ATI MEDSURG 2 NUR 265 EXAM COMPLETE (2025) EXAM TEST] QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |LATEST EXAM UPDATE
2026/2027.
Section One: Questions 1–100
A nurse is caring for a client with a new diagnosis of heart failure. Which laboratory value should
the nurse monitor to evaluate the effectiveness of the treatment?
A. Creatinine
B. B-type natriuretic peptide (BNP)
C. Troponin T
D. Potassium
🟢 B. B-type natriuretic peptide (BNP)
🔴 RATIONALE: BNP is a hormone secreted by the ventricles in response to fluid overload.
Monitoring BNP levels helps assess the severity of heart failure and the effectiveness of
therapeutic interventions.
A nurse is assessing a client who has a chest tube. Which finding requires immediate intervention?
A. Continuous bubbling in the water seal chamber
B. Tidaling with inspiration and expiration
C. Drainage of 50 mL in 2 hours
D. Pain at the insertion site
🟢 A. Continuous bubbling in the water seal chamber
🔴 RATIONALE: Continuous bubbling in the water seal chamber indicates an air leak in the
system, which requires immediate identification and correction.
A client is prescribed vancomycin for a severe infection. Which finding should the nurse report to
the provider immediately?
A. Trough level of 15 mcg/mL
,B. Flushing of the face and neck
C. Creatinine level of 2.1 mg/dL
D. Urine output of 50 mL/hr
🟢 C. Creatinine level of 2.1 mg/dL
🔴 RATIONALE: Vancomycin is nephrotoxic. An elevated creatinine level indicates impaired renal
function, necessitating a dosage adjustment or discontinuation.
A nurse is preparing a client for a colonoscopy. Which instruction is accurate?
A. Eat a high-fiber diet for 48 hours prior
B. Maintain NPO status for 24 hours
C. Drink the entire preparation solution as ordered
D. Expect to be fully awake during the procedure
🟢 C. Drink the entire preparation solution as ordered
🔴 RATIONALE: Complete bowel preparation is essential for adequate visualization of the colon
during the procedure.
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L/min via
nasal cannula. What is the priority assessment?
A. Capillary refill
B. Respiratory rate and depth
C. Skin integrity behind the ears
D. Oxygen saturation levels
🟢 B. Respiratory rate and depth
🔴 RATIONALE: COPD clients rely on hypoxic drive; monitoring respiratory status is critical to
ensure the oxygen delivery does not depress their drive to breathe.
,Which nursing intervention is appropriate for a client experiencing a tonic-clonic seizure?
A. Restrain the client to prevent injury
B. Insert a padded tongue blade into the mouth
C. Turn the client to the side
D. Attempt to feed the client to maintain blood sugar
🟢 C. Turn the client to the side
🔴 RATIONALE: Positioning the client on the side prevents aspiration of oral secretions and
maintains an open airway.
A nurse is educating a client about hypertension management. Which statement by the client
indicates understanding?
A. I will increase my sodium intake to 3000 mg
B. I will monitor my blood pressure weekly
C. I will continue my exercise routine as approved
D. I will stop my medication when my pressure is normal
🟢 C. I will continue my exercise routine as approved
🔴 RATIONALE: Regular physical activity is a key lifestyle modification for managing hypertension;
clients should maintain adherence as prescribed by their provider.
A client presents with symptoms of hypoglycemia. Which action is the priority?
A. Assess vital signs
B. Administer 15 g of rapid-acting carbohydrates
C. Wait for lab confirmation
D. Administer insulin
🟢 B. Administer 15 g of rapid-acting carbohydrates
🔴 RATIONALE: Hypoglycemia requires immediate intervention with fast-acting glucose to prevent
neurological complications and unconsciousness.
, A client in the PACU is shivering. What is the nurse's priority action?
A. Cover with warm blankets
B. Administer meperidine
C. Increase the room temperature
D. Monitor temperature every 15 minutes
🟢 A. Cover with warm blankets
🔴 RATIONALE: Shivering increases metabolic demand and oxygen consumption; providing
warmth is the first step in addressing post-anesthesia shivering.
Which diagnostic test is the gold standard for diagnosing a pulmonary embolism?
A. Chest X-ray
B. Electrocardiogram
C. Computed tomography pulmonary angiography (CTPA)
D. Arterial blood gases
🟢 C. Computed tomography pulmonary angiography (CTPA)
🔴 RATIONALE: CTPA provides detailed visualization of the pulmonary vasculature, allowing for
the definitive diagnosis of a pulmonary embolism.
A nurse is providing care for a client with a fractured hip. Which intervention prevents deep vein
thrombosis?
A. Early ambulation and compression devices
B. Maintaining absolute bed rest
C. Limiting oral fluid intake
D. Applying heat to the lower extremities
🟢 A. Early ambulation and compression devices
🔴 RATIONALE: Early mobility and mechanical prophylaxis like SCDs are standard of care to
prevent venous stasis and thrombosis in post-operative orthopedic clients.
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |LATEST EXAM UPDATE
2026/2027.
Section One: Questions 1–100
A nurse is caring for a client with a new diagnosis of heart failure. Which laboratory value should
the nurse monitor to evaluate the effectiveness of the treatment?
A. Creatinine
B. B-type natriuretic peptide (BNP)
C. Troponin T
D. Potassium
🟢 B. B-type natriuretic peptide (BNP)
🔴 RATIONALE: BNP is a hormone secreted by the ventricles in response to fluid overload.
Monitoring BNP levels helps assess the severity of heart failure and the effectiveness of
therapeutic interventions.
A nurse is assessing a client who has a chest tube. Which finding requires immediate intervention?
A. Continuous bubbling in the water seal chamber
B. Tidaling with inspiration and expiration
C. Drainage of 50 mL in 2 hours
D. Pain at the insertion site
🟢 A. Continuous bubbling in the water seal chamber
🔴 RATIONALE: Continuous bubbling in the water seal chamber indicates an air leak in the
system, which requires immediate identification and correction.
A client is prescribed vancomycin for a severe infection. Which finding should the nurse report to
the provider immediately?
A. Trough level of 15 mcg/mL
,B. Flushing of the face and neck
C. Creatinine level of 2.1 mg/dL
D. Urine output of 50 mL/hr
🟢 C. Creatinine level of 2.1 mg/dL
🔴 RATIONALE: Vancomycin is nephrotoxic. An elevated creatinine level indicates impaired renal
function, necessitating a dosage adjustment or discontinuation.
A nurse is preparing a client for a colonoscopy. Which instruction is accurate?
A. Eat a high-fiber diet for 48 hours prior
B. Maintain NPO status for 24 hours
C. Drink the entire preparation solution as ordered
D. Expect to be fully awake during the procedure
🟢 C. Drink the entire preparation solution as ordered
🔴 RATIONALE: Complete bowel preparation is essential for adequate visualization of the colon
during the procedure.
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L/min via
nasal cannula. What is the priority assessment?
A. Capillary refill
B. Respiratory rate and depth
C. Skin integrity behind the ears
D. Oxygen saturation levels
🟢 B. Respiratory rate and depth
🔴 RATIONALE: COPD clients rely on hypoxic drive; monitoring respiratory status is critical to
ensure the oxygen delivery does not depress their drive to breathe.
,Which nursing intervention is appropriate for a client experiencing a tonic-clonic seizure?
A. Restrain the client to prevent injury
B. Insert a padded tongue blade into the mouth
C. Turn the client to the side
D. Attempt to feed the client to maintain blood sugar
🟢 C. Turn the client to the side
🔴 RATIONALE: Positioning the client on the side prevents aspiration of oral secretions and
maintains an open airway.
A nurse is educating a client about hypertension management. Which statement by the client
indicates understanding?
A. I will increase my sodium intake to 3000 mg
B. I will monitor my blood pressure weekly
C. I will continue my exercise routine as approved
D. I will stop my medication when my pressure is normal
🟢 C. I will continue my exercise routine as approved
🔴 RATIONALE: Regular physical activity is a key lifestyle modification for managing hypertension;
clients should maintain adherence as prescribed by their provider.
A client presents with symptoms of hypoglycemia. Which action is the priority?
A. Assess vital signs
B. Administer 15 g of rapid-acting carbohydrates
C. Wait for lab confirmation
D. Administer insulin
🟢 B. Administer 15 g of rapid-acting carbohydrates
🔴 RATIONALE: Hypoglycemia requires immediate intervention with fast-acting glucose to prevent
neurological complications and unconsciousness.
, A client in the PACU is shivering. What is the nurse's priority action?
A. Cover with warm blankets
B. Administer meperidine
C. Increase the room temperature
D. Monitor temperature every 15 minutes
🟢 A. Cover with warm blankets
🔴 RATIONALE: Shivering increases metabolic demand and oxygen consumption; providing
warmth is the first step in addressing post-anesthesia shivering.
Which diagnostic test is the gold standard for diagnosing a pulmonary embolism?
A. Chest X-ray
B. Electrocardiogram
C. Computed tomography pulmonary angiography (CTPA)
D. Arterial blood gases
🟢 C. Computed tomography pulmonary angiography (CTPA)
🔴 RATIONALE: CTPA provides detailed visualization of the pulmonary vasculature, allowing for
the definitive diagnosis of a pulmonary embolism.
A nurse is providing care for a client with a fractured hip. Which intervention prevents deep vein
thrombosis?
A. Early ambulation and compression devices
B. Maintaining absolute bed rest
C. Limiting oral fluid intake
D. Applying heat to the lower extremities
🟢 A. Early ambulation and compression devices
🔴 RATIONALE: Early mobility and mechanical prophylaxis like SCDs are standard of care to
prevent venous stasis and thrombosis in post-operative orthopedic clients.
