ATI PN Adult Medical Surgical 2023 Proctored Exam
Study Guide and PracticeComprehensive
Test -150
Question Multiple
-Choice Practice Exam
1. A nurse is assessing a client with heart failure who has been prescribed furosemide. Which
finding indicates the medication is effective?
A) Decreased blood pressure
B) Increased urinary output
C) Presence of crackles in lung bases
D) Jugular vein distention
Correct Answer: B) Increased urinary output
Rationale: Furosemide is a loop diuretic that reduces fluid volume overload by increasing urine
output. Expected therapeutic effects include decreased peripheral edema, reduced crackles,
and diminished jugular vein distention. Increased urinary output directly indicates the
medication is working to remove excess fluid.
,2. A client with hypertension is prescribed lisinopril. Which adverse effect should the nurse
instruct the client to report immediately?
A) Dry cough
B) Dizziness
C) Angioedema
D) Headache
Correct Answer: C) Angioedema
,Rationale: Angioedema (swelling of the lips, tongue, throat, or face) is a serious, potentially life-
threatening adverse effect of ACE inhibitors like lisinopril and requires immediate medical
attention. Dry cough is a common but non-life-threatening side effect.
3. A nurse is caring for a client following a cardiac catheterization via the femoral artery.
Which finding requires immediate intervention?
A) Blood pressure 118/76 mm Hg
B) Small amount of blood at insertion site
C) Cool, pale right foot with diminished pulse
D) Heart rate 88 bpm
, Correct Answer: C) Cool, pale right foot with diminished pulse
Rationale: Cool, pale extremity with diminished pulse indicates arterial insufficiency or possible
thrombosis at the catheter insertion site, which is a medical emergency. The other findings are
within expected parameters.
4. A client with peripheral artery disease (PAD) reports leg pain when walking. Which
instruction should the nurse provide?
A) "Rest with legs elevated above heart level"
B) "Walk until pain occurs, then rest until it subsides"
Study Guide and PracticeComprehensive
Test -150
Question Multiple
-Choice Practice Exam
1. A nurse is assessing a client with heart failure who has been prescribed furosemide. Which
finding indicates the medication is effective?
A) Decreased blood pressure
B) Increased urinary output
C) Presence of crackles in lung bases
D) Jugular vein distention
Correct Answer: B) Increased urinary output
Rationale: Furosemide is a loop diuretic that reduces fluid volume overload by increasing urine
output. Expected therapeutic effects include decreased peripheral edema, reduced crackles,
and diminished jugular vein distention. Increased urinary output directly indicates the
medication is working to remove excess fluid.
,2. A client with hypertension is prescribed lisinopril. Which adverse effect should the nurse
instruct the client to report immediately?
A) Dry cough
B) Dizziness
C) Angioedema
D) Headache
Correct Answer: C) Angioedema
,Rationale: Angioedema (swelling of the lips, tongue, throat, or face) is a serious, potentially life-
threatening adverse effect of ACE inhibitors like lisinopril and requires immediate medical
attention. Dry cough is a common but non-life-threatening side effect.
3. A nurse is caring for a client following a cardiac catheterization via the femoral artery.
Which finding requires immediate intervention?
A) Blood pressure 118/76 mm Hg
B) Small amount of blood at insertion site
C) Cool, pale right foot with diminished pulse
D) Heart rate 88 bpm
, Correct Answer: C) Cool, pale right foot with diminished pulse
Rationale: Cool, pale extremity with diminished pulse indicates arterial insufficiency or possible
thrombosis at the catheter insertion site, which is a medical emergency. The other findings are
within expected parameters.
4. A client with peripheral artery disease (PAD) reports leg pain when walking. Which
instruction should the nurse provide?
A) "Rest with legs elevated above heart level"
B) "Walk until pain occurs, then rest until it subsides"
