ATI MEDICAL SURGICAL ACTUAL EXAM
QUESTIONS AND 100% CORRECT DETAILED
ANSWERS | LATEST 2025/2026|VERIFIED
A nurse is caring for a client who has a history of angina and is scheduled for exercise electroca
B B B B B B B B B B B B B B B B B B
rdiography at 1100. Which of the following statements by the client requires the nurse to cont
B B B B B B B B B B B B B B B
act the provider for possible rescheduling?
B B B B B
A. "I'm still hungry after the bowl of cereal I ate at 0700"
B B B B B B B B B B B B
B. "I didn't tale my heart pills this morning because the doctor told me not to"
B B B B B B B B B B B B B B B
C. "I have had chest pain a couple of time since I saw my doctor in the office last week"
B B B B B B B B B B B B B B B B B B B
D. "I smoked a cigarette this morning to calm my nerves about having this procedure" -
B B B B B B B B B B B B B B B
B ANSWER- D
A nurse is providing discharge teaching to a client who has heart failure. The nurse should instr
B B B B B B B B B B B B B B B B
uct the client to report which of the following findings immediately to the provider?
B B B B B B B B B B B B B
A. Weight gain of 0.9 kg (2 lb) in 24 hours)
B B B B B B B B B B
B. Increase of 10 mmHg in systolic blood pressure
B B B B B B B B
C. Dyspnea with exertion
B B B
D. Dizziness when rising quickly - ANSWER-
B B B B B B A
A nurse is assessing a client who has history a deep-
B B B B B B B B B B
vein thrombosis and is receiving Warfarin. Which of the following findings should indicate to t
B B B B B B B B B B B B B B
he nurse that the medication is effective?
B B B B B B
A. Hemoglobin 14 g/dL
B B B
B. Minimal bruising of extremities
B B B B
C. Decreased bp
B B
D. INR 2 - ANSWER-
B B B B D
A nurse is caring for a client who is receiving heparin therapy and develops hematuria. Which
B B B B B B B B B B B B B B B B
of the following actions should the nurse take if the client's aPTT is 96 seconds.
B B B B B B B B B B B B B B B
A. increase the heparin infusion flow rate by 2 mL/hr
B B B B B B B B B
,B. Continue to monitor the heparin infusion as prescribed
B B B B B B B B
C. Request a prothrombin time (PT)
B B B B B
D. Stop the heparin infusion - ANSWER-
B B B B B B D
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which
B B B B B B B B B B B B B B B B B
of the following findings should the nurse plan to monitor for and report to the provider imme
B B B B B B B B B B B B B B B B
diately?
A. Slurred speech
B B
B. Irregular pulse
B B
C. Dependent edema
B B
D. Persistent fatigue - ANSWER-
B B B B A
A nurse is reviewing the laboratory results of several male clients who have peripheral arterial
B B B B B B B B B B B B B B B
disease. The nurse should plan to provide dietary teaching for the client who has which of the
B B B B B B B B B B B B B B B B B
following laboratory value? B B
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B B B B B B B B B
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
B B B B B B B B B
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
B B B B B B B B B
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - ANSWER-
B B B B B B B B B B B C
A nurse in an emergency department is assessing a client who has bradydysrhythmia. Which o
B B B B B B B B B B B B B B
f the following findings should the nurse monitor for?
B B B B B B B B
A. Confusion
B
B. Friction rub
B B
C. Hypertension
B
D. Dry skin - ANSWER-
B B B B A
A nurse is caring for a client following the insertion of a permanent pacemaker. Which of the f
B B B B B B B B B B B B B B B B B
ollowing client statement indicates a potential complication of the insertion procedure?
B B B B B B B B B B
A. "I can't get rid of these hiccups"
B B B B B B B
,B. "I feel dizzy when I stand"
B B B B B B
C. "My incision site stings"
B B B B
D. "I have a headache" - ANSWER-
B B B B B B A
A nurse is planning a presentation for a group of clients who have HTN. Which of the following
B B B B B B B B B B B B B B B B B B
lifestyle modification should the nurse include?
B B B B B
A. Limited alcohol intake
B B B
B. Regular exercise program
B B B
C. Decreased magnesium intake
B B B
D. Reduced potassium intake
B B B
E. Tobacco cessation - ANSWER-
B B B B ABE
A nurse is providing health teaching to a group of clients. Which of the following clients is at ris
B B B B B B B B B B B B B B B B B B
k for developing peripheral arterial disease?
B B B B B
A. A client who has hypothyroidism
B B B B B
B. A client who has diabetes mellitus
B B B B B B
C. A client whose daily caloric intake consists of 25% fat
B B B B B B B B B B
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day - ANSWER-
B B B B B B B B B B B B B B B B
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed from n
B B B B B B B B B B B B B B B B
ormal sinus rhythm to SVT. The nurse should prepare to assist with which of the following inte
B B B B B B B B B B B B B B B B
rventions?
A. Initiate chest compression
B B B
B. Vagal stimulation
B B
C. Administration of atropine IV
B B B B
D. Defibrillation - ANSWER-
B B B B
A nurse is caring for a client who is 1 hour postoperative following an aortic aneursym repair.
B B B B B B B B B B B B B B B B B
Which of the following findings can indicate shock and should be reported to the provider?
B B B B B B B B B B B B B B
, A. Serosanguinous drainage on dressing
B B B B
B. Severe pain with coughing
B B B B
C. Urine output of 20 mL/hr
B B B B B
D. Increase in temperature from 36.8C (98.2F) to 37.5 (99.5F) - ANSWER-
B B B B B B B B B B B C
A nurse is caring for a client who has endocarditis. Which of the following findings should the
B B B B B B B B B B B B B B B B B
nurse recognize as a potential complication?
B B B B B
A. Ventricular depolarization
B B
B. Guillian-Barre syndrome
B B
C. Myelodysplastic syndrome
B B
D. Valvular disease - ANSWER-
B B B B D
A nurse is assessing a client who has L-
B B B B B B B B
sided HF. Which of the following manifestations should the nurse expect to find?
B B B B B B B B B B B B
A. Increased abdominal girth
B B B
B. Weak peripheral pulses
B B B
C. Jugular venous neck distention
B B B B
D. Dependent edema - ANSWER-
B B B B B
A nurse is caring for a client who had an onset of chest pain 24 hours ago. The nurse should ide
B B B B B B B B B B B B B B B B B B B B
ntify that an increase in which of the following values is diagnosis of myocardial infarction (MI)
B B B B B B B B B B B B B B B
?
A. Myoglobin
B
B. C-reactive protein
B B
C. Creatine kinase-MB
B B
D. Homocysteine - ANSWER-
B B B C
A nurse is caring for a client who is admitted for treatment of left-
B B B B B B B B B B B B B
sided heart failure and is receiving intravenous loop diuretics and digitalis therapy. The client i
B B B B B B B B B B B B B B
QUESTIONS AND 100% CORRECT DETAILED
ANSWERS | LATEST 2025/2026|VERIFIED
A nurse is caring for a client who has a history of angina and is scheduled for exercise electroca
B B B B B B B B B B B B B B B B B B
rdiography at 1100. Which of the following statements by the client requires the nurse to cont
B B B B B B B B B B B B B B B
act the provider for possible rescheduling?
B B B B B
A. "I'm still hungry after the bowl of cereal I ate at 0700"
B B B B B B B B B B B B
B. "I didn't tale my heart pills this morning because the doctor told me not to"
B B B B B B B B B B B B B B B
C. "I have had chest pain a couple of time since I saw my doctor in the office last week"
B B B B B B B B B B B B B B B B B B B
D. "I smoked a cigarette this morning to calm my nerves about having this procedure" -
B B B B B B B B B B B B B B B
B ANSWER- D
A nurse is providing discharge teaching to a client who has heart failure. The nurse should instr
B B B B B B B B B B B B B B B B
uct the client to report which of the following findings immediately to the provider?
B B B B B B B B B B B B B
A. Weight gain of 0.9 kg (2 lb) in 24 hours)
B B B B B B B B B B
B. Increase of 10 mmHg in systolic blood pressure
B B B B B B B B
C. Dyspnea with exertion
B B B
D. Dizziness when rising quickly - ANSWER-
B B B B B B A
A nurse is assessing a client who has history a deep-
B B B B B B B B B B
vein thrombosis and is receiving Warfarin. Which of the following findings should indicate to t
B B B B B B B B B B B B B B
he nurse that the medication is effective?
B B B B B B
A. Hemoglobin 14 g/dL
B B B
B. Minimal bruising of extremities
B B B B
C. Decreased bp
B B
D. INR 2 - ANSWER-
B B B B D
A nurse is caring for a client who is receiving heparin therapy and develops hematuria. Which
B B B B B B B B B B B B B B B B
of the following actions should the nurse take if the client's aPTT is 96 seconds.
B B B B B B B B B B B B B B B
A. increase the heparin infusion flow rate by 2 mL/hr
B B B B B B B B B
,B. Continue to monitor the heparin infusion as prescribed
B B B B B B B B
C. Request a prothrombin time (PT)
B B B B B
D. Stop the heparin infusion - ANSWER-
B B B B B B D
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which
B B B B B B B B B B B B B B B B B
of the following findings should the nurse plan to monitor for and report to the provider imme
B B B B B B B B B B B B B B B B
diately?
A. Slurred speech
B B
B. Irregular pulse
B B
C. Dependent edema
B B
D. Persistent fatigue - ANSWER-
B B B B A
A nurse is reviewing the laboratory results of several male clients who have peripheral arterial
B B B B B B B B B B B B B B B
disease. The nurse should plan to provide dietary teaching for the client who has which of the
B B B B B B B B B B B B B B B B B
following laboratory value? B B
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B B B B B B B B B
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
B B B B B B B B B
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
B B B B B B B B B
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - ANSWER-
B B B B B B B B B B B C
A nurse in an emergency department is assessing a client who has bradydysrhythmia. Which o
B B B B B B B B B B B B B B
f the following findings should the nurse monitor for?
B B B B B B B B
A. Confusion
B
B. Friction rub
B B
C. Hypertension
B
D. Dry skin - ANSWER-
B B B B A
A nurse is caring for a client following the insertion of a permanent pacemaker. Which of the f
B B B B B B B B B B B B B B B B B
ollowing client statement indicates a potential complication of the insertion procedure?
B B B B B B B B B B
A. "I can't get rid of these hiccups"
B B B B B B B
,B. "I feel dizzy when I stand"
B B B B B B
C. "My incision site stings"
B B B B
D. "I have a headache" - ANSWER-
B B B B B B A
A nurse is planning a presentation for a group of clients who have HTN. Which of the following
B B B B B B B B B B B B B B B B B B
lifestyle modification should the nurse include?
B B B B B
A. Limited alcohol intake
B B B
B. Regular exercise program
B B B
C. Decreased magnesium intake
B B B
D. Reduced potassium intake
B B B
E. Tobacco cessation - ANSWER-
B B B B ABE
A nurse is providing health teaching to a group of clients. Which of the following clients is at ris
B B B B B B B B B B B B B B B B B B
k for developing peripheral arterial disease?
B B B B B
A. A client who has hypothyroidism
B B B B B
B. A client who has diabetes mellitus
B B B B B B
C. A client whose daily caloric intake consists of 25% fat
B B B B B B B B B B
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day - ANSWER-
B B B B B B B B B B B B B B B B
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed from n
B B B B B B B B B B B B B B B B
ormal sinus rhythm to SVT. The nurse should prepare to assist with which of the following inte
B B B B B B B B B B B B B B B B
rventions?
A. Initiate chest compression
B B B
B. Vagal stimulation
B B
C. Administration of atropine IV
B B B B
D. Defibrillation - ANSWER-
B B B B
A nurse is caring for a client who is 1 hour postoperative following an aortic aneursym repair.
B B B B B B B B B B B B B B B B B
Which of the following findings can indicate shock and should be reported to the provider?
B B B B B B B B B B B B B B
, A. Serosanguinous drainage on dressing
B B B B
B. Severe pain with coughing
B B B B
C. Urine output of 20 mL/hr
B B B B B
D. Increase in temperature from 36.8C (98.2F) to 37.5 (99.5F) - ANSWER-
B B B B B B B B B B B C
A nurse is caring for a client who has endocarditis. Which of the following findings should the
B B B B B B B B B B B B B B B B B
nurse recognize as a potential complication?
B B B B B
A. Ventricular depolarization
B B
B. Guillian-Barre syndrome
B B
C. Myelodysplastic syndrome
B B
D. Valvular disease - ANSWER-
B B B B D
A nurse is assessing a client who has L-
B B B B B B B B
sided HF. Which of the following manifestations should the nurse expect to find?
B B B B B B B B B B B B
A. Increased abdominal girth
B B B
B. Weak peripheral pulses
B B B
C. Jugular venous neck distention
B B B B
D. Dependent edema - ANSWER-
B B B B B
A nurse is caring for a client who had an onset of chest pain 24 hours ago. The nurse should ide
B B B B B B B B B B B B B B B B B B B B
ntify that an increase in which of the following values is diagnosis of myocardial infarction (MI)
B B B B B B B B B B B B B B B
?
A. Myoglobin
B
B. C-reactive protein
B B
C. Creatine kinase-MB
B B
D. Homocysteine - ANSWER-
B B B C
A nurse is caring for a client who is admitted for treatment of left-
B B B B B B B B B B B B B
sided heart failure and is receiving intravenous loop diuretics and digitalis therapy. The client i
B B B B B B B B B B B B B B
