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# ADVANCED ADULT HEALTH ATI MED SURG
COMPLETE STUDY GUIDE 2026##
COMPREHENSIVE EXAM PREP BANK (250+
QUESTIONS)### HIGH-YIELD CONTENT |
GRADED A+ | FIRST TIME PASS
## Table of Contents
1. **Cardiovascular Disorders** (30 questions)
2. **Respiratory Disorders** (25 questions)
3. **Neurologic Disorders** (25 questions)
4. **Gastrointestinal Disorders** (25 questions)
5. **Renal & Urinary Disorders** (20 questions)
6. **Endocrine Disorders** (25 questions)
7. **Hematologic & Immunologic Disorders** (20 questions)
8. **Musculoskeletal Disorders** (15 questions)
9. **Integumentary Disorders** (10 questions)
10. **Perioperative & Critical Care** (20 questions)
11. **Shock & Emergency Nursing** (15 questions)
12. **Multisystem & Infectious Diseases** (15 questions)
13. **Final Comprehensive Review** (20 questions)
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## Section 1: Cardiovascular Disorders (30 Questions)
**1.** A client with heart failure has crackles in the lung bases, 3+
pitting edema, and jugular vein distention. Which medication should the
nurse anticipate administering?
A. Furosemide (Lasix)
B. Dopamine
C. Digoxin
D. Spironolactone
**Correct Answer: A**
*Rationale:* These are signs of fluid overload (hypervolemia).
Furosemide is a loop diuretic that rapidly reduces preload and relieves
pulmonary congestion. Initial treatment of acute decompensated heart
failure.
---
**2.** A client with acute myocardial infarction (MI) reports chest pain
unrelieved by nitroglycerin. The nurse should anticipate which
medication?
A. Morphine sulfate
B. Acetaminophen
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C. Ibuprofen
D. Ondansetron
**Correct Answer: A**
*Rationale:* Morphine reduces pain, preload, and oxygen demand. It is
indicated for chest pain not relieved by nitroglycerin in acute MI.
Monitor for respiratory depression.
---
**3.** A client with hypertension is prescribed lisinopril (Zestril).
Which adverse effect requires immediate discontinuation?
A. Dry cough
B. Angioedema (swelling of lips, tongue, airway)
C. Dizziness
D. Headache
**Correct Answer: B**
*Rationale:* Angioedema is a life-threatening allergic reaction to ACE
inhibitors (lisinopril, enalapril, etc.) requiring immediate discontinuation
and emergency treatment.
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---
**4.** A client with heart failure has a daily weight increase of 4 pounds
in 2 days. What should the nurse do first?
A. Encourage fluids
B. Notify the provider (fluid retention indicates worsening heart failure)
C. Reduce diuretic dose
D. Discharge the client
**Correct Answer: B**
*Rationale:* Rapid weight gain (2+ lbs/day or 5+ lbs/week) indicates
fluid retention and worsening heart failure requiring intervention
(diuretic adjustment, etc.).
---
**5.** A client with new-onset atrial fibrillation is started on warfarin.
Which laboratory value monitors therapy?
A. aPTT
B. INR (target 2-3 for atrial fibrillation)
C. Platelet count
# ADVANCED ADULT HEALTH ATI MED SURG
COMPLETE STUDY GUIDE 2026##
COMPREHENSIVE EXAM PREP BANK (250+
QUESTIONS)### HIGH-YIELD CONTENT |
GRADED A+ | FIRST TIME PASS
## Table of Contents
1. **Cardiovascular Disorders** (30 questions)
2. **Respiratory Disorders** (25 questions)
3. **Neurologic Disorders** (25 questions)
4. **Gastrointestinal Disorders** (25 questions)
5. **Renal & Urinary Disorders** (20 questions)
6. **Endocrine Disorders** (25 questions)
7. **Hematologic & Immunologic Disorders** (20 questions)
8. **Musculoskeletal Disorders** (15 questions)
9. **Integumentary Disorders** (10 questions)
10. **Perioperative & Critical Care** (20 questions)
11. **Shock & Emergency Nursing** (15 questions)
12. **Multisystem & Infectious Diseases** (15 questions)
13. **Final Comprehensive Review** (20 questions)
,2|Page
## Section 1: Cardiovascular Disorders (30 Questions)
**1.** A client with heart failure has crackles in the lung bases, 3+
pitting edema, and jugular vein distention. Which medication should the
nurse anticipate administering?
A. Furosemide (Lasix)
B. Dopamine
C. Digoxin
D. Spironolactone
**Correct Answer: A**
*Rationale:* These are signs of fluid overload (hypervolemia).
Furosemide is a loop diuretic that rapidly reduces preload and relieves
pulmonary congestion. Initial treatment of acute decompensated heart
failure.
---
**2.** A client with acute myocardial infarction (MI) reports chest pain
unrelieved by nitroglycerin. The nurse should anticipate which
medication?
A. Morphine sulfate
B. Acetaminophen
,3|Page
C. Ibuprofen
D. Ondansetron
**Correct Answer: A**
*Rationale:* Morphine reduces pain, preload, and oxygen demand. It is
indicated for chest pain not relieved by nitroglycerin in acute MI.
Monitor for respiratory depression.
---
**3.** A client with hypertension is prescribed lisinopril (Zestril).
Which adverse effect requires immediate discontinuation?
A. Dry cough
B. Angioedema (swelling of lips, tongue, airway)
C. Dizziness
D. Headache
**Correct Answer: B**
*Rationale:* Angioedema is a life-threatening allergic reaction to ACE
inhibitors (lisinopril, enalapril, etc.) requiring immediate discontinuation
and emergency treatment.
, 4|Page
---
**4.** A client with heart failure has a daily weight increase of 4 pounds
in 2 days. What should the nurse do first?
A. Encourage fluids
B. Notify the provider (fluid retention indicates worsening heart failure)
C. Reduce diuretic dose
D. Discharge the client
**Correct Answer: B**
*Rationale:* Rapid weight gain (2+ lbs/day or 5+ lbs/week) indicates
fluid retention and worsening heart failure requiring intervention
(diuretic adjustment, etc.).
---
**5.** A client with new-onset atrial fibrillation is started on warfarin.
Which laboratory value monitors therapy?
A. aPTT
B. INR (target 2-3 for atrial fibrillation)
C. Platelet count
