• ATI RN Adult
Medical Surgical 09/07/2026
Exam
ATI RN Adult Medical Surgical 2026 1
Actual Proctored Exam Featuring All
Complete NGN 100 Screenshot Questions
and Answers for Level 3 Pass RN ATI Exam
A client who is receiving the sixth unit of packed red blood cell transfusion is demonstrating signs and symptoms
of a febrile, nonhemolytic reaction. What assessment finding is most important for the nurse to identify?
Increased anxiety since the transfusion began.
Drowsiness after receiving diphenhydramine (Benadryl).
Complaints of feeling cold.
Flushed skin and headache.
Flushed skin and headache.
P 1
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Rationale
The most common type of reaction is a febrile, nonhemolytic blood transfusion reaction related to leukocyte
incompatibility, which causes chills, fever, headache, and flushing.
When teaching a client with breast cancer about the prescribed radiation therapy for treatment, what
information is important to include?
Dry, itchy skin changes may occur.
There is a possibility of long bone pain.
Permanent pigment changes to the breast may result.
A low-residue diet may be ordered to reduce the likelihood of diarrhea.
Dry, itchy skin changes may occur.
Rationale
Side effects from radiation to the breast most often include temporary skin changes such as: dryness,
tenderness, redness, swelling, and pruritis.
The nurse is providing discharge instructions to a client who has undergone a left orchiectomy for testicular
cancer. Which statement indicates that the client understands his post-operative care and prognosis?
"I should continue to perform testicular self-examination (TSE) monthly on my remaining testicle."
"I should wear an athletic supporter and cup to prevent testicular cancer in my remaining testicle."
"I should always use a condom because I am at increased risk for acquiring a sexually transmitted disease."
"I should make sure my sons know how to perform TSE because they are at increased risk for this type of
cancer."
"I should continue to perform testicular self-examination (TSE) monthly on my remaining testicle."
Rationale
Although testicular cancer protocols, such as surgery, radiation, or chemotherapy, focus on the primary site of
testicular cancer, these treatments do not reduce the risk of testicular cancer in the remaining testicle, so early
P 2
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
recognition is the best prevention. The client's understanding is reflected in the statement to perform monthly
TSE for changes in size, shape, or consistency of the testis that may indicate early cancer.
When caring for a client with a percutaneous endoscopic gastrostomy (PEG) tube, what protocols should the
nurse implement for intermittent feedings? (Select all that apply.)
Assessing residual amounts once a day.
Keeping the head of the bed elevated 30 degrees.
Changing the enteral-feeding bag every 24 hours.
Checking the placement of the tube by means of gastric aspiration.
Flushing the tube with 50 ml of normal saline solution after each feeding.
Keeping the head of the bed elevated 30 degrees.
Changing the enteral-feeding bag every 24 hours.
Checking the placement of the tube by means of gastric aspiration.
Flushing the tube with 50 ml of normal saline solution after each feeding.
Rationale
Keeping the head of the bed elevated 30 degrees, changing the enteral-feeding bag every 24 hours, checking
the placement of the tube by means of gastric aspiration, and flushing the tube with 50 ml of normal saline
solution after each feeding are interventions used to provide care of the client with a PEG tube. Residual
amounts should be assessed each time, prior to each feeding.
Which sexually transmitted infection (STI) should the nurse include in a client's teaching plan about the risk for
cervical cancer?
Neisseria gonorrhoea.
Chlamydia trachomatis.
Herpes simplex virus.
Human papillomavirus.
P 3
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Human papillomavirus.
Rationale
According to the CDC (2017), it is estimated at least 80% of all women who are sexually active will contract the
Human papillomavirus (HPV) in their lifetime. Certain types of HPV have been suspected to cause cervical cancer
and HPV strain 16 and 18 have been identified to cause 70% of cervical cancers.
A client asks the nurse about the purpose of beginning chemotherapy (CT) because the tumor is still very small.
Which information supports the explanation that the nurse should provide?
Side effects are less likely if therapy is started early.
Collateral circulation increases as the tumor grows.
Sensitivity of cancer cells to CT is based on cell cycle rate.
The cell count of the tumor reduces by half with each dose.
The cell count of the tumor reduces by half with each dose.
Rationale
Initiating chemotherapy while the tumor is small provides a better chance of eradicating all cancer cells because
50% of cancer cells or tumor cells are killed with each dose.
An older female client is admitted with atrophic vaginitis and perineal cutaneous candidiasis. What is the priority
nursing diagnosis for this client?
Risk for injury.
Impaired comfort.
Disturbed body image.
Ineffective health maintenance.
Impaired comfort.
Rationale
In menopausal women, the vaginal mucous membrane responds to low estrogen levels causing the vaginal walls
to become thinner, drier, and susceptible to infection which leads to atrophic vaginitis. Perineal cutaneous
candidiasis contributes to other manifestations of vaginal infections, such as vaginal irritation, burning, pruritus,
P 4
Medical Surgical 09/07/2026
Exam
ATI RN Adult Medical Surgical 2026 1
Actual Proctored Exam Featuring All
Complete NGN 100 Screenshot Questions
and Answers for Level 3 Pass RN ATI Exam
A client who is receiving the sixth unit of packed red blood cell transfusion is demonstrating signs and symptoms
of a febrile, nonhemolytic reaction. What assessment finding is most important for the nurse to identify?
Increased anxiety since the transfusion began.
Drowsiness after receiving diphenhydramine (Benadryl).
Complaints of feeling cold.
Flushed skin and headache.
Flushed skin and headache.
P 1
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Rationale
The most common type of reaction is a febrile, nonhemolytic blood transfusion reaction related to leukocyte
incompatibility, which causes chills, fever, headache, and flushing.
When teaching a client with breast cancer about the prescribed radiation therapy for treatment, what
information is important to include?
Dry, itchy skin changes may occur.
There is a possibility of long bone pain.
Permanent pigment changes to the breast may result.
A low-residue diet may be ordered to reduce the likelihood of diarrhea.
Dry, itchy skin changes may occur.
Rationale
Side effects from radiation to the breast most often include temporary skin changes such as: dryness,
tenderness, redness, swelling, and pruritis.
The nurse is providing discharge instructions to a client who has undergone a left orchiectomy for testicular
cancer. Which statement indicates that the client understands his post-operative care and prognosis?
"I should continue to perform testicular self-examination (TSE) monthly on my remaining testicle."
"I should wear an athletic supporter and cup to prevent testicular cancer in my remaining testicle."
"I should always use a condom because I am at increased risk for acquiring a sexually transmitted disease."
"I should make sure my sons know how to perform TSE because they are at increased risk for this type of
cancer."
"I should continue to perform testicular self-examination (TSE) monthly on my remaining testicle."
Rationale
Although testicular cancer protocols, such as surgery, radiation, or chemotherapy, focus on the primary site of
testicular cancer, these treatments do not reduce the risk of testicular cancer in the remaining testicle, so early
P 2
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
recognition is the best prevention. The client's understanding is reflected in the statement to perform monthly
TSE for changes in size, shape, or consistency of the testis that may indicate early cancer.
When caring for a client with a percutaneous endoscopic gastrostomy (PEG) tube, what protocols should the
nurse implement for intermittent feedings? (Select all that apply.)
Assessing residual amounts once a day.
Keeping the head of the bed elevated 30 degrees.
Changing the enteral-feeding bag every 24 hours.
Checking the placement of the tube by means of gastric aspiration.
Flushing the tube with 50 ml of normal saline solution after each feeding.
Keeping the head of the bed elevated 30 degrees.
Changing the enteral-feeding bag every 24 hours.
Checking the placement of the tube by means of gastric aspiration.
Flushing the tube with 50 ml of normal saline solution after each feeding.
Rationale
Keeping the head of the bed elevated 30 degrees, changing the enteral-feeding bag every 24 hours, checking
the placement of the tube by means of gastric aspiration, and flushing the tube with 50 ml of normal saline
solution after each feeding are interventions used to provide care of the client with a PEG tube. Residual
amounts should be assessed each time, prior to each feeding.
Which sexually transmitted infection (STI) should the nurse include in a client's teaching plan about the risk for
cervical cancer?
Neisseria gonorrhoea.
Chlamydia trachomatis.
Herpes simplex virus.
Human papillomavirus.
P 3
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Human papillomavirus.
Rationale
According to the CDC (2017), it is estimated at least 80% of all women who are sexually active will contract the
Human papillomavirus (HPV) in their lifetime. Certain types of HPV have been suspected to cause cervical cancer
and HPV strain 16 and 18 have been identified to cause 70% of cervical cancers.
A client asks the nurse about the purpose of beginning chemotherapy (CT) because the tumor is still very small.
Which information supports the explanation that the nurse should provide?
Side effects are less likely if therapy is started early.
Collateral circulation increases as the tumor grows.
Sensitivity of cancer cells to CT is based on cell cycle rate.
The cell count of the tumor reduces by half with each dose.
The cell count of the tumor reduces by half with each dose.
Rationale
Initiating chemotherapy while the tumor is small provides a better chance of eradicating all cancer cells because
50% of cancer cells or tumor cells are killed with each dose.
An older female client is admitted with atrophic vaginitis and perineal cutaneous candidiasis. What is the priority
nursing diagnosis for this client?
Risk for injury.
Impaired comfort.
Disturbed body image.
Ineffective health maintenance.
Impaired comfort.
Rationale
In menopausal women, the vaginal mucous membrane responds to low estrogen levels causing the vaginal walls
to become thinner, drier, and susceptible to infection which leads to atrophic vaginitis. Perineal cutaneous
candidiasis contributes to other manifestations of vaginal infections, such as vaginal irritation, burning, pruritus,
P 4
