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Exam (elaborations)

NGN ATI RN Medical-Surgical Proctored Exam – Practice Questions with Verified Detailed Answers (2026)

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This document contains over 200 NGN-style practice questions for the ATI RN Medical-Surgical Proctored Exam, aligned with the 2026 exam format. It includes verified, detailed answers and rationales to support clinical judgment development, prioritization, and application of core medical-surgical nursing concepts.

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NGN ATI R MED SURG
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Institution
NGN ATI R MED SURG
Course
NGN ATI R MED SURG

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Uploaded on
January 5, 2026
Number of pages
87
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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1. NGN ATI RMED SURG PROCTORED EXAM 2026
VERSION 200+ QUESTIONS WITH VERIFIED
2. DETAILED ANSWERS (100% CORRECT
ANSWERS)/A+ GRADE
3. A nurse is teaching a client about the use of an incentive spirometer. Which of
the following instructions should the nurse include in the teaching?
A. Place hands on the upper abdomen during inhalation
B. Exhale slowly through pursed lips
C. Hold breaths about 3 to 5 seconds before exhaling
D. Position the mouthpiece 2.5 cm (1 in) from the mouth-ANSWER-C. Hold
breaths about 3 to 5 seconds before exhaling


4. A nurse is assessing a client who is 12 hr postoperative following a colon
resection. Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Hgb 8.2 g/dL
c. Gastric pH of 3.0
d. Absent bowel sounds-ANSWER-b. Hgb 8.2 g/dL


5. A nurse is preparing to receive a client from surgery following a transverse
colon resection with colostomy placement. The nurse should expect to assess the
stoma at which of the following locations? - pic with male chest B on top-
ANSWER-a. Upper left abdomen


6. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications

,should the nurse plan to administer?
a. Regular insulin

,b. Furosemide
c. Desmopressin
d. Lithium carbonate-ANSWER-c. Desmopressin


7. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the
following is the priority intervention by the nurse?
a. Begin bicarbonate continuous IV infusion
b. Administer 0.9% sodium chloride
c. Check potassium levels
d. Initiate a continuous IV insulin infusion-ANSWER-b. Administer 0.9% sodium
chloride


8. A nurse is reviewing the medical record of a client who has diabetes insipidus.
Which of the following findings should the nurse expect?
a. Elevated blood pressure
b. Hypothermia
c. Urine specific gravity 1.001
d. BUN 15 mg/dL-ANSWER-c. Urine specific gravity 1.001


A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following tests should the nurse
monitor?
a. Stool for occult blood

, b. Urine for white blood cells
c. Fasting blood glucose
d. Serum calcium-ANSWER-a. Stool for occult blood


8. A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first? (Click on the "Exhibit" button)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron-ANSWER-c. Initiate airborne precautions


9. A nurse is reviewing the laboratory results of a female client who asks about
acupuncture as treatment for chemotherapy-induced nausea and vomiting.
Which of the following laboratory results should the nurse identify as a
contraindication to receiving acupuncture?
a. Hemoglobin 12 g/dL
b. C-reactive protein 0.7 mg/dL
c. Platelets 160,000/mm^3
d. Absolute neutrophil count 500/mm^3-ANSWER-d. Absolute neutrophil count
500/mm^3


10. A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should the
nurse anticipate?

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