ATI Medical-Surgical Nursing Assessment: 100% Graded
A+ Multiple-Choice Questions for Proctored Exam Suc-
cess
Below are 80 original, non-repeating, NCLEX-style multiple-choice questions for
the ATI Medical-Surgical Nursing proctored exam, covering disorders of major
body systems, fluid and electrolyte imbalances, pre- and post-operative care, and
prioritization of care. Each question includes four answer choices (A–D) with
one correct answer.
Question 1: A 72-year-old patient with acute coronary syndrome reports nausea and
diaphoresis. Which action should the nurse prioritize?
A. Administer oxygen at 4 L/min via nasal cannula.
B. Encourage oral fluid intake.
C. Apply a warm compress to the chest.
D. Restrict all physical activity.
Question 2: A patient with heart failure has a BNP level of 900 pg/mL. Which medication
should the nurse anticipate?
A. Metoprolol
B. Furosemide
C. Warfarin
D. Nitroglycerin
Question 3: A 58-year-old patient with a new diagnosis of atrial flutter is prescribed
amiodarone. Which side effect should the nurse monitor?
A. Pulmonary toxicity
B. Hyperkalemia
C. Weight gain
D. Bradycardia
Question 4: A patient post-coronary artery bypass graft reports swelling at the incision
site. Which action should the nurse take first?
A. Apply a cold pack.
B. Assess for signs of infection.
C. Encourage early ambulation.
D. Administer a diuretic.
Question 5: A 65-year-old patient with hypertension is prescribed losartan. Which lab-
oratory value should the nurse monitor?
A. Serum potassium
1
, B. Serum calcium
C. Serum sodium
D. Serum magnesium
Question 6: A patient with aortic aneurysm reports sudden back pain. Which action
should the nurse take first?
A. Administer an analgesic.
B. Notify the healthcare provider immediately.
C. Encourage deep breathing exercises.
D. Apply a heating pad.
Question 7: A 60-year-old patient with deep vein thrombosis is prescribed enoxaparin.
Which teaching should the nurse provide?
A. Inject in the deltoid muscle.
B. Monitor for signs of bleeding.
C. Take with a high-fat meal.
D. Expect immediate pain relief.
Question 8: A patient with pericarditis reports chest pain that worsens when lying flat.
Which intervention should the nurse implement?
A. Position the patient supine.
B. Encourage sitting upright and leaning forward.
C. Administer oxygen at 10 L/min.
D. Restrict all fluids.
Question 9: A 55-year-old patient post-myocardial infarction has a heart rate of 110
bpm. Which medication should the nurse expect?
A. Atenolol
B. Digoxin
C. Heparin
D. Spironolactone
Question 10: A patient with Raynaud’s phenomenon reports finger numbness. Which
intervention should the nurse suggest?
A. Apply cold packs to fingers.
B. Keep hands warm with gloves.
C. Elevate hands above heart level.
D. Restrict fluid intake.
2
, Question 11: A 70-year-old patient with heart failure reports orthopnea. Which inter-
vention should the nurse implement?
A. Lower the head of the bed.
B. Elevate the head of the bed.
C. Restrict oxygen therapy.
D. Administer a sedative.
Question 12: A patient with endocarditis has a new heart murmur. Which diagnostic test
should the nurse prepare for?
A. Echocardiogram
B. Chest X-ray
C. Serum creatinine
D. Blood glucose
Question 13: A 66-year-old patient with COPD exacerbation reports dyspnea. Which ac-
tion should the nurse take first?
A. Administer oxygen at 2 L/min via nasal cannula.
B. Encourage vigorous coughing.
C. Restrict all fluid intake.
D. Position the patient supine.
Question 14: A patient with pneumonia has a temperature of 101.8°F. Which interven-
tion should the nurse prioritize?
A. Administer an antipyretic as prescribed.
B. Restrict oral fluids.
C. Apply a warm blanket.
D. Encourage deep breathing.
Question 15: A 50-year-old patient with asthma reports chest tightness. Which medica-
tion should the nurse administer first?
A. Montelukast
B. Albuterol
C. Prednisone
D. Ipratropium
Question 16: A patient with pulmonary edema has frothy pink sputum. Which action
should the nurse take first?
A. Administer furosemide IV.
B. Encourage oral fluid intake.
3
A+ Multiple-Choice Questions for Proctored Exam Suc-
cess
Below are 80 original, non-repeating, NCLEX-style multiple-choice questions for
the ATI Medical-Surgical Nursing proctored exam, covering disorders of major
body systems, fluid and electrolyte imbalances, pre- and post-operative care, and
prioritization of care. Each question includes four answer choices (A–D) with
one correct answer.
Question 1: A 72-year-old patient with acute coronary syndrome reports nausea and
diaphoresis. Which action should the nurse prioritize?
A. Administer oxygen at 4 L/min via nasal cannula.
B. Encourage oral fluid intake.
C. Apply a warm compress to the chest.
D. Restrict all physical activity.
Question 2: A patient with heart failure has a BNP level of 900 pg/mL. Which medication
should the nurse anticipate?
A. Metoprolol
B. Furosemide
C. Warfarin
D. Nitroglycerin
Question 3: A 58-year-old patient with a new diagnosis of atrial flutter is prescribed
amiodarone. Which side effect should the nurse monitor?
A. Pulmonary toxicity
B. Hyperkalemia
C. Weight gain
D. Bradycardia
Question 4: A patient post-coronary artery bypass graft reports swelling at the incision
site. Which action should the nurse take first?
A. Apply a cold pack.
B. Assess for signs of infection.
C. Encourage early ambulation.
D. Administer a diuretic.
Question 5: A 65-year-old patient with hypertension is prescribed losartan. Which lab-
oratory value should the nurse monitor?
A. Serum potassium
1
, B. Serum calcium
C. Serum sodium
D. Serum magnesium
Question 6: A patient with aortic aneurysm reports sudden back pain. Which action
should the nurse take first?
A. Administer an analgesic.
B. Notify the healthcare provider immediately.
C. Encourage deep breathing exercises.
D. Apply a heating pad.
Question 7: A 60-year-old patient with deep vein thrombosis is prescribed enoxaparin.
Which teaching should the nurse provide?
A. Inject in the deltoid muscle.
B. Monitor for signs of bleeding.
C. Take with a high-fat meal.
D. Expect immediate pain relief.
Question 8: A patient with pericarditis reports chest pain that worsens when lying flat.
Which intervention should the nurse implement?
A. Position the patient supine.
B. Encourage sitting upright and leaning forward.
C. Administer oxygen at 10 L/min.
D. Restrict all fluids.
Question 9: A 55-year-old patient post-myocardial infarction has a heart rate of 110
bpm. Which medication should the nurse expect?
A. Atenolol
B. Digoxin
C. Heparin
D. Spironolactone
Question 10: A patient with Raynaud’s phenomenon reports finger numbness. Which
intervention should the nurse suggest?
A. Apply cold packs to fingers.
B. Keep hands warm with gloves.
C. Elevate hands above heart level.
D. Restrict fluid intake.
2
, Question 11: A 70-year-old patient with heart failure reports orthopnea. Which inter-
vention should the nurse implement?
A. Lower the head of the bed.
B. Elevate the head of the bed.
C. Restrict oxygen therapy.
D. Administer a sedative.
Question 12: A patient with endocarditis has a new heart murmur. Which diagnostic test
should the nurse prepare for?
A. Echocardiogram
B. Chest X-ray
C. Serum creatinine
D. Blood glucose
Question 13: A 66-year-old patient with COPD exacerbation reports dyspnea. Which ac-
tion should the nurse take first?
A. Administer oxygen at 2 L/min via nasal cannula.
B. Encourage vigorous coughing.
C. Restrict all fluid intake.
D. Position the patient supine.
Question 14: A patient with pneumonia has a temperature of 101.8°F. Which interven-
tion should the nurse prioritize?
A. Administer an antipyretic as prescribed.
B. Restrict oral fluids.
C. Apply a warm blanket.
D. Encourage deep breathing.
Question 15: A 50-year-old patient with asthma reports chest tightness. Which medica-
tion should the nurse administer first?
A. Montelukast
B. Albuterol
C. Prednisone
D. Ipratropium
Question 16: A patient with pulmonary edema has frothy pink sputum. Which action
should the nurse take first?
A. Administer furosemide IV.
B. Encourage oral fluid intake.
3
