TEST BANK
COMPREHENSIVE ATI MEDICAL - SURGICAL (ADULT HEALTH)
PROCTORED EXAMS FORM A, B, C + PRACTICE EXAMS &
RETAKE EXAMS
,Contents
ATI Medical-Surgical (Adult Health) Proctored Exam form A .................................................... 2
ATI Medical-Surgical (Adult Health) Proctored Exam form B ............................................. 226
ATI Medical-Surgical (Adult Health) Proctored Exam form C ............................................. 434
RN Adult Medical-Surgical Retake Exams. ........................................................................... 655
Retake Exams Form A ......................................................................................................... 656
FORM B RETAKE .............................................................................................................. 816
FORM C RETAKE .............................................................................................................. 975
REVISION PAPERS .............................................................................................................1075
ATI Medical-Surgical (Adult Health) Proctored Exam form A
1. A nurse is caring for a client with chronic heart failure who is prescribed
furosemide. Which of the following findings indicates a potential adverse
effect of this medication?
a. Serum potassium 3.0 mEq/L
b. Blood pressure 130/80 mm Hg
c. Urine output 100 mL/hr
d. Weight loss of 1 kg in 1 day
Correct Answer: a. Serum potassium 3.0 mEq/L
Rationale: Furosemide is a loop diuretic that can cause hypokalemia. A potassium
level of 3.0 mEq/L is low and increases the risk for cardiac arrhythmias. Option B is
normal BP, Option C is normal urine output, and Option D may indicate effective
diuresis.
DIF: Application
REF: Cardiac Pharmacology / Diuretics
OBJ: Recognize adverse effects of diuretics
TOP: Assessment / Nursing Process Step: Evaluation
, 2. A nurse is caring for a client who had a total hip arthroplasty.
Which of the following actions should the nurse take to prevent
hip dislocation? a. Place the client in a prone position every 4
hours
b. Maintain the client’s legs in an abducted position
c. Encourage hip flexion to 90 degrees when sitting
d. Use a fracture bedpan for all toileting needs
Correct Answer: b. Maintain the client’s legs in an abducted position
Rationale: Abduction prevents dislocation of the new hip joint. Hip
flexion beyond
90 degrees (option c) increases dislocation risk. Prone position (a) is
contraindicated early post-op. Fracture bedpan (d) is unrelated to
dislocation prevention.
DIF: Application
REF: Orthopedic Postoperative Care Guidelines
OBJ: Prevent complications after total hip arthroplasty
TOP: Nursing Process Step: Implementation
3. A nurse is monitoring a client receiving warfarin therapy for atrial
fibrillation. Which laboratory value indicates the medication is
within therapeutic range? a. INR 1.0
b. INR 2.5
c. INR 4.5
d. INR 0.8
Correct Answer: b. INR 2.5
, Rationale: The therapeutic INR range for atrial fibrillation is generally
2.0-3.0. INR of 1.0 or 0.8 (options a, d) is subtherapeutic and 4.5 (c)
indicates increased bleeding risk.
DIF: Knowledge
REF: Anticoagulation Therapy Guidelines
OBJ: Interpret laboratory values for anticoagulation
TOP: Assessment / Nursing Process Step: Evaluation
4. A nurse is caring for a client diagnosed with diabetic ketoacidosis
(DKA).
Which of the following findings should the nurse
expect? a. Serum glucose 120 mg/dL
b. Kussmaul respirations
c. Bradycardia
d. Decreased urine output
Correct Answer: b. Kussmaul respirations
Rationale: Kussmaul respirations are deep, rapid breaths as a
compensatory mechanism for metabolic acidosis in DKA. Serum glucose
would be elevated (not 120 mg/dL). Tachycardia, not bradycardia, is
expected. Urine output may initially be increased due to osmotic
diuresis.
DIF: Application
REF: Endocrine Emergencies
OBJ: Recognize clinical manifestations of DKA
TOP: Assessment / Nursing Process Step: Diagnosis
5. A nurse is preparing to administer morphine sulfate to a client
with postoperative pain. Which of the following assessments
COMPREHENSIVE ATI MEDICAL - SURGICAL (ADULT HEALTH)
PROCTORED EXAMS FORM A, B, C + PRACTICE EXAMS &
RETAKE EXAMS
,Contents
ATI Medical-Surgical (Adult Health) Proctored Exam form A .................................................... 2
ATI Medical-Surgical (Adult Health) Proctored Exam form B ............................................. 226
ATI Medical-Surgical (Adult Health) Proctored Exam form C ............................................. 434
RN Adult Medical-Surgical Retake Exams. ........................................................................... 655
Retake Exams Form A ......................................................................................................... 656
FORM B RETAKE .............................................................................................................. 816
FORM C RETAKE .............................................................................................................. 975
REVISION PAPERS .............................................................................................................1075
ATI Medical-Surgical (Adult Health) Proctored Exam form A
1. A nurse is caring for a client with chronic heart failure who is prescribed
furosemide. Which of the following findings indicates a potential adverse
effect of this medication?
a. Serum potassium 3.0 mEq/L
b. Blood pressure 130/80 mm Hg
c. Urine output 100 mL/hr
d. Weight loss of 1 kg in 1 day
Correct Answer: a. Serum potassium 3.0 mEq/L
Rationale: Furosemide is a loop diuretic that can cause hypokalemia. A potassium
level of 3.0 mEq/L is low and increases the risk for cardiac arrhythmias. Option B is
normal BP, Option C is normal urine output, and Option D may indicate effective
diuresis.
DIF: Application
REF: Cardiac Pharmacology / Diuretics
OBJ: Recognize adverse effects of diuretics
TOP: Assessment / Nursing Process Step: Evaluation
, 2. A nurse is caring for a client who had a total hip arthroplasty.
Which of the following actions should the nurse take to prevent
hip dislocation? a. Place the client in a prone position every 4
hours
b. Maintain the client’s legs in an abducted position
c. Encourage hip flexion to 90 degrees when sitting
d. Use a fracture bedpan for all toileting needs
Correct Answer: b. Maintain the client’s legs in an abducted position
Rationale: Abduction prevents dislocation of the new hip joint. Hip
flexion beyond
90 degrees (option c) increases dislocation risk. Prone position (a) is
contraindicated early post-op. Fracture bedpan (d) is unrelated to
dislocation prevention.
DIF: Application
REF: Orthopedic Postoperative Care Guidelines
OBJ: Prevent complications after total hip arthroplasty
TOP: Nursing Process Step: Implementation
3. A nurse is monitoring a client receiving warfarin therapy for atrial
fibrillation. Which laboratory value indicates the medication is
within therapeutic range? a. INR 1.0
b. INR 2.5
c. INR 4.5
d. INR 0.8
Correct Answer: b. INR 2.5
, Rationale: The therapeutic INR range for atrial fibrillation is generally
2.0-3.0. INR of 1.0 or 0.8 (options a, d) is subtherapeutic and 4.5 (c)
indicates increased bleeding risk.
DIF: Knowledge
REF: Anticoagulation Therapy Guidelines
OBJ: Interpret laboratory values for anticoagulation
TOP: Assessment / Nursing Process Step: Evaluation
4. A nurse is caring for a client diagnosed with diabetic ketoacidosis
(DKA).
Which of the following findings should the nurse
expect? a. Serum glucose 120 mg/dL
b. Kussmaul respirations
c. Bradycardia
d. Decreased urine output
Correct Answer: b. Kussmaul respirations
Rationale: Kussmaul respirations are deep, rapid breaths as a
compensatory mechanism for metabolic acidosis in DKA. Serum glucose
would be elevated (not 120 mg/dL). Tachycardia, not bradycardia, is
expected. Urine output may initially be increased due to osmotic
diuresis.
DIF: Application
REF: Endocrine Emergencies
OBJ: Recognize clinical manifestations of DKA
TOP: Assessment / Nursing Process Step: Diagnosis
5. A nurse is preparing to administer morphine sulfate to a client
with postoperative pain. Which of the following assessments
