ATI RN Medical-Surgical Proctored Exam 2023 with
NGNReal Screenshot-Style Questions | 150 Questions |
Correct Answers & Italicized Rationales
Question 1 of 150
A nurse is caring for a client with heart failure who reports shortness of breath and
weight gain of 3 pounds in 24 hours. Which action should the nurse take first?
A. Administer furosemide as prescribed
B. Place the client in high-Fowler's position
C. Restrict oral fluids to 1 L per day
D. Notify the provider immediately
Correct Answer: B
, Question 2 of 150
A nurse is assessing a client with pneumonia. Which finding requires immediate
intervention?
A. Temperature of 100.4°F (38°C)
B. Oxygen saturation of 88% on room air
C. Productive cough with green sputum
D. Respiratory rate of 24 breaths per minute
Correct Answer: B
Question 3 of 150
A nurse is providing discharge teaching to a client with a new diagnosis of heart
failure. Which statement by the client indicates understanding?
A. "I will weigh myself every morning after voiding."
B. "I will increase my fluid intake to 3 liters per day."
C. "I can stop taking my diuretic when I feel better."
D. "I will limit my sodium intake to 4 grams per day."
Correct Answer: A
, *Daily weight monitoring at the same time each morning (after voiding, before eating)
is essential to detect fluid retention early. Fluid is typically restricted (1.5-2 L/day), not
increased. Diuretics should not be stopped without provider guidance. Sodium
restriction is typically 2 grams or less per day.*
Question 4 of 150
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who
has an oxygen saturation of 88%. Which oxygen delivery device should the nurse use?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 2 L/min
C. Simple face mask at 6 L/min
D. Venturi mask at 4 L/min
Correct Answer: B
*For clients with COPD, oxygen should be titrated carefully to avoid suppressing the
hypoxic drive. A nasal cannula at 1-2 L/min is typically started with a target SpO2 of
88-92%. High-flow oxygen can cause hypercapnia in CO2 retainers.*
Question 5 of 150
, A nurse is assessing a client with diabetic ketoacidosis (DKA). Which laboratory finding
should the nurse expect?
A. Blood glucose 650 mg/dL
B. Serum bicarbonate 24 mEq/L
C. pH 7.45
D. PaCO2 50 mmHg
Correct Answer: A
*DKA presents with hyperglycemia (typically >250 mg/dL), metabolic acidosis (low pH,
low bicarbonate), and ketonemia. Bicarbonate is low (<15 mEq/L), pH is low (<7.35),
and PaCO2 is low due to Kussmaul respirations (compensatory).*
Question 6 of 150
A nurse is caring for a client following a thyroidectomy. Which finding requires
immediate intervention?
A. Hoarse voice
B. Pain at the incision site
C. Tingling around the mouth
D. Temperature of 99.8°F (37.7°C)
Correct Answer: C
NGNReal Screenshot-Style Questions | 150 Questions |
Correct Answers & Italicized Rationales
Question 1 of 150
A nurse is caring for a client with heart failure who reports shortness of breath and
weight gain of 3 pounds in 24 hours. Which action should the nurse take first?
A. Administer furosemide as prescribed
B. Place the client in high-Fowler's position
C. Restrict oral fluids to 1 L per day
D. Notify the provider immediately
Correct Answer: B
, Question 2 of 150
A nurse is assessing a client with pneumonia. Which finding requires immediate
intervention?
A. Temperature of 100.4°F (38°C)
B. Oxygen saturation of 88% on room air
C. Productive cough with green sputum
D. Respiratory rate of 24 breaths per minute
Correct Answer: B
Question 3 of 150
A nurse is providing discharge teaching to a client with a new diagnosis of heart
failure. Which statement by the client indicates understanding?
A. "I will weigh myself every morning after voiding."
B. "I will increase my fluid intake to 3 liters per day."
C. "I can stop taking my diuretic when I feel better."
D. "I will limit my sodium intake to 4 grams per day."
Correct Answer: A
, *Daily weight monitoring at the same time each morning (after voiding, before eating)
is essential to detect fluid retention early. Fluid is typically restricted (1.5-2 L/day), not
increased. Diuretics should not be stopped without provider guidance. Sodium
restriction is typically 2 grams or less per day.*
Question 4 of 150
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who
has an oxygen saturation of 88%. Which oxygen delivery device should the nurse use?
A. Non-rebreather mask at 15 L/min
B. Nasal cannula at 2 L/min
C. Simple face mask at 6 L/min
D. Venturi mask at 4 L/min
Correct Answer: B
*For clients with COPD, oxygen should be titrated carefully to avoid suppressing the
hypoxic drive. A nasal cannula at 1-2 L/min is typically started with a target SpO2 of
88-92%. High-flow oxygen can cause hypercapnia in CO2 retainers.*
Question 5 of 150
, A nurse is assessing a client with diabetic ketoacidosis (DKA). Which laboratory finding
should the nurse expect?
A. Blood glucose 650 mg/dL
B. Serum bicarbonate 24 mEq/L
C. pH 7.45
D. PaCO2 50 mmHg
Correct Answer: A
*DKA presents with hyperglycemia (typically >250 mg/dL), metabolic acidosis (low pH,
low bicarbonate), and ketonemia. Bicarbonate is low (<15 mEq/L), pH is low (<7.35),
and PaCO2 is low due to Kussmaul respirations (compensatory).*
Question 6 of 150
A nurse is caring for a client following a thyroidectomy. Which finding requires
immediate intervention?
A. Hoarse voice
B. Pain at the incision site
C. Tingling around the mouth
D. Temperature of 99.8°F (37.7°C)
Correct Answer: C
