MED SURG
PROCTORED RETAKE EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI Retake test contains:
100 Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation
NCLEX (NGN) and Case Scenario
Expert-Verified Explanations & Solutions
,### 1. Assessment in Colon Cancer
A nurse is assessing a client who has a diagnosis of colon cancer.
Which of the following should the nurse expect?
- A) Steatorrhea
- B) Elevated hemoglobin
- C) Hematochezia
- D) Weight gain
Answer: C) Hematochezia
Rationale: Hematochezia, or the presence of bright red blood in the stool, is a
common sign associated with colorectal cancer. It indicates potential bleeding in the
lower gastrointestinal tract. Other signs, such as steatorrhea or changes in weight,
may also occur but are not as specifically indicative of colon cancer.
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### 2. Peripheral Vascular Disease Findings
A nurse is assessing a client admitted with peripheral vascular disease.
Which of the following findings indicates a venous vascular disorder?
- A) An ulcer at the tip of a toe
,- B) Hair loss distal to the client's calves
- C) Leg pain at rest
- D) Edema of the ankle
Answer: D) Edema of the ankle
Rationale: Edema is a hallmark of venous vascular disorders, often resulting from fluid
accumulation due to venous insufficiency. While other symptoms are associated with
arterial disease (e.g., ulceration and pain), edema specifically suggests issues with
venous return.
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### 3. Pericarditis Assessment
A nurse is assessing a client who has pericarditis.
In which of the following areas of the client's chest should the nurse place the
stethoscope to best hear a pericardial friction rub?
- A) Over the left lung base
- B) At the apex of the heart
- C) Over the left sternal border
- D) At the epigastric area
, Answer: C) Over the left sternal border
Rationale: The left sternal border is the best location to auscultate for a pericardial
friction rub, which is often heard during both systole and diastole. Proper auscultation
in this area maximizes detection of the characteristic high-pitched sound associated
with pericardial inflammation.
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### 4. Chest Tube Functionality
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the
water-seal chamber rises and falls.
Which of the following statements should the nurse make?
- A) "This means your lung is fully expanded."
- B) "This indicates a possible leak."
- C) "Suction pressure that is too high causes this."
- D) "Your breathing pattern causes this."
Answer: D) "Your breathing pattern causes this."