ATI Med-Surg Final Exam Questions and
Answers (2024/2025)(Verified Answers)
A nurse is admitting a client who has a suspected MI and a history of angina. Which of the following
findings will help the nurse distinguish angina from an MI?
A. Angina can be relieved with rest and nitroglycerin
B. The pain of an MI resolves in less than 15 minutes
C. The type of activity that causes an MI can be identified
D. Angina can occur for longer than 30 minutes.
A. Angina can be relieved with rest and nitroglycerin
A nurse on a cardiac unit is reviewing the lab findings of a client who has a diagnosis of MI and reports
that his dyspnea began 2 weeks ago. Which of the following cardiac enzymes would confirm the
infarction occurred 14 days ago?
A. CK-MB
B. Troponin I
C. Troponin T
D. Myoglobin
C. Troponin T
A nurse is caring for a client in a clinic who asks the nurse why her provider prescribed 1 aspirin per
day. Which of the following is an appropriate response by the nurse?
A. "Aspirin reduces the formation of blood clots that could cause a heart attack."
B. "Aspirin receives the pain due to myocardial ischemia."
C. "Aspirin dissolves clots that are forming in your coronary arteries."
D. "Aspirin relieves headaches that are caused by other medications."
A. "Aspirin reduces the formation of blood clots that could cause a heart attack."
A nurse is instructing a client who has angina about a new prescription for metroprolol tartare
(Lopressor). Which of the following statements by the client indicates understanding of the teaching?
A. "I should place the tablet under my tongue."
B. "I should have my clotting time checked weekly."
C. "I will report any ringing in my ears."
D. "I will call my doctor if my pulse rate is less than 60."
D. "I will call my doctor if my pulse rate is less than 60."
A nurse is presenting a community education program on recommended lifestyle chances to prevent
angina and MI. Which of the following changes should the nurse recommend be made first?
A. Diet modification
B. Relaxation exercises
C. Smoking cessation
D. Taking omega-3 capsules
C. Smoking cessation
A nurse is caring for a client who has heart failure and reports increased shortness of breath. The
nurse increases the oxygen per protocol. Which of the following actions should the nurse take first?
A. Obtain the client's weight
B. Assist the client into high-Fowler's position
C. Auscultate lung sounds
D. Check O2 saturation with pulse oximeter
B. Assist the client into high-Fowler's position
, A nurse is caring for a client who has heart failure and asks how to limit fluid intake to 2,000 mL/day.
Which of the following is an appropriate response by the nurse?
A. "Pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how much you
drink."
B. "Each glass contains 8 ounces. There are 30 milliliters per ounce, so you can have a total of 8
glasses or cups of fluid each day."
C. "This is the same as 2 quarts, or about the same as two pots of coffee."
D. "Take sips of water or ice chips so you will not take in too much fluid."
A. "Pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how much you
drink."
A nurse is teaching a client who has heart failure about the need to limit sodium in the diet to 2,000
mg daily. Which of the following foods should be consumed in limited quantities? (Select all that
apply)
A. Cheddar cheese, 2 oz
B. Hot dog
C. Canned tuna, 3 oz
D. Roast chicken breast, 3 oz
E. Baked ham, 3 oz
A. Cheddar cheese, 2 oz
B. Hot dog
C. Canned tuna, 3 oz
E. Baked ham, 3 oz
A nurse is completing discharge teaching to a client who has heart failure and is encouraged to
increase potassium in his diet. Which of the following statements by the client indicates
understanding of the teaching?
A. "I will consume more white rice."
B. "I will eat more baked potatoes."
C. "I will drink more grape juice."
D. "I will use more powdered cocoa mixes."
B. "I will eat more baked potatoes."
A nurse is completing the admission assessment of a client who has suspected pulmonary edema.
Which of the following are expected findings? (Select all that apply)
A. Tachypnea
B. Persistent cough
C. Increased urinary output
D. Thick, yellow sputum
E. Orthopnea
A. Tachypnea
B. Persistent cough
E. Orthopnea
A nurse is completing discharge teaching with a client who had a surgical placement of a mechanical
heart valve. Which of the following statements by the client indicates understanding of the teaching?
A. "I will be glad to get back to my exercise routine right away."
B. "I will have my prothrombin time checked on a regular basis."
C. "I will talk to my dentist about no longer needed antibiotics before dental exams."
D. "I will continue to limit my intake of foods containing potassium."
B. "I will have my prothrombin time checked on a regular basis."
Answers (2024/2025)(Verified Answers)
A nurse is admitting a client who has a suspected MI and a history of angina. Which of the following
findings will help the nurse distinguish angina from an MI?
A. Angina can be relieved with rest and nitroglycerin
B. The pain of an MI resolves in less than 15 minutes
C. The type of activity that causes an MI can be identified
D. Angina can occur for longer than 30 minutes.
A. Angina can be relieved with rest and nitroglycerin
A nurse on a cardiac unit is reviewing the lab findings of a client who has a diagnosis of MI and reports
that his dyspnea began 2 weeks ago. Which of the following cardiac enzymes would confirm the
infarction occurred 14 days ago?
A. CK-MB
B. Troponin I
C. Troponin T
D. Myoglobin
C. Troponin T
A nurse is caring for a client in a clinic who asks the nurse why her provider prescribed 1 aspirin per
day. Which of the following is an appropriate response by the nurse?
A. "Aspirin reduces the formation of blood clots that could cause a heart attack."
B. "Aspirin receives the pain due to myocardial ischemia."
C. "Aspirin dissolves clots that are forming in your coronary arteries."
D. "Aspirin relieves headaches that are caused by other medications."
A. "Aspirin reduces the formation of blood clots that could cause a heart attack."
A nurse is instructing a client who has angina about a new prescription for metroprolol tartare
(Lopressor). Which of the following statements by the client indicates understanding of the teaching?
A. "I should place the tablet under my tongue."
B. "I should have my clotting time checked weekly."
C. "I will report any ringing in my ears."
D. "I will call my doctor if my pulse rate is less than 60."
D. "I will call my doctor if my pulse rate is less than 60."
A nurse is presenting a community education program on recommended lifestyle chances to prevent
angina and MI. Which of the following changes should the nurse recommend be made first?
A. Diet modification
B. Relaxation exercises
C. Smoking cessation
D. Taking omega-3 capsules
C. Smoking cessation
A nurse is caring for a client who has heart failure and reports increased shortness of breath. The
nurse increases the oxygen per protocol. Which of the following actions should the nurse take first?
A. Obtain the client's weight
B. Assist the client into high-Fowler's position
C. Auscultate lung sounds
D. Check O2 saturation with pulse oximeter
B. Assist the client into high-Fowler's position
, A nurse is caring for a client who has heart failure and asks how to limit fluid intake to 2,000 mL/day.
Which of the following is an appropriate response by the nurse?
A. "Pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how much you
drink."
B. "Each glass contains 8 ounces. There are 30 milliliters per ounce, so you can have a total of 8
glasses or cups of fluid each day."
C. "This is the same as 2 quarts, or about the same as two pots of coffee."
D. "Take sips of water or ice chips so you will not take in too much fluid."
A. "Pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how much you
drink."
A nurse is teaching a client who has heart failure about the need to limit sodium in the diet to 2,000
mg daily. Which of the following foods should be consumed in limited quantities? (Select all that
apply)
A. Cheddar cheese, 2 oz
B. Hot dog
C. Canned tuna, 3 oz
D. Roast chicken breast, 3 oz
E. Baked ham, 3 oz
A. Cheddar cheese, 2 oz
B. Hot dog
C. Canned tuna, 3 oz
E. Baked ham, 3 oz
A nurse is completing discharge teaching to a client who has heart failure and is encouraged to
increase potassium in his diet. Which of the following statements by the client indicates
understanding of the teaching?
A. "I will consume more white rice."
B. "I will eat more baked potatoes."
C. "I will drink more grape juice."
D. "I will use more powdered cocoa mixes."
B. "I will eat more baked potatoes."
A nurse is completing the admission assessment of a client who has suspected pulmonary edema.
Which of the following are expected findings? (Select all that apply)
A. Tachypnea
B. Persistent cough
C. Increased urinary output
D. Thick, yellow sputum
E. Orthopnea
A. Tachypnea
B. Persistent cough
E. Orthopnea
A nurse is completing discharge teaching with a client who had a surgical placement of a mechanical
heart valve. Which of the following statements by the client indicates understanding of the teaching?
A. "I will be glad to get back to my exercise routine right away."
B. "I will have my prothrombin time checked on a regular basis."
C. "I will talk to my dentist about no longer needed antibiotics before dental exams."
D. "I will continue to limit my intake of foods containing potassium."
B. "I will have my prothrombin time checked on a regular basis."
