AT I M E D I C A L - S U R G I C A L P R O C TO R E D · C O M P R E H E N S I V E R E V I E W
ATI Medical-Surgical
Proctored Practice
Question Bank
NCLEX-Style Practice Questions with Rationales
Topics: Cardiovascular · Respiratory · Endocrine · Gastrointestinal · Infectious
Disease · Emergency · & More
Edition 1 · August 2026
Table of Contents
1. Instructions for Use 2
2. Procedures & Sterile Technique 2
3. Cardiovascular & Cardiac Care 3
4. Respiratory & TB Care 4
,5. Endocrine & Metabolic Disorders 4
6. Gastrointestinal & Nutrition 5
7. Infectious Disease & Immune 6
8. Neurological & Emergency Care 6
9. Pharmacology & Medication Management 7
ATI Med-Surg Proctored · Nursing Review Page 1
,ATI MED-SURG PROCTORED PRACTICE GUIDE INSTRUCTIONS & PROCEDURES
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. Items marked NEEDS RATIONALE had limited source detail; treat those as flags
for independent review.
Procedures & Sterile Technique
1 What is the correct positioning for an Endoscopy (EGD) procedure?
A Left side lying
B Right side lying
C Supine
D Prone
Why A is correct: Left side lying position is used for EGD to allow better visualization of the
esophagus and stomach.
B — Right side lying is not the standard position for EGD.
C — Supine position is not used for EGD.
D — Prone position is not used for EGD.
, 2 What are the pre-procedure preparations for an Endoscopy (EGD)?
A NPO 6-8 hr, remove dentures
B NPO 12 hr, remove all jewelry
C Clear liquids only, keep dentures
D NPO 4 hr, remove hearing aids
Why A is correct: NPO for 6-8 hours and removing dentures are standard prep for EGD to
prevent aspiration and allow scope insertion.
B — 12 hours is excessive.
C — Dentures must be removed.
D — NPO must be longer than 4 hours.
3 In what order should you open a sterile package?
A Flap furthest from body, side flaps, then closest
B Closest flap, side flaps, then furthest
C Side flaps, closest, then furthest
D Furthest, closest, then side flaps
Why A is correct: The correct sequence is: flap farthest from body first, then side flaps, then
the flap closest to the body.
B — Closest flap should be opened last.
C — Furthest flap should be opened first.
D — Side flaps should be opened second.
ATI Medical-Surgical
Proctored Practice
Question Bank
NCLEX-Style Practice Questions with Rationales
Topics: Cardiovascular · Respiratory · Endocrine · Gastrointestinal · Infectious
Disease · Emergency · & More
Edition 1 · August 2026
Table of Contents
1. Instructions for Use 2
2. Procedures & Sterile Technique 2
3. Cardiovascular & Cardiac Care 3
4. Respiratory & TB Care 4
,5. Endocrine & Metabolic Disorders 4
6. Gastrointestinal & Nutrition 5
7. Infectious Disease & Immune 6
8. Neurological & Emergency Care 6
9. Pharmacology & Medication Management 7
ATI Med-Surg Proctored · Nursing Review Page 1
,ATI MED-SURG PROCTORED PRACTICE GUIDE INSTRUCTIONS & PROCEDURES
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. Items marked NEEDS RATIONALE had limited source detail; treat those as flags
for independent review.
Procedures & Sterile Technique
1 What is the correct positioning for an Endoscopy (EGD) procedure?
A Left side lying
B Right side lying
C Supine
D Prone
Why A is correct: Left side lying position is used for EGD to allow better visualization of the
esophagus and stomach.
B — Right side lying is not the standard position for EGD.
C — Supine position is not used for EGD.
D — Prone position is not used for EGD.
, 2 What are the pre-procedure preparations for an Endoscopy (EGD)?
A NPO 6-8 hr, remove dentures
B NPO 12 hr, remove all jewelry
C Clear liquids only, keep dentures
D NPO 4 hr, remove hearing aids
Why A is correct: NPO for 6-8 hours and removing dentures are standard prep for EGD to
prevent aspiration and allow scope insertion.
B — 12 hours is excessive.
C — Dentures must be removed.
D — NPO must be longer than 4 hours.
3 In what order should you open a sterile package?
A Flap furthest from body, side flaps, then closest
B Closest flap, side flaps, then furthest
C Side flaps, closest, then furthest
D Furthest, closest, then side flaps
Why A is correct: The correct sequence is: flap farthest from body first, then side flaps, then
the flap closest to the body.
B — Closest flap should be opened last.
C — Furthest flap should be opened first.
D — Side flaps should be opened second.
