ATI MEDICAL SURGICAL RETAKE 2025-
2026 COMPLETE 220QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS).
A nurse is caring for a client who has a history of angina and is scheduled for exercise
electrocardiography at 1100. Which of the following statements by the client requires
the nurse to contact the provider for possible rescheduling?
A. "I'm still hungry after the bowl of cereal I ate at 0700"
B. "I didn't tale my heart pills this morning because the doctor told me not to"
C. "I have had chest pain a couple of time since I saw my doctor in the office last week"
D. "I smoked a cigarette this morning to calm my nerves about having this procedure" -
Correct answerD
A nurse is providing discharge teaching to a client who has heart failure. The nurse
should instruct the client to report which of the following findings immediately to the
provider?
A. Weight gain of 0.9 kg (2 lb) in 24 hours)
B. Increase of 10 mmHg in systolic blood pressure
C. Dyspnea with exertion
D. Dizziness when rising quickly - Correct answerA
A nurse is assessing a client who has history a deep-vein thrombosis and is receiving
Warfarin. Which of the following findings should indicate to the nurse that the
medication is effective?
A. Hemoglobin 14 g/dL
B. Minimal bruising of extremities
C. Decreased bp
D. INR 2 - Correct answerD
A nurse is caring for a client who is receiving heparin therapy and develops hematuria.
Which of the following actions should the nurse take if the client's aPTT is 96 seconds.
A. increase the heparin infusion flow rate by 2 mL/hr
B. Continue to monitor the heparin infusion as prescribed
C. Request a prothrombin time (PT)
D. Stop the heparin infusion - Correct answerD
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation.
Which of the following findings should the nurse plan to monitor for and report to the
provider immediately?
A. Slurred speech
B. Irregular pulse
,C. Dependent edema
D. Persistent fatigue - Correct answerA
A nurse is reviewing the laboratory results of several male clients who have peripheral
arterial disease. The nurse should plan to provide dietary teaching for the client who has
which of the following laboratory value?
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - Correct answerC
A nurse in an emergency department is assessing a client who has bradydysrhythmia.
Which of the following findings should the nurse monitor for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin - Correct answerA
A nurse is caring for a client following the insertion of a permanent pacemaker. Which of
the following client statement indicates a potential complication of the insertion
procedure?
A. "I can't get rid of these hiccups"
B. "I feel dizzy when I stand"
C. "My incision site stings"
D. "I have a headache" - Correct answerA
A nurse is planning a presentation for a group of clients who have HTN. Which of the
following lifestyle modification should the nurse include?
A. Limited alcohol intake
B. Regular exercise program
C. Decreased magnesium intake
D. Reduced potassium intake
E. Tobacco cessation - Correct answerABE
A nurse is providing health teaching to a group of clients. Which of the following clients
is at risk for developing peripheral arterial disease?
A. A client who has hypothyroidism
B. A client who has diabetes mellitus
C. A client whose daily caloric intake consists of 25% fat
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day - Correct
answerB
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed
from normal sinus rhythm to SVT. The nurse should prepare to assist with which of the
following interventions?
,A. Initiate chest compression
B. Vagal stimulation
C. Administration of atropine IV
D. Defibrillation - Correct answerB
A nurse is caring for a client who is 1 hour postoperative following an aortic aneursym
repair. Which of the following findings can indicate shock and should be reported to the
provider?
A. Serosanguinous drainage on dressing
B. Severe pain with coughing
C. Urine output of 20 mL/hr
D. Increase in temperature from 36.8C (98.2F) to 37.5 (99.5F) - Correct answerC
A nurse is caring for a client who has endocarditis. Which of the following findings
should the nurse recognize as a potential complication?
A. Ventricular depolarization
B. Guillian-Barre syndrome
C. Myelodysplastic syndrome
D. Valvular disease - Correct answerD
A nurse is assessing a client who has L-sided HF. Which of the following manifestations
should the nurse expect to find?
A. Increased abdominal girth
B. Weak peripheral pulses
C. Jugular venous neck distention
D. Dependent edema - Correct answerB
A nurse is caring for a client who had an onset of chest pain 24 hours ago. The nurse
should identify that an increase in which of the following values is diagnosis of
myocardial infarction (MI)?
A. Myoglobin
B. C-reactive protein
C. Creatine kinase-MB
D. Homocysteine - Correct answerC
A nurse is caring for a client who is admitted for treatment of left-sided heart failure and
is receiving intravenous loop diuretics and digitalis therapy. The client is experiencing
weakness and an irregular heart rate. Which of the following actions should the nurse
take first?
A. Obtain the client's current weight
B. Review serum electrolyte values
C. Determine the time of the last digoxin dose
D. Check the clients urine output - Correct answerB
, A nurse is providing discharge teaching to a client who has a prescription for
transdermal nitroglycerin patches. Which of the following instructions should the nurse
include in the teaching?
A. Apply the new patch to the same site as the previous patch
B. Place the patch on an area of skin away from skin folds and joints
C. Keep the patch on 24 hours per day
D. Replace the patch at the onset of angina - Correct answerB
A nurse is preparing a client for coronary angiography. Which of the following findings
should the nurse report to the provider prior to the procedure?
A. Hemoglobin 14.4 g/dL
B. History of peripheral arterial disease
C. Urine output 200 mL/4 hour
D. Previous allergic reaction to shell fish - Correct answerD
A nurse is assessing a client who has pulmonary edema related to heart failure. Which
of the following findings indicates effective treatment of the client's condition?
A. Absence of adventitious breath sounds
B. Presence of a nonproductive cough
C. Decrease in the respiratory rate at rest
D. SaO2 86% on room air - Correct answerA
A nurse is providing teaching to a client who is 2 days postoperative following a heart
transplant. Which of the following statements should the nurse include in the teaching?
A. "You might no longer be able to feel chest pain"
B. "Your level of activity intolerance will not change"
C. "After 6 months, you will no longer need to restrict your sodium intake"
D. You will be able to stop talking immunosuppressants after 12 months - Correct
answerA
A nurse is assessing a client who has dilated cardiomyopathy. Which of the following
findings should the nurse expect?
A. Dyspnea on exertion
B. Tracheal deviation
C. Pericardial rub
D. Weight loss - Correct answerA
A nurse is caring for a client who is being treated for HF and has a prescription for
Furosemide. The nurse should plan to monitor for which of the following adverse effects
of the medication?
A. SOB
B. Lightheadedness
C. Dry cough
D. Metallic taste - Correct answerB
2026 COMPLETE 220QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS).
A nurse is caring for a client who has a history of angina and is scheduled for exercise
electrocardiography at 1100. Which of the following statements by the client requires
the nurse to contact the provider for possible rescheduling?
A. "I'm still hungry after the bowl of cereal I ate at 0700"
B. "I didn't tale my heart pills this morning because the doctor told me not to"
C. "I have had chest pain a couple of time since I saw my doctor in the office last week"
D. "I smoked a cigarette this morning to calm my nerves about having this procedure" -
Correct answerD
A nurse is providing discharge teaching to a client who has heart failure. The nurse
should instruct the client to report which of the following findings immediately to the
provider?
A. Weight gain of 0.9 kg (2 lb) in 24 hours)
B. Increase of 10 mmHg in systolic blood pressure
C. Dyspnea with exertion
D. Dizziness when rising quickly - Correct answerA
A nurse is assessing a client who has history a deep-vein thrombosis and is receiving
Warfarin. Which of the following findings should indicate to the nurse that the
medication is effective?
A. Hemoglobin 14 g/dL
B. Minimal bruising of extremities
C. Decreased bp
D. INR 2 - Correct answerD
A nurse is caring for a client who is receiving heparin therapy and develops hematuria.
Which of the following actions should the nurse take if the client's aPTT is 96 seconds.
A. increase the heparin infusion flow rate by 2 mL/hr
B. Continue to monitor the heparin infusion as prescribed
C. Request a prothrombin time (PT)
D. Stop the heparin infusion - Correct answerD
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation.
Which of the following findings should the nurse plan to monitor for and report to the
provider immediately?
A. Slurred speech
B. Irregular pulse
,C. Dependent edema
D. Persistent fatigue - Correct answerA
A nurse is reviewing the laboratory results of several male clients who have peripheral
arterial disease. The nurse should plan to provide dietary teaching for the client who has
which of the following laboratory value?
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - Correct answerC
A nurse in an emergency department is assessing a client who has bradydysrhythmia.
Which of the following findings should the nurse monitor for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin - Correct answerA
A nurse is caring for a client following the insertion of a permanent pacemaker. Which of
the following client statement indicates a potential complication of the insertion
procedure?
A. "I can't get rid of these hiccups"
B. "I feel dizzy when I stand"
C. "My incision site stings"
D. "I have a headache" - Correct answerA
A nurse is planning a presentation for a group of clients who have HTN. Which of the
following lifestyle modification should the nurse include?
A. Limited alcohol intake
B. Regular exercise program
C. Decreased magnesium intake
D. Reduced potassium intake
E. Tobacco cessation - Correct answerABE
A nurse is providing health teaching to a group of clients. Which of the following clients
is at risk for developing peripheral arterial disease?
A. A client who has hypothyroidism
B. A client who has diabetes mellitus
C. A client whose daily caloric intake consists of 25% fat
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day - Correct
answerB
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed
from normal sinus rhythm to SVT. The nurse should prepare to assist with which of the
following interventions?
,A. Initiate chest compression
B. Vagal stimulation
C. Administration of atropine IV
D. Defibrillation - Correct answerB
A nurse is caring for a client who is 1 hour postoperative following an aortic aneursym
repair. Which of the following findings can indicate shock and should be reported to the
provider?
A. Serosanguinous drainage on dressing
B. Severe pain with coughing
C. Urine output of 20 mL/hr
D. Increase in temperature from 36.8C (98.2F) to 37.5 (99.5F) - Correct answerC
A nurse is caring for a client who has endocarditis. Which of the following findings
should the nurse recognize as a potential complication?
A. Ventricular depolarization
B. Guillian-Barre syndrome
C. Myelodysplastic syndrome
D. Valvular disease - Correct answerD
A nurse is assessing a client who has L-sided HF. Which of the following manifestations
should the nurse expect to find?
A. Increased abdominal girth
B. Weak peripheral pulses
C. Jugular venous neck distention
D. Dependent edema - Correct answerB
A nurse is caring for a client who had an onset of chest pain 24 hours ago. The nurse
should identify that an increase in which of the following values is diagnosis of
myocardial infarction (MI)?
A. Myoglobin
B. C-reactive protein
C. Creatine kinase-MB
D. Homocysteine - Correct answerC
A nurse is caring for a client who is admitted for treatment of left-sided heart failure and
is receiving intravenous loop diuretics and digitalis therapy. The client is experiencing
weakness and an irregular heart rate. Which of the following actions should the nurse
take first?
A. Obtain the client's current weight
B. Review serum electrolyte values
C. Determine the time of the last digoxin dose
D. Check the clients urine output - Correct answerB
, A nurse is providing discharge teaching to a client who has a prescription for
transdermal nitroglycerin patches. Which of the following instructions should the nurse
include in the teaching?
A. Apply the new patch to the same site as the previous patch
B. Place the patch on an area of skin away from skin folds and joints
C. Keep the patch on 24 hours per day
D. Replace the patch at the onset of angina - Correct answerB
A nurse is preparing a client for coronary angiography. Which of the following findings
should the nurse report to the provider prior to the procedure?
A. Hemoglobin 14.4 g/dL
B. History of peripheral arterial disease
C. Urine output 200 mL/4 hour
D. Previous allergic reaction to shell fish - Correct answerD
A nurse is assessing a client who has pulmonary edema related to heart failure. Which
of the following findings indicates effective treatment of the client's condition?
A. Absence of adventitious breath sounds
B. Presence of a nonproductive cough
C. Decrease in the respiratory rate at rest
D. SaO2 86% on room air - Correct answerA
A nurse is providing teaching to a client who is 2 days postoperative following a heart
transplant. Which of the following statements should the nurse include in the teaching?
A. "You might no longer be able to feel chest pain"
B. "Your level of activity intolerance will not change"
C. "After 6 months, you will no longer need to restrict your sodium intake"
D. You will be able to stop talking immunosuppressants after 12 months - Correct
answerA
A nurse is assessing a client who has dilated cardiomyopathy. Which of the following
findings should the nurse expect?
A. Dyspnea on exertion
B. Tracheal deviation
C. Pericardial rub
D. Weight loss - Correct answerA
A nurse is caring for a client who is being treated for HF and has a prescription for
Furosemide. The nurse should plan to monitor for which of the following adverse effects
of the medication?
A. SOB
B. Lightheadedness
C. Dry cough
D. Metallic taste - Correct answerB
