RN ATI ADULT MEDSURG PROCTORED
EXAM 2026 WITH NGN/ with screenshots
Questions and correct verified answers.
Guaranteed pass /Graded A+
,
,SECTION A: Assessment and Clinical Findings (Questions 1-20)
1. Based on the case scenario, which finding requires the MOST immediate follow-
up?
A) Poor eye contact and monotone speech
B) 8 lb weight loss in the past month
C) Statement "Why don't you just leave me? I am of no use." ✓
D) Sleeping 7 hours per night
Rationale: Statements indicating suicidal ideation, feelings of worthlessness, or
hopelessness require immediate mental health assessment and suicide risk
evaluation. The client's statement "Why don't you just leave me? I am of no use"
suggests possible depression with suicidal ideation, which is the priority safety
concern. While weight loss and poor eye contact are concerning, they do not
represent an immediate life-threatening situation.
2. A client presents with poor eye contact, monotone voice, and lack of facial
expression. These findings are most consistent with:
A) Depression ✓
B) Alzheimer's disease
C) Delirium
D) Normal aging
Rationale: Psychomotor retardation, including decreased eye contact, monotone
speech, and flat affect, are classic signs of depression in older adults. While
cognitive decline may present with some of these features, the combination with
verbal expressions of worthlessness strongly suggests depression.
, 3. The adult child reports finding the car title signed over to them. This finding
should prompt the nurse to assess for:
A) Financial exploitation
B) Possible cognitive impairment ✓
C) Normal family dynamics
D) Grief response
Rationale: A client transferring significant assets without clear understanding or
appropriate legal documentation may indicate cognitive impairment affecting
judgment and decision-making capacity. This requires further cognitive assessment
and evaluation of the client's mental capacity.
4. Which assessment tool is MOST appropriate for screening this client for
depression?
A) Mini-Mental State Examination (MMSE)
B) Geriatric Depression Scale (GDS) ✓
C) Confusion Assessment Method (CAM)
D) Montreal Cognitive Assessment (MoCA)
Rationale: The Geriatric Depression Scale is specifically designed to screen for
depression in older adults. It uses yes/no questions and avoids somatic symptoms
that may be confused with physical illness. The MMSE and MoCA assess
cognitive function, while CAM screens for delirium.
5. The client's weight loss of 8 lb in one month represents what percentage of body
weight loss that is clinically significant?
EXAM 2026 WITH NGN/ with screenshots
Questions and correct verified answers.
Guaranteed pass /Graded A+
,
,SECTION A: Assessment and Clinical Findings (Questions 1-20)
1. Based on the case scenario, which finding requires the MOST immediate follow-
up?
A) Poor eye contact and monotone speech
B) 8 lb weight loss in the past month
C) Statement "Why don't you just leave me? I am of no use." ✓
D) Sleeping 7 hours per night
Rationale: Statements indicating suicidal ideation, feelings of worthlessness, or
hopelessness require immediate mental health assessment and suicide risk
evaluation. The client's statement "Why don't you just leave me? I am of no use"
suggests possible depression with suicidal ideation, which is the priority safety
concern. While weight loss and poor eye contact are concerning, they do not
represent an immediate life-threatening situation.
2. A client presents with poor eye contact, monotone voice, and lack of facial
expression. These findings are most consistent with:
A) Depression ✓
B) Alzheimer's disease
C) Delirium
D) Normal aging
Rationale: Psychomotor retardation, including decreased eye contact, monotone
speech, and flat affect, are classic signs of depression in older adults. While
cognitive decline may present with some of these features, the combination with
verbal expressions of worthlessness strongly suggests depression.
, 3. The adult child reports finding the car title signed over to them. This finding
should prompt the nurse to assess for:
A) Financial exploitation
B) Possible cognitive impairment ✓
C) Normal family dynamics
D) Grief response
Rationale: A client transferring significant assets without clear understanding or
appropriate legal documentation may indicate cognitive impairment affecting
judgment and decision-making capacity. This requires further cognitive assessment
and evaluation of the client's mental capacity.
4. Which assessment tool is MOST appropriate for screening this client for
depression?
A) Mini-Mental State Examination (MMSE)
B) Geriatric Depression Scale (GDS) ✓
C) Confusion Assessment Method (CAM)
D) Montreal Cognitive Assessment (MoCA)
Rationale: The Geriatric Depression Scale is specifically designed to screen for
depression in older adults. It uses yes/no questions and avoids somatic symptoms
that may be confused with physical illness. The MMSE and MoCA assess
cognitive function, while CAM screens for delirium.
5. The client's weight loss of 8 lb in one month represents what percentage of body
weight loss that is clinically significant?
