Actual ATI PN Adult Medical
Surgical (Med-Surg) 2025
Proctored Exam Questions
And Correct Answers (Verified
Answers) Plus Rationales
2026/2027 Q&A | Instant
Download Pdf
1.
A nurse is caring for a client with heart failure. Which finding
indicates fluid overload?
A. Weight loss
B. Bradycardia
C. Crackles in lungs
D. Dry mucous membranes
Crackles indicate pulmonary edema from excess fluid accumulation.
2.
Which lab value is most concerning for a client receiving warfarin?
A. Platelets 200,000/mm³
B. INR 5.0
,C. Hemoglobin 14 g/dL
D. WBC 7,000/mm³
An INR of 5.0 indicates high bleeding risk.
3.
A client with COPD is receiving oxygen. What is the priority?
A. Maintain O2 at 6 L/min
B. Keep O2 at 1–2 L/min
C. Encourage hyperventilation
D. Use non-rebreather mask
Low oxygen levels prevent suppression of respiratory drive in COPD.
4.
Which position is best for a client with dyspnea?
A. Supine
B. Sims
C. High Fowler’s
D. Trendelenburg
High Fowler’s promotes lung expansion.
5.
A client with diabetes has a blood glucose of 55 mg/dL. What is the
first action?
A. Administer insulin
B. Call provider
C. Give 15 g of carbohydrates
D. Start IV fluids
Immediate treatment for hypoglycemia is fast-acting carbs.
,6.
Which electrolyte imbalance causes peaked T waves?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypercalcemia
Hyperkalemia alters cardiac conduction, causing peaked T waves.
7.
A client is post-op. Which finding requires immediate intervention?
A. Pain 6/10
B. Urine output 40 mL/hr
C. O2 saturation 88%
D. Temp 37.5°C
Low oxygen saturation is life-threatening.
8.
Which sign indicates hypocalcemia?
A. Muscle weakness
B. Positive Chvostek’s sign
C. Bradycardia
D. Decreased reflexes
Hypocalcemia increases neuromuscular excitability.
9.
, A nurse is administering digoxin. Which finding should be reported?
A. HR 72 bpm
B. HR 52 bpm
C. BP 120/80
D. K+ 4.0
Digoxin should be withheld if HR <60 bpm.
10.
Which diet is appropriate for hypertension?
A. High sodium
B. High fat
C. Low sodium (DASH diet)
D. High cholesterol
Low sodium helps reduce blood pressure.
11.
A client with pneumonia should be encouraged to:
A. Limit fluids
B. Use incentive spirometer
C. Avoid coughing
D. Stay supine
Spirometry improves lung expansion and prevents complications.
12.
Which finding indicates worsening renal failure?
A. BUN 10 mg/dL
B. Creatinine 0.8 mg/dL
Surgical (Med-Surg) 2025
Proctored Exam Questions
And Correct Answers (Verified
Answers) Plus Rationales
2026/2027 Q&A | Instant
Download Pdf
1.
A nurse is caring for a client with heart failure. Which finding
indicates fluid overload?
A. Weight loss
B. Bradycardia
C. Crackles in lungs
D. Dry mucous membranes
Crackles indicate pulmonary edema from excess fluid accumulation.
2.
Which lab value is most concerning for a client receiving warfarin?
A. Platelets 200,000/mm³
B. INR 5.0
,C. Hemoglobin 14 g/dL
D. WBC 7,000/mm³
An INR of 5.0 indicates high bleeding risk.
3.
A client with COPD is receiving oxygen. What is the priority?
A. Maintain O2 at 6 L/min
B. Keep O2 at 1–2 L/min
C. Encourage hyperventilation
D. Use non-rebreather mask
Low oxygen levels prevent suppression of respiratory drive in COPD.
4.
Which position is best for a client with dyspnea?
A. Supine
B. Sims
C. High Fowler’s
D. Trendelenburg
High Fowler’s promotes lung expansion.
5.
A client with diabetes has a blood glucose of 55 mg/dL. What is the
first action?
A. Administer insulin
B. Call provider
C. Give 15 g of carbohydrates
D. Start IV fluids
Immediate treatment for hypoglycemia is fast-acting carbs.
,6.
Which electrolyte imbalance causes peaked T waves?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypercalcemia
Hyperkalemia alters cardiac conduction, causing peaked T waves.
7.
A client is post-op. Which finding requires immediate intervention?
A. Pain 6/10
B. Urine output 40 mL/hr
C. O2 saturation 88%
D. Temp 37.5°C
Low oxygen saturation is life-threatening.
8.
Which sign indicates hypocalcemia?
A. Muscle weakness
B. Positive Chvostek’s sign
C. Bradycardia
D. Decreased reflexes
Hypocalcemia increases neuromuscular excitability.
9.
, A nurse is administering digoxin. Which finding should be reported?
A. HR 72 bpm
B. HR 52 bpm
C. BP 120/80
D. K+ 4.0
Digoxin should be withheld if HR <60 bpm.
10.
Which diet is appropriate for hypertension?
A. High sodium
B. High fat
C. Low sodium (DASH diet)
D. High cholesterol
Low sodium helps reduce blood pressure.
11.
A client with pneumonia should be encouraged to:
A. Limit fluids
B. Use incentive spirometer
C. Avoid coughing
D. Stay supine
Spirometry improves lung expansion and prevents complications.
12.
Which finding indicates worsening renal failure?
A. BUN 10 mg/dL
B. Creatinine 0.8 mg/dL
