ATI RN Med Surg Proctored / RN Med Surg 2026
Proctored RN Exam New Latest Version With All
Questions And Correct Answers With Rationale |
Medical-Surgical Nursing Assessment
Q001: A 68-year-old with a STEMI received fibrinolytics 45 minutes ago and now
develops sudden severe dyspnea, BP 70/40, and JVD. What is the priority action?
Options:
A. Start dopamine 5 mcg/kg/min
B. Administer furosemide 40 mg IV
C. Prepare for pericardiocentesis - CORRECT
D. Repeat 12-lead ECG
(Correct Answer: C)
Q002: A 55-year-old with COPD on 2 L NC has ABG pH 7.32, PaCO₂ 58, HCO₃ 31, and
PaO₂ 55. He is drowsy. What is the priority intervention?
Options:
A. Increase O₂ to 6 L NC
B. Start BiPAP - CORRECT
C. Give acetazolamide 250 mg
D. Administer albuterol 2.5 mg
(Correct Answer: B)
Q003: A 72-year-old post-TURP has continuous bladder irrigation and HR 120, BP 80/50,
Hgb 7.8. What is the priority?
Options:
A. Clamp irrigation and call provider
B. Transfuse 2 units PRBC
C. Start vasopressor
D. Replace with 3-way Foley - CORRECT
(Correct Answer: D)
Q004: A 45-year-old with cirrhosis has a hematemesis and BP 84/40, HR 120. What is
the first nursing action?
, Options:
A. Insert NG tube
B. Start 2 large-bore IVs - CORRECT
C. Give protonix 80 mg
D. Type & cross 6 units
(Correct Answer: B)
Q005: A 60-year-old with CKD stage 4 has K 6.2 mEq/L and T waves peaked. What is the
immediate action?
Options:
A. Give calcium gluconate 1 g IV - CORRECT
B. Start insulin 10 units + D50
C. Administer albuterol neb
D. Order kayexalate enema
(Correct Answer: A)
Q006: A 50-year-old with asthma on BiPAP has peak flow 180 after 3 nebs (baseline
450). What is next?
A. Give magnesium 2 g IV - CORRECT
B. Intubate immediately
C. Increase BiPAP to 20/10
D. Start heliox
Q007: A 38-year-old with T1DM on insulin pump has BG 42 mg/dL and can swallow.
What is the priority?
A. Give 15 g glucose tabs - CORRECT
B. Start D10 IV
C. Give glucagon 1 mg IM
D. Hold pump basal
Q008: A 65-year-old with AFib on dabigatran has GI bleeding and HR 110, BP 90/60.
What is the antidote?
A. Idarucizumab 5 g IV - CORRECT
B. Protamine 50 mg
C. Vitamin K 10 mg
D. FEIBA
Proctored RN Exam New Latest Version With All
Questions And Correct Answers With Rationale |
Medical-Surgical Nursing Assessment
Q001: A 68-year-old with a STEMI received fibrinolytics 45 minutes ago and now
develops sudden severe dyspnea, BP 70/40, and JVD. What is the priority action?
Options:
A. Start dopamine 5 mcg/kg/min
B. Administer furosemide 40 mg IV
C. Prepare for pericardiocentesis - CORRECT
D. Repeat 12-lead ECG
(Correct Answer: C)
Q002: A 55-year-old with COPD on 2 L NC has ABG pH 7.32, PaCO₂ 58, HCO₃ 31, and
PaO₂ 55. He is drowsy. What is the priority intervention?
Options:
A. Increase O₂ to 6 L NC
B. Start BiPAP - CORRECT
C. Give acetazolamide 250 mg
D. Administer albuterol 2.5 mg
(Correct Answer: B)
Q003: A 72-year-old post-TURP has continuous bladder irrigation and HR 120, BP 80/50,
Hgb 7.8. What is the priority?
Options:
A. Clamp irrigation and call provider
B. Transfuse 2 units PRBC
C. Start vasopressor
D. Replace with 3-way Foley - CORRECT
(Correct Answer: D)
Q004: A 45-year-old with cirrhosis has a hematemesis and BP 84/40, HR 120. What is
the first nursing action?
, Options:
A. Insert NG tube
B. Start 2 large-bore IVs - CORRECT
C. Give protonix 80 mg
D. Type & cross 6 units
(Correct Answer: B)
Q005: A 60-year-old with CKD stage 4 has K 6.2 mEq/L and T waves peaked. What is the
immediate action?
Options:
A. Give calcium gluconate 1 g IV - CORRECT
B. Start insulin 10 units + D50
C. Administer albuterol neb
D. Order kayexalate enema
(Correct Answer: A)
Q006: A 50-year-old with asthma on BiPAP has peak flow 180 after 3 nebs (baseline
450). What is next?
A. Give magnesium 2 g IV - CORRECT
B. Intubate immediately
C. Increase BiPAP to 20/10
D. Start heliox
Q007: A 38-year-old with T1DM on insulin pump has BG 42 mg/dL and can swallow.
What is the priority?
A. Give 15 g glucose tabs - CORRECT
B. Start D10 IV
C. Give glucagon 1 mg IM
D. Hold pump basal
Q008: A 65-year-old with AFib on dabigatran has GI bleeding and HR 110, BP 90/60.
What is the antidote?
A. Idarucizumab 5 g IV - CORRECT
B. Protamine 50 mg
C. Vitamin K 10 mg
D. FEIBA
