ATI Medical-Surgical Nursing Practice
Exam | 100 Most Tested Questions
Collection & Verified Detailed Answers |
Tutor Verified Success Exam) Graded A+
1. A nurse is caring for a client with heart failure. Which finding
indicates worsening fluid overload?
A. Weight loss of 1 kg in 24 hours
B. Heart rate of 88/min
C. Weight gain of 2 kg in 2 days
D. Urine output of 1,500 mL/day
Rapid weight gain indicates fluid retention and worsening heart
failure. Daily weights are one of the most sensitive indicators of fluid
changes.
2. A client with COPD is receiving oxygen therapy. Which oxygen
delivery method is most appropriate for a client who requires
precise oxygen concentration?
A. Nonrebreather mask
B. Simple face mask
C. Venturi mask
D. Nasal cannula
The Venturi mask delivers a precise oxygen concentration and is
commonly used for clients with COPD who are sensitive to changes in
oxygen levels.
,3. A nurse is assessing a client with pneumonia. Which finding
requires immediate intervention?
A. Productive cough
B. Temperature of 38.1°C (100.6°F)
C. Oxygen saturation of 86%
D. Fatigue
An oxygen saturation below 90% indicates hypoxemia and requires
prompt intervention to improve oxygenation.
4. A client taking warfarin should be monitored for which
laboratory value?
A. Hemoglobin A1C
B. Serum sodium
C. International normalized ratio (INR)
D. Creatinine kinase
INR measures the effectiveness and safety of warfarin therapy.
Excessively high values increase bleeding risk.
5. A nurse is teaching a client with diabetes mellitus about foot
care. Which statement indicates understanding?
A. “I will soak my feet daily.”
B. “I will walk barefoot inside my home.”
C. “I will inspect my feet every day for injuries.”
D. “I will trim my toenails deeply at the corners.”
Daily inspection helps identify injuries early and prevents
complications such as diabetic foot ulcers.
, 6. A client with a nasogastric tube reports nausea and abdominal
discomfort. What should the nurse do first?
A. Increase tube feeding rate
B. Administer an antiemetic
C. Check tube placement and patency
D. Remove the tube
Checking placement and patency helps identify tube obstruction or
displacement before further interventions.
7. Which finding is expected in a client with chronic kidney disease?
A. Increased erythropoietin production
B. Increased calcium absorption
C. Decreased urine concentrating ability
D. Elevated vitamin D activation
Kidney disease reduces the ability to concentrate urine, contributing
to fluid and electrolyte imbalances.
8. A nurse is caring for a client after a thyroidectomy. Which finding
requires immediate action?
A. Mild throat discomfort
B. Hoarse voice
C. Difficulty breathing
D. Incisional pain
Airway obstruction from swelling or bleeding is a life-threatening
complication after thyroid surgery.
9. A client with a stroke has difficulty swallowing. Which
intervention is appropriate?
Exam | 100 Most Tested Questions
Collection & Verified Detailed Answers |
Tutor Verified Success Exam) Graded A+
1. A nurse is caring for a client with heart failure. Which finding
indicates worsening fluid overload?
A. Weight loss of 1 kg in 24 hours
B. Heart rate of 88/min
C. Weight gain of 2 kg in 2 days
D. Urine output of 1,500 mL/day
Rapid weight gain indicates fluid retention and worsening heart
failure. Daily weights are one of the most sensitive indicators of fluid
changes.
2. A client with COPD is receiving oxygen therapy. Which oxygen
delivery method is most appropriate for a client who requires
precise oxygen concentration?
A. Nonrebreather mask
B. Simple face mask
C. Venturi mask
D. Nasal cannula
The Venturi mask delivers a precise oxygen concentration and is
commonly used for clients with COPD who are sensitive to changes in
oxygen levels.
,3. A nurse is assessing a client with pneumonia. Which finding
requires immediate intervention?
A. Productive cough
B. Temperature of 38.1°C (100.6°F)
C. Oxygen saturation of 86%
D. Fatigue
An oxygen saturation below 90% indicates hypoxemia and requires
prompt intervention to improve oxygenation.
4. A client taking warfarin should be monitored for which
laboratory value?
A. Hemoglobin A1C
B. Serum sodium
C. International normalized ratio (INR)
D. Creatinine kinase
INR measures the effectiveness and safety of warfarin therapy.
Excessively high values increase bleeding risk.
5. A nurse is teaching a client with diabetes mellitus about foot
care. Which statement indicates understanding?
A. “I will soak my feet daily.”
B. “I will walk barefoot inside my home.”
C. “I will inspect my feet every day for injuries.”
D. “I will trim my toenails deeply at the corners.”
Daily inspection helps identify injuries early and prevents
complications such as diabetic foot ulcers.
, 6. A client with a nasogastric tube reports nausea and abdominal
discomfort. What should the nurse do first?
A. Increase tube feeding rate
B. Administer an antiemetic
C. Check tube placement and patency
D. Remove the tube
Checking placement and patency helps identify tube obstruction or
displacement before further interventions.
7. Which finding is expected in a client with chronic kidney disease?
A. Increased erythropoietin production
B. Increased calcium absorption
C. Decreased urine concentrating ability
D. Elevated vitamin D activation
Kidney disease reduces the ability to concentrate urine, contributing
to fluid and electrolyte imbalances.
8. A nurse is caring for a client after a thyroidectomy. Which finding
requires immediate action?
A. Mild throat discomfort
B. Hoarse voice
C. Difficulty breathing
D. Incisional pain
Airway obstruction from swelling or bleeding is a life-threatening
complication after thyroid surgery.
9. A client with a stroke has difficulty swallowing. Which
intervention is appropriate?
