ATI RN Adult Medical Surgical 2026 Actual
Proctored Exam Featuring All Complete
NGN 100 Screenshot Questions and
Answers for Level 3 Pass RN ATI Exam
ATI RN Adult Medical-Surgical Practice
Exam
100 Original Questions with ☑VERIFIED
ANSWERSs & Rationales
CARDIOVASCULAR (Questions 1–15)
1. A nurse is caring for a client with heart
failure who reports increasing shortness of
breath when lying flat. Which finding
should the nurse expect?
,A) Peripheral edema
B) Jugular venous distention
C) Crackles in the lung bases
D) Weight loss
☑VERIFIED ANSWERS: C
Rationale: Orthopnea and paroxysmal
nocturnal dyspnea are classic signs of left-
sided heart failure. Blood backs up into the
pulmonary circulation, causing crackles in
the lung bases. Peripheral edema and JVD
are signs of right-sided failure. Weight gain,
not loss, occurs with fluid retention.
2. A client is prescribed furosemide. Which
laboratory value should the nurse monitor
most closely?
A) Sodium
,B) Potassium
C) Calcium
D) Magnesium
☑VERIFIED ANSWERS: B
Rationale: Furosemide is a loop diuretic
that causes potassium loss (hypokalemia).
Normal potassium is 3.5–5.0 mEq/L.
Hypokalemia can cause dysrhythmias,
muscle weakness, and digitalis toxicity.
3. A nurse is teaching a client about
digoxin. Which statement indicates
understanding?
A) "I will take my pulse before each dose."
B) "I will take this with a high-fiber meal."
C) "I will double my dose if I miss one."
, D) "I will drink extra fluids with this
medication."
☑VERIFIED ANSWERS: A
Rationale: Digoxin has a narrow therapeutic
range (0.5–2.0 ng/mL). Clients should check
their apical pulse for one full minute before
each dose and hold if <60 bpm in adults.
Never double doses. Fiber can decrease
absorption.
4. A client on heparin therapy has an aPTT
of 95 seconds (control 30–40). Which
action should the nurse take?
A) Administer vitamin K
B) Prepare to hold the heparin infusion
C) Increase the heparin rate
D) Document and continue as ordered
Proctored Exam Featuring All Complete
NGN 100 Screenshot Questions and
Answers for Level 3 Pass RN ATI Exam
ATI RN Adult Medical-Surgical Practice
Exam
100 Original Questions with ☑VERIFIED
ANSWERSs & Rationales
CARDIOVASCULAR (Questions 1–15)
1. A nurse is caring for a client with heart
failure who reports increasing shortness of
breath when lying flat. Which finding
should the nurse expect?
,A) Peripheral edema
B) Jugular venous distention
C) Crackles in the lung bases
D) Weight loss
☑VERIFIED ANSWERS: C
Rationale: Orthopnea and paroxysmal
nocturnal dyspnea are classic signs of left-
sided heart failure. Blood backs up into the
pulmonary circulation, causing crackles in
the lung bases. Peripheral edema and JVD
are signs of right-sided failure. Weight gain,
not loss, occurs with fluid retention.
2. A client is prescribed furosemide. Which
laboratory value should the nurse monitor
most closely?
A) Sodium
,B) Potassium
C) Calcium
D) Magnesium
☑VERIFIED ANSWERS: B
Rationale: Furosemide is a loop diuretic
that causes potassium loss (hypokalemia).
Normal potassium is 3.5–5.0 mEq/L.
Hypokalemia can cause dysrhythmias,
muscle weakness, and digitalis toxicity.
3. A nurse is teaching a client about
digoxin. Which statement indicates
understanding?
A) "I will take my pulse before each dose."
B) "I will take this with a high-fiber meal."
C) "I will double my dose if I miss one."
, D) "I will drink extra fluids with this
medication."
☑VERIFIED ANSWERS: A
Rationale: Digoxin has a narrow therapeutic
range (0.5–2.0 ng/mL). Clients should check
their apical pulse for one full minute before
each dose and hold if <60 bpm in adults.
Never double doses. Fiber can decrease
absorption.
4. A client on heparin therapy has an aPTT
of 95 seconds (control 30–40). Which
action should the nurse take?
A) Administer vitamin K
B) Prepare to hold the heparin infusion
C) Increase the heparin rate
D) Document and continue as ordered
