ATI PROCTORED ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Sickle cell anemia Answer:The client who has sickle cell anemia will
have manifestations of jaundice with an enlarged liver and spleen.
◍ Pernicious anemia Answer:The client who has pernicious anemia will
have manifestation of glossitis (smooth, beefy-red tongue) and weight
loss.
◍ Polycythemia Answer:The client who has polycythemia vera will
have a plethoric (dark, flushed) manifestation of the facial skin and
mucous membranes.
◍ Right sided heart failure Answer:1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
◍ Left sided heart failure Answer:1. Orthopnea, dyspnea
2. Crackles
3. Oliguria
,4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
6. Decreased cap refill
◍ Flattened T-wave, with a possible U wave are due to
_________________ Answer:Hypokalemia
◍ Prolonged S-T interval and a prolonged Q-T interval
Answer:Hypocalcemia
◍ Toxic digoxin levels Answer:Atrioventricular block,
ventricular fibrillation, and
ventricular tachycardia are a few of the dysrhythmias occurring with
toxic digoxin levels.
◍ Beta blocker teaching Answer:don't stop abruptly; avoid in asthma;
take with food
Count pulse for 1 min before taking
◍ Dyspnea with hiccups Answer:The client who has pericarditis will
experience dyspnea, hiccups, and a nonproductive cough. These
manifestations can indicate heart failure from pericardial compression
due to constrictive pericarditis or cardiac tamponade.
,◍ Iron toxicity Answer:Hemosiderosis; can occur in sickle cell patients
who receive many blood transfusions
◍ epoetin alfa Answer:HTN is common A/E
Maximum effect occurs in 2-3 months
◍ Dry, pale skin with minimal body hair Answer:peripheral artery
disease
◍ Reddish-brown pigmentation Answer:Venous insufficiency
◍ Fresh Frozen Plasma (FFP) Answer:-plasma rich in clotting factors;
-desired effect is decrease in prothrombin time
◍ Fluid volume overload Answer:-JVD
-Moist crackles
-Increased HR
◍ omega-3 fatty acids Answer:polyunsaturated fatty acids commonly
found in fish oils that are beneficial to cardiovascular health
◍ Initiate weekly injections of B12 Answer:The nurse should initiate
weekly injections of vitamin B12 for a client who has pernicious
, anemia, and then decrease to monthly. Pernicious anemia is caused by a
lack of intrinsic factor needed to absorb vitamin B12 from the
gastrointestinal tract.
◍ unstable angina Answer:-chest pain that occurs while a person is at
rest and not exerting himself
-chest pain lasting longer than 15 mins
-Minimal relief from nitroglycerin
◍ Prinzmetal angina Answer:A variant of angina pectoris that occurs at
rest
◍ pulsus paradoxus Answer:-cardiac tamponade
-systolic blood pressure is at least 10 mm Hg higher on expiration than
on inspiration
◍ Snakebite Answer:IMMOBILIZE LIMB AT THE LEVEL OF
HEART - prevents spread of venom
Remove any constrictive clothing or jewelry
◍ Primary intention healing Answer:Occurs where the tissue surfaces
have been approximated, and there is minimal or no tissue loss
QUESTIONS WITH ANSWERS GRADED A+
◍ Sickle cell anemia Answer:The client who has sickle cell anemia will
have manifestations of jaundice with an enlarged liver and spleen.
◍ Pernicious anemia Answer:The client who has pernicious anemia will
have manifestation of glossitis (smooth, beefy-red tongue) and weight
loss.
◍ Polycythemia Answer:The client who has polycythemia vera will
have a plethoric (dark, flushed) manifestation of the facial skin and
mucous membranes.
◍ Right sided heart failure Answer:1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
◍ Left sided heart failure Answer:1. Orthopnea, dyspnea
2. Crackles
3. Oliguria
,4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
6. Decreased cap refill
◍ Flattened T-wave, with a possible U wave are due to
_________________ Answer:Hypokalemia
◍ Prolonged S-T interval and a prolonged Q-T interval
Answer:Hypocalcemia
◍ Toxic digoxin levels Answer:Atrioventricular block,
ventricular fibrillation, and
ventricular tachycardia are a few of the dysrhythmias occurring with
toxic digoxin levels.
◍ Beta blocker teaching Answer:don't stop abruptly; avoid in asthma;
take with food
Count pulse for 1 min before taking
◍ Dyspnea with hiccups Answer:The client who has pericarditis will
experience dyspnea, hiccups, and a nonproductive cough. These
manifestations can indicate heart failure from pericardial compression
due to constrictive pericarditis or cardiac tamponade.
,◍ Iron toxicity Answer:Hemosiderosis; can occur in sickle cell patients
who receive many blood transfusions
◍ epoetin alfa Answer:HTN is common A/E
Maximum effect occurs in 2-3 months
◍ Dry, pale skin with minimal body hair Answer:peripheral artery
disease
◍ Reddish-brown pigmentation Answer:Venous insufficiency
◍ Fresh Frozen Plasma (FFP) Answer:-plasma rich in clotting factors;
-desired effect is decrease in prothrombin time
◍ Fluid volume overload Answer:-JVD
-Moist crackles
-Increased HR
◍ omega-3 fatty acids Answer:polyunsaturated fatty acids commonly
found in fish oils that are beneficial to cardiovascular health
◍ Initiate weekly injections of B12 Answer:The nurse should initiate
weekly injections of vitamin B12 for a client who has pernicious
, anemia, and then decrease to monthly. Pernicious anemia is caused by a
lack of intrinsic factor needed to absorb vitamin B12 from the
gastrointestinal tract.
◍ unstable angina Answer:-chest pain that occurs while a person is at
rest and not exerting himself
-chest pain lasting longer than 15 mins
-Minimal relief from nitroglycerin
◍ Prinzmetal angina Answer:A variant of angina pectoris that occurs at
rest
◍ pulsus paradoxus Answer:-cardiac tamponade
-systolic blood pressure is at least 10 mm Hg higher on expiration than
on inspiration
◍ Snakebite Answer:IMMOBILIZE LIMB AT THE LEVEL OF
HEART - prevents spread of venom
Remove any constrictive clothing or jewelry
◍ Primary intention healing Answer:Occurs where the tissue surfaces
have been approximated, and there is minimal or no tissue loss
