ATI RN MEDICAL SURGICAL PROCTORED 2025-2026 TEST
BANK ACTUAL EXAM ALL 220 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
✅ Key Features:
220 Real Exam Questions with 100% verified and correct answers
Detailed explanations & rationales for every question
Updated for 2025–2026 – reflects the latest exam content
Covers all major Medical-Surgical nursing concepts tested on the ATI
exam
Designed to mirror the structure and difficulty of the actual proctored
exam
Supports first-attempt pass confidence with a well-organized test bank
📘 Best For:
Nursing students preparing for the ATI RN Medical-Surgical Proctored
Exam
Learners seeking in-depth explanations to strengthen their knowledge
Students aiming for top scores and readiness for NCLEX-RN success
A community health nurse is reviewing care instructions with an older adult client who has a new
diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the
client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record - answer-c) Changes in weight
,A nurse is teaching a client about transcutaneous electrical nerve stimulation (TENS) unit. Which of the
following statements should the nurse include?
a) "Apply tester to the site prior to attaching the electrodes"
b) "This device requires access to a 220 volt outlet"
c) "This device delivers heat via electrodes that are attached to the affected are"
d) Adjust the dial until you feel a 'pins and needles' sensation" - answer-d) Adjust the dial until you feel
a 'pins and needles' sensation"
A nurse is providing teaching to a client who is postoperative following a total hip arthroplasty. Which of
the following statements should the nurse include?
a) "Used a raised toilet seat to maintain your hips above the knees"
b) "Twist at the waist when standing from a seated position"
c) "Move your stronger leg first when using a walker"
d " Apply a heating pad to the affected hip to decrease pain" - answer-a) "Used a raised toilet seat to
maintain your hips above the knees"
A nurse finds a client in bed, unresponsive and breathing. Which of the following actions should the
nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - answer-c) Palpate for the client's carotid pulse
A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions
should the nurse take?
a) Initiate IV dopamine infusion
b) Perform a neurological assessment
c) Place the client supine
,d) Begin an IV bolus of lactated ringers - answer-b) Perform a neurological assessment
A nurse is providing discharge teaching about blood sugar monitoring for a client who has a new
diagnosis of type 2 diabetes mellitus. The nurse should instruct the client to obtain which of the
following supplies?
a) Sterile lancets
b) Compression stockings
c) Hand mirror
d) Toenail clippers - answer-c) Hand mirror
A nurse is completing discharge teaching for a client who has a peripherally inserted central catheter
(PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching?
a) Change the dressing daily
b) Do not elevate the arm above the level of the heart
c) Use a 10 mL syringe to flush the line
d) Clean the insertion site using 20 mL of hydrogen peroxide - answer-b) Do not elevate the arm above
the level of the heart
A nurse is preparing naloxone 10 mcg/kg via IV bolus to a client who weights 220 lbs. The amount
available is 0.4 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth) -
answer-2.5 mL
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that
the client is discharged with which of the following types of pharmacologic therapy? a) Opioid
analgesic
b) Anticonvulsant
c) Anti-thrombotic
d) Diruetic - answer-c) Anti-thrombotic
, A nurse is caring for client who has a new colostomy, the nurse notes that the client appears withdrawn
and looks away during ostomy care. Which of the following actions should the nurse take?
a) Ask the client how they feel about the stoma
b) Make a referral for the client to see an ostomy nurse
c) Include the client's partner in stoma care education
d) Educate the client about expected stoma apperance - answer-a) Ask the client how they feel about
the stoma
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye.
Which of the following actions should the nurse plan to take first?
a) Administer proparacaine eye drops into the affected eye
b) Place strips of pH paper on to the cul-de-sac of the affect eye
c) Collect information about the irritant that caused the injury
d( Instill 0.9% sodium chloride solution into the affected eye - answer-c) Collect information about the
irritant that caused the injury
A nurse is teaching a client who has AIDS and wishes to continue self care at home despite living alone.
Which of the following actions by the nurse demonstrates client advocacy?
a) Remind the client of the importance of the medication adherence
b) Initiate a referral for the client to a home health agency
c) Instruct the client to avoid eating raw vegetables
d) Tell the client to avoid places where there are large crowds of people - answer-b) Initiate a referral
for the client to a home health agency
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the
nurse to report?
a) Alkaline phosphate 125 units/L
b) Clay-colored stools
c) Platelets 70,000/mm3
BANK ACTUAL EXAM ALL 220 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
✅ Key Features:
220 Real Exam Questions with 100% verified and correct answers
Detailed explanations & rationales for every question
Updated for 2025–2026 – reflects the latest exam content
Covers all major Medical-Surgical nursing concepts tested on the ATI
exam
Designed to mirror the structure and difficulty of the actual proctored
exam
Supports first-attempt pass confidence with a well-organized test bank
📘 Best For:
Nursing students preparing for the ATI RN Medical-Surgical Proctored
Exam
Learners seeking in-depth explanations to strengthen their knowledge
Students aiming for top scores and readiness for NCLEX-RN success
A community health nurse is reviewing care instructions with an older adult client who has a new
diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the
client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record - answer-c) Changes in weight
,A nurse is teaching a client about transcutaneous electrical nerve stimulation (TENS) unit. Which of the
following statements should the nurse include?
a) "Apply tester to the site prior to attaching the electrodes"
b) "This device requires access to a 220 volt outlet"
c) "This device delivers heat via electrodes that are attached to the affected are"
d) Adjust the dial until you feel a 'pins and needles' sensation" - answer-d) Adjust the dial until you feel
a 'pins and needles' sensation"
A nurse is providing teaching to a client who is postoperative following a total hip arthroplasty. Which of
the following statements should the nurse include?
a) "Used a raised toilet seat to maintain your hips above the knees"
b) "Twist at the waist when standing from a seated position"
c) "Move your stronger leg first when using a walker"
d " Apply a heating pad to the affected hip to decrease pain" - answer-a) "Used a raised toilet seat to
maintain your hips above the knees"
A nurse finds a client in bed, unresponsive and breathing. Which of the following actions should the
nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - answer-c) Palpate for the client's carotid pulse
A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions
should the nurse take?
a) Initiate IV dopamine infusion
b) Perform a neurological assessment
c) Place the client supine
,d) Begin an IV bolus of lactated ringers - answer-b) Perform a neurological assessment
A nurse is providing discharge teaching about blood sugar monitoring for a client who has a new
diagnosis of type 2 diabetes mellitus. The nurse should instruct the client to obtain which of the
following supplies?
a) Sterile lancets
b) Compression stockings
c) Hand mirror
d) Toenail clippers - answer-c) Hand mirror
A nurse is completing discharge teaching for a client who has a peripherally inserted central catheter
(PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching?
a) Change the dressing daily
b) Do not elevate the arm above the level of the heart
c) Use a 10 mL syringe to flush the line
d) Clean the insertion site using 20 mL of hydrogen peroxide - answer-b) Do not elevate the arm above
the level of the heart
A nurse is preparing naloxone 10 mcg/kg via IV bolus to a client who weights 220 lbs. The amount
available is 0.4 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth) -
answer-2.5 mL
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that
the client is discharged with which of the following types of pharmacologic therapy? a) Opioid
analgesic
b) Anticonvulsant
c) Anti-thrombotic
d) Diruetic - answer-c) Anti-thrombotic
, A nurse is caring for client who has a new colostomy, the nurse notes that the client appears withdrawn
and looks away during ostomy care. Which of the following actions should the nurse take?
a) Ask the client how they feel about the stoma
b) Make a referral for the client to see an ostomy nurse
c) Include the client's partner in stoma care education
d) Educate the client about expected stoma apperance - answer-a) Ask the client how they feel about
the stoma
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye.
Which of the following actions should the nurse plan to take first?
a) Administer proparacaine eye drops into the affected eye
b) Place strips of pH paper on to the cul-de-sac of the affect eye
c) Collect information about the irritant that caused the injury
d( Instill 0.9% sodium chloride solution into the affected eye - answer-c) Collect information about the
irritant that caused the injury
A nurse is teaching a client who has AIDS and wishes to continue self care at home despite living alone.
Which of the following actions by the nurse demonstrates client advocacy?
a) Remind the client of the importance of the medication adherence
b) Initiate a referral for the client to a home health agency
c) Instruct the client to avoid eating raw vegetables
d) Tell the client to avoid places where there are large crowds of people - answer-b) Initiate a referral
for the client to a home health agency
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the
nurse to report?
a) Alkaline phosphate 125 units/L
b) Clay-colored stools
c) Platelets 70,000/mm3
