ATI RN MEDICAL SURGICAL RETAKE
LATEST 2026 ACTUAL EXAM| RN
MED-SURG PROCTORED
ASSESSMENT II (RETAKE) WITH
COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT 100%
VERIFIED ANSWERS WITH
RATIONALES GUARANTEED PASS
(GRADED A+)
1. A nurse is caring for a client with heart failure who has
gained 2.3 kg (5 lb) in 3 days. Which finding is the priority to
report to the provider?
A. Blood pressure 138/84 mm Hg
B. Bilateral crackles in the lung bases
C. Heart rate 92/min
D. Urine output 45 mL/hr
Answer: B. Bilateral crackles in the lung bases
Rationale: Crackles indicate pulmonary fluid accumulation and
worsening heart failure. This finding suggests impaired gas
exchange and requires prompt intervention.
,2. A nurse is caring for a client who has diabetic ketoacidosis
(DKA). Which laboratory finding should the nurse expect?
A. Blood glucose 52 mg/dL
B. Serum pH 7.48
C. Positive serum ketones
D. Potassium 3.0 mEq/L
Answer: C. Positive serum ketones
Rationale: DKA is characterized by hyperglycemia, metabolic
acidosis, and ketone production resulting from fat metabolism.
3. A nurse is assessing a client with a suspected
pneumothorax. Which manifestation should the nurse
expect?
A. Bilateral crackles
B. Hyperactive bowel sounds
C. Absent breath sounds on the affected side
D. Bradycardia
Answer: C. Absent breath sounds on the affected side
Rationale: Air in the pleural space prevents lung expansion,
resulting in diminished or absent breath sounds on the affected
side.
4. A nurse is caring for a client receiving warfarin therapy.
Which laboratory value indicates therapeutic effectiveness?
A. Platelet count
B. INR
,C. Hemoglobin level
D. WBC count
Answer: B. INR
Rationale: INR is used to monitor anticoagulation therapy with
warfarin and evaluate its therapeutic effect.
5. A nurse is caring for a client following a thyroidectomy.
Which finding requires immediate intervention?
A. Pain rated 4/10
B. Hoarse voice
C. Frequent swallowing
D. Temperature 37.4°C (99.3°F)
Answer: C. Frequent swallowing
Rationale: Frequent swallowing may indicate hemorrhage and
requires immediate assessment.
6. A nurse is caring for a client with COPD. Which oxygen
delivery method is most appropriate?
A. Nonrebreather mask at 15 L/min
B. Nasal cannula at low flow rate
C. Venturi mask at 100% oxygen
D. Face tent at 12 L/min
Answer: B. Nasal cannula at low flow rate
Rationale: Clients with COPD often require low-flow oxygen to
avoid suppressing respiratory drive while maintaining adequate
oxygenation.
, 7. A nurse is caring for a client who has acute pancreatitis.
Which laboratory value should the nurse expect to be
elevated?
A. Troponin
B. Amylase
C. Hemoglobin
D. Albumin
Answer: B. Amylase
Rationale: Elevated amylase and lipase levels are common
findings in acute pancreatitis.
8. A nurse is caring for a client with a chest tube.
Continuous bubbling is observed in the water-seal chamber.
What should the nurse suspect?
A. Tube occlusion
B. Normal function
C. Air leak
D. Fluid overload
Answer: C. Air leak
Rationale: Continuous bubbling in the water-seal chamber may
indicate an air leak within the drainage system or the client's
pleural space.
9. A nurse is assessing a client experiencing hypokalemia.
Which manifestation should the nurse expect?
A. Muscle weakness
B. Hyperactive reflexes
LATEST 2026 ACTUAL EXAM| RN
MED-SURG PROCTORED
ASSESSMENT II (RETAKE) WITH
COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT 100%
VERIFIED ANSWERS WITH
RATIONALES GUARANTEED PASS
(GRADED A+)
1. A nurse is caring for a client with heart failure who has
gained 2.3 kg (5 lb) in 3 days. Which finding is the priority to
report to the provider?
A. Blood pressure 138/84 mm Hg
B. Bilateral crackles in the lung bases
C. Heart rate 92/min
D. Urine output 45 mL/hr
Answer: B. Bilateral crackles in the lung bases
Rationale: Crackles indicate pulmonary fluid accumulation and
worsening heart failure. This finding suggests impaired gas
exchange and requires prompt intervention.
,2. A nurse is caring for a client who has diabetic ketoacidosis
(DKA). Which laboratory finding should the nurse expect?
A. Blood glucose 52 mg/dL
B. Serum pH 7.48
C. Positive serum ketones
D. Potassium 3.0 mEq/L
Answer: C. Positive serum ketones
Rationale: DKA is characterized by hyperglycemia, metabolic
acidosis, and ketone production resulting from fat metabolism.
3. A nurse is assessing a client with a suspected
pneumothorax. Which manifestation should the nurse
expect?
A. Bilateral crackles
B. Hyperactive bowel sounds
C. Absent breath sounds on the affected side
D. Bradycardia
Answer: C. Absent breath sounds on the affected side
Rationale: Air in the pleural space prevents lung expansion,
resulting in diminished or absent breath sounds on the affected
side.
4. A nurse is caring for a client receiving warfarin therapy.
Which laboratory value indicates therapeutic effectiveness?
A. Platelet count
B. INR
,C. Hemoglobin level
D. WBC count
Answer: B. INR
Rationale: INR is used to monitor anticoagulation therapy with
warfarin and evaluate its therapeutic effect.
5. A nurse is caring for a client following a thyroidectomy.
Which finding requires immediate intervention?
A. Pain rated 4/10
B. Hoarse voice
C. Frequent swallowing
D. Temperature 37.4°C (99.3°F)
Answer: C. Frequent swallowing
Rationale: Frequent swallowing may indicate hemorrhage and
requires immediate assessment.
6. A nurse is caring for a client with COPD. Which oxygen
delivery method is most appropriate?
A. Nonrebreather mask at 15 L/min
B. Nasal cannula at low flow rate
C. Venturi mask at 100% oxygen
D. Face tent at 12 L/min
Answer: B. Nasal cannula at low flow rate
Rationale: Clients with COPD often require low-flow oxygen to
avoid suppressing respiratory drive while maintaining adequate
oxygenation.
, 7. A nurse is caring for a client who has acute pancreatitis.
Which laboratory value should the nurse expect to be
elevated?
A. Troponin
B. Amylase
C. Hemoglobin
D. Albumin
Answer: B. Amylase
Rationale: Elevated amylase and lipase levels are common
findings in acute pancreatitis.
8. A nurse is caring for a client with a chest tube.
Continuous bubbling is observed in the water-seal chamber.
What should the nurse suspect?
A. Tube occlusion
B. Normal function
C. Air leak
D. Fluid overload
Answer: C. Air leak
Rationale: Continuous bubbling in the water-seal chamber may
indicate an air leak within the drainage system or the client's
pleural space.
9. A nurse is assessing a client experiencing hypokalemia.
Which manifestation should the nurse expect?
A. Muscle weakness
B. Hyperactive reflexes
