9: A nurse is caring for a client with pneumonia. Which assessment finding
is most concerning?
A. Respiratory rate of 18 breaths/min
B. Oxygen saturation of 88C. Clear breath sounds
2
with Questions and Verified Rationalized
Answers, 100% Passing Score Guarantee
Multiple-Choice Questions
Question 1: A nurse is assessing a client with chest pain. Which finding is most sugges-
tive of acute myocardial infarction?
A. Chest pain relieved by rest
B. Chest pain radiating to the left arm
C. Chest pain associated with coughing
D. Chest pain lasting less than 5 minutes
Answer: B
Rationale: Chest pain radiating to the left arm is a classic symptom of my-
ocardial infarction due to cardiac ischemia.
Question 2: A client with heart failure is prescribed furosemide. What is the priority
assessment before administration?
A. Blood glucose levels
B. Serum potassium levels
C. Respiratory rate
D. Skin turgor
Answer: B
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, necessi-
tating potassium level monitoring.
Question 3: A nurse is caring for a client with atrial fibrillation. Which medication is
most likely prescribed to prevent thromboembolism?
A. Aspirin
B. Warfarin
C. Digoxin
D. Metoprolol
Answer: B
Rationale: Warfarin is an anticoagulant used to prevent thromboembolism
in atrial fibrillation.
Question 4: A client with hypertension reports dizziness. Which blood pressure read-
ing requires immediate action?
A. 130/85 mmHg
B. 180/110 mmHg
1
, C. 120/80 mmHg
D. 140/90 mmHg
Answer: B
Rationale: A blood pressure of 180/110 mmHg indicates a hypertensive
crisis, requiring urgent intervention.
Question 5: A nurse is monitoring a client post-cardiac catheterization. Which finding
indicates a complication?
A. Mild bruising at the insertion site
B. Absence of pulse distal to the site
C. Warm skin at the site
D. Blood pressure of 110/70 mmHg
Answer: B
Rationale: An absent distal pulse suggests vascular occlusion, a serious
complication.
Question 6: A client with heart failure reports weight gain of 3 pounds in 2 days. What
is the nurse’s priority action?
A. Encourage increased fluid intake
B. Notify the provider
C. Administer an extra dose of diuretic
D. Restrict physical activity
Answer: B
Rationale: Rapid weight gain in heart failure indicates fluid retention, re-
quiring provider notification.
Question 7: A nurse is teaching a client about coronary artery disease. Which dietary
modification is most important?
A. Increase saturated fat intake
B. Reduce dietary cholesterol
C. Limit carbohydrate intake
D. Avoid protein-rich foods
Answer: B
Rationale: Reducing dietary cholesterol helps manage coronary artery dis-
ease by lowering LDL levels.
Question 8: A client is receiving heparin for a deep vein thrombosis. Which laboratory
value should the nurse monitor?
A. INR
B. aPTT
C. Platelet count
D. Serum creatinine
Answer: B
Rationale: Activated partial thromboplastin time (aPTT) monitors heparin’s
anticoagulant effect.
Question 9: A nurse is caring for a client with pneumonia. Which assessment finding
is most concerning?
A. Respiratory rate of 18 breaths/min
B. Oxygen saturation of 88C. Clear breath sounds
2
