ATI Medical-Surgical
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1. A client with heart failure is prescribed furosemide.
Which finding indicates the medication is effective?
A. Increased blood pressure
B. Decreased peripheral edema
,C. Increased serum potassium
D. Weight gain
Answer: B
Rationale: Furosemide is a loop diuretic that reduces fluid
overload, so decreased peripheral edema indicates
effectiveness.
2. A nurse is caring for a client with COPD. Which oxygen
delivery method is most appropriate?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 2 L/min
C. Simple face mask at 10 L/min
D. Venturi mask at 100% oxygen
Answer: B
Rationale: COPD patients require low-flow oxygen to
prevent CO₂ retention; nasal cannula at 1–3 L/min is safest.
3. Which lab value indicates acute kidney injury?
A. Creatinine 0.8 mg/dL
B. BUN 12 mg/dL
C. Creatinine 3.5 mg/dL
D. Potassium 3.8 mEq/L
Answer: C
Rationale: Elevated creatinine indicates impaired kidney
filtration.
,4. A postoperative client suddenly develops chest pain and
dyspnea. What is the priority action?
A. Administer pain medication
B. Encourage deep breathing
C. Notify provider immediately
D. Apply oxygen
Answer: D
Rationale: Oxygen is the priority to support airway and
breathing in suspected pulmonary embolism.
5. Which sign indicates hypoglycemia?
A. Fruity breath odor
B. Diaphoresis
C. Dry skin
D. Slow pulse
Answer: B
Rationale: Diaphoresis is a common sympathetic response
to low blood glucose.
6. A client with peptic ulcer disease should avoid which
medication?
A. Omeprazole
B. Sucralfate
C. Ibuprofen
D. Amoxicillin
, Answer: C
Rationale: NSAIDs like ibuprofen increase gastric irritation
and bleeding risk.
7. Which finding requires immediate intervention in a client
receiving heparin?
A. aPTT 60 seconds
B. Bruising at IV site
C. Blood in urine
D. Mild headache
Answer: C
Rationale: Hematuria indicates serious bleeding
complication.
8. What is the priority nursing action for a client with active
seizure?
A. Restrain the client
B. Place tongue blade in mouth
C. Turn client to side
D. Administer oral medication
Answer: C
Rationale: Side-lying position prevents aspiration.
9. Which diet is appropriate for a client with chronic kidney
disease?
ProctoredExam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A client with heart failure is prescribed furosemide.
Which finding indicates the medication is effective?
A. Increased blood pressure
B. Decreased peripheral edema
,C. Increased serum potassium
D. Weight gain
Answer: B
Rationale: Furosemide is a loop diuretic that reduces fluid
overload, so decreased peripheral edema indicates
effectiveness.
2. A nurse is caring for a client with COPD. Which oxygen
delivery method is most appropriate?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 2 L/min
C. Simple face mask at 10 L/min
D. Venturi mask at 100% oxygen
Answer: B
Rationale: COPD patients require low-flow oxygen to
prevent CO₂ retention; nasal cannula at 1–3 L/min is safest.
3. Which lab value indicates acute kidney injury?
A. Creatinine 0.8 mg/dL
B. BUN 12 mg/dL
C. Creatinine 3.5 mg/dL
D. Potassium 3.8 mEq/L
Answer: C
Rationale: Elevated creatinine indicates impaired kidney
filtration.
,4. A postoperative client suddenly develops chest pain and
dyspnea. What is the priority action?
A. Administer pain medication
B. Encourage deep breathing
C. Notify provider immediately
D. Apply oxygen
Answer: D
Rationale: Oxygen is the priority to support airway and
breathing in suspected pulmonary embolism.
5. Which sign indicates hypoglycemia?
A. Fruity breath odor
B. Diaphoresis
C. Dry skin
D. Slow pulse
Answer: B
Rationale: Diaphoresis is a common sympathetic response
to low blood glucose.
6. A client with peptic ulcer disease should avoid which
medication?
A. Omeprazole
B. Sucralfate
C. Ibuprofen
D. Amoxicillin
, Answer: C
Rationale: NSAIDs like ibuprofen increase gastric irritation
and bleeding risk.
7. Which finding requires immediate intervention in a client
receiving heparin?
A. aPTT 60 seconds
B. Bruising at IV site
C. Blood in urine
D. Mild headache
Answer: C
Rationale: Hematuria indicates serious bleeding
complication.
8. What is the priority nursing action for a client with active
seizure?
A. Restrain the client
B. Place tongue blade in mouth
C. Turn client to side
D. Administer oral medication
Answer: C
Rationale: Side-lying position prevents aspiration.
9. Which diet is appropriate for a client with chronic kidney
disease?
