ATI RN Adult Medical Surgical 2023 Actual & Retake
Proctored Exam with NGN 100 Clear Questions to Pass Level
3 RN ATI Adult Med-Surg 2023–2025
,ATI Adult Medical–Surgical Practice Exam
Coverage Table
(Questions 1–100 — Topic Distribution Overview)
Question Clinical Skills
Primary System/Topic Sub-Topics Covered
Range Emphasized
MI, Heart Failure, Prioritization,
1–10 Cardiovascular Hypertension, Cardiac Meds, Oxygenation, EKG
Dysrhythmias Interpretation
ABGs, Airway
Pneumonia, COPD, Asthma,
11–20 Respiratory management, Hypoxia
ARDS, Respiratory failure
interventions
Stroke (CVA), TIA, Seizures, Neuro assessments,
21–30 Neurological
Meningitis Stroke protocols
GI Bleeding, Pancreatitis,
Fluid resuscitation,
31–40 Gastrointestinal Liver failure, Hepatic
Ammonia management
encephalopathy
AKI, CKD, Dialysis, Dialysis safety, Lab
41–50 Renal/Genitourinary
Electrolyte disorders interpretation
DKA, HHS, Diabetes, Thyroid
Insulin therapy, Crisis
51–60 Endocrine disorders, Cushing’s/
management
Addison’s
Fluid bolus,
Sepsis, Septic shock, Burn
61–70 Critical Care Vasopressors, Lactate
shock, Trauma management
use
VAP Bundle, Sterile
Safety & Infection Infection control,
71–75 technique, Isolation, Peritonitis
Prevention (SATA) Bundles
prevention
NGN Case: Septic Perfusion, Organ dysfunction, Prioritization, Trends,
76–80
Shock Shock staging Clinical judgment
NGN Case: GI GI Hemorrhage, Blood loss Safety during
81–85
Emergency anemia, Transfusions transfusion, ABCs
Daily weights,
NGN Case: Heart Decompensation, Pulmonary
86–90 Electrolytes,
Failure edema, Diuretic therapy
Oxygenation
, Question Clinical Skills
Primary System/Topic Sub-Topics Covered
Range Emphasized
Severe DKA management, Lab analysis, Correct
91–95 NGN Case: DKA Crisis
Cerebral edema risk order of interventions
NGN Case: Pulmonary PE diagnosis, Anticoagulation, Oxygen first, CTA,
96–100
Embolism Hypoxia Heparin drip safety
ATI Cognitive Level (How the Questions
Were Designed)
Category % of Questions Focus
Clinical Judgment (NGN) ~30% Trend data, priority, safe action
Application & Analysis ~60% Labs, meds, interventions
Recall/Knowledge ~10% Definitions, normal vs abnormal
ATI exams heavily target application, not memorization.
Concept Areas Integrated Across Exam
Concept Where Integrated
Fluid & Electrolyte Balance 10+, 24+, 33+, 61+, 89+
Prioritization (ABCs/MASLO) All NGN cases
Safety/Quality VAP bundle, Blood transfusion
Infection Control Sepsis, Peritonitis, Meningitis
Pharmacology Insulin, Diuretics, Antibiotics, Heparin
Lab Interpretation ABGs, Lactate, CBC, CMP, Coags
Section 1: Multiple-Choice (1–15)
1.
, A nurse is caring for a client with acute pulmonary edema. Which
prescription should the nurse anticipate first?
A. IV furosemide
B. 2 g sodium restriction
C. Oral ACE inhibitor
D. Morning weight measurement
Correct Answer: A
Rationale:
Acute pulmonary edema is a medical emergency caused by fluid
accumulation in the lungs.
IV loop diuretics (furosemide) provide the fastest reduction in preload,
reduce pulmonary congestion, and improve oxygenation.
The other options are appropriate but not the immediate priority in an
acute crisis.
2.
A nurse is caring for a client post-thyroidectomy. Which finding requires
immediate intervention?
A. Small amount of serous drainage at incision
B. Hoarse voice
C. Difficulty speaking and weak cough
D. Calcium level 9.0 mg/dL
Correct Answer: C
Rationale:
Hoarseness is expected due to irritation of the recurrent laryngeal nerve.
Difficulty speaking and weak cough = airway compromise, possibly
Proctored Exam with NGN 100 Clear Questions to Pass Level
3 RN ATI Adult Med-Surg 2023–2025
,ATI Adult Medical–Surgical Practice Exam
Coverage Table
(Questions 1–100 — Topic Distribution Overview)
Question Clinical Skills
Primary System/Topic Sub-Topics Covered
Range Emphasized
MI, Heart Failure, Prioritization,
1–10 Cardiovascular Hypertension, Cardiac Meds, Oxygenation, EKG
Dysrhythmias Interpretation
ABGs, Airway
Pneumonia, COPD, Asthma,
11–20 Respiratory management, Hypoxia
ARDS, Respiratory failure
interventions
Stroke (CVA), TIA, Seizures, Neuro assessments,
21–30 Neurological
Meningitis Stroke protocols
GI Bleeding, Pancreatitis,
Fluid resuscitation,
31–40 Gastrointestinal Liver failure, Hepatic
Ammonia management
encephalopathy
AKI, CKD, Dialysis, Dialysis safety, Lab
41–50 Renal/Genitourinary
Electrolyte disorders interpretation
DKA, HHS, Diabetes, Thyroid
Insulin therapy, Crisis
51–60 Endocrine disorders, Cushing’s/
management
Addison’s
Fluid bolus,
Sepsis, Septic shock, Burn
61–70 Critical Care Vasopressors, Lactate
shock, Trauma management
use
VAP Bundle, Sterile
Safety & Infection Infection control,
71–75 technique, Isolation, Peritonitis
Prevention (SATA) Bundles
prevention
NGN Case: Septic Perfusion, Organ dysfunction, Prioritization, Trends,
76–80
Shock Shock staging Clinical judgment
NGN Case: GI GI Hemorrhage, Blood loss Safety during
81–85
Emergency anemia, Transfusions transfusion, ABCs
Daily weights,
NGN Case: Heart Decompensation, Pulmonary
86–90 Electrolytes,
Failure edema, Diuretic therapy
Oxygenation
, Question Clinical Skills
Primary System/Topic Sub-Topics Covered
Range Emphasized
Severe DKA management, Lab analysis, Correct
91–95 NGN Case: DKA Crisis
Cerebral edema risk order of interventions
NGN Case: Pulmonary PE diagnosis, Anticoagulation, Oxygen first, CTA,
96–100
Embolism Hypoxia Heparin drip safety
ATI Cognitive Level (How the Questions
Were Designed)
Category % of Questions Focus
Clinical Judgment (NGN) ~30% Trend data, priority, safe action
Application & Analysis ~60% Labs, meds, interventions
Recall/Knowledge ~10% Definitions, normal vs abnormal
ATI exams heavily target application, not memorization.
Concept Areas Integrated Across Exam
Concept Where Integrated
Fluid & Electrolyte Balance 10+, 24+, 33+, 61+, 89+
Prioritization (ABCs/MASLO) All NGN cases
Safety/Quality VAP bundle, Blood transfusion
Infection Control Sepsis, Peritonitis, Meningitis
Pharmacology Insulin, Diuretics, Antibiotics, Heparin
Lab Interpretation ABGs, Lactate, CBC, CMP, Coags
Section 1: Multiple-Choice (1–15)
1.
, A nurse is caring for a client with acute pulmonary edema. Which
prescription should the nurse anticipate first?
A. IV furosemide
B. 2 g sodium restriction
C. Oral ACE inhibitor
D. Morning weight measurement
Correct Answer: A
Rationale:
Acute pulmonary edema is a medical emergency caused by fluid
accumulation in the lungs.
IV loop diuretics (furosemide) provide the fastest reduction in preload,
reduce pulmonary congestion, and improve oxygenation.
The other options are appropriate but not the immediate priority in an
acute crisis.
2.
A nurse is caring for a client post-thyroidectomy. Which finding requires
immediate intervention?
A. Small amount of serous drainage at incision
B. Hoarse voice
C. Difficulty speaking and weak cough
D. Calcium level 9.0 mg/dL
Correct Answer: C
Rationale:
Hoarseness is expected due to irritation of the recurrent laryngeal nerve.
Difficulty speaking and weak cough = airway compromise, possibly
