VATI MED SURG PROCTORED EXAMS NEWEST 2026
PACKAGE DEAL| 3 VERSIONS WITH COMPLETE
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+| MED-
SURG VATI PROCTORED EXAM PREP|| BRAND NEW!!
1. A nurse is caring for a patient with acute decompensated
heart failure (ADHF). Which assessment finding requires
immediate intervention?
A) Jugular vein distension
B) Bilateral crackles in lung bases
C) Oxygen saturation of 88% on 4 L nasal cannula
D) Weight gain of 1 kg in 24 hours
Correct Answer: C
*Rationale: SpO₂ of 88% indicates hypoxemia. The priority is
improving oxygenation (increase FiO₂, consider BiPAP). JVD,
1
,crackles, and weight gain are expected but not immediately life-
threatening.*
2. A patient with atrial fibrillation is prescribed warfarin.
Which laboratory value indicates therapeutic anticoagulation?
A) INR of 1.0
B) INR of 2.5
C) aPTT of 60 seconds
D) Platelet count of 150,000
Correct Answer: B
Rationale: For atrial fibrillation, target INR is 2.0–3.0. INR 2.5 is
therapeutic. aPTT monitors heparin, not warfarin.
3. A nurse assesses a patient 2 hours after a cardiac
catheterization via the right femoral artery. The right foot is
pale and cool with no palpable pedal pulse. What should the
nurse do first?
2
, A) Apply warm blankets to the right foot
B) Document the finding
C) Notify the healthcare provider immediately
D) Elevate the head of the bed
Correct Answer: C
Rationale: Pale, cool foot with absent pulse indicates arterial
occlusion (thrombus or hematoma). This is a medical emergency
requiring immediate intervention.
4. A patient with COPD has an oxygen saturation of 89% on
2 L/min via nasal cannula. Which action is most appropriate?
A) Increase oxygen to 4 L/min
B) Decrease oxygen to 1 L/min
C) Maintain current oxygen and reassess
D) Switch to a non-rebreather mask at 15 L/min
3
, Correct Answer: C
Rationale: Target SpO₂ for COPD is 88–92%. 89% is within
target. High oxygen can suppress hypoxic drive and cause
hypercapnia.
5. A patient with pneumonia has a respiratory rate of 32,
heart rate of 110, and blood pressure of 90/60. Which finding
suggests sepsis?
A) Fever of 38.5°C
B) Purulent sputum
C) Lactate of 4.5 mmol/L
D) White blood cell count of 12,000
Correct Answer: C
*Rationale: Lactate > 2 mmol/L indicates tissue hypoperfusion.
With infection + lactate > 4 → severe sepsis/septic shock.*
4
PACKAGE DEAL| 3 VERSIONS WITH COMPLETE
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+| MED-
SURG VATI PROCTORED EXAM PREP|| BRAND NEW!!
1. A nurse is caring for a patient with acute decompensated
heart failure (ADHF). Which assessment finding requires
immediate intervention?
A) Jugular vein distension
B) Bilateral crackles in lung bases
C) Oxygen saturation of 88% on 4 L nasal cannula
D) Weight gain of 1 kg in 24 hours
Correct Answer: C
*Rationale: SpO₂ of 88% indicates hypoxemia. The priority is
improving oxygenation (increase FiO₂, consider BiPAP). JVD,
1
,crackles, and weight gain are expected but not immediately life-
threatening.*
2. A patient with atrial fibrillation is prescribed warfarin.
Which laboratory value indicates therapeutic anticoagulation?
A) INR of 1.0
B) INR of 2.5
C) aPTT of 60 seconds
D) Platelet count of 150,000
Correct Answer: B
Rationale: For atrial fibrillation, target INR is 2.0–3.0. INR 2.5 is
therapeutic. aPTT monitors heparin, not warfarin.
3. A nurse assesses a patient 2 hours after a cardiac
catheterization via the right femoral artery. The right foot is
pale and cool with no palpable pedal pulse. What should the
nurse do first?
2
, A) Apply warm blankets to the right foot
B) Document the finding
C) Notify the healthcare provider immediately
D) Elevate the head of the bed
Correct Answer: C
Rationale: Pale, cool foot with absent pulse indicates arterial
occlusion (thrombus or hematoma). This is a medical emergency
requiring immediate intervention.
4. A patient with COPD has an oxygen saturation of 89% on
2 L/min via nasal cannula. Which action is most appropriate?
A) Increase oxygen to 4 L/min
B) Decrease oxygen to 1 L/min
C) Maintain current oxygen and reassess
D) Switch to a non-rebreather mask at 15 L/min
3
, Correct Answer: C
Rationale: Target SpO₂ for COPD is 88–92%. 89% is within
target. High oxygen can suppress hypoxic drive and cause
hypercapnia.
5. A patient with pneumonia has a respiratory rate of 32,
heart rate of 110, and blood pressure of 90/60. Which finding
suggests sepsis?
A) Fever of 38.5°C
B) Purulent sputum
C) Lactate of 4.5 mmol/L
D) White blood cell count of 12,000
Correct Answer: C
*Rationale: Lactate > 2 mmol/L indicates tissue hypoperfusion.
With infection + lactate > 4 → severe sepsis/septic shock.*
4
