Latest 2025/2026 Update | Expert-Verified
Questions with Correct Answers | A+
Graded | Frequently Tested Content |
Guaranteed Pass
Section 1: Introduction
This document provides expertly verified and 100% correct practice questions and answers
for the ATI RN Adult Medical-Surgical Proctored Exam, fully updated for the 2025/2026
academic year. It features frequently tested topics such as cardiovascular and respiratory
disorders, perioperative care, fluid and electrolyte balance, diabetes management, renal and
gastrointestinal conditions, and patient safety interventions. Designed to reflect ATI exam
standards and clinical NCLEX readiness, this A+ graded material guarantees comprehensive
coverage and confident performance.
Section 2: Exam Questions and Answers
Cardiovascular Disorders (10 Questions)
Question 1: A nurse is caring for a client with acute myocardial infarction (MI). Which
finding is the priority to report?
A) Blood pressure 140/90 mmHg
B) Chest pain radiating to the left arm
C) Heart rate 88 bpm
D) Oxygen saturation 95%
Correct Answer: B) Chest pain radiating to the left arm
Rationale: Chest pain in MI indicates ongoing ischemia, requiring immediate intervention to
prevent further cardiac damage.
Question 2: A client with heart failure is prescribed furosemide. Which electrolyte imbalance
should the nurse monitor?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hypermagnesemia
Correct Answer: B) Hypokalemia
Rationale: Furosemide, a loop diuretic, increases potassium excretion, risking hypokalemia.
Question 3: A nurse is assessing a client with atrial fibrillation. Which manifestation is
expected?
A) Regular pulse rhythm
B) Irregular pulse rhythm
, C) Bradycardia
D) Hypotension
Correct Answer: B) Irregular pulse rhythm
Rationale: Atrial fibrillation causes chaotic atrial contractions, leading to an irregular pulse.
Question 4: A client is receiving heparin for deep vein thrombosis (DVT). Which laboratory
value should the nurse monitor?
A) INR
B) aPTT
C) Platelet count
D) Hemoglobin
Correct Answer: B) aPTT
Rationale: aPTT monitors heparin’s anticoagulant effect, ensuring therapeutic dosing.
Question 5: A nurse is teaching a client with hypertension about dietary modifications.
Which food should be limited?
A) Fresh fruits
B) Canned soups
C) Whole grains
D) Lean proteins
Correct Answer: B) Canned soups
Rationale: Canned soups are high in sodium, which exacerbates hypertension.
Question 6: A client with angina is prescribed nitroglycerin. Which instruction should the
nurse include?
A) Take daily to prevent chest pain
B) Take up to three doses, 5 minutes apart, for chest pain
C) Swallow the tablet whole
D) Store in a warm, dry place
Correct Answer: B) Take up to three doses, 5 minutes apart, for chest pain
Rationale: Nitroglycerin is taken sublingually for acute angina, with up to three doses if pain
persists.
Question 7: A nurse is caring for a client post-cardiac catheterization via the femoral artery.
Which action is priority?
A) Encourage ambulation immediately
B) Monitor the insertion site for bleeding
C) Administer oral fluids rapidly
D) Apply heat to the site
Correct Answer: B) Monitor the insertion site for bleeding
Rationale: Bleeding at the femoral site is a serious complication requiring close monitoring.
Question 8: A client with heart failure reports weight gain of 3 lb in 2 days. What should the
nurse do?
A) Encourage increased fluid intake
B) Notify the healthcare provider
C) Document the finding only
D) Administer an extra dose of diuretic
Correct Answer: B) Notify the healthcare provider