ATI PN Adult Medical 100 Minutes / 100
Questions | Verified Answers | 2025/2026
Academic Year 2025/2026
,1 Introduction
1.1 Overview of the ATI PN Adult Medical Practice Exam
The ATI PN Adult Medical Practice Exam is a comprehensive simulation designed to prepare
practical nursing students for the NCLEX-PN. This full-length exam tests clinical knowledge
and judgment across adult medical-surgical nursing, including cardiovascular, respiratory, gas-
trointestinal, neurological, endocrine, and other body systems. It mirrors the format and rigor
of the actual ATI exam, ensuring alignment with 2025/2026 testing standards.
1.2 Purpose of This Document
This document contains 100 timed multiple-choice questions, intended to be completed in 100
minutes (1 minute per question). Each question includes four answer options (AD), with the
correct answer in bold and a brief rationale to reinforce key concepts. The exam is structured
to enhance test-taking skills and content mastery for practical nursing practice.
2 Questions and Answers
Below are 100 multiple-choice questions, numbered 1100, organized by body system for clar-
ity. Each question has four answer options (AD), with the correct answer in bold and a rationale
provided.
2.1 Cardiovascular (Questions 115)
2.1.1 Question 1
A client with hypertension is prescribed lisinopril. Which side effect should the nurse monitor?
A. Hyperkalemia
B. Dry cough
C. Hypoglycemia
D. Bradycardia
Rationale: Lisinopril, an ACE inhibitor, commonly causes a dry cough due to bradykinin
accumulation.
2.1.2 Question 2
A client post-myocardial infarction reports chest pain. Which action should the nurse take first?
A. Administer aspirin.
B. Administer oxygen.
C. Obtain a 12-lead ECG.
D. Give sublingual nitroglycerin.
Rationale: Oxygen administration is the priority to improve myocardial oxygenation.
2.1.3 Question 3
A client with heart failure is prescribed furosemide. Which electrolyte imbalance is a concern?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
ATI PN Adult Medical Practice Exam | 100 Questions | Academic Year 2025/2026 | Page 1 of 17
, D. Hypermagnesemia
Rationale: Furosemide, a loop diuretic, increases potassium excretion, risking hypokalemia.
2.1.4 Question 4
A client with atrial fibrillation is on warfarin. Which lab value should the nurse monitor?
A. Platelet count
B. INR
C. Hemoglobin
D. Serum creatinine
Rationale: INR monitors warfarins anticoagulant effect, targeting 23 for atrial fibrillation.
2.1.5 Question 5
A client with peripheral artery disease reports leg pain when walking. Which intervention is
appropriate?
A. Elevate the legs.
B. Encourage walking to tolerance.
C. Apply heating pads.
D. Restrict fluid intake.
Rationale: Walking improves collateral circulation in peripheral artery disease.
2.1.6 Question 6
A client is receiving heparin therapy. Which finding indicates a complication?
A. Blood pressure 120/80 mmHg
B. Bloody urine
C. Heart rate 80 bpm
D. Respiratory rate 16 breaths/min
Rationale: Hematuria suggests bleeding, a potential heparin complication.
2.1.7 Question 7
A client with angina is prescribed nitroglycerin. Which instruction should the nurse provide?
A. Take daily to prevent pain.
B. Take up to three doses, 5 minutes apart, for chest pain.
C. Swallow the tablet whole.
D. Store in a warm, dry place.
Rationale: Nitroglycerin is taken sublingually for acute angina, up to three doses.
2.1.8 Question 8
A client with hypertension reports dizziness. Which assessment is priority?
A. Blood glucose
B. Blood pressure
C. Oxygen saturation
D. Temperature
Rationale: Dizziness may indicate hypotension, requiring blood pressure assessment.
ATI PN Adult Medical Practice Exam | 100 Questions | Academic Year 2025/2026 | Page 2 of 17
Questions | Verified Answers | 2025/2026
Academic Year 2025/2026
,1 Introduction
1.1 Overview of the ATI PN Adult Medical Practice Exam
The ATI PN Adult Medical Practice Exam is a comprehensive simulation designed to prepare
practical nursing students for the NCLEX-PN. This full-length exam tests clinical knowledge
and judgment across adult medical-surgical nursing, including cardiovascular, respiratory, gas-
trointestinal, neurological, endocrine, and other body systems. It mirrors the format and rigor
of the actual ATI exam, ensuring alignment with 2025/2026 testing standards.
1.2 Purpose of This Document
This document contains 100 timed multiple-choice questions, intended to be completed in 100
minutes (1 minute per question). Each question includes four answer options (AD), with the
correct answer in bold and a brief rationale to reinforce key concepts. The exam is structured
to enhance test-taking skills and content mastery for practical nursing practice.
2 Questions and Answers
Below are 100 multiple-choice questions, numbered 1100, organized by body system for clar-
ity. Each question has four answer options (AD), with the correct answer in bold and a rationale
provided.
2.1 Cardiovascular (Questions 115)
2.1.1 Question 1
A client with hypertension is prescribed lisinopril. Which side effect should the nurse monitor?
A. Hyperkalemia
B. Dry cough
C. Hypoglycemia
D. Bradycardia
Rationale: Lisinopril, an ACE inhibitor, commonly causes a dry cough due to bradykinin
accumulation.
2.1.2 Question 2
A client post-myocardial infarction reports chest pain. Which action should the nurse take first?
A. Administer aspirin.
B. Administer oxygen.
C. Obtain a 12-lead ECG.
D. Give sublingual nitroglycerin.
Rationale: Oxygen administration is the priority to improve myocardial oxygenation.
2.1.3 Question 3
A client with heart failure is prescribed furosemide. Which electrolyte imbalance is a concern?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
ATI PN Adult Medical Practice Exam | 100 Questions | Academic Year 2025/2026 | Page 1 of 17
, D. Hypermagnesemia
Rationale: Furosemide, a loop diuretic, increases potassium excretion, risking hypokalemia.
2.1.4 Question 4
A client with atrial fibrillation is on warfarin. Which lab value should the nurse monitor?
A. Platelet count
B. INR
C. Hemoglobin
D. Serum creatinine
Rationale: INR monitors warfarins anticoagulant effect, targeting 23 for atrial fibrillation.
2.1.5 Question 5
A client with peripheral artery disease reports leg pain when walking. Which intervention is
appropriate?
A. Elevate the legs.
B. Encourage walking to tolerance.
C. Apply heating pads.
D. Restrict fluid intake.
Rationale: Walking improves collateral circulation in peripheral artery disease.
2.1.6 Question 6
A client is receiving heparin therapy. Which finding indicates a complication?
A. Blood pressure 120/80 mmHg
B. Bloody urine
C. Heart rate 80 bpm
D. Respiratory rate 16 breaths/min
Rationale: Hematuria suggests bleeding, a potential heparin complication.
2.1.7 Question 7
A client with angina is prescribed nitroglycerin. Which instruction should the nurse provide?
A. Take daily to prevent pain.
B. Take up to three doses, 5 minutes apart, for chest pain.
C. Swallow the tablet whole.
D. Store in a warm, dry place.
Rationale: Nitroglycerin is taken sublingually for acute angina, up to three doses.
2.1.8 Question 8
A client with hypertension reports dizziness. Which assessment is priority?
A. Blood glucose
B. Blood pressure
C. Oxygen saturation
D. Temperature
Rationale: Dizziness may indicate hypotension, requiring blood pressure assessment.
ATI PN Adult Medical Practice Exam | 100 Questions | Academic Year 2025/2026 | Page 2 of 17
