1
ATI Med Surg Proctored
Retake Exam 2025 –
Questions with Verified
Answers | 100% Correct | A+
Grade
Section 1: Cardiovascular Disorders (20 Questions)
Question 1 (Multiple-Choice)
A client with congestive heart failure (CHF) has crackles in the lungs. What is the priority
action?
A) Administer oxygen
B) Increase IV fluids
C) Encourage ambulation
D) Monitor temperature
Rationale: Crackles indicate fluid overload in CHF; oxygen administration is priority to improve
oxygenation, per 2025 ATI guidelines.
Question 2 (Multiple-Choice)
Which finding indicates worsening heart failure?
A) Jugular vein distension
B) Clear lung sounds
C) Stable blood pressure
D) Regular heart rate
Rationale: Jugular vein distension reflects increased preload in heart failure, per NCLEX-RN
standards.
, 2
Question 3 (Multiple-Choice)
A nurse is monitoring a client post-myocardial infarction. Which medication is priority?
A) Aspirin
B) Metformin
C) Albuterol
D) Famotidine
Rationale: Aspirin prevents platelet aggregation in acute MI, per 2025 ATI pharmacology.
Question 4 (NGN: Fill-in-the-Blank)
What is the normal range for therapeutic INR in a client on warfarin for atrial fibrillation? (Fill in
the blank.)
Answer: 2.0–3.0
Rationale: INR 2.0–3.0 ensures anticoagulation without excessive bleeding risk, per 2025
guidelines.
Question 5 (Multiple-Choice)
A client with hypertension is prescribed lisinopril. What should the nurse monitor?
A) Dry cough
B) Hyperglycemia
C) Bradycardia
D) Hypokalemia
Rationale: Lisinopril, an ACE inhibitor, commonly causes dry cough, per ATI pharmacology.
Question 6 (Multiple-Choice)
Which ECG finding indicates a life-threatening arrhythmia?
A) Sinus tachycardia
B) Ventricular fibrillation
C) Atrial flutter
D) First-degree heart block
Rationale: Ventricular fibrillation requires immediate defibrillation, per 2025 NCLEX-RN
guidelines.
Question 7 (Multiple-Choice)
A client post-CABG reports chest pain. What is the priority action?
, 3
A) Assess pain characteristics
B) Administer acetaminophen
C) Encourage deep breathing
D) Check temperature
Rationale: Chest pain post-CABG may indicate complications; assessment is priority, per ATI
standards.
Question 8 (Multiple-Choice)
What is a key teaching point for a client on warfarin?
A) Avoid green leafy vegetables
B) Increase calcium intake
C) Limit protein intake
D) Avoid exercise
Rationale: Green leafy vegetables are high in vitamin K, which antagonizes warfarin, per 2025
guidelines.
Question 9 (NGN: Multiple-Select)
Which symptoms indicate acute coronary syndrome? (Select all that apply.)
A) Chest pain
B) Dyspnea
C) Fever
D) Diaphoresis
E) Joint pain
Answer: A, B, D
Rationale: Chest pain, dyspnea, and diaphoresis are hallmark symptoms of ACS, per ATI
curriculum.
Question 10 (Multiple-Choice)
A client with peripheral artery disease reports leg pain. What is the best intervention?
A) Elevate legs
B) Apply compression stockings
C) Encourage prolonged standing
D) Administer diuretics
Rationale: Elevating legs improves blood flow in PAD, per 2025 NCLEX-RN guidelines.
Question 11 (Multiple-Choice)
ATI Med Surg Proctored
Retake Exam 2025 –
Questions with Verified
Answers | 100% Correct | A+
Grade
Section 1: Cardiovascular Disorders (20 Questions)
Question 1 (Multiple-Choice)
A client with congestive heart failure (CHF) has crackles in the lungs. What is the priority
action?
A) Administer oxygen
B) Increase IV fluids
C) Encourage ambulation
D) Monitor temperature
Rationale: Crackles indicate fluid overload in CHF; oxygen administration is priority to improve
oxygenation, per 2025 ATI guidelines.
Question 2 (Multiple-Choice)
Which finding indicates worsening heart failure?
A) Jugular vein distension
B) Clear lung sounds
C) Stable blood pressure
D) Regular heart rate
Rationale: Jugular vein distension reflects increased preload in heart failure, per NCLEX-RN
standards.
, 2
Question 3 (Multiple-Choice)
A nurse is monitoring a client post-myocardial infarction. Which medication is priority?
A) Aspirin
B) Metformin
C) Albuterol
D) Famotidine
Rationale: Aspirin prevents platelet aggregation in acute MI, per 2025 ATI pharmacology.
Question 4 (NGN: Fill-in-the-Blank)
What is the normal range for therapeutic INR in a client on warfarin for atrial fibrillation? (Fill in
the blank.)
Answer: 2.0–3.0
Rationale: INR 2.0–3.0 ensures anticoagulation without excessive bleeding risk, per 2025
guidelines.
Question 5 (Multiple-Choice)
A client with hypertension is prescribed lisinopril. What should the nurse monitor?
A) Dry cough
B) Hyperglycemia
C) Bradycardia
D) Hypokalemia
Rationale: Lisinopril, an ACE inhibitor, commonly causes dry cough, per ATI pharmacology.
Question 6 (Multiple-Choice)
Which ECG finding indicates a life-threatening arrhythmia?
A) Sinus tachycardia
B) Ventricular fibrillation
C) Atrial flutter
D) First-degree heart block
Rationale: Ventricular fibrillation requires immediate defibrillation, per 2025 NCLEX-RN
guidelines.
Question 7 (Multiple-Choice)
A client post-CABG reports chest pain. What is the priority action?
, 3
A) Assess pain characteristics
B) Administer acetaminophen
C) Encourage deep breathing
D) Check temperature
Rationale: Chest pain post-CABG may indicate complications; assessment is priority, per ATI
standards.
Question 8 (Multiple-Choice)
What is a key teaching point for a client on warfarin?
A) Avoid green leafy vegetables
B) Increase calcium intake
C) Limit protein intake
D) Avoid exercise
Rationale: Green leafy vegetables are high in vitamin K, which antagonizes warfarin, per 2025
guidelines.
Question 9 (NGN: Multiple-Select)
Which symptoms indicate acute coronary syndrome? (Select all that apply.)
A) Chest pain
B) Dyspnea
C) Fever
D) Diaphoresis
E) Joint pain
Answer: A, B, D
Rationale: Chest pain, dyspnea, and diaphoresis are hallmark symptoms of ACS, per ATI
curriculum.
Question 10 (Multiple-Choice)
A client with peripheral artery disease reports leg pain. What is the best intervention?
A) Elevate legs
B) Apply compression stockings
C) Encourage prolonged standing
D) Administer diuretics
Rationale: Elevating legs improves blood flow in PAD, per 2025 NCLEX-RN guidelines.
Question 11 (Multiple-Choice)
