, ATI PN Adult Medical-Surgical
2026/2027 Proctored Exam with NGN –
Questions and Answers with Detailed
Rationales Guaranteed Pass 100%
Question 1
A nurse is assessing a client who has acute myocardial infarction
and is receiving intravenous nitroglycerin. Which of the
following findings indicates a therapeutic response to the
medication?
A. Heart rate of 110/min
B. Relief of chest pain
C. Systolic blood pressure of 140 mm Hg
D. Urine output of 20 mL/hr
Correct Answer: B
Rationale: The primary therapeutic goal of administering
nitroglycerin during a myocardial infarction is to dilate coronary
arteries, reduce myocardial oxygen demand, and relieve
ischemic chest pain.
Question 2
A nurse is reinforcing discharge instructions with a client who
has a new prescription for warfarin. Which of the following
statements by the client indicates an understanding of the
teaching?
, A. "I will increase my daily intake of green leafy
vegetables like spinach and kale."
B. "I will use a soft-bristled toothbrush and an electric
razor."
C. "I can take aspirin for headaches while taking this
medication."
D. "I will monitor my bleeding times using an activated
partial thromboplastin time test at home."
Correct Answer: B
Rationale: Warfarin increases bleeding risks, so clients
should implement bleeding precautions, such as using a
soft toothbrush and an electric razor. Green leafy
vegetables are high in Vitamin K, which antagonizes
warfarin, and aspirin increases bleeding risk when
combined with anticoagulants. Warfarin is monitored via
PT/INR, not aPTT.
Question 3
A nurse is caring for a client who is postoperative following a
total knee arthroplasty and reports sudden shortness of breath,
pleuritic chest pain, and a feeling of impending doom. Which of
the following actions is the nurse's priority?
A. Administer supplemental oxygen via nasal cannula.
B. Obtain an arterial blood gas sample.
C. Administer a prescribed dose of subcutaneous
enoxaparin.
D. Prepare the client for a ventilation-perfusion scan.
Correct Answer: A
, Rationale: Using the airway, breathing, and circulation
(ABC) priority framework, administering supplemental
oxygen is the immediate priority for a client experiencing
hypoxia from a suspected pulmonary embolism.
Question 4
A nurse is caring for a client who has heart failure and is
receiving a continuous intravenous infusion of furosemide.
Which of the following laboratory values should the nurse
monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum magnesium
Correct Answer: B
Rationale: Furosemide is a loop diuretic that promotes the
renal excretion of potassium, placing the client at high risk
for hypokalemia, which can trigger dangerous cardiac
arrhythmias.
Question 5
A nurse is assessing a client who has chronic obstructive
pulmonary disease (COPD). Which of the following physical
findings should the nurse expect?
A. Concave chest wall with narrowed intercostal spaces
B. Increased anteroposterior-to-lateral chest diameter
(barrel chest)
2026/2027 Proctored Exam with NGN –
Questions and Answers with Detailed
Rationales Guaranteed Pass 100%
Question 1
A nurse is assessing a client who has acute myocardial infarction
and is receiving intravenous nitroglycerin. Which of the
following findings indicates a therapeutic response to the
medication?
A. Heart rate of 110/min
B. Relief of chest pain
C. Systolic blood pressure of 140 mm Hg
D. Urine output of 20 mL/hr
Correct Answer: B
Rationale: The primary therapeutic goal of administering
nitroglycerin during a myocardial infarction is to dilate coronary
arteries, reduce myocardial oxygen demand, and relieve
ischemic chest pain.
Question 2
A nurse is reinforcing discharge instructions with a client who
has a new prescription for warfarin. Which of the following
statements by the client indicates an understanding of the
teaching?
, A. "I will increase my daily intake of green leafy
vegetables like spinach and kale."
B. "I will use a soft-bristled toothbrush and an electric
razor."
C. "I can take aspirin for headaches while taking this
medication."
D. "I will monitor my bleeding times using an activated
partial thromboplastin time test at home."
Correct Answer: B
Rationale: Warfarin increases bleeding risks, so clients
should implement bleeding precautions, such as using a
soft toothbrush and an electric razor. Green leafy
vegetables are high in Vitamin K, which antagonizes
warfarin, and aspirin increases bleeding risk when
combined with anticoagulants. Warfarin is monitored via
PT/INR, not aPTT.
Question 3
A nurse is caring for a client who is postoperative following a
total knee arthroplasty and reports sudden shortness of breath,
pleuritic chest pain, and a feeling of impending doom. Which of
the following actions is the nurse's priority?
A. Administer supplemental oxygen via nasal cannula.
B. Obtain an arterial blood gas sample.
C. Administer a prescribed dose of subcutaneous
enoxaparin.
D. Prepare the client for a ventilation-perfusion scan.
Correct Answer: A
, Rationale: Using the airway, breathing, and circulation
(ABC) priority framework, administering supplemental
oxygen is the immediate priority for a client experiencing
hypoxia from a suspected pulmonary embolism.
Question 4
A nurse is caring for a client who has heart failure and is
receiving a continuous intravenous infusion of furosemide.
Which of the following laboratory values should the nurse
monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum magnesium
Correct Answer: B
Rationale: Furosemide is a loop diuretic that promotes the
renal excretion of potassium, placing the client at high risk
for hypokalemia, which can trigger dangerous cardiac
arrhythmias.
Question 5
A nurse is assessing a client who has chronic obstructive
pulmonary disease (COPD). Which of the following physical
findings should the nurse expect?
A. Concave chest wall with narrowed intercostal spaces
B. Increased anteroposterior-to-lateral chest diameter
(barrel chest)
