ATI MEDICAL SURGICAL PROCTORED
EXAM 2026|2027 WITH NGN QUESTIONS AND
CORRECT ANSWERS | 100% Top Score
Question 1: A charge nurse receives notification of the admission of a client who
is coughing frequently and whose sputum is pink, frothy, and copious. The client
has history of night sweats, anorexia, and weight loss. Which of the following
actions should the nurse take? (Select All That Apply)
• Assign the client to a private room with negative-pressure airflow
• Wear an N95 respirator when entering the client’s room.
Question 2: A nurse is assisting a provider with a comprehensive physical
examination of a client. When the provider uses transillumination, the nurse should
explain to the client that this technique helps evaluate which of the following
structures?
• Maxillary sinuses
Question 3: A nurse is caring for a client who smokes cigarettes and has a new
diagnosis of emphysema. How should the nurse assist the client with smoking
cessation?
• Discuss ways the client can reduce the number of cigarettes smoked per
day.
Question 4: A nurse is planning care for a client who has chronic obstructive
pulmonary disease (COPD) and is malnourished. Which of the following
,recommendations to promote nutritional intake should the nurse include in the
plan?
• Eat high-calorie food first. (Rational: Clients with COPD experience early
satiety; calorie-dense food should be eaten first.)
Question 5: A nurse is preparing to administer cisplatin IV to a client who has
lung cancer. The nurse should identify that which of the following findings is an
adverse effect of this medication?
• Tinnitus (Rational: Cisplatin causes ototoxicity.)
Question 6: A nurse in a medical-surgical unit is assessing a client. The nurse
should identify that which of the following findings is a manifestation of a
pulmonary embolism?
• Stabbing chest pain (Rational: Sudden sharp, stabbing chest pain is a
classic manifestation.)
Question 7: A nurse in the PACU is assessing a newly admitted client and
observes intercostal retractions and a high-pitched inspiratory sound (stridor). The
nurse should identify these findings as manifestations of which of the following
complications?
• Respiratory obstruction
Question 8: A nurse is reviewing the laboratory results of a client who has
metabolic alkalosis. Which of the following laboratory values should the nurse
expect?
• pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg (Rational: Metabolic
alkalosis shows elevated pH and HCO3- with normal PaCO2.)
,Question 9: A nurse is providing teaching to a client who has a chronic cough and
is scheduled for a bronchoscopy. Which of the following client statements
indicates an understanding of the teaching?
• “A tissue sample might be obtained during the procedure.”
Question 10: A nurse is preparing a client for a bronchoscopy. Which of the
following actions should the nurse take? (Select All That Apply)
• Explain that the client will receive sedation and will not remember the
procedure.
• Verify that the client understands the purpose and nature of the
procedure.
Question 11: A nurse is preparing a client for discharge following a bronchoscopy.
Which of the following assessments is the nurse’s monitoring priority?
• Confirming the gag reflex (Rational: Greatest risk is aspiration from a
depressed gag reflex.)
Question 12: A nurse is caring for a client who is postoperative following a
thoracic lobectomy. The client has 2 chest tubes in place: one in the lower portion
of the thorax and the other higher on the chest wall. When a family member asks
why the client has 2 chest tubes, which of the following responses should the nurse
make?
• “The lower tube will drain blood, and the higher tube will remove air.”
Question 13: A nurse is providing teaching to a client who will undergo a total
laryngectomy. Which of the following statements indicates that the client
understands the impact of the surgery?
, • “I will need to learn a new way to speak.”
Question 14: A nurse is assessing a client with heart failure who has crackles in
both lung bases and peripheral edema. Which of the following medications should
the nurse expect to administer?
• Furosemide
Question 15: A nurse is caring for a client with acute pancreatitis. Which of the
following laboratory findings is most consistent with this diagnosis?
• Elevated serum lipase
Question 16: A nurse is teaching a client with diabetes mellitus about foot care.
Which of the following statements by the client indicates a need for further
teaching?
• “I will soak my feet in hot water every evening.”
Question 17: A nurse is assessing a client who has just returned from the operating
room following a total hip arthroplasty. Which of the following findings requires
immediate intervention?
• Oxygen saturation 88% on room air
Question 18: A nurse is caring for a client with chronic kidney disease who has a
potassium level of 6.2 mEq/L. Which of the following interventions should the
nurse anticipate?
• Administer sodium polystyrene sulfonate
Question 19: A nurse is providing discharge teaching to a client with a new
diagnosis of hypertension. Which of the following dietary recommendations
should the nurse include?
EXAM 2026|2027 WITH NGN QUESTIONS AND
CORRECT ANSWERS | 100% Top Score
Question 1: A charge nurse receives notification of the admission of a client who
is coughing frequently and whose sputum is pink, frothy, and copious. The client
has history of night sweats, anorexia, and weight loss. Which of the following
actions should the nurse take? (Select All That Apply)
• Assign the client to a private room with negative-pressure airflow
• Wear an N95 respirator when entering the client’s room.
Question 2: A nurse is assisting a provider with a comprehensive physical
examination of a client. When the provider uses transillumination, the nurse should
explain to the client that this technique helps evaluate which of the following
structures?
• Maxillary sinuses
Question 3: A nurse is caring for a client who smokes cigarettes and has a new
diagnosis of emphysema. How should the nurse assist the client with smoking
cessation?
• Discuss ways the client can reduce the number of cigarettes smoked per
day.
Question 4: A nurse is planning care for a client who has chronic obstructive
pulmonary disease (COPD) and is malnourished. Which of the following
,recommendations to promote nutritional intake should the nurse include in the
plan?
• Eat high-calorie food first. (Rational: Clients with COPD experience early
satiety; calorie-dense food should be eaten first.)
Question 5: A nurse is preparing to administer cisplatin IV to a client who has
lung cancer. The nurse should identify that which of the following findings is an
adverse effect of this medication?
• Tinnitus (Rational: Cisplatin causes ototoxicity.)
Question 6: A nurse in a medical-surgical unit is assessing a client. The nurse
should identify that which of the following findings is a manifestation of a
pulmonary embolism?
• Stabbing chest pain (Rational: Sudden sharp, stabbing chest pain is a
classic manifestation.)
Question 7: A nurse in the PACU is assessing a newly admitted client and
observes intercostal retractions and a high-pitched inspiratory sound (stridor). The
nurse should identify these findings as manifestations of which of the following
complications?
• Respiratory obstruction
Question 8: A nurse is reviewing the laboratory results of a client who has
metabolic alkalosis. Which of the following laboratory values should the nurse
expect?
• pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg (Rational: Metabolic
alkalosis shows elevated pH and HCO3- with normal PaCO2.)
,Question 9: A nurse is providing teaching to a client who has a chronic cough and
is scheduled for a bronchoscopy. Which of the following client statements
indicates an understanding of the teaching?
• “A tissue sample might be obtained during the procedure.”
Question 10: A nurse is preparing a client for a bronchoscopy. Which of the
following actions should the nurse take? (Select All That Apply)
• Explain that the client will receive sedation and will not remember the
procedure.
• Verify that the client understands the purpose and nature of the
procedure.
Question 11: A nurse is preparing a client for discharge following a bronchoscopy.
Which of the following assessments is the nurse’s monitoring priority?
• Confirming the gag reflex (Rational: Greatest risk is aspiration from a
depressed gag reflex.)
Question 12: A nurse is caring for a client who is postoperative following a
thoracic lobectomy. The client has 2 chest tubes in place: one in the lower portion
of the thorax and the other higher on the chest wall. When a family member asks
why the client has 2 chest tubes, which of the following responses should the nurse
make?
• “The lower tube will drain blood, and the higher tube will remove air.”
Question 13: A nurse is providing teaching to a client who will undergo a total
laryngectomy. Which of the following statements indicates that the client
understands the impact of the surgery?
, • “I will need to learn a new way to speak.”
Question 14: A nurse is assessing a client with heart failure who has crackles in
both lung bases and peripheral edema. Which of the following medications should
the nurse expect to administer?
• Furosemide
Question 15: A nurse is caring for a client with acute pancreatitis. Which of the
following laboratory findings is most consistent with this diagnosis?
• Elevated serum lipase
Question 16: A nurse is teaching a client with diabetes mellitus about foot care.
Which of the following statements by the client indicates a need for further
teaching?
• “I will soak my feet in hot water every evening.”
Question 17: A nurse is assessing a client who has just returned from the operating
room following a total hip arthroplasty. Which of the following findings requires
immediate intervention?
• Oxygen saturation 88% on room air
Question 18: A nurse is caring for a client with chronic kidney disease who has a
potassium level of 6.2 mEq/L. Which of the following interventions should the
nurse anticipate?
• Administer sodium polystyrene sulfonate
Question 19: A nurse is providing discharge teaching to a client with a new
diagnosis of hypertension. Which of the following dietary recommendations
should the nurse include?
