ATI PN Medical-Surgical- Final Exam
2025/2026 (VERIFIED VERSION)
ATI PN Medical-Surgical Practice Exam –
Original (Questions
1. A patient with heart failure presents with shortness of
breath, orthopnea, and crackles in the lungs. Which
intervention should the nurse implement first?
A. Administer a diuretic as prescribed
B. Elevate the head of the bed
C. Encourage the patient to ambulate
D. Provide a high-sodium diet
Answer: B
Explanation: Elevating the head of the bed improves breathing and reduces pulmonary
congestion, which is the immediate priority.
2. Which lab value is most indicative of myocardial
injury?
A. BNP
B. Troponin I
C. ALT
D. BUN
,Answer: B
3. A patient with COPD presents with increased
shortness of breath and productive cough. Which is the
priority assessment?
A. Auscultate lung sounds
B. Check blood glucose
C. Assess deep tendon reflexes
D. Measure ankle edema
Answer: A
Explanation: Lung auscultation helps identify worsening airway obstruction or infection.
4. Which medication is commonly prescribed for a patient
with hypertension and heart failure to reduce fluid
retention?
A. Furosemide
B. Metoprolol
C. Lisinopril
D. Digoxin
Answer: A
5. Which symptom is most indicative of hypoglycemia?
A. Tremors, diaphoresis, and confusion
B. Polyuria and polydipsia
C. Weight loss
D. Dry skin
Answer: A
, 6. A patient is receiving warfarin. Which lab should the
nurse monitor regularly?
A. INR
B. Creatinine
C. ALT
D. Hemoglobin
Answer: A
7. Which nursing action is appropriate for a patient with a
nasogastric tube and abdominal distension?
A. Check tube placement and suction as prescribed
B. Increase tube feed rate
C. Encourage solid food intake
D. Remove the tube immediately
Answer: A
8. Which electrolyte imbalance is most likely in a patient
with vomiting and diarrhea?
A. Hypokalemia
B. Hyperkalemia
C. Hypercalcemia
D. Hyponatremia
Answer: A
9. Which finding is most concerning in a patient
post-myocardial infarction?
A. Chest pain with diaphoresis and nausea
B. Mild fatigue
2025/2026 (VERIFIED VERSION)
ATI PN Medical-Surgical Practice Exam –
Original (Questions
1. A patient with heart failure presents with shortness of
breath, orthopnea, and crackles in the lungs. Which
intervention should the nurse implement first?
A. Administer a diuretic as prescribed
B. Elevate the head of the bed
C. Encourage the patient to ambulate
D. Provide a high-sodium diet
Answer: B
Explanation: Elevating the head of the bed improves breathing and reduces pulmonary
congestion, which is the immediate priority.
2. Which lab value is most indicative of myocardial
injury?
A. BNP
B. Troponin I
C. ALT
D. BUN
,Answer: B
3. A patient with COPD presents with increased
shortness of breath and productive cough. Which is the
priority assessment?
A. Auscultate lung sounds
B. Check blood glucose
C. Assess deep tendon reflexes
D. Measure ankle edema
Answer: A
Explanation: Lung auscultation helps identify worsening airway obstruction or infection.
4. Which medication is commonly prescribed for a patient
with hypertension and heart failure to reduce fluid
retention?
A. Furosemide
B. Metoprolol
C. Lisinopril
D. Digoxin
Answer: A
5. Which symptom is most indicative of hypoglycemia?
A. Tremors, diaphoresis, and confusion
B. Polyuria and polydipsia
C. Weight loss
D. Dry skin
Answer: A
, 6. A patient is receiving warfarin. Which lab should the
nurse monitor regularly?
A. INR
B. Creatinine
C. ALT
D. Hemoglobin
Answer: A
7. Which nursing action is appropriate for a patient with a
nasogastric tube and abdominal distension?
A. Check tube placement and suction as prescribed
B. Increase tube feed rate
C. Encourage solid food intake
D. Remove the tube immediately
Answer: A
8. Which electrolyte imbalance is most likely in a patient
with vomiting and diarrhea?
A. Hypokalemia
B. Hyperkalemia
C. Hypercalcemia
D. Hyponatremia
Answer: A
9. Which finding is most concerning in a patient
post-myocardial infarction?
A. Chest pain with diaphoresis and nausea
B. Mild fatigue
