ATI RN Med Surg Proctored Retake 2 Exam
(2023) – 100 Questions & Verified Answers
Here is a comprehensive ATI RN Med Surg Proctored Retake 2 Exam practice test.
mj mj mj mj mj mj mj mj mj mj mj mj mj
I have formatted this with 60 multiple-choice questions covering high-
mj mj mj mj mj mj mj mj mj
priority topics typically found on this assessment, including:
mj mj mj mj mj mj mj
• Cardiovascular (HF, MI, HTN) mj mj mj
• Respiratory (COPD, Pneumonia, PE) mj mj mj
• Endocrine (DKA, Hyperglycemia, Thyroid) mj mj mj
• Gastrointestinal (Bowel Obstruction, Pancreatitis) mj mj mj
• Neurological (Stroke, Seizures) mj mj
• Renal/Urology (AKI, CKD) mj mj
• Immune/Infectious (Sepsis, Cellulitis) mj mj
• Perioperative/Oncology
ATI RN MED SURG PROCTORED RETAKE 2 EXAM
mj mj mj mj mj mj mj
Instructions: Choose the best answer. Select only one answer unless otherwise specified.
mj mj mj mj mj mj mj mj mj mj mj
1. A nurse is assessing a client who has left-
mj mj mj mj mj mj mj mj mj
sided heart failure. Which of the following findings should the nurse expect?
mj mj mj mj mj mj mj mj mj mj mj
A. Jugular venous distention
mj mj mj
B. Peripheral edema
mj mj
C. Crackles in the lung bases
mj mj mj mj mj
D. Hepatomegaly
mj
2. A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L/
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
min via nasal cannula. Which of the following findings indicates the oxygen therapy is ef
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
fective?
A. Respiratory rate decreases from 28 to 18 breaths per minute.
mj mj mj mj mj mj mj mj mj mj
B. The client reports a decrease in chest pain.
mj mj mj mj mj mj mj mj
C. Pulse oximetry reading increases from 88% to 95%.
mj mj mj mj mj mj mj mj
D. The client's PaCO2 level increases to 52 mmHg.
mj mj mj mj mj mj mj mj
,3. A nurse is caring for a client who has a newly placed ileostomy. Which of the followin
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
g diet instructions should the nurse include in the teaching?
mj mj mj mj mj mj mj mj mj
A. "Eat high-fiber foods like raw vegetables to thicken the output."
mj mj mj mj mj mj mj mj mj mj
B. "Chew your food thoroughly to prevent blockage."
mj mj mj mj mj mj mj
C. "Avoid drinking liquids between meals."
mj mj mj mj mj
D. "Take enteric-coated medications as prescribed."
mj mj mj mj mj
4. A client is admitted with diabetic ketoacidosis (DKA). Which of the following laborator
mj mj mj mj mj mj mj mj mj mj mj mj mj
y values is the priority for the nurse to monitor?
mj mj mj mj mj mj mj mj mj
A. Serum potassium
mj mj
B. Serum sodium
mj mj
C. Serum calcium
mj mj
D. Serum phosphorus
mj mj
5. A nurse is providing teaching to a client who has hypertension and a new prescription
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
for lisinopril. Which of the following adverse effects should the nurse instruct the client t
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
o report?
mj
A. Dry cough
mj mj
B. Frequent urination
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C. Hyperglycemia
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D. Tachycardia
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6. A client is 24 hours post-
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operative following a total hip arthroplasty. Which of the following actions should the n
mj mj mj mj mj mj mj mj mj mj mj mj mj
urse take to prevent dislocation?
mj mj mj mj
A. Keep the client's hips in an adducted position.
mj mj mj mj mj mj mj mj
B. Place a pillow between the client's legs when turning.
mj mj mj mj mj mj mj mj mj
C. Position the client's affected leg in external rotation.
mj mj mj mj mj mj mj mj
D. Encourage the client to sit in a low chair.
mj mj mj mj mj mj mj mj mj
7. A nurse is caring for a client who has a pneumothorax and has a chest tube in place c
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
onnected to a water- mj mj mj
seal drainage system. Which of the following findings indicates a possible air leak?
mj mj mj mj mj mj mj mj mj mj mj mj
A. Continuous bubbling in the water-seal chamber
mj mj mj mj mj mj
B. Intermittent bubbling in the water-seal chamber
mj mj mj mj mj mj
,C. Rising and falling of fluid in the water-seal chamber with inspiration
mj mj mj mj mj mj mj mj mj mj mj
D. Absence of bubbling in the suction control chamber
mj mj mj mj mj mj mj mj
8. A client is receiving IV heparin for a pulmonary embolism. Which of the following lab
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
oratory values should the nurse monitor closely to evaluate the effectiveness of the ther
mj mj mj mj mj mj mj mj mj mj mj mj mj
apy?
A. aPTT (activated partial thromboplastin time)
mj mj mj mj mj
B. PT/INR (Prothrombin time/International Normalized Ratio)
mj mj mj mj mj
C. Platelet count
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D. Hemoglobin and Hematocrit
mj mj mj
9. A nurse is assessing a client who has acute pancreatitis. Which of the following finding
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
s would the nurse expect?
mj mj mj mj
A. Hyperactive bowel sounds in all four quadrants.
mj mj mj mj mj mj mj
B. Severe epigastric pain radiating to the right shoulder.
mj mj mj mj mj mj mj mj
C. Pain that decreases when lying supine.
mj mj mj mj mj mj
D. Pain that is unrelieved by vomiting.
mj mj mj mj mj mj
10. A client has a prescription for digoxin. Prior to administering the medication, the nur
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
se notes the client's apical pulse is 52 beats/min. Which of the following actions should t
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
he nurse take? mj mj
A. Administer the medication as prescribed.
mj mj mj mj mj
B. Hold the medication and notify the provider.
mj mj mj mj mj mj mj
C. Administer half the dose.
mj mj mj mj
D. Check the client's blood pressure and then administer the medication.
mj mj mj mj mj mj mj mj mj mj
11. A nurse is caring for a client who has a traumatic brain injury. Which of the following
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
findings should the nurse identify as a sign of increased intracranial pressure (ICP)?
mj mj mj mj mj mj mj mj mj mj mj mj mj
A. Tachycardia
mj
B. Hypotension
mj
C. Restlessness and confusion
mj mj mj
D. Pupils that are reactive and equal bilaterally
mj mj mj mj mj mj mj
12. A client with chronic kidney disease (CKD) is on a fluid restriction. Which of the follo
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
wing assessment findings indicates that the client is non-
mj mj mj mj mj mj mj mj
compliant with the fluid restriction? mj mj mj mj
, A. Decreased blood pressure
mj mj mj
B. Weight gain of 2 kg in 24 hours
mj mj mj mj mj mj mj mj
C. Dry mucous membranes
mj mj mj
D. Decreased central venous pressure
mj mj mj mj
13. A nurse is preparing to administer a blood transfusion to a client. Which of the follo
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
wing actions is most important to prevent a transfusion reaction?
mj mj mj mj mj mj mj mj mj
A. Verify the client's identity and blood product with another licensed nurse.
mj mj mj mj mj mj mj mj mj mj mj
B. Infuse the blood over 4 hours.
mj mj mj mj mj mj
C. Flush the IV tubing with D5W.
mj mj mj mj mj mj
D. Monitor the client's temperature every hour.
mj mj mj mj mj mj
14. A client is prescribed furosemide (Lasix) for heart failure. The nurse should monitor t
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
he client for which of the following electrolyte imbalances?
mj mj mj mj mj mj mj mj
A. Hyperkalemia
mj
B. Hypokalemia
mj
C. Hypernatremia
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D. Hypermagnesemia
mj
15. A nurse is assessing a client who has a new diagnosis of hypothyroidism. Which of th
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
e following findings should the nurse expect?
mj mj mj mj mj mj
A. Heat intolerance
mj mj
B. Diarrhea
mj
C. Weight loss
mj mj
D. Bradycardia
mj
16. A client is 2 hours post-
mj mj mj mj mj mj
surgery following a thyroidectomy. Which of the following findings requires immediate
mj mj mj mj mj mj mj mj mj mj mj
action by the nurse? mj mj mj
A. Hoarseness of the voice.
mj mj mj mj
B. Pain rated 5 out of 10 at the incision site.
mj mj mj mj mj mj mj mj mj mj
C. Tingling around the mouth.
mj mj mj mj
D. Temperature of 99.2°F (37.3°C).
mj mj mj mj
17. A nurse is caring for a client who has a stage 3 pressure ulcer. The wound is draining
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
purulent fluid. Which of the following types of wound dressing is appropriate to promot
mj mj mj mj mj mj mj mj mj mj mj mj mj
(2023) – 100 Questions & Verified Answers
Here is a comprehensive ATI RN Med Surg Proctored Retake 2 Exam practice test.
mj mj mj mj mj mj mj mj mj mj mj mj mj
I have formatted this with 60 multiple-choice questions covering high-
mj mj mj mj mj mj mj mj mj
priority topics typically found on this assessment, including:
mj mj mj mj mj mj mj
• Cardiovascular (HF, MI, HTN) mj mj mj
• Respiratory (COPD, Pneumonia, PE) mj mj mj
• Endocrine (DKA, Hyperglycemia, Thyroid) mj mj mj
• Gastrointestinal (Bowel Obstruction, Pancreatitis) mj mj mj
• Neurological (Stroke, Seizures) mj mj
• Renal/Urology (AKI, CKD) mj mj
• Immune/Infectious (Sepsis, Cellulitis) mj mj
• Perioperative/Oncology
ATI RN MED SURG PROCTORED RETAKE 2 EXAM
mj mj mj mj mj mj mj
Instructions: Choose the best answer. Select only one answer unless otherwise specified.
mj mj mj mj mj mj mj mj mj mj mj
1. A nurse is assessing a client who has left-
mj mj mj mj mj mj mj mj mj
sided heart failure. Which of the following findings should the nurse expect?
mj mj mj mj mj mj mj mj mj mj mj
A. Jugular venous distention
mj mj mj
B. Peripheral edema
mj mj
C. Crackles in the lung bases
mj mj mj mj mj
D. Hepatomegaly
mj
2. A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L/
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
min via nasal cannula. Which of the following findings indicates the oxygen therapy is ef
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
fective?
A. Respiratory rate decreases from 28 to 18 breaths per minute.
mj mj mj mj mj mj mj mj mj mj
B. The client reports a decrease in chest pain.
mj mj mj mj mj mj mj mj
C. Pulse oximetry reading increases from 88% to 95%.
mj mj mj mj mj mj mj mj
D. The client's PaCO2 level increases to 52 mmHg.
mj mj mj mj mj mj mj mj
,3. A nurse is caring for a client who has a newly placed ileostomy. Which of the followin
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
g diet instructions should the nurse include in the teaching?
mj mj mj mj mj mj mj mj mj
A. "Eat high-fiber foods like raw vegetables to thicken the output."
mj mj mj mj mj mj mj mj mj mj
B. "Chew your food thoroughly to prevent blockage."
mj mj mj mj mj mj mj
C. "Avoid drinking liquids between meals."
mj mj mj mj mj
D. "Take enteric-coated medications as prescribed."
mj mj mj mj mj
4. A client is admitted with diabetic ketoacidosis (DKA). Which of the following laborator
mj mj mj mj mj mj mj mj mj mj mj mj mj
y values is the priority for the nurse to monitor?
mj mj mj mj mj mj mj mj mj
A. Serum potassium
mj mj
B. Serum sodium
mj mj
C. Serum calcium
mj mj
D. Serum phosphorus
mj mj
5. A nurse is providing teaching to a client who has hypertension and a new prescription
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
for lisinopril. Which of the following adverse effects should the nurse instruct the client t
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
o report?
mj
A. Dry cough
mj mj
B. Frequent urination
mj mj
C. Hyperglycemia
mj
D. Tachycardia
mj
6. A client is 24 hours post-
mj mj mj mj mj mj
operative following a total hip arthroplasty. Which of the following actions should the n
mj mj mj mj mj mj mj mj mj mj mj mj mj
urse take to prevent dislocation?
mj mj mj mj
A. Keep the client's hips in an adducted position.
mj mj mj mj mj mj mj mj
B. Place a pillow between the client's legs when turning.
mj mj mj mj mj mj mj mj mj
C. Position the client's affected leg in external rotation.
mj mj mj mj mj mj mj mj
D. Encourage the client to sit in a low chair.
mj mj mj mj mj mj mj mj mj
7. A nurse is caring for a client who has a pneumothorax and has a chest tube in place c
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
onnected to a water- mj mj mj
seal drainage system. Which of the following findings indicates a possible air leak?
mj mj mj mj mj mj mj mj mj mj mj mj
A. Continuous bubbling in the water-seal chamber
mj mj mj mj mj mj
B. Intermittent bubbling in the water-seal chamber
mj mj mj mj mj mj
,C. Rising and falling of fluid in the water-seal chamber with inspiration
mj mj mj mj mj mj mj mj mj mj mj
D. Absence of bubbling in the suction control chamber
mj mj mj mj mj mj mj mj
8. A client is receiving IV heparin for a pulmonary embolism. Which of the following lab
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
oratory values should the nurse monitor closely to evaluate the effectiveness of the ther
mj mj mj mj mj mj mj mj mj mj mj mj mj
apy?
A. aPTT (activated partial thromboplastin time)
mj mj mj mj mj
B. PT/INR (Prothrombin time/International Normalized Ratio)
mj mj mj mj mj
C. Platelet count
mj mj
D. Hemoglobin and Hematocrit
mj mj mj
9. A nurse is assessing a client who has acute pancreatitis. Which of the following finding
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
s would the nurse expect?
mj mj mj mj
A. Hyperactive bowel sounds in all four quadrants.
mj mj mj mj mj mj mj
B. Severe epigastric pain radiating to the right shoulder.
mj mj mj mj mj mj mj mj
C. Pain that decreases when lying supine.
mj mj mj mj mj mj
D. Pain that is unrelieved by vomiting.
mj mj mj mj mj mj
10. A client has a prescription for digoxin. Prior to administering the medication, the nur
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
se notes the client's apical pulse is 52 beats/min. Which of the following actions should t
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
he nurse take? mj mj
A. Administer the medication as prescribed.
mj mj mj mj mj
B. Hold the medication and notify the provider.
mj mj mj mj mj mj mj
C. Administer half the dose.
mj mj mj mj
D. Check the client's blood pressure and then administer the medication.
mj mj mj mj mj mj mj mj mj mj
11. A nurse is caring for a client who has a traumatic brain injury. Which of the following
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
findings should the nurse identify as a sign of increased intracranial pressure (ICP)?
mj mj mj mj mj mj mj mj mj mj mj mj mj
A. Tachycardia
mj
B. Hypotension
mj
C. Restlessness and confusion
mj mj mj
D. Pupils that are reactive and equal bilaterally
mj mj mj mj mj mj mj
12. A client with chronic kidney disease (CKD) is on a fluid restriction. Which of the follo
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
wing assessment findings indicates that the client is non-
mj mj mj mj mj mj mj mj
compliant with the fluid restriction? mj mj mj mj
, A. Decreased blood pressure
mj mj mj
B. Weight gain of 2 kg in 24 hours
mj mj mj mj mj mj mj mj
C. Dry mucous membranes
mj mj mj
D. Decreased central venous pressure
mj mj mj mj
13. A nurse is preparing to administer a blood transfusion to a client. Which of the follo
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
wing actions is most important to prevent a transfusion reaction?
mj mj mj mj mj mj mj mj mj
A. Verify the client's identity and blood product with another licensed nurse.
mj mj mj mj mj mj mj mj mj mj mj
B. Infuse the blood over 4 hours.
mj mj mj mj mj mj
C. Flush the IV tubing with D5W.
mj mj mj mj mj mj
D. Monitor the client's temperature every hour.
mj mj mj mj mj mj
14. A client is prescribed furosemide (Lasix) for heart failure. The nurse should monitor t
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
he client for which of the following electrolyte imbalances?
mj mj mj mj mj mj mj mj
A. Hyperkalemia
mj
B. Hypokalemia
mj
C. Hypernatremia
mj
D. Hypermagnesemia
mj
15. A nurse is assessing a client who has a new diagnosis of hypothyroidism. Which of th
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
e following findings should the nurse expect?
mj mj mj mj mj mj
A. Heat intolerance
mj mj
B. Diarrhea
mj
C. Weight loss
mj mj
D. Bradycardia
mj
16. A client is 2 hours post-
mj mj mj mj mj mj
surgery following a thyroidectomy. Which of the following findings requires immediate
mj mj mj mj mj mj mj mj mj mj mj
action by the nurse? mj mj mj
A. Hoarseness of the voice.
mj mj mj mj
B. Pain rated 5 out of 10 at the incision site.
mj mj mj mj mj mj mj mj mj mj
C. Tingling around the mouth.
mj mj mj mj
D. Temperature of 99.2°F (37.3°C).
mj mj mj mj
17. A nurse is caring for a client who has a stage 3 pressure ulcer. The wound is draining
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
purulent fluid. Which of the following types of wound dressing is appropriate to promot
mj mj mj mj mj mj mj mj mj mj mj mj mj
