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ATI RN ADULT MEDICAL SURGICAL PROCTORED RETAKE EXAM||2025-2026 WITH NGN QUESTIONS&ANSWERS, Exams of Nursing

West Coast UniversityNursing

ATI RN ADULT MEDICAL SURGICAL PROCTORED RETAKE EXAM||2025-2026 WITH NGN QUESTIONS AND 100% VERIFIED SOLUTIONS A+ GRADE

Typology: Exams

2024/2025

Available from 04/16/2025

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lOMoARcPSD|10964524
lOMoARcPSD|10964524
ATI RN ADULT MEDICAL SURGICAL PROCTORED
RETAKE EXAM||2025-2026 WITH NGN QUESTIONS
AND 100% VERIFIED SOLUTIONS A+ GRADE
1. A nurse is caring for a client who has heart failure and a prescription for digoxin 125
mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the
nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero
if it applies. Do not use a trailing zero.) _0.5_ tablet(s)
2. A nurse is assessing a client who has fluid overload. Which of the following findings should
the nurse expect? (Select all that apply.)
A. Increased heart rate
B. Increased blood pressure
C. Increased respiratory rate
D. Increase hematocrit
E. Increased temperature
3. A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the
following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
A. Abnormally prominent U wave
B. Elevated ST segment
C. Wide QRS
D. Inverted P wave
4. A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg.
The nurse recognizes that the aspirin is given due to which of the following actions of the
medication?
A. analgesic
B. anti-inflammatory
C. antiplatelet aggregate
D. antipyretic
5. While performing an admission assessment for a client, the nurse notes that the client has
varicose veins with ulcerations and lower extremity edema with a report of a feeling of
heaviness. Which of the following nursing diagnoses should the nurse identify as being the
priority in the client's care?
A. Impaired tissue perfusion
B. Alteration in body image
C. Alteration in activity tolerance
D. Impaired skin integrity
6. A nurse is assessing a client who is receiving one unit of packed RBCs to treat
intraoperative blood loss. The client reports chills and back pain, and the client's blood
pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?
A. Stop the infusion of blood.
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Download ATI RN ADULT MEDICAL SURGICAL PROCTORED RETAKE EXAM||2025-2026 WITH NGN QUESTIONS&ANSWERS and more Exams Nursing in PDF only on Docsity!

lOMoARcPSD|10 964524

ATI RN ADULT MEDICAL SURGICAL PROCTORED

RETAKE EXAM|| 2025 - 2026 WITH NGN QUESTIONS

AND 100% VERIFIED SOLUTIONS A+ GRADE

  1. A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 0.5 tablet(s)
  2. A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.) A. Increased heart rate B. Increased blood pressure C. Increased respiratory rate D. Increase hematocrit E. Increased temperature
  3. A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia? A. Abnormally prominent U wave B. Elevated ST segment C. Wide QRS D. Inverted P wave
  4. A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication? A. analgesic B. anti-inflammatory C. antiplatelet aggregate D. antipyretic
  5. While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care? A. Impaired tissue perfusion B. Alteration in body image C. Alteration in activity tolerance D. Impaired skin integrity
  6. A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain, and the client's blood pressure is 80/64 mm Hg. Which of the following actions should the nurse take first? A. Stop the infusion of blood.

B. Inform the provider. C. Obtain a urine specimen. D. Notify the laboratory.

  1. A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies? A. "These tests help determine the degree of damage to the heart tissues." B. "Cardiac enzymes will identify the location of the MI." C. "These tests will enable the provider to determine the heart structure and mobility of the heart valves." D. "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion."
  2. A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Which of the following actions should the nurse take? A. Ambulate the client four times per day. B. Encourage the client to consume clear liquids. C. Provide frequent oral and nares care. D. Keep the client in a supine position.
  3. A nurse is teaching about risk factors of developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include in the teaching? A. History of smoking B. Obesity C. History of hypertension D. Race 10.A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions? A. Elevating her feet B. Massaging her legs C. Flexing her ankles D. Ambulating soon after surgery
  4. A nurse is auscultating a client's heart sounds and hears an extra heart sound before what should be considered the first heart sound S1. The nurse should document this finding as which of the following heart sounds? A. The fourth heart sound (S4) B. A friction rub C. The third heart sound (S3) D. A split second heart sound S
  1. A nurse is caring for a client who has bleeding esophageal varices and is being treated with a Sengstaken-Blakemore tube. Which of the following actions should the nurse perform? A. Deflate the balloons for 5 min every 2 hr to prevent tissue necrosis. B. Maintain constant observation while the balloons are inflated. C. Suction the tube every 2 hr and as needed to maintain patency. D. Keep the head of the bed flat at all times to prevent the development of shock.
  2. A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation? A. Different blood pressures in the upper limbs. B. Different apical and radial pulses. C. Differences between oral and axillary temperatures. D. Differences in upper and lower lung sounds.
  3. A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T- wave. (Check on the Hot Spot that corresponds to your answer.)

18.A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make? A. "DIC is controllable with lifelong heparin usage." B. "DIC is characterized by an elevated platelet count." C. "DIC is caused by abnormal coagulation involving fibrinogen." D. "DIC is a genetic disorder involving a vitamin K deficiency."

  1. A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect? A. Excessive thrombosis and bleeding B. Progressive increase in platelet production C. Immediate sodium and fluid retention D. Increased clotting factors
  2. A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following laboratory results should the nurse expect? A. The laboratory values are within the expected reference range. B. The laboratory values are prolonged. C. The laboratory values are decreased. D. The laboratory values are the same as the previous test values.
  3. A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm? A. The P wave falls before the QRS complex. B. The T wave is in the inverted position. C. The P-R interval measures 0.22 seconds. D. The QRS duration is 0.20 seconds.
  4. A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify? A. Serum cardiac enzyme levels B. MRI of the chest C. Physical therapy D. Low-sodium diet
  5. A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first? A. Apply a tourniquet just below the elbow. B. Apply direct pressure over the wound. C. Clean the wound. D. Elevate the limb and apply ice.

D. Assessing the client's skin for a rash

  1. A nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. Which of the following statements by the client should indicate to the nurse the need for further teaching? A. "A weight loss program can decrease my LDL cholesterol level." B. "Exercising regularly will increase HDL cholesterol levels." C. "Adding foods containing omega- 3 fatty acids to my diet can lower my risk." D. "Increasing my intake of foods containing trans-fatty acids can lower my risk."
  2. A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.) A. Genetic predisposition B. Hypercholesterolemia C. Hypertension D. Obesity E. Smoking
  3. A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding? A. Obtain a venous duplex ultrasound. B. Obtain impedance plethysmography. C. Monitor Homan’s sign. D. Apply cold therapy to the affected leg.
  4. A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip? A. Pacemaker spikes after each QRS complex B. Pacemaker spikes before each P wave C. Pacemaker spikes before each QRS complex D. Pacemaker spikes with each T wave
  5. A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client’s restored rhythm is symptomatic bradycardia? A. Epinephrine B. Magnesium C. Atropine D. Sodium bicarbonate
  1. A nurse is preparing to administer a unit of red blood cells. The nurse’s responsibility is to compare and verify the information on the blood label with the client’s information. The nurse should use which of the following as the priority source of verification? A. chart B. order sheet C. medication administration record D. identification wristband
  2. A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification? A. Morphine sulfate 2 mg IV bolus every 2 hr PRN pain B. Laboratory testing of serum potassium upon admission C. 0.9% normal saline IV at 50 mL/hr continuous D. Bumetanide 1 mg IV bolus every 12 hr
  3. A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity? A. "I am gaining weight." B. "I am constipated." C. "My vision seems yellow." D. "My tongue is red and beefy."
  4. A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurse is reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following? A. Cabbage B. Cantaloupe C. Green beans D. White beans
  5. A nurse is caring for a male client who has peripheral vascular disease (PVD), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.) A. Saw palmetto B. Flaxseed oil C. Glucosamine D. Black cohosh E. Gingko biloba
  6. A nurse is reviewing a client’s laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following? A. Prolonged bleeding
  1. A nurse is preparing to administer 2 units of packed RBCs to an older adult client. Which of the following actions should the nurse take? A. Administer each unit over 3 hr. B. Use an 18 - gauge needle to obtain venous access. C. Use blood that is less than a month old. D. Obtain the client's vital signs every 30 min throughout the transfusion.
  2. A nurse is caring for a client who has valvular heart disease and is at risk for developing left- sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition? A. Anorexia B. Weight gain C. Breathlessness D. Distended abdomen 48.A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take? A. Suggest that the client use a salt substitute. B. Obtain a 12 - lead ECG. C. Advise the client to add citrus juices and bananas to her diet. D. Obtain a blood sample for a serum sodium level.
  3. A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests? A. Sweat test B. Haptoglobin C. Antinuclear antibodies D. Schilling test
  4. A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect? A. Fatigue B. Hypertension C. Bradycardia D. Diarrhea
  5. A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take? A. Have the client lie flat in bed. B. Keep the affected leg slightly flexed. C. Elevate the head of the bed 45°. D. Keep the client NPO for 4 hr.
  1. A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic? A. Pitting edema B. Fatigue C. Dyspnea D. Oliguria
  2. A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for? A. Anorexia B. Dyspnea C. Fever D. Malaise
  3. A nurse is preparing to administer atenolol 25 mg PO every 12 hr. The amount available is atenolol 50 mg/tab. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 0.5 tablet(s) 55.A nurse is providing discharge instructions to a client who developed deep-vein thrombosis (DVT) postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include? A. Applying cool compresses to her legs B. Wearing loose, non-constricting stockings C. Flexing her knees and feet frequently D. Taking an NSAID tablet daily
  4. A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe? A. Troponin I B. Lipase C. B-type natriuretic peptide (BNP) D. Aspartate aminotransferase (AST)
  5. A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave? A. Ventricular depolarization B. Slow repolarization of ventricular Purkinje fibers C. Atrial depolarization D. Early ventricular repolarization

C. Remove the catheter. D. Replace the infusion system.

  1. A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.) A. BMI of 20 B. Oral contraceptive use C. Hypertension D. High calcium intake E. Immobility
  2. A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.) A. Check peripheral pulses in the affected extremity. B. Place the client in high-Fowler's position. C. Measure the client's vital signs every 4 hr. D. Keep the client's hip and leg extended. E. Have the client remain in bed up to 6 hr.
  3. A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.) A. Count your pulse for 1 min each morning. B. Resume activities that can cause jolting, such as horseback riding, after 4 weeks. C. Do not wear tight clothing over the insertion area. D. Request to be scanned with a handheld metal detector when in the airport. E. Do not have a microwave oven in the home.
  4. A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider? A. Sodium 136 mEq/L B. Potassium 2.3 mEq/L C. Chloride 99 mEq/L D. Calcium 10 mg/dL
  5. A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.) A. Lubricate lips with water-soluble ointment. B. Brush teeth with a soft toothbrush. C. Blow nose gently. D. Limit fruit consumption. E. Use a straight edge razor to shave.
  1. A nurse is reviewing the laboratory findings for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following findings should the nurse expect to be decreased? A. WBC B. RBC C. Granulocytes D. Platelets 70.A nurse is preparing educational material for a client who has a thrombocytopenic disorder. Which of the following information should the nurse include? A. "Use a rectal suppository if constipated." B. "Swish with a commercial mouthwash after brushing the teeth." C. "Notify the dentist of your condition prior to invasive procedures." D. "Take aspirin for headaches."
  2. A nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm3. The nurse should monitor the client for which of the following conditions? A. Spontaneous bleeding B. Oliguria C. Hyperactive deep tendon reflexes D. Infection 72.A nurse is administering platelets to a client who reports having lower back pain and feeling chilled and itchy. Which of the following actions should the nurse take first? A. Notify the provider. B. Stop the infusion. C. Collect a urine sample from the client. D. Return the platelet bag and tubing to the blood bank. 73.A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take? A. Obtain an EKG. B. Administer enteric-coated acetaminophen. C. Administer ibuprofen. D. Maintain oxygen saturations greater than or equal to 92%. 74.A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction? A. Check the client's blood pressure. B. Auscultate heart tones. C. Perform a 12 - lead ECG
  1. A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur A. is a high-pitched sound due to a narrow valve. B. is an extra sound due to blood entering an inflexible chamber. C. means that there is some inflammation around the heart. D. indicates turbulent blood flow through a valve.
  2. A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect? A. Slow B. Not palpable C. Irregular D. Bounding
  3. A nurse is assessing a client who has infective endocarditis. Which of the following findings should be the priority for the nurse to report to the provider? A. Splinter hemorrhages to the nails B. Dyspnea C. Fever D. Clusters of petechiae in the mouth
  4. A nurse is providing discharge teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching? A. Apply a heating pad on a low setting to help relieve leg pain. B. Adjust the thermostat so that the environment is warm. C. Wear antiembolic stockings during the day. D. Rest with the legs above heart level.
  5. A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect? A. Thin, pliable toenails B. Leg pain at rest C. Hairy legs D. Flushed, warm legs
  6. A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first? A. Attach the leads for a 12 - lead ECG. B. Obtain a blood sample. C. Initiate oxygen therapy.

D. Insert the IV catheter.

  1. A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.) A. Orthopnea B. Headache C. Nausea D. Tachycardia E. Diaphoresis
  2. A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following findings indicates that the medication is effective? A. Increased heart rate B. Increased urine output C. Decreased blood pressure D. Decreased blood glucose level
  3. A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety? A. Nitroglycerin B. Aspirin C. Oxygen D. Morphine
  4. A nurse is caring for a client who has a new diagnosis of essential hypertension. The nurse should monitor the client for which of the following findings that is consistent with this diagnosis? A. Vertigo B. Uremia C. Blurred vision D. Dyspnea
  5. A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings? A. The client is experiencing premature atrial contractions. B. The client has a decreased oxygen saturation level. C. The client has bilateral wheezes. D. The client has lower leg edema.

B. The pain often radiates to the jaw or the back. C. The pain persists with rest and organic nitrates. D. Exertion and anxiety can trigger the pain.

  1. A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect? A. Dry, hacking cough B. Hepatomegaly C. Dizziness D. Crackles in the lungs
  2. When checking a client's capillary refill, the nurse finds that the color returns in 10 seconds. The nurse should understand that this finding indicates which of the following? A. Arterial insufficiency B. Venous insufficiency C. Within the expected range D. Thrombus formation in the vein
  3. A nurse is assessing a client who is postoperative following a vaginal hysterectomy. Which of the following findings is a manifestation of deep-vein thrombosis (DVT)? A. Coolness of the leg or legs B. Decreased pedal pulses C. Pain in the ankle and foot D. Unilateral leg edema
  4. A nurse in a provider’s office is assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions? A. Asthma B. Aortic valve regurgitation C. Heart failure D. Aortic stenosis
  5. A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect? A. Dependent rubor B. Edema C. Hair loss D. Thick, deformed toenails
  1. A nurse in a provider's office is assessing a client who reports occasional atypical chest pain, palpitations, and exercise intolerance. On auscultation, the nurse notes a systolic click. The nurse should recognize this finding as a manifestation of which of the following conditions? A. Aortic regurgitation B. Mitral stenosis C. Aortic stenosis D. Mitral valve prolapse
  2. A nurse is providing instructions to a client who has a new prescription for sublingual nitroglycerin (Nitrostat) to treat angina pectoris. Which of the following instructions should the nurse include? A. "Place the tablet under your tongue, and then take a small sip of water." B. "The medication can take up to 15 minutes to take effect." C. "Avoid taking the medication prior to exercising." D. "Stop taking the medication and notify your provider if you develop a headache."
  3. A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury? A. Atorvastatin B. Metformin C. Nitroglycerin D. Carvedilol
  4. A nurse is planning care for a client who has deep-vein thrombosis (DVT) and is receiving anticoagulation therapy. Which of the following interventions should the nurse include in the plan of care? A. Apply cold compresses to the affected extremity. B. Massage the affected extremity gently. C. Apply compression stockings at bedtime. D. Encourage the client to walk.
  5. A nurse in an emergency department is preparing to administer alteplase accelerated therapy to a client who is having a myocardial infarction. Which of the following actions should the nurse plan to take? (Select all that apply.) A. Administer the medication within 30 min of the client’s arrival to the department. B. Reconstitute the medication with sterile water. C. Administer a 15 mg IV bolus. D. Tell the client that the purpose of the medication is to keep a new clot from forming. E. Assess the client for back pain.