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The ATI Med-Surgical (Med-Surg) Proctored Exam Questions & Answers for Spring 2026–2027 is a comprehensive study resource designed for nursing students preparing for ATI assessments and the NCLEX-RN®. It covers a wide range of adult health conditions and focuses on developing clinical judgment, prioritization, and evidence-based nursing interventions. This material includes practice questions, correct answers, and detailed rationales that help students understand the reasoning behind each response. Key topics include pharmacology, critical care, perioperative care, fluid and electrolyte balance, and management of complex medical-surgical conditions across all body systems. The proctored exam itself is typically a high-stakes assessment (often around 60 questions) used to evaluate a student’s readiness for real clinical scenarios and predict success on the NCLEX-RN®. Questions are scenario-based and require application of nursing knowledge, not just memorization, emphasizing patient safety and proper clinical decision-making. Overall, this resource is ideal for reinforcing core Med-Surg concepts, improving test-taking skills, and boosting confidence before taking the official ATI proctored exam

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ATI Med Surg
Proctored
Exam
Questions &
Answers
Spring 2026-
2027

, lOMoAR cPSD| 64664050lOM oARcPSD|11700591




Nursing (Chamberlain University)
lOMoAR cPSD|117




1. A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular
catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the
following complications related to the ventriculostomy?:



a. Headache

b. Infection

c. Aphasia

d. Hypertension (Correct Answer)

- ✅ b. Infection


Monitor for infection and use strict asepsis to avoid life-threatening meningitis.




2. A nurse is providing education to a client who is to undergo an EEG the next day. Which of the following
info should the nurse include in the teaching?



a. "Do not wash your hair the morning of the procedure."

b. "Try and stay awake most of the night prior to the procedure."

c. "The procedure will take approximately 15 mins."

d. "You will need to lie flat for 4 hours after the procedure."

(Correct Answer) - ✅ b. "Try and stay awake most of the night prior to the procedure."


Tell the client to remain awake to provide cranial stress and increase the possibility of abnormal electrical
activity



3. A nurse is caring for a client who is postprocedural following a lumbar puncture and reports a
throbbing headache when sitting upright. Which of the following actions should the nurse take? SATA.

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, lOMoAR cPSD| 64664050lOM oARcPSD|11700591




a. Use the GCS scale to assess the client

b. Assist the client into a supine position

c. Administer an opioid analgesic

d. Encourage the client to increase PO fluid intake

e. Instruct the client to perform coughing and deep breathing

(Correct Answer) - ✅ B, D



4. A nurse is caring for a client who has continuous bladder irrigation following a transurethral
resection of the prostate (TURP). Which of the following findings should the nurse report to the
provider?



a Output equal to the instilled irrigate

b. Client reports bladder spasms

c. Viscous urinary output with clots

d. Reports of strong urge to urinate

(Correct Answer) - ✅ c. Viscous urinary output with clots



Urine that is bright red with clots is an indication of arterial bleeding.




5. A nurse is monitoring the ECG of a client who has hypocalcemia. Which of the following findings should
the nurse expect?

a. Flattened T waves

b. Prolonged QT intervals

c. Shortened QT intervals

d Widened QRS complexes




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, lOMoAR cPSD| 64664050lOM oARcPSD|11700591




(Correct Answer) - ✅ b. Prolonged QT intervals

Manifestations of hypocalcemia include tingling, numbness, tetany, seizures, prolonged QT intervals, and
laryngospasm.


6. A nurse is preparing a client who has a brain tumor for a CT scan. Which of the following factors
affects the manner in which the nurse will prepare the client for the scan?



a. No food or fluids consumed for 4 hours

b. Difficulty recalling recent events

c. Development of hives while eating shrimp

d. Paresthesia in both hands

(Correct Answer) - ✅ c. Development of hives while eating shrimp


Shellfish allergy is contraindication of use of contrast media during a CT scan.




7. A nurse is preparing an in-service program about the stages of acute kidney injury. Which of the
following pieces of info should the nurse include about prerenal azotemia?



a. Prerenal azotemia begins prior to the onset of symptoms

b. Interference with renal perfusion causes renal azotemia

c. Prerenal azotemia is irreversible, even in early stages

d. Infections and tumors cause prerenal azotemia

(Correct Answer) - ✅ b. Interference with renal perfusion causes prerenal azotemia.

Prerenal = interference with renal perfusion, such as from heart failure or hypovolemic shock.



8. A nurse is teaching a client who has CAD about the difference between angina pectoris and MI.
Which of the following should the nurse identify as indications of MI? SATA. a. N/V



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