PASS ATI RN Medical-Surgical Proctored Exam 2026 with NGN 100 Questions
and 100% Correct Answers | 2026 RN ATI Med-Surg Proctored Exam with NGN
100 Questions & Answers
, A nurse is providing education to a client with newly diagnosed hypertension about lifestyle modifications. The nurse
should emphasize the importance of reducing sodium intake, engaging in regular physical activity, maintaining a
healthy weight, and avoiding smoking and excessive alcohol use. The client should be encouraged to follow the DASH
diet, which includes fruits, vegetables, whole grains, and lean proteins. Stress management techniques, such as
relaxation exercises, can help control blood pressure. Adhering to prescribed antihypertensive medication is essential
for optimal blood pressure control. The nurse should also teach the client to monitor blood pressure at home regularly
and keep a log to share with the provider during follow-up visits. These interventions reduce the risk of complications
such as stroke, myocardial infarction, and kidney disease.
Choices: A. Increase sodium intake. B. Follow the DASH diet and lifestyle changes. C.
Stop medication if blood pressure improves. D. Avoid all physical activity.
Correct Answer: B. Follow the DASH diet and lifestyle changes.
Rationale: Lifestyle changes and DASH diet effectively reduce blood pressure. Increased
sodium worsens hypertension. Stopping medication abruptly can cause rebound
hypertension.
53. A nurse is caring for a client receiving oxygen therapy via nasal cannula at 2 L/min for
chronic obstructive pulmonary disease (COPD). The nurse should monitor the client’s
oxygen saturation to ensure it remains within the target range of 88–92% to prevent
oxygen-induced hypoventilation. The nurse should also assess respiratory rate and effort
regularly to detect early signs of distress. Encouraging pursed-lip breathing helps
improve ventilation and reduce dyspnea. Humidification of oxygen prevents mucosal
drying and promotes comfort. The nurse should instruct the client to avoid adjusting the
, oxygen flow without medical guidance. Proper oxygen therapy management helps
maintain adequate oxygenation while preventing complications associated with COPD.
Choices: A. Increase flow to 10 L/min. B. Maintain ordered flow rate and monitor
oxygen saturation. C. Remove oxygen when asleep. D. Ignore changes in breathing
pattern.
Correct Answer: B. Maintain ordered flow rate and monitor oxygen saturation.
Rationale: Maintaining prescribed flow prevents CO₂ retention. Increasing flow
unnecessarily can depress respiration. Removing oxygen risks hypoxemia. Ignoring
changes delays intervention.
54. A nurse is providing discharge teaching to a client prescribed a metered-dose inhaler
(MDI) for asthma management. The nurse should instruct the client to shake the inhaler
well before use, exhale completely, and then place the mouthpiece in the mouth or use a
spacer as directed. The client should press the inhaler and inhale slowly and deeply at the
same time to allow the medication to reach the lower airways. Holding the breath for
approximately 10 seconds after inhalation enhances absorption. The client should rinse
the mouth after using inhaled corticosteroids to prevent oral candidiasis. The nurse
should emphasize using the inhaler as prescribed and checking the number of doses
remaining to ensure continuous treatment. Correct inhaler technique helps prevent asthma
exacerbations and improves respiratory function.
Choices: A. Inhale rapidly without shaking the inhaler. B. Shake inhaler, inhale slowly,
and hold breath. C. Exhale into the inhaler before using. D. Skip mouth rinse after
corticosteroids.
Correct Answer: B. Shake inhaler, inhale slowly, and hold breath.
Rationale: Proper technique ensures medication reaches the lungs. Exhaling into the
inhaler damages it, rapid inhalation reduces effectiveness, and skipping mouth rinse
increases infection risk.
55. A nurse is providing discharge teaching to a client prescribed warfarin therapy after being
diagnosed with atrial fibrillation. The nurse should emphasize the importance of
maintaining consistent vitamin K intake to keep the international normalized ratio (INR)
within the therapeutic range. Sudden increases or decreases in foods such as green leafy
vegetables can alter INR levels and increase the risk of clotting or bleeding. The client
should be instructed to report any signs of bleeding such as bruising, nosebleeds, or
hematuria. The nurse should also stress the importance of attending regular INR lab
monitoring appointments to ensure the dose remains therapeutic. The client must avoid
over-the-counter medications such as aspirin or NSAIDs unless prescribed, as these can
and 100% Correct Answers | 2026 RN ATI Med-Surg Proctored Exam with NGN
100 Questions & Answers
, A nurse is providing education to a client with newly diagnosed hypertension about lifestyle modifications. The nurse
should emphasize the importance of reducing sodium intake, engaging in regular physical activity, maintaining a
healthy weight, and avoiding smoking and excessive alcohol use. The client should be encouraged to follow the DASH
diet, which includes fruits, vegetables, whole grains, and lean proteins. Stress management techniques, such as
relaxation exercises, can help control blood pressure. Adhering to prescribed antihypertensive medication is essential
for optimal blood pressure control. The nurse should also teach the client to monitor blood pressure at home regularly
and keep a log to share with the provider during follow-up visits. These interventions reduce the risk of complications
such as stroke, myocardial infarction, and kidney disease.
Choices: A. Increase sodium intake. B. Follow the DASH diet and lifestyle changes. C.
Stop medication if blood pressure improves. D. Avoid all physical activity.
Correct Answer: B. Follow the DASH diet and lifestyle changes.
Rationale: Lifestyle changes and DASH diet effectively reduce blood pressure. Increased
sodium worsens hypertension. Stopping medication abruptly can cause rebound
hypertension.
53. A nurse is caring for a client receiving oxygen therapy via nasal cannula at 2 L/min for
chronic obstructive pulmonary disease (COPD). The nurse should monitor the client’s
oxygen saturation to ensure it remains within the target range of 88–92% to prevent
oxygen-induced hypoventilation. The nurse should also assess respiratory rate and effort
regularly to detect early signs of distress. Encouraging pursed-lip breathing helps
improve ventilation and reduce dyspnea. Humidification of oxygen prevents mucosal
drying and promotes comfort. The nurse should instruct the client to avoid adjusting the
, oxygen flow without medical guidance. Proper oxygen therapy management helps
maintain adequate oxygenation while preventing complications associated with COPD.
Choices: A. Increase flow to 10 L/min. B. Maintain ordered flow rate and monitor
oxygen saturation. C. Remove oxygen when asleep. D. Ignore changes in breathing
pattern.
Correct Answer: B. Maintain ordered flow rate and monitor oxygen saturation.
Rationale: Maintaining prescribed flow prevents CO₂ retention. Increasing flow
unnecessarily can depress respiration. Removing oxygen risks hypoxemia. Ignoring
changes delays intervention.
54. A nurse is providing discharge teaching to a client prescribed a metered-dose inhaler
(MDI) for asthma management. The nurse should instruct the client to shake the inhaler
well before use, exhale completely, and then place the mouthpiece in the mouth or use a
spacer as directed. The client should press the inhaler and inhale slowly and deeply at the
same time to allow the medication to reach the lower airways. Holding the breath for
approximately 10 seconds after inhalation enhances absorption. The client should rinse
the mouth after using inhaled corticosteroids to prevent oral candidiasis. The nurse
should emphasize using the inhaler as prescribed and checking the number of doses
remaining to ensure continuous treatment. Correct inhaler technique helps prevent asthma
exacerbations and improves respiratory function.
Choices: A. Inhale rapidly without shaking the inhaler. B. Shake inhaler, inhale slowly,
and hold breath. C. Exhale into the inhaler before using. D. Skip mouth rinse after
corticosteroids.
Correct Answer: B. Shake inhaler, inhale slowly, and hold breath.
Rationale: Proper technique ensures medication reaches the lungs. Exhaling into the
inhaler damages it, rapid inhalation reduces effectiveness, and skipping mouth rinse
increases infection risk.
55. A nurse is providing discharge teaching to a client prescribed warfarin therapy after being
diagnosed with atrial fibrillation. The nurse should emphasize the importance of
maintaining consistent vitamin K intake to keep the international normalized ratio (INR)
within the therapeutic range. Sudden increases or decreases in foods such as green leafy
vegetables can alter INR levels and increase the risk of clotting or bleeding. The client
should be instructed to report any signs of bleeding such as bruising, nosebleeds, or
hematuria. The nurse should also stress the importance of attending regular INR lab
monitoring appointments to ensure the dose remains therapeutic. The client must avoid
over-the-counter medications such as aspirin or NSAIDs unless prescribed, as these can
