• ATI RN Adult
Medical Surgical 09/07/2026
Exam
ATI RN Adult Medical Surgical 2026 Actual
Proctored Exam Featuring All Complete
NGN 100 Screenshot Questions and
Answers for Level 3 Pass RN ATI Exam
A client has a small-bore nasoenteric feeding tube. The nurse assesses the following vital signs: temperature,
100.2° F (37.8° C); pulse, 112 beats/min; respiratory rate, 22 breaths/min; and blood pressure, 106/62 mm Hg.
Which action by the nurse takes priority?
A) Auscultate bowel sounds and slow the feeding down.
B) Remove the tube immediately and notify the heath care provider.
C) Auscultate lung sounds and obtain oxygen saturation.
D) Add blue dye to the feeding tube formula. –
P 1
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Correct Answer :C
The client may have aspirated. The nurse should further assess the client's respiratory and oxygenation status.
The client may have another reason for the abnormal vital signs, so the nurse should not pull out the tube before
performing other assessments. Adding blue dye to the tube feeding formula is not recommended to check for
aspiration. Slowing the feeding down will not be helpful.
A client is receiving a chemotherapeutic agent intravenously through a peripheral line. What is the nurse's first
action when the client reports burning at the site?
A) Apply a cold compress.
B) Discontinue the infusion.
C) Slow the rate of infusion.
D) Check for a blood return. –
Correct Answer :B
Both irritants and vesicants can cause tissue damage. If the nurse suspects extravasation, he or she should
immediately stop the infusion. Even if the IV has a good blood return, some of the chemotherapeutic agent can
still be leaking into the tissues. Slowing the rate of infusion is not sufficient to prevent further leakage and
damage. Applying a cold compress may or may not be the correct action, depending on the specific agent.
However, the compress would be applied only after the infusion has been discontinued.
which statement about a patient with a tube feeding indicates best practice for patient safety & quality care?
A) if the tube becomes clogged, use 30 mL of water for flushing, while applying gentle pressure with a 50 mL
piston syringe
B) when administering medications, use cold water to dissolve the drug before administering it
C) use cranberry juice to flush the tube if it is clogged
P 2
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
D) administer drugs down the feeding tube without flushing first, but flush the feeding tube after the drug is
given –
Correct Answer :A
A client has a wound on his left trochanter that is 4 inches in diameter, with black tissue at the perimeter, and
bone is exposed. Which is the nurse's best action?
A) Document as a stage I pressure ulcer and apply a transparent dressing.
B) Document as a stage II pressure ulcer and start wet-to-dry gauze treatments.
C) Document as a stage IV pressure ulcer and prepare the client for débridement.
D) Document as a stage III pressure ulcer and start antibiotic therapy.
- Correct Answer :C
A stage IV ulcer is one in which skin loss is full thickness, with extensive destruction, tissue necrosis, and/or
damage to muscle, bone, or supporting structures. Eschar may be present. When the bone of the trochanter
area is visible, tissue loss includes muscle loss. A potential intervention consists of débridement of the necrotic
tissue and a possible graft to promote healing.
After initial placement of NG tubes is confirmed, how often must placement be checked? SELECT ALL THAT
APPLY?
A) before medication administration
B) it is not necessary to recheck placement
C) every 4-8 hours during feeding
D) before intermittent feeding
E) according to facility policy - Correct Answer :A,C,E
P 3
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
The nurse is preparing to administer tube feedings through a client's new Salem sump nasogastric tube. The
nurse is unable to withdraw any fluid from the tube before starting the feeding. Which is the priority action of the
nurse?
A) Start the tube feeding as ordered and check the residual in 30 minutes.
B) Inject air into the nasogastric tube while auscultating the client's epigastric area.
C) Lower the head of the client's bed and attempt to aspirate fluid again.
D) Obtain orders for a chest x-ray to confirm placement before starting the feeding. –
Correct Answer :D
The nurse must verify tube placement before beginning any tube feeding or administering any medications
through a tube. The most accurate way to determine placement is via chest x-ray. The nurse could cause the
client to aspirate if she or he started the feeding then checked later for placement. Insufflation does not provide
accurate results and should not be used to verify tube placement. The nurse must keep the client's head
elevated at least 30 degrees.
A client has a urinary tract infection. Which assessment by the nurse is most helpful?
A) Palpating and percussing the kidneys and bladder
B) Performing a bladder scan to assess post-void residual
C) Assessing medical history and current medical problems
D) Inquiring about recent travel to foreign countries - Correct Answer :C
Clients who are severely immune compromised or who have diabetes mellitus are more prone to fungal urinary
tract infection. The nurse should assess for these factors. A physical examination and a post-void residual may be
needed, but not until further information is obtained. Travel to foreign countries probably would not be as
important, because even if exposed, the client needs some degree of immune compromise to develop a fungal
urinary tract infection.
P 4
Medical Surgical 09/07/2026
Exam
ATI RN Adult Medical Surgical 2026 Actual
Proctored Exam Featuring All Complete
NGN 100 Screenshot Questions and
Answers for Level 3 Pass RN ATI Exam
A client has a small-bore nasoenteric feeding tube. The nurse assesses the following vital signs: temperature,
100.2° F (37.8° C); pulse, 112 beats/min; respiratory rate, 22 breaths/min; and blood pressure, 106/62 mm Hg.
Which action by the nurse takes priority?
A) Auscultate bowel sounds and slow the feeding down.
B) Remove the tube immediately and notify the heath care provider.
C) Auscultate lung sounds and obtain oxygen saturation.
D) Add blue dye to the feeding tube formula. –
P 1
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Correct Answer :C
The client may have aspirated. The nurse should further assess the client's respiratory and oxygenation status.
The client may have another reason for the abnormal vital signs, so the nurse should not pull out the tube before
performing other assessments. Adding blue dye to the tube feeding formula is not recommended to check for
aspiration. Slowing the feeding down will not be helpful.
A client is receiving a chemotherapeutic agent intravenously through a peripheral line. What is the nurse's first
action when the client reports burning at the site?
A) Apply a cold compress.
B) Discontinue the infusion.
C) Slow the rate of infusion.
D) Check for a blood return. –
Correct Answer :B
Both irritants and vesicants can cause tissue damage. If the nurse suspects extravasation, he or she should
immediately stop the infusion. Even if the IV has a good blood return, some of the chemotherapeutic agent can
still be leaking into the tissues. Slowing the rate of infusion is not sufficient to prevent further leakage and
damage. Applying a cold compress may or may not be the correct action, depending on the specific agent.
However, the compress would be applied only after the infusion has been discontinued.
which statement about a patient with a tube feeding indicates best practice for patient safety & quality care?
A) if the tube becomes clogged, use 30 mL of water for flushing, while applying gentle pressure with a 50 mL
piston syringe
B) when administering medications, use cold water to dissolve the drug before administering it
C) use cranberry juice to flush the tube if it is clogged
P 2
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
D) administer drugs down the feeding tube without flushing first, but flush the feeding tube after the drug is
given –
Correct Answer :A
A client has a wound on his left trochanter that is 4 inches in diameter, with black tissue at the perimeter, and
bone is exposed. Which is the nurse's best action?
A) Document as a stage I pressure ulcer and apply a transparent dressing.
B) Document as a stage II pressure ulcer and start wet-to-dry gauze treatments.
C) Document as a stage IV pressure ulcer and prepare the client for débridement.
D) Document as a stage III pressure ulcer and start antibiotic therapy.
- Correct Answer :C
A stage IV ulcer is one in which skin loss is full thickness, with extensive destruction, tissue necrosis, and/or
damage to muscle, bone, or supporting structures. Eschar may be present. When the bone of the trochanter
area is visible, tissue loss includes muscle loss. A potential intervention consists of débridement of the necrotic
tissue and a possible graft to promote healing.
After initial placement of NG tubes is confirmed, how often must placement be checked? SELECT ALL THAT
APPLY?
A) before medication administration
B) it is not necessary to recheck placement
C) every 4-8 hours during feeding
D) before intermittent feeding
E) according to facility policy - Correct Answer :A,C,E
P 3
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
The nurse is preparing to administer tube feedings through a client's new Salem sump nasogastric tube. The
nurse is unable to withdraw any fluid from the tube before starting the feeding. Which is the priority action of the
nurse?
A) Start the tube feeding as ordered and check the residual in 30 minutes.
B) Inject air into the nasogastric tube while auscultating the client's epigastric area.
C) Lower the head of the client's bed and attempt to aspirate fluid again.
D) Obtain orders for a chest x-ray to confirm placement before starting the feeding. –
Correct Answer :D
The nurse must verify tube placement before beginning any tube feeding or administering any medications
through a tube. The most accurate way to determine placement is via chest x-ray. The nurse could cause the
client to aspirate if she or he started the feeding then checked later for placement. Insufflation does not provide
accurate results and should not be used to verify tube placement. The nurse must keep the client's head
elevated at least 30 degrees.
A client has a urinary tract infection. Which assessment by the nurse is most helpful?
A) Palpating and percussing the kidneys and bladder
B) Performing a bladder scan to assess post-void residual
C) Assessing medical history and current medical problems
D) Inquiring about recent travel to foreign countries - Correct Answer :C
Clients who are severely immune compromised or who have diabetes mellitus are more prone to fungal urinary
tract infection. The nurse should assess for these factors. A physical examination and a post-void residual may be
needed, but not until further information is obtained. Travel to foreign countries probably would not be as
important, because even if exposed, the client needs some degree of immune compromise to develop a fungal
urinary tract infection.
P 4
