ATIMEDSURGEPEOCOR2026

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Sample questions from ATIMEDSURGEPEOCOR2026

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During a home visit, an older adult with heart failure reports gaining 2.3 kg (5 lb) in 3 days and needing extra pillows to sleep. Which instruction should the nurse provide?

   • A.Increase fluid intake to thin respiratory secretions.
   • B.Skip the next dose of the prescribed diuretic to prevent dehydration.
   • C.Wait a week and report the weight at the next scheduled appointment.
   • D.Contact the health care provider today to report the weight gain and increased breathlessness when lying flat.

   Rationale: Rapid weight gain and new orthopnea can indicate worsening fluid overload and require prompt evaluation. Skipping a prescribed diuretic or increasing fluids may worsen congestion, while waiting a week delays care. Teach clients with heart failure to track daily weight and report rapid gains or worsening symptoms promptly.

2. 2.Refer to the client's chart. Which actions should the nurse take immediately in response to the client's current findings? Select all that apply.

   • A.Place the client on a cardiac monitor and obtain a 12-lead ECG.
   • B.Encourage the client to walk to assess activity tolerance.
   • C.Administer prescribed chewable aspirin, if not contraindicated.
   • D.Offer a meal before further assessment.
   • E.Activate the facility's emergency response system.

   Rationale: The new crushing chest pressure, diaphoresis, and rising heart rate require emergency evaluation; activating the response system is appropriate. Cardiac monitoring and a 12-lead ECG help identify acute ischemia, and prescribed chewable aspirin is appropriate if there is no contraindication. Walking may increase myocardial oxygen demand, and offering a meal delays urgent care and may complicate emergency treatment.

3. 3.Which finding in a 2-week-old newborn should prompt further assessment for coarctation of the aorta?

   • A.The newborn has acrocyanosis shortly after birth.
   • B.The heart rate increases briefly while the newborn cries.
   • C.Femoral pulses are weaker than brachial pulses.
   • D.A soft systolic murmur is heard at the left sternal border.

   Rationale: Coarctation of the aorta can reduce blood flow to the lower body, producing weak or delayed femoral pulses compared with upper-extremity pulses. A murmur may have several causes and is not as specific as the pulse discrepancy. Acrocyanosis shortly after birth and a transient heart-rate increase with crying can be normal findings, but neither explains diminished femoral pulses.

4. 4.A primigravida at 30 weeks has a blood pressure of 168/112 mm Hg, severe headache, and visual spots. Which action is the priority?

   • A.Teach the client to restrict all fluids until the headache resolves.
   • B.Place the client in a side-lying position and notify the obstetric provider immediately.
   • C.Provide a high-sodium snack and recheck the blood pressure in 4 hours.
   • D.Encourage the client to walk to reduce anxiety before repeating the blood pressure.

   Answer and rationale are in the full material.

5. 5.At change of shift, a 16-year-old is 2 hours post cardiac catheterization through the right femoral artery. Which finding requires immediate action?

   • A.The right foot is cool and the pedal pulse is weaker than on the left.
   • B.The client reports mild soreness at the insertion site.
   • C.The client is instructed to keep the affected leg straight.
   • D.A small bruise is present at the catheter insertion site.

   Answer and rationale are in the full material.