ATI MED-SURG PRACTICE A KEY ACTUAL PRACTICE
EXAM WITH WELL ELABORATED AND MOST
TESTED REAL PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY 2026-2027
Q&A 100% GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
1. A nurse is assessing a client with heart failure
who is receiving digoxin. Which finding indicates
digoxin toxicity?
A. Heart rate of 72 beats per minute
B. Anorexia, nausea, and blurred yellow vision
C. Blood pressure of 120/80 mmHg
D. Potassium level of 4.0 mEq/L
Rationale: Digoxin toxicity causes gastrointestinal
symptoms (anorexia, nausea, vomiting, abdominal
pain), visual changes (yellow-green halos, blurred
vision, photophobia), and cardiac dysrhythmias.
Hypokalemia increases the risk of digoxin toxicity.
A potassium level of 4.0 mEq/L is within normal
,range. A heart rate of 72 is normal and does not
indicate toxicity.
2. A nurse is assessing a client who is 12 hours post-
cardiac catheterization via the right femoral artery.
Which finding requires immediate intervention?
A. Blood pressure 128/74 mm Hg
B. Heart rate 86/min
C. A small amount of bloody drainage on the
dressing
D. A palpable, hard lump at the catheter insertion
site
Rationale: A palpable, hard lump (hematoma) at
the catheter insertion site indicates active bleeding
into the tissue, which can lead to compromised
circulation to the limb and significant blood loss.
The nurse should immediately assess the site, apply
pressure, and notify the provider. A small amount
of bloody drainage is expected, and stable vital
signs are reassuring.
3. A client with heart failure has an ejection fraction
of 30%. Which clinical finding correlates with this?
,A. Bounding peripheral pulses
B. Pulmonary crackles
C. Jugular vein distention
D. Hypertension
Rationale: An ejection fraction of 30% indicates
significant left ventricular dysfunction. With
reduced cardiac output, blood backs up into the
pulmonary circulation, causing pulmonary
congestion and crackles on auscultation. Jugular
vein distention is more indicative of right-sided
heart failure.
4. A nurse is caring for a client with acute
myocardial infarction who reports chest pain. Which
medication should the nurse administer first?
A. Morphine sulfate
B. Nitroglycerin sublingual
C. Aspirin
D. Oxygen
Rationale: Aspirin should be administered
immediately upon suspicion of MI because it
reduces mortality by inhibiting platelet aggregation
, and preventing further clot formation. While
oxygen, nitroglycerin, and morphine are also part
of the MONA protocol, aspirin is the priority initial
intervention.
5. A client with heart failure has crackles in the
lungs and peripheral edema. The nurse should
anticipate which intervention?
A. Administer diuretics
B. Restrict fluids and sodium
C. Administer oxygen
D. All of the above
Rationale: Crackles and edema indicate fluid
volume overload. Diuretics promote fluid excretion,
fluid and sodium restriction reduces fluid
retention, and oxygen improves oxygenation. All
interventions are appropriate for managing acute
heart failure exacerbation.
6. A client with angina pectoris reports chest pain
that occurs with exertion and resolves with rest and
nitroglycerin. The nurse should document this as
which type of angina?
EXAM WITH WELL ELABORATED AND MOST
TESTED REAL PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY 2026-2027
Q&A 100% GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
1. A nurse is assessing a client with heart failure
who is receiving digoxin. Which finding indicates
digoxin toxicity?
A. Heart rate of 72 beats per minute
B. Anorexia, nausea, and blurred yellow vision
C. Blood pressure of 120/80 mmHg
D. Potassium level of 4.0 mEq/L
Rationale: Digoxin toxicity causes gastrointestinal
symptoms (anorexia, nausea, vomiting, abdominal
pain), visual changes (yellow-green halos, blurred
vision, photophobia), and cardiac dysrhythmias.
Hypokalemia increases the risk of digoxin toxicity.
A potassium level of 4.0 mEq/L is within normal
,range. A heart rate of 72 is normal and does not
indicate toxicity.
2. A nurse is assessing a client who is 12 hours post-
cardiac catheterization via the right femoral artery.
Which finding requires immediate intervention?
A. Blood pressure 128/74 mm Hg
B. Heart rate 86/min
C. A small amount of bloody drainage on the
dressing
D. A palpable, hard lump at the catheter insertion
site
Rationale: A palpable, hard lump (hematoma) at
the catheter insertion site indicates active bleeding
into the tissue, which can lead to compromised
circulation to the limb and significant blood loss.
The nurse should immediately assess the site, apply
pressure, and notify the provider. A small amount
of bloody drainage is expected, and stable vital
signs are reassuring.
3. A client with heart failure has an ejection fraction
of 30%. Which clinical finding correlates with this?
,A. Bounding peripheral pulses
B. Pulmonary crackles
C. Jugular vein distention
D. Hypertension
Rationale: An ejection fraction of 30% indicates
significant left ventricular dysfunction. With
reduced cardiac output, blood backs up into the
pulmonary circulation, causing pulmonary
congestion and crackles on auscultation. Jugular
vein distention is more indicative of right-sided
heart failure.
4. A nurse is caring for a client with acute
myocardial infarction who reports chest pain. Which
medication should the nurse administer first?
A. Morphine sulfate
B. Nitroglycerin sublingual
C. Aspirin
D. Oxygen
Rationale: Aspirin should be administered
immediately upon suspicion of MI because it
reduces mortality by inhibiting platelet aggregation
, and preventing further clot formation. While
oxygen, nitroglycerin, and morphine are also part
of the MONA protocol, aspirin is the priority initial
intervention.
5. A client with heart failure has crackles in the
lungs and peripheral edema. The nurse should
anticipate which intervention?
A. Administer diuretics
B. Restrict fluids and sodium
C. Administer oxygen
D. All of the above
Rationale: Crackles and edema indicate fluid
volume overload. Diuretics promote fluid excretion,
fluid and sodium restriction reduces fluid
retention, and oxygen improves oxygenation. All
interventions are appropriate for managing acute
heart failure exacerbation.
6. A client with angina pectoris reports chest pain
that occurs with exertion and resolves with rest and
nitroglycerin. The nurse should document this as
which type of angina?
