1
ATI MED-SURG COMPREHENSIVE PREDICTOR FINAL ASSESSMENT EXAM ||
TEST BANK FINAL EXAM 2026|| Most Recent Exam Actual Complete Real
Exam Questions And Correct Answers (Verified Answers) Already Graded
A+ | Guaranteed Success!! Newest Exam Lewis, S. L., Bucher, L.,
Heitkemper, M. M., & Harding, M. M. (2023). *Medical-Surgical Nursing:
Assessment and Management of Clinical Problems* (12th ed.). Elsevier.
ISBN: 978-0323789983 All the areas covered
SECTION 1: CARDIOVASCULAR SYSTEM
(Questions 1-20)
Question 1
A nurse is assessing a client who has a new prescription for digoxin. Which
of the following findings should the nurse identify as a potential indicator
of digoxin toxicity?
A) Increased appetite
B) Heart rate of 90 beats per minute
C) Yellow-green halos around lights
D) Weight gain of 0.5 kg per day
Correct Answer: C) Yellow-green halos around lights**
*Rationale: Visual disturbances, including yellow-green halos around lights,
are classic early signs of digoxin toxicity. Digoxin has a narrow therapeutic
,2
index, and toxicity can manifest with gastrointestinal symptoms (anorexia,
nausea, vomiting), neurological symptoms (confusion, headache, visual
disturbances), and cardiac symptoms (bradycardia, heart block) .*
Question 2
A nurse is caring for a client who is 24 hours postoperative following a total
hip arthroplasty. Which nursing intervention should the nurse prioritize to
prevent deep vein thrombosis?
A) Place a pillow under the client's knees
B) Encourage the client to remain in bed for 48 hours
C) Apply sequential compression devices to the lower extremities
D) Administer a dose of aspirin with breakfast
**Correct Answer: C) Apply sequential compression devices to the lower
extremities**
*Rationale: Sequential compression devices promote venous return and
reduce venous stasis, significantly lowering the risk of DVT postoperatively
. Placing a pillow under the knees can impede venous return. Prolonged
bed rest increases DVT risk. Aspirin is not the standard prophylactic
anticoagulant for major orthopedic surgery unless specifically prescribed .*
,3
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**Question 3**
A nurse is assessing a client with heart failure who is receiving furosemide.
Which laboratory value should the nurse monitor most closely?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
**Correct Answer: B) Serum potassium**
*Rationale: Furosemide is a loop diuretic that promotes potassium
excretion, which can lead to hypokalemia. Hypokalemia can increase the
risk of cardiac arrhythmias, particularly in clients with heart failure who
may also be taking digoxin. The nurse should monitor serum potassium
levels closely and report values below normal range .*
---
**Question 4**
, 4
A client with chronic heart failure is prescribed an ACE inhibitor. The nurse
should teach the client to report which side effect immediately?
A) Dry, persistent cough
B) Mild headache
C) Slight dizziness when standing
D) Gastrointestinal upset
**Correct Answer: A) Dry, persistent cough**
*Rationale: A dry, persistent cough is a common side effect of ACE
inhibitors caused by the accumulation of bradykinin. While generally not
dangerous, it can be bothersome and may lead to medication
discontinuation. The client should report this to the provider for possible
medication adjustment .*
---
**Question 5**
A nurse is assessing a client with suspected pulmonary embolism. Which
finding is the most immediate priority for the nurse to address?
ATI MED-SURG COMPREHENSIVE PREDICTOR FINAL ASSESSMENT EXAM ||
TEST BANK FINAL EXAM 2026|| Most Recent Exam Actual Complete Real
Exam Questions And Correct Answers (Verified Answers) Already Graded
A+ | Guaranteed Success!! Newest Exam Lewis, S. L., Bucher, L.,
Heitkemper, M. M., & Harding, M. M. (2023). *Medical-Surgical Nursing:
Assessment and Management of Clinical Problems* (12th ed.). Elsevier.
ISBN: 978-0323789983 All the areas covered
SECTION 1: CARDIOVASCULAR SYSTEM
(Questions 1-20)
Question 1
A nurse is assessing a client who has a new prescription for digoxin. Which
of the following findings should the nurse identify as a potential indicator
of digoxin toxicity?
A) Increased appetite
B) Heart rate of 90 beats per minute
C) Yellow-green halos around lights
D) Weight gain of 0.5 kg per day
Correct Answer: C) Yellow-green halos around lights**
*Rationale: Visual disturbances, including yellow-green halos around lights,
are classic early signs of digoxin toxicity. Digoxin has a narrow therapeutic
,2
index, and toxicity can manifest with gastrointestinal symptoms (anorexia,
nausea, vomiting), neurological symptoms (confusion, headache, visual
disturbances), and cardiac symptoms (bradycardia, heart block) .*
Question 2
A nurse is caring for a client who is 24 hours postoperative following a total
hip arthroplasty. Which nursing intervention should the nurse prioritize to
prevent deep vein thrombosis?
A) Place a pillow under the client's knees
B) Encourage the client to remain in bed for 48 hours
C) Apply sequential compression devices to the lower extremities
D) Administer a dose of aspirin with breakfast
**Correct Answer: C) Apply sequential compression devices to the lower
extremities**
*Rationale: Sequential compression devices promote venous return and
reduce venous stasis, significantly lowering the risk of DVT postoperatively
. Placing a pillow under the knees can impede venous return. Prolonged
bed rest increases DVT risk. Aspirin is not the standard prophylactic
anticoagulant for major orthopedic surgery unless specifically prescribed .*
,3
---
**Question 3**
A nurse is assessing a client with heart failure who is receiving furosemide.
Which laboratory value should the nurse monitor most closely?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
**Correct Answer: B) Serum potassium**
*Rationale: Furosemide is a loop diuretic that promotes potassium
excretion, which can lead to hypokalemia. Hypokalemia can increase the
risk of cardiac arrhythmias, particularly in clients with heart failure who
may also be taking digoxin. The nurse should monitor serum potassium
levels closely and report values below normal range .*
---
**Question 4**
, 4
A client with chronic heart failure is prescribed an ACE inhibitor. The nurse
should teach the client to report which side effect immediately?
A) Dry, persistent cough
B) Mild headache
C) Slight dizziness when standing
D) Gastrointestinal upset
**Correct Answer: A) Dry, persistent cough**
*Rationale: A dry, persistent cough is a common side effect of ACE
inhibitors caused by the accumulation of bradykinin. While generally not
dangerous, it can be bothersome and may lead to medication
discontinuation. The client should report this to the provider for possible
medication adjustment .*
---
**Question 5**
A nurse is assessing a client with suspected pulmonary embolism. Which
finding is the most immediate priority for the nurse to address?
