ATI RN EXAM 08/25/2026
ATI RN Adult Medical Surgical 2026 Proctored
Exam Actual and Retake Versions NGN
Questions and Answers| 2026/2027 Latest
Update | Complete Chapter Questions &
Answers with Rationales | Verified Questions &
Answers | Graded A+
Patients who have which of this following connective disorders are least likely to experience significant pain
because of the primary pathophysiologic process of this disorder?
A. FIbromyalgia
B. Lyme disease
C. Sjogren's syndrome (SS)
A+ TEST BANK 1
, ATI RN EXAM 08/25/2026
D. Systemic lupus erythematousus (SLE) - Correct Answer :C. Sjogren's syndrome (SS)
Patients who have SS are least likely to require pain management from the pathophysiologic result of the
disorder because the result is dryness. Fibromyalgia causes generalized musculoskeletal, nonarticular pain. Lyme
disease is characterized my migrating joint pain, and SLE can result in polyarthalgia.
Ch. 65 Pre-Assessment #8
1. A client complains of crushing chest pain that radiates to his left arm. He should be presented with the
following treatment:
1. Aspirin, oxygen, nitroglycerin, and morphine
2. Aspirin, oxygen, nitroglycerin, and codeine
3. Oxygen, nitroglycerin, meperidine, and thrombolytics
4. Aspirin, oxygen, nitroprusside, and morphine - Correct Answer :Answer: 1. Aspirin, oxygen, nitroglycerin, and
morphine
2. Which lifestyle changes should a client diagnosed with coronary artery disease consider?
1. Smoking cessation
2. Establishing a regular exercise routine
3. Weight reduction
4. All of the Above - Correct Answer :Answer: 4. All of the Above
3. A client's cardiac monitor alarm sounds, indicating ventricular tachycardia. The nurse should:
1. perform immediate defibrillation.
2. Assess the client.
3. Call the physician.
4. Administer a precordial thump. - Correct Answer :Answer: 2. Assess the client.
4. A complication of peripheral vascular disease may be:
A+ TEST BANK 2
, ATI RN EXAM 08/25/2026
1. stasis ulcer.
2. Pressure ulcer.
3. Gastric ulcer.
4. Duodenal ulcer. - Correct Answer :Answer: 1. stasis ulcer.
5. A key diagnostic test for heart failure is:
1. serum potassium.
2. B-type natriuretic peptide.
3. Troponin I
4. cardiac enzymes. - Correct Answer :Answer: 2. B-type natriuretic peptide.
6. While auscultating the heart sounds of a client with mitral insufficiency, the nurse hears an extra heart sound
immediately after the S2. The nurse should document this extra heart sound as a:
1. S1.
2. S3.
3. S4.
4. mitral murmur. - Correct Answer :Answer: 2. S3.
Rationale: An S3, is heard following an S2. This indicates that the client is experiencing heart failure and results
from increased filling pressures. An S1 is a normal heart sound made by the closing of the mitral and tricuspid
valves. An S4 is heard before S1 and is caused by resistance to ventricular filling. A murmur of mitral insufficiency
occurs during systole and is heard when there's turbulent blood flow across the valve.
7. A nurse administers heparin to a client with deep vein thrombophlebitis. Which laboratory value should the
nurse monitor to determine the effectiveness of heparin?
1. PTT
2. HCT
3. CBC
4. PT - Correct Answer :Answer: 1. PTT
Rationale: The therapeutic effectiveness of heparin is determined by monitoring the patient's PTT, PT, HCT, and
CBC don't monitor the therapeutic effectiveness of heparin. Monitoring the PT determines warfarin's
effectiveness.
A+ TEST BANK 3
, ATI RN EXAM 08/25/2026
8. A client has just returned from cardiac catheterization. Which nursing intervention would be most
appropriate?
1. Help the client ambulate to the bathroom.
2. Restrict fluids.
3. Monitor peripheral pulses.
4. Insert an indwelling urinary catheter. - Correct Answer :Answer. 3. Monitor peripheral pulses.
Rationale: After cardiac catheterization, monitor peripheral pulses to assess peripheral perfusion. Helping the
client ambulate to the bathroom is incorrect because the client should be on bed rest for 4 to 8 hours after the
procedure to reduce the risk of bleeding at the insertion site. Restricting fluids is incorrect because the client
should be encouraged to drink fluids after the procedure, unless contraindicated. Adequate hydration reduces
the risk of nephrotoxicity that can occur with the use of contrast dye. Although urine output is monitored
following cardiac catheterization, the insertion of a urinary catherter isn't necessary.
9. A client is in the first postoperative day after left femoropopliteal revascularization. Which position would be
most appropriate for this client?
1. On his left-sided
2. In high Fowler's position
3. On his right side
4. In a left lateral decubitus position - Correct Answer :Answer: 3. On his right side
Rationale: Following revascularization, avoid positioning the client on the surgical side. Because this client had
left femoropoliteal revascularization, he may be positioned on the right side. Placing the client on the left side is
incorrect because this would position the client on the operative side. Positioning the client in high Fowler's
position is incorrect because the client should avoid flexion at the surgical site. Placing the client in a left lateral
decubitus position is incorrect because this would place the client on the surgical side and cause flexion at the
site.
10. A nurse is evaluating a client with left-sided heart failure. Which finding should the nurse expect to assess?
1. Ascites
2. Dyspnea
3. Hepatomegaly
4. Jugular vein distention - Correct Answer :Answer: 2. Dyspnea
Rationale: Dyspnea may occur in a client with left-sided heart failure. Ascites, hepatomegaly, and jugular vein
distention are assessment findings in right-sided heart failure.
A+ TEST BANK 4
ATI RN Adult Medical Surgical 2026 Proctored
Exam Actual and Retake Versions NGN
Questions and Answers| 2026/2027 Latest
Update | Complete Chapter Questions &
Answers with Rationales | Verified Questions &
Answers | Graded A+
Patients who have which of this following connective disorders are least likely to experience significant pain
because of the primary pathophysiologic process of this disorder?
A. FIbromyalgia
B. Lyme disease
C. Sjogren's syndrome (SS)
A+ TEST BANK 1
, ATI RN EXAM 08/25/2026
D. Systemic lupus erythematousus (SLE) - Correct Answer :C. Sjogren's syndrome (SS)
Patients who have SS are least likely to require pain management from the pathophysiologic result of the
disorder because the result is dryness. Fibromyalgia causes generalized musculoskeletal, nonarticular pain. Lyme
disease is characterized my migrating joint pain, and SLE can result in polyarthalgia.
Ch. 65 Pre-Assessment #8
1. A client complains of crushing chest pain that radiates to his left arm. He should be presented with the
following treatment:
1. Aspirin, oxygen, nitroglycerin, and morphine
2. Aspirin, oxygen, nitroglycerin, and codeine
3. Oxygen, nitroglycerin, meperidine, and thrombolytics
4. Aspirin, oxygen, nitroprusside, and morphine - Correct Answer :Answer: 1. Aspirin, oxygen, nitroglycerin, and
morphine
2. Which lifestyle changes should a client diagnosed with coronary artery disease consider?
1. Smoking cessation
2. Establishing a regular exercise routine
3. Weight reduction
4. All of the Above - Correct Answer :Answer: 4. All of the Above
3. A client's cardiac monitor alarm sounds, indicating ventricular tachycardia. The nurse should:
1. perform immediate defibrillation.
2. Assess the client.
3. Call the physician.
4. Administer a precordial thump. - Correct Answer :Answer: 2. Assess the client.
4. A complication of peripheral vascular disease may be:
A+ TEST BANK 2
, ATI RN EXAM 08/25/2026
1. stasis ulcer.
2. Pressure ulcer.
3. Gastric ulcer.
4. Duodenal ulcer. - Correct Answer :Answer: 1. stasis ulcer.
5. A key diagnostic test for heart failure is:
1. serum potassium.
2. B-type natriuretic peptide.
3. Troponin I
4. cardiac enzymes. - Correct Answer :Answer: 2. B-type natriuretic peptide.
6. While auscultating the heart sounds of a client with mitral insufficiency, the nurse hears an extra heart sound
immediately after the S2. The nurse should document this extra heart sound as a:
1. S1.
2. S3.
3. S4.
4. mitral murmur. - Correct Answer :Answer: 2. S3.
Rationale: An S3, is heard following an S2. This indicates that the client is experiencing heart failure and results
from increased filling pressures. An S1 is a normal heart sound made by the closing of the mitral and tricuspid
valves. An S4 is heard before S1 and is caused by resistance to ventricular filling. A murmur of mitral insufficiency
occurs during systole and is heard when there's turbulent blood flow across the valve.
7. A nurse administers heparin to a client with deep vein thrombophlebitis. Which laboratory value should the
nurse monitor to determine the effectiveness of heparin?
1. PTT
2. HCT
3. CBC
4. PT - Correct Answer :Answer: 1. PTT
Rationale: The therapeutic effectiveness of heparin is determined by monitoring the patient's PTT, PT, HCT, and
CBC don't monitor the therapeutic effectiveness of heparin. Monitoring the PT determines warfarin's
effectiveness.
A+ TEST BANK 3
, ATI RN EXAM 08/25/2026
8. A client has just returned from cardiac catheterization. Which nursing intervention would be most
appropriate?
1. Help the client ambulate to the bathroom.
2. Restrict fluids.
3. Monitor peripheral pulses.
4. Insert an indwelling urinary catheter. - Correct Answer :Answer. 3. Monitor peripheral pulses.
Rationale: After cardiac catheterization, monitor peripheral pulses to assess peripheral perfusion. Helping the
client ambulate to the bathroom is incorrect because the client should be on bed rest for 4 to 8 hours after the
procedure to reduce the risk of bleeding at the insertion site. Restricting fluids is incorrect because the client
should be encouraged to drink fluids after the procedure, unless contraindicated. Adequate hydration reduces
the risk of nephrotoxicity that can occur with the use of contrast dye. Although urine output is monitored
following cardiac catheterization, the insertion of a urinary catherter isn't necessary.
9. A client is in the first postoperative day after left femoropopliteal revascularization. Which position would be
most appropriate for this client?
1. On his left-sided
2. In high Fowler's position
3. On his right side
4. In a left lateral decubitus position - Correct Answer :Answer: 3. On his right side
Rationale: Following revascularization, avoid positioning the client on the surgical side. Because this client had
left femoropoliteal revascularization, he may be positioned on the right side. Placing the client on the left side is
incorrect because this would position the client on the operative side. Positioning the client in high Fowler's
position is incorrect because the client should avoid flexion at the surgical site. Placing the client in a left lateral
decubitus position is incorrect because this would place the client on the surgical side and cause flexion at the
site.
10. A nurse is evaluating a client with left-sided heart failure. Which finding should the nurse expect to assess?
1. Ascites
2. Dyspnea
3. Hepatomegaly
4. Jugular vein distention - Correct Answer :Answer: 2. Dyspnea
Rationale: Dyspnea may occur in a client with left-sided heart failure. Ascites, hepatomegaly, and jugular vein
distention are assessment findings in right-sided heart failure.
A+ TEST BANK 4
