ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2026 WITH NGN | RN ADULT MEDICAL
SURGICAL 2026 WITH COMPLETE 100 REAL
EXAM NGN QUESTIONS AND CORRECT
VERIFIED ANSWERS | ALREADY GRADED A+ AND
BIG RATIONALES
Core Domains
• Cardiovascular and Peripheral Vascular Disorders
• Respiratory Disorders and Oxygen Therapy
• Gastrointestinal and Hepatobiliary Disorders
, • Renal and Urinary Disorders
• Neurological and Musculoskeletal Disorders
• Endocrine and Metabolic Disorders
• Hematological, Immunological, and Oncological Disorders
• Perioperative and Critical Care Nursing
• Pharmacology, Fluid/Electrolyte Balance, and NGN-Style Clinical
Judgment
Introduction
This comprehensive ATI RN Adult Medical-Surgical Proctored Examination
with Next Generation NCLEX (NGN) items is designed to assess the
knowledge, clinical judgment, and critical thinking skills essential for safe and
effective nursing practice in medical-surgical settings. The assessment covers a
broad spectrum of topics including cardiovascular, respiratory,
gastrointestinal, renal, neurological, endocrine, and oncological disorders.
Candidates will encounter multiple-choice questions and NGN-style items that
require application of theoretical knowledge to real-world clinical scenarios.
Emphasis is placed on clinical reasoning, prioritization, delegation, and
evidence-based practice. Successful completion of this examination
demonstrates readiness to provide high-quality, patient-centered care across
diverse healthcare settings.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
, C. A client whose urinary output was 100 mL in 12 hours
RATIONALE: Low urine output (100 mL in 12 hours = approximately 8
mL/hour) indicates possible acute kidney injury or severe hypovolemia. Urine
output should be at least 30 mL/hour (240 mL in 8 hours). This is an urgent
finding requiring immediate assessment.
Question 2
A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia
B. Client with Clostridioides difficile
C. Client with cellulitis
D. Client with urinary tract infection
B. Client with Clostridioides difficile
RATIONALE: C. diff requires contact precautions and a private room to
prevent spore transmission. Pneumonia may need droplet precautions, while
cellulitis and UTI require standard precautions only.
Question 3
A nurse is delegating tasks to an LPN. Which task is appropriate?
A. Initial admission assessment
B. Insertion of a nasogastric tube for decompression
C. Teaching a diabetic patient about insulin injection
D. Evaluating the effectiveness of pain medication
B. Insertion of a nasogastric tube for decompression
RATIONALE: LPNs can perform stable, standard procedures like NG tube
insertion (check facility policy). Initial assessment, teaching, and evaluation
of effectiveness require RN scope.
Question 4
A nurse is caring for a confused client attempting to pull out their IV line. The
, provider orders restraints. Which action should the nurse take BEFORE
applying restraints?
A. Obtain verbal consent from the client
B. Try less restrictive measures first
C. Restrain all four extremities for safety
D. Apply restraints without documentation
B. Try less restrictive measures first
RATIONALE: Restraints are a last resort. The nurse must attempt less
restrictive measures first (repositioning, sitters, diversions). Restraints require
a provider order, client/family notification, and frequent monitoring.
Question 5
A nurse is caring for a client who is 4 hours postoperative following a
transurethral resection of the prostate (TURP). Which finding is the priority
to report to the provider?
A. Thick, red-colored urine
B. Complaints of bladder spasms
C. Continuous bladder irrigation infusing at 40 mL/hr
D. Urine output of 100 mL in the past 4 hours
A. Thick, red-colored urine
RATIONALE: Thick, red-colored urine indicates active bleeding. Small
amounts of pink-tinged urine are expected. Bladder spasms are common post-
TURP but are not the priority over hemorrhage.
Question 6
A nurse is caring for a client who has a temperature of 39.7°C (103.5°F) and has
a prescription for a hypothermia blanket. The nurse should monitor the client
for which adverse effect?
A. Hyperthermia
B. Shivering
EXAM 2026 WITH NGN | RN ADULT MEDICAL
SURGICAL 2026 WITH COMPLETE 100 REAL
EXAM NGN QUESTIONS AND CORRECT
VERIFIED ANSWERS | ALREADY GRADED A+ AND
BIG RATIONALES
Core Domains
• Cardiovascular and Peripheral Vascular Disorders
• Respiratory Disorders and Oxygen Therapy
• Gastrointestinal and Hepatobiliary Disorders
, • Renal and Urinary Disorders
• Neurological and Musculoskeletal Disorders
• Endocrine and Metabolic Disorders
• Hematological, Immunological, and Oncological Disorders
• Perioperative and Critical Care Nursing
• Pharmacology, Fluid/Electrolyte Balance, and NGN-Style Clinical
Judgment
Introduction
This comprehensive ATI RN Adult Medical-Surgical Proctored Examination
with Next Generation NCLEX (NGN) items is designed to assess the
knowledge, clinical judgment, and critical thinking skills essential for safe and
effective nursing practice in medical-surgical settings. The assessment covers a
broad spectrum of topics including cardiovascular, respiratory,
gastrointestinal, renal, neurological, endocrine, and oncological disorders.
Candidates will encounter multiple-choice questions and NGN-style items that
require application of theoretical knowledge to real-world clinical scenarios.
Emphasis is placed on clinical reasoning, prioritization, delegation, and
evidence-based practice. Successful completion of this examination
demonstrates readiness to provide high-quality, patient-centered care across
diverse healthcare settings.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
, C. A client whose urinary output was 100 mL in 12 hours
RATIONALE: Low urine output (100 mL in 12 hours = approximately 8
mL/hour) indicates possible acute kidney injury or severe hypovolemia. Urine
output should be at least 30 mL/hour (240 mL in 8 hours). This is an urgent
finding requiring immediate assessment.
Question 2
A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia
B. Client with Clostridioides difficile
C. Client with cellulitis
D. Client with urinary tract infection
B. Client with Clostridioides difficile
RATIONALE: C. diff requires contact precautions and a private room to
prevent spore transmission. Pneumonia may need droplet precautions, while
cellulitis and UTI require standard precautions only.
Question 3
A nurse is delegating tasks to an LPN. Which task is appropriate?
A. Initial admission assessment
B. Insertion of a nasogastric tube for decompression
C. Teaching a diabetic patient about insulin injection
D. Evaluating the effectiveness of pain medication
B. Insertion of a nasogastric tube for decompression
RATIONALE: LPNs can perform stable, standard procedures like NG tube
insertion (check facility policy). Initial assessment, teaching, and evaluation
of effectiveness require RN scope.
Question 4
A nurse is caring for a confused client attempting to pull out their IV line. The
, provider orders restraints. Which action should the nurse take BEFORE
applying restraints?
A. Obtain verbal consent from the client
B. Try less restrictive measures first
C. Restrain all four extremities for safety
D. Apply restraints without documentation
B. Try less restrictive measures first
RATIONALE: Restraints are a last resort. The nurse must attempt less
restrictive measures first (repositioning, sitters, diversions). Restraints require
a provider order, client/family notification, and frequent monitoring.
Question 5
A nurse is caring for a client who is 4 hours postoperative following a
transurethral resection of the prostate (TURP). Which finding is the priority
to report to the provider?
A. Thick, red-colored urine
B. Complaints of bladder spasms
C. Continuous bladder irrigation infusing at 40 mL/hr
D. Urine output of 100 mL in the past 4 hours
A. Thick, red-colored urine
RATIONALE: Thick, red-colored urine indicates active bleeding. Small
amounts of pink-tinged urine are expected. Bladder spasms are common post-
TURP but are not the priority over hemorrhage.
Question 6
A nurse is caring for a client who has a temperature of 39.7°C (103.5°F) and has
a prescription for a hypothermia blanket. The nurse should monitor the client
for which adverse effect?
A. Hyperthermia
B. Shivering
