NGN ATI Med-Surg Proctored Exam 2026
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Questions With Verified Correct and
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Question 1
A nurse is assessing a client who has chronic obstructive pulmonary disease (COPD).
Which of the following findings should the nurse expect?
A. Increased anterior-posterior chest diameter
B. Flattened neck veins
C. Prolonged inspiration
D. Egophony on auscultation
Correct Answer: A
Explanation: COPD causes hyperinflation of the lungs, leading to a barrel-shaped
chest (increased AP diameter). Neck veins may be distended due to increased
intrathoracic pressure.
Question 2
A nurse is caring for a client who has a new diagnosis of deep vein thrombosis (DVT).
Which of the following actions should the nurse take first?
A. Apply sequential compression devices
B. Elevate the affected extremity
C. Administer heparin as prescribed
D. Measure the circumference of the affected leg
Correct Answer: D
Explanation: Assessment is the first step. Measuring the leg circumference
establishes a baseline to monitor for worsening edema.
,Question 3
A nurse is providing discharge teaching to a client who has heart failure. Which of the
following statements indicates an understanding of the teaching?
A. "I will weigh myself every morning after eating breakfast"
B. "I will notify my provider if I gain 2 pounds in one day"
C. "I should limit my fluid intake to 3 liters per day"
D. "I can stop taking my diuretic if I feel short of breath"
Correct Answer: B
Explanation: A weight gain of 2-3 pounds in 24 hours indicates fluid retention and
should be reported. Weighing should be done before breakfast.
Question 4
A nurse is caring for a client who has pneumonia. Which of the following findings
requires immediate intervention?
A. Temperature 38.3°C (101°F)
B. Respiratory rate 28/min
C. Oxygen saturation 88% on room air
D. Productive cough with green sputum
Correct Answer: C
Explanation: Oxygen saturation of 88% indicates hypoxemia and requires immediate
supplemental oxygen. The other findings are expected in pneumonia.
Question 5
A nurse is assessing a client who has right-sided heart failure. Which of the following
findings should the nurse expect?
A. Crackles in the lung bases
B. Peripheral edema
C. Paroxysmal nocturnal dyspnea
D. Pink, frothy sputum
,Correct Answer: B
Explanation: Right-sided heart failure causes systemic congestion, including
peripheral edema, jugular venous distention, and hepatomegaly. Crackles and PND are
left-sided failure findings.
Question 6
A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions is most important to prevent a transfusion reaction?
A. Verify blood compatibility with another nurse
B. Assess the client's vital signs before the transfusion
C. Use a 22-gauge IV catheter for the transfusion
D. Prime the tubing with 0.9% sodium chloride
Correct Answer: A
Explanation: Verifying blood compatibility with another nurse is the most important
action to prevent a hemolytic transfusion reaction. Two nurses must check the blood
against the client's ID.
Question 7
A nurse is caring for a client who has a chest tube following a thoracotomy. The nurse
notes continuous bubbling in the water seal chamber. Which of the following actions
should the nurse take?
A. Clamp the chest tube immediately
B. Increase the suction pressure
C. Check the system for an air leak
D. Document this as an expected finding
Correct Answer: C
Explanation: Continuous bubbling indicates an air leak. The nurse should check all
connections and the chest tube insertion site. Clamping the tube could cause tension
pneumothorax.
, Question 8
A nurse is assessing a client who has diabetes mellitus and reports feeling shaky and
weak. The client's blood glucose is 55 mg/dL. Which of the following actions should
the nurse take first?
A. Administer glucagon subcutaneously
B. Give the client 15 g of fast-acting carbohydrate
C. Notify the provider
D. Recheck blood glucose in 15 minutes
Correct Answer: B
Explanation: The client is conscious and able to swallow, so the priority is to give 15
g of fast-acting carbohydrate (e.g., 4 oz juice, glucose tablets). Glucagon is for
unconscious clients.
Question 9
A nurse is planning care for a client who has a new diagnosis of hypertension. Which
of the following lifestyle modifications should the nurse recommend?
A. Limit sodium intake to 3,000 mg per day
B. Maintain a body mass index of 30 or higher
C. Engage in aerobic exercise for 30 minutes most days
D. Limit alcohol intake to 3 drinks per day
Correct Answer: C
Explanation: Aerobic exercise (30 min/day, most days) helps lower blood pressure.
Sodium should be limited to 1,500-2,300 mg/day. BMI should be 18.5-24.9. Alcohol
should be limited to 1-2 drinks/day.
Question 10
A nurse in an emergency department is preparing to perform an ocular irrigation for a
client. Which of the following actions should the nurse plan to take?
A. Assess the client's visual acuity prior to irrigation
B. Have the client turn their head toward the unaffected eye
C. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
D. Perform the irrigation with sterile water for irrigation
Latest Update - Complete 100 Real Exam
Questions With Verified Correct and
Detailed Answers (Brand New!) Graded A+
Question 1
A nurse is assessing a client who has chronic obstructive pulmonary disease (COPD).
Which of the following findings should the nurse expect?
A. Increased anterior-posterior chest diameter
B. Flattened neck veins
C. Prolonged inspiration
D. Egophony on auscultation
Correct Answer: A
Explanation: COPD causes hyperinflation of the lungs, leading to a barrel-shaped
chest (increased AP diameter). Neck veins may be distended due to increased
intrathoracic pressure.
Question 2
A nurse is caring for a client who has a new diagnosis of deep vein thrombosis (DVT).
Which of the following actions should the nurse take first?
A. Apply sequential compression devices
B. Elevate the affected extremity
C. Administer heparin as prescribed
D. Measure the circumference of the affected leg
Correct Answer: D
Explanation: Assessment is the first step. Measuring the leg circumference
establishes a baseline to monitor for worsening edema.
,Question 3
A nurse is providing discharge teaching to a client who has heart failure. Which of the
following statements indicates an understanding of the teaching?
A. "I will weigh myself every morning after eating breakfast"
B. "I will notify my provider if I gain 2 pounds in one day"
C. "I should limit my fluid intake to 3 liters per day"
D. "I can stop taking my diuretic if I feel short of breath"
Correct Answer: B
Explanation: A weight gain of 2-3 pounds in 24 hours indicates fluid retention and
should be reported. Weighing should be done before breakfast.
Question 4
A nurse is caring for a client who has pneumonia. Which of the following findings
requires immediate intervention?
A. Temperature 38.3°C (101°F)
B. Respiratory rate 28/min
C. Oxygen saturation 88% on room air
D. Productive cough with green sputum
Correct Answer: C
Explanation: Oxygen saturation of 88% indicates hypoxemia and requires immediate
supplemental oxygen. The other findings are expected in pneumonia.
Question 5
A nurse is assessing a client who has right-sided heart failure. Which of the following
findings should the nurse expect?
A. Crackles in the lung bases
B. Peripheral edema
C. Paroxysmal nocturnal dyspnea
D. Pink, frothy sputum
,Correct Answer: B
Explanation: Right-sided heart failure causes systemic congestion, including
peripheral edema, jugular venous distention, and hepatomegaly. Crackles and PND are
left-sided failure findings.
Question 6
A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions is most important to prevent a transfusion reaction?
A. Verify blood compatibility with another nurse
B. Assess the client's vital signs before the transfusion
C. Use a 22-gauge IV catheter for the transfusion
D. Prime the tubing with 0.9% sodium chloride
Correct Answer: A
Explanation: Verifying blood compatibility with another nurse is the most important
action to prevent a hemolytic transfusion reaction. Two nurses must check the blood
against the client's ID.
Question 7
A nurse is caring for a client who has a chest tube following a thoracotomy. The nurse
notes continuous bubbling in the water seal chamber. Which of the following actions
should the nurse take?
A. Clamp the chest tube immediately
B. Increase the suction pressure
C. Check the system for an air leak
D. Document this as an expected finding
Correct Answer: C
Explanation: Continuous bubbling indicates an air leak. The nurse should check all
connections and the chest tube insertion site. Clamping the tube could cause tension
pneumothorax.
, Question 8
A nurse is assessing a client who has diabetes mellitus and reports feeling shaky and
weak. The client's blood glucose is 55 mg/dL. Which of the following actions should
the nurse take first?
A. Administer glucagon subcutaneously
B. Give the client 15 g of fast-acting carbohydrate
C. Notify the provider
D. Recheck blood glucose in 15 minutes
Correct Answer: B
Explanation: The client is conscious and able to swallow, so the priority is to give 15
g of fast-acting carbohydrate (e.g., 4 oz juice, glucose tablets). Glucagon is for
unconscious clients.
Question 9
A nurse is planning care for a client who has a new diagnosis of hypertension. Which
of the following lifestyle modifications should the nurse recommend?
A. Limit sodium intake to 3,000 mg per day
B. Maintain a body mass index of 30 or higher
C. Engage in aerobic exercise for 30 minutes most days
D. Limit alcohol intake to 3 drinks per day
Correct Answer: C
Explanation: Aerobic exercise (30 min/day, most days) helps lower blood pressure.
Sodium should be limited to 1,500-2,300 mg/day. BMI should be 18.5-24.9. Alcohol
should be limited to 1-2 drinks/day.
Question 10
A nurse in an emergency department is preparing to perform an ocular irrigation for a
client. Which of the following actions should the nurse plan to take?
A. Assess the client's visual acuity prior to irrigation
B. Have the client turn their head toward the unaffected eye
C. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
D. Perform the irrigation with sterile water for irrigation
