ATI RN ADULT MEDICAL PROCTORED EXAM
2026 LATEST UPDATE EDITION
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass |
Latest Exam and Newest Version!!!
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of left-sided heart failure?
a. Dependent edema
b. Jugular distention
c. Weight gain
d. Frothy sputum
✔️ Correct Answer: D
Rationale: Frothy sputum, dyspnea, and wheezing are manifestations of left-sided
heart failure due to pulmonary congestion. Left-sided heart failure results from left
ventricular dysfunction, leading to increased pulmonary pressure and fluid
accumulation in the lungs. Pink-tinged frothy sputum can be an early indication of
pulmonary edema and is potentially life-threatening. Dependent edema (Option A),
jugular distention (Option B), and weight gain (Option C) are manifestations of right-
sided heart failure due to systemic venous congestion.
A nurse is caring for a client who is experiencing anxiety as well as numbness and
tingling of the lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg,
HCO3- 24 mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances
should the nurse identify that the client is experiencing?
Med C
, a. Respiratory acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Metabolic acidosis
✔️ Correct Answer: C
Rationale: The pH is elevated (7.48, normal 7.35-7.45), indicating alkalosis. The PCO2
is decreased (30 mm Hg, normal 35-45 mm Hg), indicating alveolar hyperventilation
and respiratory alkalosis. The HCO3- is within normal range (24 mEq/L, normal 21-28
mEq/L), ruling out metabolic causes. Numbness and tingling of the lips and fingers
are classic manifestations of respiratory alkalosis. Respiratory acidosis (Option A)
would present with decreased pH and increased PCO2. Metabolic alkalosis (Option
B) would present with increased pH and increased HCO3-. Metabolic acidosis
(Option D) would present with decreased pH and decreased HCO3-.
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse
should identify which of the following lesion characteristics on the client's skin?
a. An irregular border on a variegated-colored lesion
b. A firm, nodular, crusty, or ulcerated lesion
c. A nodular lesion with well-defined borders and a pearly or waxy appearance
d. A weeping vesicle
✔️ Correct Answer: C
Rationale: Basal cell carcinoma typically presents as a nodular lesion with well-
defined borders and a pearly or waxy appearance, most commonly on sun-exposed
areas such as the face, head, and neck. Option A describes melanoma, which has
irregular borders and variegated colors. Option B describes squamous cell
carcinoma, which appears as a firm, nodular, crusty lesion with an ulcerated center.
Option D describes herpes zoster, which presents with weeping, blister-type lesions.
Med C
, A nurse in an emergency department is assessing a client who is overusing
prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following
laboratory findings should the nurse expect?
a. High lipase
b. Low urine specific gravity
c. Low hemoglobin
d. High creatine kinase-MB (CK-MB)
✔️ Correct Answer: B
Rationale: A sodium level of 127 mEq/L indicates hyponatremia, which can result
from diuretic overuse. The client would have low urine specific gravity due to
increased water excretion altering the ratio of particulate matter. High lipase (Option
A) is associated with pancreatic dysfunction. Low hemoglobin (Option C) is not
typically expected with diuretic overuse; hemoconcentration may occur. High CK-MB
(Option D) indicates myocardial infarction.
A nurse is assessing a client who has right-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of right-sided heart failure?
a. S3 gallop
b. Weak peripheral pulses
c. Increased abdominal girth
d. Wheezing
✔️ Correct Answer: C
Rationale: Increased abdominal girth is a manifestation of right-sided heart failure
due to systemic congestion, hepatomegaly, and splenomegaly. Systemic congestion
leads to fluid retention and increased pressure in the venous system, manifesting as
edema in the lower extremities and ascites. An S3 gallop (Option A), weak peripheral
pulses (Option B), and wheezing (Option D) are manifestations of left-sided heart
failure.
Med C
2026 LATEST UPDATE EDITION
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass |
Latest Exam and Newest Version!!!
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of left-sided heart failure?
a. Dependent edema
b. Jugular distention
c. Weight gain
d. Frothy sputum
✔️ Correct Answer: D
Rationale: Frothy sputum, dyspnea, and wheezing are manifestations of left-sided
heart failure due to pulmonary congestion. Left-sided heart failure results from left
ventricular dysfunction, leading to increased pulmonary pressure and fluid
accumulation in the lungs. Pink-tinged frothy sputum can be an early indication of
pulmonary edema and is potentially life-threatening. Dependent edema (Option A),
jugular distention (Option B), and weight gain (Option C) are manifestations of right-
sided heart failure due to systemic venous congestion.
A nurse is caring for a client who is experiencing anxiety as well as numbness and
tingling of the lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg,
HCO3- 24 mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances
should the nurse identify that the client is experiencing?
Med C
, a. Respiratory acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Metabolic acidosis
✔️ Correct Answer: C
Rationale: The pH is elevated (7.48, normal 7.35-7.45), indicating alkalosis. The PCO2
is decreased (30 mm Hg, normal 35-45 mm Hg), indicating alveolar hyperventilation
and respiratory alkalosis. The HCO3- is within normal range (24 mEq/L, normal 21-28
mEq/L), ruling out metabolic causes. Numbness and tingling of the lips and fingers
are classic manifestations of respiratory alkalosis. Respiratory acidosis (Option A)
would present with decreased pH and increased PCO2. Metabolic alkalosis (Option
B) would present with increased pH and increased HCO3-. Metabolic acidosis
(Option D) would present with decreased pH and decreased HCO3-.
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse
should identify which of the following lesion characteristics on the client's skin?
a. An irregular border on a variegated-colored lesion
b. A firm, nodular, crusty, or ulcerated lesion
c. A nodular lesion with well-defined borders and a pearly or waxy appearance
d. A weeping vesicle
✔️ Correct Answer: C
Rationale: Basal cell carcinoma typically presents as a nodular lesion with well-
defined borders and a pearly or waxy appearance, most commonly on sun-exposed
areas such as the face, head, and neck. Option A describes melanoma, which has
irregular borders and variegated colors. Option B describes squamous cell
carcinoma, which appears as a firm, nodular, crusty lesion with an ulcerated center.
Option D describes herpes zoster, which presents with weeping, blister-type lesions.
Med C
, A nurse in an emergency department is assessing a client who is overusing
prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following
laboratory findings should the nurse expect?
a. High lipase
b. Low urine specific gravity
c. Low hemoglobin
d. High creatine kinase-MB (CK-MB)
✔️ Correct Answer: B
Rationale: A sodium level of 127 mEq/L indicates hyponatremia, which can result
from diuretic overuse. The client would have low urine specific gravity due to
increased water excretion altering the ratio of particulate matter. High lipase (Option
A) is associated with pancreatic dysfunction. Low hemoglobin (Option C) is not
typically expected with diuretic overuse; hemoconcentration may occur. High CK-MB
(Option D) indicates myocardial infarction.
A nurse is assessing a client who has right-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of right-sided heart failure?
a. S3 gallop
b. Weak peripheral pulses
c. Increased abdominal girth
d. Wheezing
✔️ Correct Answer: C
Rationale: Increased abdominal girth is a manifestation of right-sided heart failure
due to systemic congestion, hepatomegaly, and splenomegaly. Systemic congestion
leads to fluid retention and increased pressure in the venous system, manifesting as
edema in the lower extremities and ascites. An S3 gallop (Option A), weak peripheral
pulses (Option B), and wheezing (Option D) are manifestations of left-sided heart
failure.
Med C
