ATI RN MED SURG PROCTORED RETAKE
EXAM 2026 Edition: Versions 1, 2, & 3
(110+Questions with Verified Answers)
1. A nurse is caring for a client with heart failure who has gained 2 kg (4.4 lb) in 24 hours.
Which action should the nurse take first?
A. Restrict oral fluids to 1 L/day
B. Administer furosemide as prescribed
C. Assess lung sounds
D. Elevate the head of the bed
Answer: C. Assess lung sounds
Rationale: Assessment comes before intervention. Weight gain suggests fluid retention; lung
sounds may reveal crackles indicative of pulmonary edema.
2. A client with COPD has an oxygen saturation of 88% on room air. Which oxygen delivery
device should the nurse apply first?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 2 L/min
C. Simple face mask at 8 L/min
D. Venturi mask at 24%
Answer: B. Nasal cannula at 2 L/min
Rationale: Low-flow oxygen via nasal cannula is safe for COPD clients to avoid eliminating
hypoxic drive.
3. Post-gastrectomy, a client reports dizziness and sweating 30 minutes after eating. The
nurse suspects:
A. Dumping syndrome
B. Peritonitis
, C. Bowel obstruction
D. Hiatal hernia
Answer: A. Dumping syndrome
Rationale: Early dumping syndrome occurs 15–30 min postprandial due to rapid gastric
emptying, causing vasomotor symptoms.
4. A client with cirrhosis has asterixis. What lab value should the nurse review first?
A. Albumin
B. Ammonia
C. Bilirubin
D. Prothrombin time
Answer: B. Ammonia
Rationale: Asterixis (liver flap) is associated with hepatic encephalopathy and elevated
ammonia.
5. A nurse is teaching a client with type 2 diabetes about foot care. Which statement
indicates understanding?
A. “I’ll soak my feet daily in hot water.”
B. “I’ll cut my own corns with a razor.”
C. “I’ll inspect my feet every night before bed.”
D. “I’ll walk barefoot at home to air out my feet.”
Answer: C. Inspect feet nightly.
Rationale: Daily inspection prevents unnoticed injuries; soaking, self-surgery, and barefoot
walking increase infection risk.
6. A client on warfarin has an INR of 4.5. No signs of bleeding. The nurse anticipates:
A. Vitamin K IM
B. Hold warfarin and administer fresh frozen plasma
C. Hold warfarin and monitor
D. Increase warfarin dose
EXAM 2026 Edition: Versions 1, 2, & 3
(110+Questions with Verified Answers)
1. A nurse is caring for a client with heart failure who has gained 2 kg (4.4 lb) in 24 hours.
Which action should the nurse take first?
A. Restrict oral fluids to 1 L/day
B. Administer furosemide as prescribed
C. Assess lung sounds
D. Elevate the head of the bed
Answer: C. Assess lung sounds
Rationale: Assessment comes before intervention. Weight gain suggests fluid retention; lung
sounds may reveal crackles indicative of pulmonary edema.
2. A client with COPD has an oxygen saturation of 88% on room air. Which oxygen delivery
device should the nurse apply first?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 2 L/min
C. Simple face mask at 8 L/min
D. Venturi mask at 24%
Answer: B. Nasal cannula at 2 L/min
Rationale: Low-flow oxygen via nasal cannula is safe for COPD clients to avoid eliminating
hypoxic drive.
3. Post-gastrectomy, a client reports dizziness and sweating 30 minutes after eating. The
nurse suspects:
A. Dumping syndrome
B. Peritonitis
, C. Bowel obstruction
D. Hiatal hernia
Answer: A. Dumping syndrome
Rationale: Early dumping syndrome occurs 15–30 min postprandial due to rapid gastric
emptying, causing vasomotor symptoms.
4. A client with cirrhosis has asterixis. What lab value should the nurse review first?
A. Albumin
B. Ammonia
C. Bilirubin
D. Prothrombin time
Answer: B. Ammonia
Rationale: Asterixis (liver flap) is associated with hepatic encephalopathy and elevated
ammonia.
5. A nurse is teaching a client with type 2 diabetes about foot care. Which statement
indicates understanding?
A. “I’ll soak my feet daily in hot water.”
B. “I’ll cut my own corns with a razor.”
C. “I’ll inspect my feet every night before bed.”
D. “I’ll walk barefoot at home to air out my feet.”
Answer: C. Inspect feet nightly.
Rationale: Daily inspection prevents unnoticed injuries; soaking, self-surgery, and barefoot
walking increase infection risk.
6. A client on warfarin has an INR of 4.5. No signs of bleeding. The nurse anticipates:
A. Vitamin K IM
B. Hold warfarin and administer fresh frozen plasma
C. Hold warfarin and monitor
D. Increase warfarin dose
