ATI RN Medical Surgical Exam Prep Test Bank
ATI RN MEDICAL SURGICAL EXAM PREP TEST BANK NEWEST 2026/2027
ACTUAL EXAM COMPLETE 600 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
Contents Covered
Topic 1: Cardiovascular & Hematology.................................................... 2
Topic 2: Respiratory ............................................................................. 100
Topic 3: Immune & Infections ............................................................. 137
Topic 4: Renal and Urinary .................................................................. 201
Topic 5: Oncology ................................................................................ 245
1|Page
, ATI RN Medical Surgical Exam Prep Test Bank
Topic 1: Cardiovascular & Hematology
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has
changed from normal sinus rhythm to supra ventricular tachycardia. The nurse
should prepare to assist with which of the following interventions?
a) Initiate chest compressions
b) Vagal stimulation
c) Administration of atropine IV
d) Defibrillation - Correct Answer-b) Vagal stimulation
A nurse is caring for a client who is 1 hr postoperative following an aortic
aneurysm repair. Which of the following findings can indicate shock and should be
reported to the provider?
a) Serosanguineous drainage on dressing
b) Severe pain with coughing
c) Urine output of 20 mL/hr
d) Increase in temperature from 36.8° C (98.2° F) to 37.5° C (99.5° F) - Correct
Answer-c) Urine output of 20 mL/hr
A nurse is caring for a client who has endocarditis. Which of the following findings
should the nurse recognize as a potential complication?
a) Ventricular depolarization
b) Guillain-Barré syndrome
2|Page
, ATI RN Medical Surgical Exam Prep Test Bank
c) Myelodysplastic syndrome
d) Valvular disease - Correct Answer-d) Valvular disease
A nurse is assessing a client who has left-sided heart failure. Which of the
following manifestations should the nurse expect to find?
a) Increased abdominal girth
b) Weak peripheral pulses
c) Jugular venous neck distention
d) Dependent edema - Correct Answer-b) Weak peripheral pulses
A nurse is caring for a client who had an onset of chest pain 24 hr ago. The nurse
should identify that an increase in which of the following values is diagnostic of a
myocardial infarction (MI)?
a) Myoglobin
b) C-reactive protein
c) Creatine kinase-MB
d) Homocysteine - Correct Answer-c) Creatine kinase-MB
A nurse is caring for a client who was admitted for treatment of left-sided heart
failure and is receiving intravenous loop diuretics and digitalis therapy. The client
is experiencing weakness and an irregular heart rate. Which of the following
actions should the nurse take first?
3|Page
, ATI RN Medical Surgical Exam Prep Test Bank
a) Obtain the client's current weight.
b) Review serum electrolyte values.
c) Determine the time of the last digoxin dose.
d) Check the client's urine output. - Correct Answer-b) Review serum electrolyte
values.
A nurse is providing discharge teaching to a client who has a prescription for
transdermal nitroglycerin patches. Which of the following instructions should the
nurse include in the teaching?
a) Apply the new patch to the same site as the previous patch.
b) Place the patch on an area of skin away from skin folds and joints.
c) Keep the patch on 24 hr per day.
d) Replace the patch at the onset of angina. - Correct Answer-b) Place the patch
on an area of skin away from skin folds and joints.
The client should apply the patch to an area of intact skin that has enough room
for the patch to fit smoothly.
A nurse is preparing a client for coronary angiography. Which of the following
findings should the nurse report to the provider prior to the procedure?
a) Hemoglobin 14.4 g/dL
b) History of peripheral arterial disease
c) Urine output 200 mL/4 hr
4|Page
ATI RN MEDICAL SURGICAL EXAM PREP TEST BANK NEWEST 2026/2027
ACTUAL EXAM COMPLETE 600 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
Contents Covered
Topic 1: Cardiovascular & Hematology.................................................... 2
Topic 2: Respiratory ............................................................................. 100
Topic 3: Immune & Infections ............................................................. 137
Topic 4: Renal and Urinary .................................................................. 201
Topic 5: Oncology ................................................................................ 245
1|Page
, ATI RN Medical Surgical Exam Prep Test Bank
Topic 1: Cardiovascular & Hematology
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has
changed from normal sinus rhythm to supra ventricular tachycardia. The nurse
should prepare to assist with which of the following interventions?
a) Initiate chest compressions
b) Vagal stimulation
c) Administration of atropine IV
d) Defibrillation - Correct Answer-b) Vagal stimulation
A nurse is caring for a client who is 1 hr postoperative following an aortic
aneurysm repair. Which of the following findings can indicate shock and should be
reported to the provider?
a) Serosanguineous drainage on dressing
b) Severe pain with coughing
c) Urine output of 20 mL/hr
d) Increase in temperature from 36.8° C (98.2° F) to 37.5° C (99.5° F) - Correct
Answer-c) Urine output of 20 mL/hr
A nurse is caring for a client who has endocarditis. Which of the following findings
should the nurse recognize as a potential complication?
a) Ventricular depolarization
b) Guillain-Barré syndrome
2|Page
, ATI RN Medical Surgical Exam Prep Test Bank
c) Myelodysplastic syndrome
d) Valvular disease - Correct Answer-d) Valvular disease
A nurse is assessing a client who has left-sided heart failure. Which of the
following manifestations should the nurse expect to find?
a) Increased abdominal girth
b) Weak peripheral pulses
c) Jugular venous neck distention
d) Dependent edema - Correct Answer-b) Weak peripheral pulses
A nurse is caring for a client who had an onset of chest pain 24 hr ago. The nurse
should identify that an increase in which of the following values is diagnostic of a
myocardial infarction (MI)?
a) Myoglobin
b) C-reactive protein
c) Creatine kinase-MB
d) Homocysteine - Correct Answer-c) Creatine kinase-MB
A nurse is caring for a client who was admitted for treatment of left-sided heart
failure and is receiving intravenous loop diuretics and digitalis therapy. The client
is experiencing weakness and an irregular heart rate. Which of the following
actions should the nurse take first?
3|Page
, ATI RN Medical Surgical Exam Prep Test Bank
a) Obtain the client's current weight.
b) Review serum electrolyte values.
c) Determine the time of the last digoxin dose.
d) Check the client's urine output. - Correct Answer-b) Review serum electrolyte
values.
A nurse is providing discharge teaching to a client who has a prescription for
transdermal nitroglycerin patches. Which of the following instructions should the
nurse include in the teaching?
a) Apply the new patch to the same site as the previous patch.
b) Place the patch on an area of skin away from skin folds and joints.
c) Keep the patch on 24 hr per day.
d) Replace the patch at the onset of angina. - Correct Answer-b) Place the patch
on an area of skin away from skin folds and joints.
The client should apply the patch to an area of intact skin that has enough room
for the patch to fit smoothly.
A nurse is preparing a client for coronary angiography. Which of the following
findings should the nurse report to the provider prior to the procedure?
a) Hemoglobin 14.4 g/dL
b) History of peripheral arterial disease
c) Urine output 200 mL/4 hr
4|Page
