RN ATI MEDICAL SURGICAL PROCTORED TEST BANK
RN ATI MEDICAL SURGICAL PROCTORED TEST BANK NEWEST
2025/2026 COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
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 - ANSWER-B
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 - ANSWER-B
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 - ANSWER-D
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, RN ATI MEDICAL SURGICAL PROCTORED TEST BANK
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 - ANSWER-A
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 - ANSWER-A
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 - ANSWER-A
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
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, RN ATI MEDICAL SURGICAL PROCTORED TEST BANK
D. Metallic taste - ANSWER-B
A nurse is caring for a client who is 8 hour postoperative following a coronary artery bypass
graft (CABG). Which of the following findings should the nurse report?
A. Mediastinal drainage 100 mL/hr
B. Blood pressure 160/80 mmHg
C. Temperature 37.1C (98.8F)
D. Potassium 4.0 mEq/L - ANSWER-B
A nurse is admitting who has a leg ulcer and history of DM. Which of the following focused
assessments should the nurse use to help differentiate between an arterial ulcer and a venous
Stasis ulcer?
A. Explore the client's family history of PAD
B. Note the presence or absence of pain at the ulcer site
C. Inquire about the presence or absence of claudication
D. Ask if the client has had a recent infection - ANSWER-C
A nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2
hour. Which of the following client statements indicates a need for further clarification by the
nurse?
A. "My arthritis is really bothering me b/c I haven't taken my aspirin in a week"
B. "My bp presssure shouldn't be high because I took my BP meds this morning"
C. "I took my warfarin last night according to my usual schedule"
D. "I will check my blood sugar b/c i took a reduced dose of insulin this morning" - ANSWER-C
A nurse in a emergency department is caring for a client who has a bp of 254/139 mmHg. The
nurse recognize that the client is in a hypertensive crisis. Which of the following actions should
the nurse take first?
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, RN ATI MEDICAL SURGICAL PROCTORED TEST BANK
A. Initiate seizure precautions
B. Tell the client to report vision changes
C. Elevate the head of the client bed
D. Start a peripheral IV - ANSWER-C
A nurse in an emergency department is caring for a client who had an anterior myocardial
infarction. The client's hx reveal they are 1 wk postoperative following an open
cholecystectomy. The nurse should identify that which of the following interventions is
contraindicated?
A. Administering IV morphine Sulfate
B. Administering O2 at 2L/min via nasal cannula
C. Helping the client to the beside commode
D. Assisting with thrombolytic therapy - ANSWER-D
A nurse is teaching a client who has a new prescription for an ACE inhibitor to treat HTN. The
nurse should instruct the client to notify their provider if they experience which of the following
adverse effect of this medication?
A. Tendon pain
B. Persistent cough
C. Frequent urination
D. Constipation - ANSWER-B
A nurse is monitoring the laboratory values of a client who has diabetes mellitus and is taking
insulin. Which of the following results indicates a therapeutic outcomes of insulin therapy?
A. Fasting blood glucose 96 mg/dL
B. Postprandial blood glucose 195 mg/dL
C. Random blood glucose 210 mg/dL
D. Pre-prandial blood glucose 60 mg/dL - ANSWER-A
4|Page
RN ATI MEDICAL SURGICAL PROCTORED TEST BANK NEWEST
2025/2026 COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
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 - ANSWER-B
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 - ANSWER-B
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 - ANSWER-D
1|Page
, RN ATI MEDICAL SURGICAL PROCTORED TEST BANK
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 - ANSWER-A
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 - ANSWER-A
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 - ANSWER-A
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
2|Page
, RN ATI MEDICAL SURGICAL PROCTORED TEST BANK
D. Metallic taste - ANSWER-B
A nurse is caring for a client who is 8 hour postoperative following a coronary artery bypass
graft (CABG). Which of the following findings should the nurse report?
A. Mediastinal drainage 100 mL/hr
B. Blood pressure 160/80 mmHg
C. Temperature 37.1C (98.8F)
D. Potassium 4.0 mEq/L - ANSWER-B
A nurse is admitting who has a leg ulcer and history of DM. Which of the following focused
assessments should the nurse use to help differentiate between an arterial ulcer and a venous
Stasis ulcer?
A. Explore the client's family history of PAD
B. Note the presence or absence of pain at the ulcer site
C. Inquire about the presence or absence of claudication
D. Ask if the client has had a recent infection - ANSWER-C
A nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2
hour. Which of the following client statements indicates a need for further clarification by the
nurse?
A. "My arthritis is really bothering me b/c I haven't taken my aspirin in a week"
B. "My bp presssure shouldn't be high because I took my BP meds this morning"
C. "I took my warfarin last night according to my usual schedule"
D. "I will check my blood sugar b/c i took a reduced dose of insulin this morning" - ANSWER-C
A nurse in a emergency department is caring for a client who has a bp of 254/139 mmHg. The
nurse recognize that the client is in a hypertensive crisis. Which of the following actions should
the nurse take first?
3|Page
, RN ATI MEDICAL SURGICAL PROCTORED TEST BANK
A. Initiate seizure precautions
B. Tell the client to report vision changes
C. Elevate the head of the client bed
D. Start a peripheral IV - ANSWER-C
A nurse in an emergency department is caring for a client who had an anterior myocardial
infarction. The client's hx reveal they are 1 wk postoperative following an open
cholecystectomy. The nurse should identify that which of the following interventions is
contraindicated?
A. Administering IV morphine Sulfate
B. Administering O2 at 2L/min via nasal cannula
C. Helping the client to the beside commode
D. Assisting with thrombolytic therapy - ANSWER-D
A nurse is teaching a client who has a new prescription for an ACE inhibitor to treat HTN. The
nurse should instruct the client to notify their provider if they experience which of the following
adverse effect of this medication?
A. Tendon pain
B. Persistent cough
C. Frequent urination
D. Constipation - ANSWER-B
A nurse is monitoring the laboratory values of a client who has diabetes mellitus and is taking
insulin. Which of the following results indicates a therapeutic outcomes of insulin therapy?
A. Fasting blood glucose 96 mg/dL
B. Postprandial blood glucose 195 mg/dL
C. Random blood glucose 210 mg/dL
D. Pre-prandial blood glucose 60 mg/dL - ANSWER-A
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