ATI Med-Surg Proctored Exam Test Bank 2026 |
Medical-Surgical Nursing, NCLEX Preparation
ABOUT THIS RESOURCE
This comprehensive test bank is designed to help nursing students prepare for the ATI
Medical-Surgical Proctored Exam. The content aligns with the ATI CMS Blueprint for
2026 and incorporates Next Generation NCLEX (NGN) item types including unfolding
case studies, bow-tie questions, and clinical judgment scenarios . All questions are
based on real exam formats from multiple testing versions .
CORE CONTENT AREAS COVERED
Based on the current ATI Med-Surg blueprint, this test bank covers the following
essential domains :
Cardiovascular Disorders
• Heart failure (left vs. right sided)
• Coronary
1-200
Read 10 web pages
ATI Med-Surg Proctored Exam Test Bank 2026 |
Medical-Surgical Nursing, NCLEX Preparation
,This comprehensive test bank covers the core content areas and high-yield topics for
the ATI Med-Surg Proctored Exam, incorporating Next Generation NCLEX (NGN)-style
questions. The questions are designed to build clinical judgment, prioritization skills, and
evidence-based reasoning for exam success .
SECTION 1: CARDIOVASCULAR DISORDERS
1. A nurse is preparing to administer a unit of packed RBCs to a client. Which of
the following actions should the nurse take?
A) Obtain the client's first set of vital signs 1 hour after the infusion starts
B) Initiate venous access with a 21-gauge needle
C) Administer the unit of packed RBCs over 1 hour
D) Use Y tubing with 0.9% sodium chloride when administering the blood
*D) Use Y tubing with 0.9% sodium chloride when administering the blood *
Rationale: Y tubing with 0.9% sodium chloride (normal saline) is the only solution
compatible with blood products. Dextrose solutions or lactated Ringer's can cause
hemolysis. A 20-gauge or larger needle is preferred for blood administration .
2. A nurse is caring for a client who is receiving a blood transfusion. The client
develops chills, fever, and low back pain. Which action should the nurse take first?
,A) Slow the transfusion rate
B) Administer an antihistamine
C) Stop the infusion
D) Check the client's vital signs
*C) Stop the infusion *
Rationale: The priority action during a suspected transfusion reaction is to STOP the
infusion immediately to prevent further harm. Then notify the provider, assess vital signs,
and send the blood bag and tubing to the lab .
3. A nurse is assessing a client with left-sided heart failure. Which finding is most
consistent with this diagnosis?
A) Peripheral edema
B) Jugular venous distention
C) Crackles in the lungs
D) Hepatomegaly
*C) Crackles in the lungs *
Rationale: Left-sided heart failure causes pulmonary congestion, resulting in crackles on
auscultation, dyspnea, and orthopnea. Peripheral edema, JVD, and hepatomegaly are
signs of right-sided heart failure.
4. A client with heart failure reports a sudden weight gain of 2 kg (4.4 lb) in 2 days.
What is the nurse's priority action?
A) Encourage ambulation
B) Restrict fluids
, C) Notify the provider
D) Administer potassium
*C) Notify the provider *
Rationale: Rapid weight gain indicates fluid overload and a possible exacerbation of heart
failure, requiring immediate provider intervention for diuretic adjustment or other medical
management .
5. A client is receiving a heparin infusion. Which lab value should the nurse
monitor to evaluate therapeutic effect?
A) INR
B) aPTT
C) Platelet count
D) Hemoglobin
*B) aPTT *
Rationale: The activated partial thromboplastin time (aPTT) is used to monitor heparin
therapy. The therapeutic goal is typically 1.5-2.5 times the control value .
6. A client with atrial fibrillation is prescribed warfarin. Which laboratory value
indicates therapy is therapeutic?
A) INR of 2.5
B) aPTT of 60 seconds
C) Platelets of 150,000
D) Hemoglobin of 14 g/dL
Medical-Surgical Nursing, NCLEX Preparation
ABOUT THIS RESOURCE
This comprehensive test bank is designed to help nursing students prepare for the ATI
Medical-Surgical Proctored Exam. The content aligns with the ATI CMS Blueprint for
2026 and incorporates Next Generation NCLEX (NGN) item types including unfolding
case studies, bow-tie questions, and clinical judgment scenarios . All questions are
based on real exam formats from multiple testing versions .
CORE CONTENT AREAS COVERED
Based on the current ATI Med-Surg blueprint, this test bank covers the following
essential domains :
Cardiovascular Disorders
• Heart failure (left vs. right sided)
• Coronary
1-200
Read 10 web pages
ATI Med-Surg Proctored Exam Test Bank 2026 |
Medical-Surgical Nursing, NCLEX Preparation
,This comprehensive test bank covers the core content areas and high-yield topics for
the ATI Med-Surg Proctored Exam, incorporating Next Generation NCLEX (NGN)-style
questions. The questions are designed to build clinical judgment, prioritization skills, and
evidence-based reasoning for exam success .
SECTION 1: CARDIOVASCULAR DISORDERS
1. A nurse is preparing to administer a unit of packed RBCs to a client. Which of
the following actions should the nurse take?
A) Obtain the client's first set of vital signs 1 hour after the infusion starts
B) Initiate venous access with a 21-gauge needle
C) Administer the unit of packed RBCs over 1 hour
D) Use Y tubing with 0.9% sodium chloride when administering the blood
*D) Use Y tubing with 0.9% sodium chloride when administering the blood *
Rationale: Y tubing with 0.9% sodium chloride (normal saline) is the only solution
compatible with blood products. Dextrose solutions or lactated Ringer's can cause
hemolysis. A 20-gauge or larger needle is preferred for blood administration .
2. A nurse is caring for a client who is receiving a blood transfusion. The client
develops chills, fever, and low back pain. Which action should the nurse take first?
,A) Slow the transfusion rate
B) Administer an antihistamine
C) Stop the infusion
D) Check the client's vital signs
*C) Stop the infusion *
Rationale: The priority action during a suspected transfusion reaction is to STOP the
infusion immediately to prevent further harm. Then notify the provider, assess vital signs,
and send the blood bag and tubing to the lab .
3. A nurse is assessing a client with left-sided heart failure. Which finding is most
consistent with this diagnosis?
A) Peripheral edema
B) Jugular venous distention
C) Crackles in the lungs
D) Hepatomegaly
*C) Crackles in the lungs *
Rationale: Left-sided heart failure causes pulmonary congestion, resulting in crackles on
auscultation, dyspnea, and orthopnea. Peripheral edema, JVD, and hepatomegaly are
signs of right-sided heart failure.
4. A client with heart failure reports a sudden weight gain of 2 kg (4.4 lb) in 2 days.
What is the nurse's priority action?
A) Encourage ambulation
B) Restrict fluids
, C) Notify the provider
D) Administer potassium
*C) Notify the provider *
Rationale: Rapid weight gain indicates fluid overload and a possible exacerbation of heart
failure, requiring immediate provider intervention for diuretic adjustment or other medical
management .
5. A client is receiving a heparin infusion. Which lab value should the nurse
monitor to evaluate therapeutic effect?
A) INR
B) aPTT
C) Platelet count
D) Hemoglobin
*B) aPTT *
Rationale: The activated partial thromboplastin time (aPTT) is used to monitor heparin
therapy. The therapeutic goal is typically 1.5-2.5 times the control value .
6. A client with atrial fibrillation is prescribed warfarin. Which laboratory value
indicates therapy is therapeutic?
A) INR of 2.5
B) aPTT of 60 seconds
C) Platelets of 150,000
D) Hemoglobin of 14 g/dL
