Page 1 of 25
ATI RN Adult Medical-Surgical (Med-Surg) Proctored Exam 2025
with NGN Questions & 100% Verified Answers (2025 RN ATI Med-
Surg Proctored Exam)
1. A nurse in the emergency department is managing the care of a client who has an electrical
shock injury. Which of the following actions should the nurse take first?:
Obtain an ECG
2. A nurse is assessing a client who is postoperative following a transurethral resection of the
prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the
nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions
should the nurse take?:
Use 0.9% sodium chloride to perform an intermittent bladder irrigation
3. A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing
is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify
that the client is at risk for which of the following conditions?:
Infection
4. A nurse is caring for a client who is postoperative following an endoscopy with moderate
(conscious) sedation. Which of the following assessment findings is the nurse's priority?:
Gag reflex
5. A nurse is providing instructions to a client who has primary syphilis. Which of the following
instructions should the nurse include in the discharge plan?:
"You will need three follow-up blood tests within a 24-month period." ,
6. A nurse is teaching the family of a client who has Alzheimer's disease about caring for the
client at home. Which of the following instructions should the nurse include?:
Place a large-face clock in the client's bedroom.
7. A nurse is caring for a client who has an arteriovenous graft. Which of the following findings
indicates adequate circulation of the graft?:
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Palpable thrill
8. A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The
client has become dyspneic with a blood pressure of 140/100 mm Hg. a fluid intake of 960 mL,
and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?:
Slow infusion rate and contact the provider.
9. The nurse is caring for the client in the ED. The nurse understands that the client is at risk of
developing which of the following complications? Select all that apply.
Hypotension, Cardiac arrhythmias, Renal failure, Cerebral edema
10. A nurse is caring for a client in the emergency department. ExhibitsWhich of the following 3
provider prescriptions does the nurse anticipate?:
- Initiate cardiac monitoring
-Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA)
protocol once potassium is greater than 3.3 mEq/L
- 0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr
11. A nurse is asking a preoperative client about food allergies. Which of the following food
allergies indicates a potential reaction to propofol?:
Eggs
12. A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation and asks about the purpose of maintaining an elastic bandage around the residual
limb of the extremity. Which of the following is an appropriate response by the nurse?:
"The elastic bandage will prevent excessive edema."
13. A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The
nurse should instruct the client to expect which of the following symptoms?:
Hot flashes
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14. A nurse working in an outpatient clinic is planning a community education program about
reproductive cancers. The nurse should identify which of the following manifestations as a
possible indication of cervical cancer?:
Painless vaginal bleeding
15. A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which
of the following actions should the nurse take?:
Instruct visitors to remain 6 feet from the client, Keep the soiled bed linens in the client's
room
16. A client who is deaf and communicates using sign language is being admitted by a nurse who
does not know sign language. Which of the following actions should the nurse take?:
Request an interpreter during the initial assessment.
17. A nurse is planning to withdraw medication from an ampule to prepare for an injection.
Which of the following actions should the nurse plan to take?:
Dispose of the top of the ampule in a sharps container
18. A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of
the following findings should the nurse expect?:
Proteinuria
19. A nurse is preparing to administer fresh frozen plasma to a client. Which of the following
actions should the nurse take?:
Administer the plasma immediately after thawing.
20. A nurse is planning care for a client who has hemiplegia. Which of the following
interventions should the nurse include?:
ATI RN Adult Medical-Surgical (Med-Surg) Proctored Exam 2025
with NGN Questions & 100% Verified Answers (2025 RN ATI Med-
Surg Proctored Exam)
1. A nurse in the emergency department is managing the care of a client who has an electrical
shock injury. Which of the following actions should the nurse take first?:
Obtain an ECG
2. A nurse is assessing a client who is postoperative following a transurethral resection of the
prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the
nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions
should the nurse take?:
Use 0.9% sodium chloride to perform an intermittent bladder irrigation
3. A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing
is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify
that the client is at risk for which of the following conditions?:
Infection
4. A nurse is caring for a client who is postoperative following an endoscopy with moderate
(conscious) sedation. Which of the following assessment findings is the nurse's priority?:
Gag reflex
5. A nurse is providing instructions to a client who has primary syphilis. Which of the following
instructions should the nurse include in the discharge plan?:
"You will need three follow-up blood tests within a 24-month period." ,
6. A nurse is teaching the family of a client who has Alzheimer's disease about caring for the
client at home. Which of the following instructions should the nurse include?:
Place a large-face clock in the client's bedroom.
7. A nurse is caring for a client who has an arteriovenous graft. Which of the following findings
indicates adequate circulation of the graft?:
, Page 2 of 25
Palpable thrill
8. A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The
client has become dyspneic with a blood pressure of 140/100 mm Hg. a fluid intake of 960 mL,
and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?:
Slow infusion rate and contact the provider.
9. The nurse is caring for the client in the ED. The nurse understands that the client is at risk of
developing which of the following complications? Select all that apply.
Hypotension, Cardiac arrhythmias, Renal failure, Cerebral edema
10. A nurse is caring for a client in the emergency department. ExhibitsWhich of the following 3
provider prescriptions does the nurse anticipate?:
- Initiate cardiac monitoring
-Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA)
protocol once potassium is greater than 3.3 mEq/L
- 0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr
11. A nurse is asking a preoperative client about food allergies. Which of the following food
allergies indicates a potential reaction to propofol?:
Eggs
12. A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation and asks about the purpose of maintaining an elastic bandage around the residual
limb of the extremity. Which of the following is an appropriate response by the nurse?:
"The elastic bandage will prevent excessive edema."
13. A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The
nurse should instruct the client to expect which of the following symptoms?:
Hot flashes
, Page 3 of 25
14. A nurse working in an outpatient clinic is planning a community education program about
reproductive cancers. The nurse should identify which of the following manifestations as a
possible indication of cervical cancer?:
Painless vaginal bleeding
15. A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which
of the following actions should the nurse take?:
Instruct visitors to remain 6 feet from the client, Keep the soiled bed linens in the client's
room
16. A client who is deaf and communicates using sign language is being admitted by a nurse who
does not know sign language. Which of the following actions should the nurse take?:
Request an interpreter during the initial assessment.
17. A nurse is planning to withdraw medication from an ampule to prepare for an injection.
Which of the following actions should the nurse plan to take?:
Dispose of the top of the ampule in a sharps container
18. A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of
the following findings should the nurse expect?:
Proteinuria
19. A nurse is preparing to administer fresh frozen plasma to a client. Which of the following
actions should the nurse take?:
Administer the plasma immediately after thawing.
20. A nurse is planning care for a client who has hemiplegia. Which of the following
interventions should the nurse include?:
