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, ATI MEDICAL-SURGICAL PROCTORED EXAM 2023
200 NGN Multiple-Choice Questions with Answers &
Rationales
Presented in Stuvia-Ready Format
Question 1:
A nurse is assessing a client with heart failure who reports dyspnea, orthopnea, and a
weight gain of 5 lb in 2 days. Which action should the nurse take first?
A) Administer furosemide IV
B) Place the client in high-Fowler's position
C) Obtain a stat chest x-ray
D) Auscultate breath sounds
Correct Answer: B) Place the client in high-Fowler's position
Rationale: High-Fowler's position reduces venous return and improves ventilation, which is
the immediate priority before other interventions. Airway and breathing always come first
in patient care. The other actions are important but secondary to positioning for optimal
breathing.
Question 2:
A client with atrial fibrillation is prescribed warfarin. The INR is 4.5. Which action should
the nurse take?
,
, ATI MEDICAL-SURGICAL PROCTORED EXAM 2023
200 NGN Multiple-Choice Questions with Answers &
Rationales
Presented in Stuvia-Ready Format
Question 1:
A nurse is assessing a client with heart failure who reports dyspnea, orthopnea, and a
weight gain of 5 lb in 2 days. Which action should the nurse take first?
A) Administer furosemide IV
B) Place the client in high-Fowler's position
C) Obtain a stat chest x-ray
D) Auscultate breath sounds
Correct Answer: B) Place the client in high-Fowler's position
Rationale: High-Fowler's position reduces venous return and improves ventilation, which is
the immediate priority before other interventions. Airway and breathing always come first
in patient care. The other actions are important but secondary to positioning for optimal
breathing.
Question 2:
A client with atrial fibrillation is prescribed warfarin. The INR is 4.5. Which action should
the nurse take?
