ATI RN MEDSURG RETAKE ACTUAL EXAM
WITH RATIONALES FINAL STUDY GUIDE
2026 QUESTIONS WITH ANSWERS GRADED
A+
A nurse is caring for a client who has a history of angina and is
⩥ A nurse is providing discharge teaching to a client who has heart
failure. The nurse should instruct the client to report which of the
following findings immediately to the provider?
A. Weight gain of 0.9 kg (2 lb) in 24 hours)
B. Increase of 10 mmHg in systolic blood pressure
C. Dyspnea with exertion
D. Dizziness when rising quickly. Answer: A
⩥ A nurse is assessing a client who has history a deep-vein thrombosis
and is receiving Warfarin. Which of the following findings should
indicate to the nurse that the medication is effective?
A. Hemoglobin 14 g/dL
B. Minimal bruising of extremities
C. Decreased bp
D. INR 2 Answer: D
,⩥ A nurse is caring for a client who is receiving heparin therapy and
develops hematuria. Which of the following actions should the nurse
take if the client's aPTT is 96 seconds.
A. increase the heparin infusion flow rate by 2 mL/hr
B. Continue to monitor the heparin infusion as prescribed
C. Request a prothrombin time (PT)
D. Stop the heparin infusion Answer: D
⩥ A nurse is caring for a client who has heart failure and is experiencing
atrial fibrillation. Which of the following findings should the nurse plan
to monitor for and report to the provider immediately?
A. Slurred speech
B. Irregular pulse
C. Dependent edema
D. Persistent fatigue Answer: A
⩥ A nurse is reviewing the laboratory results of several male clients who
have peripheral arterial disease. The nurse should plan to provide dietary
teaching for the client who has which of the following laboratory value?
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL Answer: C
,⩥ A nurse in an emergency department is assessing a client who has
bradydysrhythmia. Which of the following findings should the nurse
monitor for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin Answer: A
⩥ A nurse is caring for a client following the insertion of a permanent
pacemaker. Which of the following client statement indicates a potential
complication of the insertion procedure?
A. "I can't get rid of these hiccups"
B. "I feel dizzy when I stand"
C. "My incision site stings"
D. "I have a headache" Answer: A
⩥ A nurse is planning a presentation for a group of clients who have
HTN. Which of the following lifestyle modification should the nurse
include?
A. Limited alcohol intake
B. Regular exercise program
C. Decreased magnesium intake
D. Reduced potassium intake
E. Tobacco cessation Answer: ABE
, ⩥ A nurse is providing health teaching to a group of clients. Which of
the following clients is at risk for developing peripheral arterial disease?
A. A client who has hypothyroidism
B. A client who has diabetes mellitus
C. A client whose daily caloric intake consists of 25% fat
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day
Answer: B
⩥ A nurse is monitoring a client's ECG monitor and notes the client's
rhythm has changed from normal sinus rhythm to SVT. The nurse should
prepare to assist with which of the following interventions?
A. Initiate chest compression
B. Vagal stimulation
C. Administration of atropine IV
D. Defibrillation Answer: B
⩥ A nurse is caring for a client who is 1 hour postoperative following an
aortic aneursym repair. Which of the following findings can indicate
shock and should be reported to the provider?
A. Serosanguinous drainage on dressing
B. Severe pain with coughing
C. Urine output of 20 mL/hr
WITH RATIONALES FINAL STUDY GUIDE
2026 QUESTIONS WITH ANSWERS GRADED
A+
A nurse is caring for a client who has a history of angina and is
⩥ A nurse is providing discharge teaching to a client who has heart
failure. The nurse should instruct the client to report which of the
following findings immediately to the provider?
A. Weight gain of 0.9 kg (2 lb) in 24 hours)
B. Increase of 10 mmHg in systolic blood pressure
C. Dyspnea with exertion
D. Dizziness when rising quickly. Answer: A
⩥ A nurse is assessing a client who has history a deep-vein thrombosis
and is receiving Warfarin. Which of the following findings should
indicate to the nurse that the medication is effective?
A. Hemoglobin 14 g/dL
B. Minimal bruising of extremities
C. Decreased bp
D. INR 2 Answer: D
,⩥ A nurse is caring for a client who is receiving heparin therapy and
develops hematuria. Which of the following actions should the nurse
take if the client's aPTT is 96 seconds.
A. increase the heparin infusion flow rate by 2 mL/hr
B. Continue to monitor the heparin infusion as prescribed
C. Request a prothrombin time (PT)
D. Stop the heparin infusion Answer: D
⩥ A nurse is caring for a client who has heart failure and is experiencing
atrial fibrillation. Which of the following findings should the nurse plan
to monitor for and report to the provider immediately?
A. Slurred speech
B. Irregular pulse
C. Dependent edema
D. Persistent fatigue Answer: A
⩥ A nurse is reviewing the laboratory results of several male clients who
have peripheral arterial disease. The nurse should plan to provide dietary
teaching for the client who has which of the following laboratory value?
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL Answer: C
,⩥ A nurse in an emergency department is assessing a client who has
bradydysrhythmia. Which of the following findings should the nurse
monitor for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin Answer: A
⩥ A nurse is caring for a client following the insertion of a permanent
pacemaker. Which of the following client statement indicates a potential
complication of the insertion procedure?
A. "I can't get rid of these hiccups"
B. "I feel dizzy when I stand"
C. "My incision site stings"
D. "I have a headache" Answer: A
⩥ A nurse is planning a presentation for a group of clients who have
HTN. Which of the following lifestyle modification should the nurse
include?
A. Limited alcohol intake
B. Regular exercise program
C. Decreased magnesium intake
D. Reduced potassium intake
E. Tobacco cessation Answer: ABE
, ⩥ A nurse is providing health teaching to a group of clients. Which of
the following clients is at risk for developing peripheral arterial disease?
A. A client who has hypothyroidism
B. A client who has diabetes mellitus
C. A client whose daily caloric intake consists of 25% fat
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day
Answer: B
⩥ A nurse is monitoring a client's ECG monitor and notes the client's
rhythm has changed from normal sinus rhythm to SVT. The nurse should
prepare to assist with which of the following interventions?
A. Initiate chest compression
B. Vagal stimulation
C. Administration of atropine IV
D. Defibrillation Answer: B
⩥ A nurse is caring for a client who is 1 hour postoperative following an
aortic aneursym repair. Which of the following findings can indicate
shock and should be reported to the provider?
A. Serosanguinous drainage on dressing
B. Severe pain with coughing
C. Urine output of 20 mL/hr
