ATI RN ADULT MEDICAL-SURGICAL 2025/2026 – NGN PROCTORED
EXAM WITH FULLY CORRECT ATI ANSWERS | REAL PROCTORED
MED-SURG CMS WITH NEXT GEN NCLEX-STYLE QUESTIONS |
COMPLETE TEST BANK WITH CORRECT DETAILED ANSWERS A+
GRADED | GUARANTEED PASS!! | QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF
Core Domains:
• Cardiovascular and Peripheral Vascular Disorders
• Respiratory Disorders and Oxygen Therapy
• Gastrointestinal and Hepatobiliary Disorders
• Renal and Urinary Disorders
• Neurological and Musculoskeletal Disorders
• Endocrine and Metabolic Disorders
• Hematological, Immunological, and Oncological Disorders
• Integumentary and Wound Care
• Perioperative and Critical Care Nursing
• Pharmacology, Fluid/Electrolyte Balance, and NGN-Style Clinical Judgment
Introduction:
This comprehensive ATI RN Adult Medical-Surgical Proctored Examination with
Next Generation NCLEX (NGN) items is designed to assess the knowledge, clinical
judgment, and critical thinking skills essential for safe and effective nursing
practice in medical-surgical settings. The assessment covers a broad spectrum of
topics including cardiovascular, respiratory, gastrointestinal, renal, neurological,
endocrine, and oncological disorders. Candidates will encounter multiple-choice
questions and NGN-style items that require application of theoretical knowledge to
,real-world clinical scenarios. Emphasis is placed on clinical reasoning,
prioritization, delegation, and evidence-based practice. Successful completion of
this examination demonstrates readiness to provide high-quality, patient-centered
care across diverse healthcare settings.
SECTION ONE: QUESTIONS 1-100
1. A nurse is caring for a client who has heart failure and is receiving
furosemide. Which of the following findings should indicate to the nurse that
the client is experiencing a positive response to the medication?
A. Decreased peripheral edema
B. Increased blood pressure
C. Increased heart rate
D. Decreased urine output
A. Decreased peripheral edema
RATIONALE: Furosemide is a loop diuretic used to reduce fluid volume in
heart failure. A positive response is indicated by decreased peripheral edema,
decreased pulmonary congestion, weight loss, and increased urine output. Blood
,pressure should decrease, not increase, and heart rate should normalize.
2. A nurse is preparing to administer a blood transfusion to a client. Which of
the following actions should the nurse take first?
A. Verify the client's identity using two identifiers
B. Check the expiration date on the blood unit
C. Assess the client's vital signs
D. Obtain the client's informed consent
A. Verify the client's identity using two identifiers
RATIONALE: Client identification is the first and most critical step in blood
transfusion safety. The nurse must verify the client's identity using two unique
identifiers (e.g., name and date of birth) against the blood product and medical
record before proceeding with other steps.
, 3. A client who is postoperative following abdominal surgery has a nasogastric
tube set to low intermittent suction. Which of the following findings should
indicate to the nurse that the tube is functioning properly?
A. Absence of bowel sounds
B. Output of 50 mL over 8 hours
C. Return of brownish-green drainage
D. Client report of nausea
C. Return of brownish-green drainage
RATIONALE: A properly functioning NG tube should drain gastric contents,
which appear brownish-green (bile-stained). Output should be consistent with the
amount of gastric secretion. Absence of bowel sounds is expected postoperatively.
Low output or nausea may indicate tube obstruction or malfunction.
4. A nurse is caring for a client who has COPD and is receiving oxygen at 2
L/min via nasal cannula. The client's oxygen saturation is 92%. Which of the
following actions should the nurse take?
A. Increase the oxygen flow rate to 4 L/min
B. Decrease the oxygen flow rate to 1 L/min
C. Maintain the current oxygen flow rate
D. Apply a non-rebreather mask
C. Maintain the current oxygen flow rate
RATIONALE: For clients with COPD, oxygen saturation should be maintained
between 88-92% to preserve the hypoxic drive. A saturation of 92% is within the
target range, so the current flow rate should be maintained. Increasing oxygen
could lead to respiratory depression in COPD clients.
5. A nurse is assessing a client who has a closed head injury. Which of the
following findings should indicate to the nurse that the client's intracranial
pressure is increasing?
EXAM WITH FULLY CORRECT ATI ANSWERS | REAL PROCTORED
MED-SURG CMS WITH NEXT GEN NCLEX-STYLE QUESTIONS |
COMPLETE TEST BANK WITH CORRECT DETAILED ANSWERS A+
GRADED | GUARANTEED PASS!! | QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF
Core Domains:
• Cardiovascular and Peripheral Vascular Disorders
• Respiratory Disorders and Oxygen Therapy
• Gastrointestinal and Hepatobiliary Disorders
• Renal and Urinary Disorders
• Neurological and Musculoskeletal Disorders
• Endocrine and Metabolic Disorders
• Hematological, Immunological, and Oncological Disorders
• Integumentary and Wound Care
• Perioperative and Critical Care Nursing
• Pharmacology, Fluid/Electrolyte Balance, and NGN-Style Clinical Judgment
Introduction:
This comprehensive ATI RN Adult Medical-Surgical Proctored Examination with
Next Generation NCLEX (NGN) items is designed to assess the knowledge, clinical
judgment, and critical thinking skills essential for safe and effective nursing
practice in medical-surgical settings. The assessment covers a broad spectrum of
topics including cardiovascular, respiratory, gastrointestinal, renal, neurological,
endocrine, and oncological disorders. Candidates will encounter multiple-choice
questions and NGN-style items that require application of theoretical knowledge to
,real-world clinical scenarios. Emphasis is placed on clinical reasoning,
prioritization, delegation, and evidence-based practice. Successful completion of
this examination demonstrates readiness to provide high-quality, patient-centered
care across diverse healthcare settings.
SECTION ONE: QUESTIONS 1-100
1. A nurse is caring for a client who has heart failure and is receiving
furosemide. Which of the following findings should indicate to the nurse that
the client is experiencing a positive response to the medication?
A. Decreased peripheral edema
B. Increased blood pressure
C. Increased heart rate
D. Decreased urine output
A. Decreased peripheral edema
RATIONALE: Furosemide is a loop diuretic used to reduce fluid volume in
heart failure. A positive response is indicated by decreased peripheral edema,
decreased pulmonary congestion, weight loss, and increased urine output. Blood
,pressure should decrease, not increase, and heart rate should normalize.
2. A nurse is preparing to administer a blood transfusion to a client. Which of
the following actions should the nurse take first?
A. Verify the client's identity using two identifiers
B. Check the expiration date on the blood unit
C. Assess the client's vital signs
D. Obtain the client's informed consent
A. Verify the client's identity using two identifiers
RATIONALE: Client identification is the first and most critical step in blood
transfusion safety. The nurse must verify the client's identity using two unique
identifiers (e.g., name and date of birth) against the blood product and medical
record before proceeding with other steps.
, 3. A client who is postoperative following abdominal surgery has a nasogastric
tube set to low intermittent suction. Which of the following findings should
indicate to the nurse that the tube is functioning properly?
A. Absence of bowel sounds
B. Output of 50 mL over 8 hours
C. Return of brownish-green drainage
D. Client report of nausea
C. Return of brownish-green drainage
RATIONALE: A properly functioning NG tube should drain gastric contents,
which appear brownish-green (bile-stained). Output should be consistent with the
amount of gastric secretion. Absence of bowel sounds is expected postoperatively.
Low output or nausea may indicate tube obstruction or malfunction.
4. A nurse is caring for a client who has COPD and is receiving oxygen at 2
L/min via nasal cannula. The client's oxygen saturation is 92%. Which of the
following actions should the nurse take?
A. Increase the oxygen flow rate to 4 L/min
B. Decrease the oxygen flow rate to 1 L/min
C. Maintain the current oxygen flow rate
D. Apply a non-rebreather mask
C. Maintain the current oxygen flow rate
RATIONALE: For clients with COPD, oxygen saturation should be maintained
between 88-92% to preserve the hypoxic drive. A saturation of 92% is within the
target range, so the current flow rate should be maintained. Increasing oxygen
could lead to respiratory depression in COPD clients.
5. A nurse is assessing a client who has a closed head injury. Which of the
following findings should indicate to the nurse that the client's intracranial
pressure is increasing?
