ATI RN Adult Medical Surgical 2023 Actual & Retake Proctored
Exam with NGN Clear Questions to Pass Level 3 RN ATI Adult
Med-Surg 2023-2025 Proctored Exam with NGN - 190 Questions
and Answers Already Graded A+ Premium Exam Tested And
Verified
Subject Area Adult Medical-Surgical Nursing
Description This comprehensive exam assesses mastery of adult medical-surgical nursing
concepts, including pathophysiology, pharmacology, nursing interventions, and
clinical reasoning for complex patient scenarios. It aligns with ATI RN Adult
Medical Surgical 2023 content and incorporates NGN-style questions to evaluate
clinical judgment.
Expected Grade A+
Total Questions 190
Duration 3 hours
Learning Outcomes 1. Apply evidence-based nursing interventions for acute and chronic
medical-surgical conditions.
2. Analyze diagnostic data and prioritize care for multi-system disorders.
3. Synthesize pharmacological knowledge with patient-specific factors to ensure
safe medication administration.
4. Demonstrate clinical judgment in managing complications and preventing
adverse outcomes.
Accreditation Meets standards for US university-level nursing education as per AACN and
CCNE accreditation criteria.
Page 1
,ati. ATI RN Adult Medical Surgical 2023 Actual & Retake Proctored Exam with NGN
Clear Questions to Pass Level 3 RN ATI Adult Med-Surg 2023-2025 Proctored Exam
Question: 1 of 190
A patient with a history of chronic obstructive pulmonary disease (COPD) presents
with acute dyspnea, cyanosis, and a PaO2 of 55 mmHg on room air. The nurse notes
the patient is using accessory muscles and has diminished breath sounds. Which
intervention should the nurse implement first?
Administer oxygen via nasal cannula at 2 L/min and obtain arterial blood gases.
Position the patient in a high-Fowler's position and encourage pursed-lip breathing.
Prepare for noninvasive positive pressure ventilation (NIPPV) and notify the provider.
Administer a nebulized bronchodilator and monitor oxygen saturation continuously.
PREVIOUS
Question: 2 of 190
A patient admitted with diabetic ketoacidosis (DKA) has a serum potassium of 3.2
mEq/L. The nurse reviews the provider's orders. Which order should the nurse
question?
Administer regular insulin 0.1 unit/kg IV bolus followed by 0.1 unit/kg/hr infusion.
Infuse 0.9% sodium chloride at 500 mL/hr for the first hour.
Administer potassium chloride 40 mEq IV when serum potassium is below 3.3 mEq/L.
Start sodium bicarbonate 50 mEq IV if arterial pH is less than 7.0.
PREVIOUS
Page 2
,ati. ATI RN Adult Medical Surgical 2023 Actual & Retake Proctored Exam with NGN
Clear Questions to Pass Level 3 RN ATI Adult Med-Surg 2023-2025 Proctored Exam
Question: 3 of 190
A patient with acute pancreatitis develops sudden onset of severe abdominal pain,
hypotension, and a positive Cullen's sign. Which complication should the nurse
suspect?
Pancreatic pseudocyst
Hemorrhagic pancreatitis with retroperitoneal bleeding
Acute respiratory distress syndrome (ARDS)
Pancreatic abscess
PREVIOUS
Question: 4 of 190
A patient with heart failure and a left ventricular ejection fraction of 30% is prescribed
sacubitril/valsartan. Which laboratory value requires the most immediate attention
before administering this medication?
Serum potassium 5.5 mEq/L
Serum creatinine 1.8 mg/dL
Blood urea nitrogen (BUN) 28 mg/dL
Hemoglobin 10.2 g/dL
PREVIOUS
Page 3
, ati. ATI RN Adult Medical Surgical 2023 Actual & Retake Proctored Exam with NGN
Clear Questions to Pass Level 3 RN ATI Adult Med-Surg 2023-2025 Proctored Exam
Question: 5 of 190
A patient with end-stage renal disease (ESRD) on hemodialysis presents with
confusion, muscle cramps, and a serum calcium of 7.8 mg/dL. The nurse reviews the
most recent laboratory results. Which additional finding is most likely contributing to
the patient's symptoms?
Serum phosphate 6.5 mg/dL
Serum magnesium 1.2 mEq/L
Serum potassium 5.8 mEq/L
Serum albumin 4.0 g/dL
PREVIOUS
Question: 6 of 190
A patient with a traumatic brain injury has an intracranial pressure (ICP) monitor in
place. The nurse notes that the ICP waveform shows a P2 wave that is higher than the
P1 wave. What does this finding indicate?
Decreased cerebral perfusion pressure
Reduced intracranial compliance
Increased cerebral blood flow
Normal intracranial pressure dynamics
PREVIOUS
Page 4
Exam with NGN Clear Questions to Pass Level 3 RN ATI Adult
Med-Surg 2023-2025 Proctored Exam with NGN - 190 Questions
and Answers Already Graded A+ Premium Exam Tested And
Verified
Subject Area Adult Medical-Surgical Nursing
Description This comprehensive exam assesses mastery of adult medical-surgical nursing
concepts, including pathophysiology, pharmacology, nursing interventions, and
clinical reasoning for complex patient scenarios. It aligns with ATI RN Adult
Medical Surgical 2023 content and incorporates NGN-style questions to evaluate
clinical judgment.
Expected Grade A+
Total Questions 190
Duration 3 hours
Learning Outcomes 1. Apply evidence-based nursing interventions for acute and chronic
medical-surgical conditions.
2. Analyze diagnostic data and prioritize care for multi-system disorders.
3. Synthesize pharmacological knowledge with patient-specific factors to ensure
safe medication administration.
4. Demonstrate clinical judgment in managing complications and preventing
adverse outcomes.
Accreditation Meets standards for US university-level nursing education as per AACN and
CCNE accreditation criteria.
Page 1
,ati. ATI RN Adult Medical Surgical 2023 Actual & Retake Proctored Exam with NGN
Clear Questions to Pass Level 3 RN ATI Adult Med-Surg 2023-2025 Proctored Exam
Question: 1 of 190
A patient with a history of chronic obstructive pulmonary disease (COPD) presents
with acute dyspnea, cyanosis, and a PaO2 of 55 mmHg on room air. The nurse notes
the patient is using accessory muscles and has diminished breath sounds. Which
intervention should the nurse implement first?
Administer oxygen via nasal cannula at 2 L/min and obtain arterial blood gases.
Position the patient in a high-Fowler's position and encourage pursed-lip breathing.
Prepare for noninvasive positive pressure ventilation (NIPPV) and notify the provider.
Administer a nebulized bronchodilator and monitor oxygen saturation continuously.
PREVIOUS
Question: 2 of 190
A patient admitted with diabetic ketoacidosis (DKA) has a serum potassium of 3.2
mEq/L. The nurse reviews the provider's orders. Which order should the nurse
question?
Administer regular insulin 0.1 unit/kg IV bolus followed by 0.1 unit/kg/hr infusion.
Infuse 0.9% sodium chloride at 500 mL/hr for the first hour.
Administer potassium chloride 40 mEq IV when serum potassium is below 3.3 mEq/L.
Start sodium bicarbonate 50 mEq IV if arterial pH is less than 7.0.
PREVIOUS
Page 2
,ati. ATI RN Adult Medical Surgical 2023 Actual & Retake Proctored Exam with NGN
Clear Questions to Pass Level 3 RN ATI Adult Med-Surg 2023-2025 Proctored Exam
Question: 3 of 190
A patient with acute pancreatitis develops sudden onset of severe abdominal pain,
hypotension, and a positive Cullen's sign. Which complication should the nurse
suspect?
Pancreatic pseudocyst
Hemorrhagic pancreatitis with retroperitoneal bleeding
Acute respiratory distress syndrome (ARDS)
Pancreatic abscess
PREVIOUS
Question: 4 of 190
A patient with heart failure and a left ventricular ejection fraction of 30% is prescribed
sacubitril/valsartan. Which laboratory value requires the most immediate attention
before administering this medication?
Serum potassium 5.5 mEq/L
Serum creatinine 1.8 mg/dL
Blood urea nitrogen (BUN) 28 mg/dL
Hemoglobin 10.2 g/dL
PREVIOUS
Page 3
, ati. ATI RN Adult Medical Surgical 2023 Actual & Retake Proctored Exam with NGN
Clear Questions to Pass Level 3 RN ATI Adult Med-Surg 2023-2025 Proctored Exam
Question: 5 of 190
A patient with end-stage renal disease (ESRD) on hemodialysis presents with
confusion, muscle cramps, and a serum calcium of 7.8 mg/dL. The nurse reviews the
most recent laboratory results. Which additional finding is most likely contributing to
the patient's symptoms?
Serum phosphate 6.5 mg/dL
Serum magnesium 1.2 mEq/L
Serum potassium 5.8 mEq/L
Serum albumin 4.0 g/dL
PREVIOUS
Question: 6 of 190
A patient with a traumatic brain injury has an intracranial pressure (ICP) monitor in
place. The nurse notes that the ICP waveform shows a P2 wave that is higher than the
P1 wave. What does this finding indicate?
Decreased cerebral perfusion pressure
Reduced intracranial compliance
Increased cerebral blood flow
Normal intracranial pressure dynamics
PREVIOUS
Page 4
