• ATI RN Adult
Medical Surgical 09/07/2026
Exam
ATI RN Adult Medical Surgical 2026 2 Actual
Proctored Exam Featuring All Complete NGN
100 Screenshot Questions and Answers for
Level 3 Pass RN ATI Exam
1. A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is the priority for this
client?
a. Fluid and electrolyte balance.
b. Prevention of water toxicity.
c. Reduced glucose in the urine.
d. Adequate cellular nourishment. –
P 1
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Correct Answer :D
Rationale
Diabetes mellitus Type 1 is characterized by hyperglycemia that precipitates glucosuria and polyuria (frequent
urination), polydipsia (excessive thirst), and polyphagia (excessive hunger). Polyphagia is a consequence of
cellular malnourishment when insulin deficiency prevents utilization of glucose into the cell for energy, so the
outcome statement should include stabilization of adequate cellular nutrition which is done by providing the
insulin supplement the client needs.
2. A client has taken steroids for 12 years to help manage chronic obstructive pulmonary disease (COPD). When
making a home visit, which nursing function is of greatest importance to this client? Assess the client's
a. pulse rate, both apically and radially.
b. blood pressure, both standing and sitting.
c. temperature.
d. skin color and turgor. –
Correct Answer :C
Rationale
It is very important to check the client's temperature. Long term use of steroids use COPD clients is effective in
suppressing inflammation in their airways making it easier for them to breath, but at the same time suppresses
the immune system, placing the client at risk for infection.
3. Which intervention should the nurse plan to implement when caring for a client who has just undergone a
right above-the-knee amputation?
a. Maintain the residual limb on three pillows at all times.
P 2
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
b. Place a large tourniquet at the client's bedside.
c. Apply constant, direct pressure to the residual limb.
d. Do not allow the client to lie in the prone position. –
Correct Answer :B
Rationale
A large tourniquet should be placed in plain sight at the client's bedside, in the event severe bleeding occurs. The
purpose is to have the tourniquet available to applied to the residual limb to control bleeding if hemorrhaging
was to occur. The residual limb should not be placed on a pillow because a flexion contracture of the hip may
result and the client should be encouraged to lie in the prone position to prevent flexion contracture of the hip.
4. The nurse knows that lab values sometimes vary for the older client. Which data would the nurse expect to
find when reviewing laboratory values of an 80-year-old male?
a. Increased WBC, decreased RBC.
b. Increased serum bilirubin, slightly increased liver enzymes.
c. Increased protein in the urine, slightly increased serum glucose levels.
d. Decreased serum sodium, an increased urine specific gravity. –
Correct Answer :C
Rationale
As older adults aged, the protein found in urine slightly rises as a result of kidney changes and the serum glucose
increases slightly, also due to changes in the kidney. The specific gravity declines by age 80 from 1.032 to 1.024.
P 3
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
5. In preparing to administer intravenous albumin to a client following surgery, what is the priority nursing
intervention? (Select all that apply.)
a. Set the infusion pump to infuse the albumin within four hours.
b. Compare the client's blood type with the label on the albumin.
c. Assign a UAP to monitor blood pressure q15 minutes.
d. Administer through a large gauge catheter.
e. Monitor hemoglobin and hematocrit levels.
f. Assess for increased bleeding after administration. –
Correct Answer :A, C, D, E, F
Rationale
Albumin should be infused within four hours because it does not contain any preservatives. Any fluid remaining
after four hours should be discarded. Albumin administration does not require blood typing. Vital signs should be
monitored periodically to assess for fluid volume overload. A large gauge catheter allows for fast infusion rate,
which may be necessary. Hemodilution may decrease hemoglobin (HgB) and hematocrit (HCT) levels, so the
HgB and HCT levels should be monitored. While monitoring for bleeding because of the increased blood volume
and blood pressure.
6. The healthcare provider prescribes aluminum and magnesium hydroxide (Maalox), 1 tablet PO PRN, for a
client with chronic kidney disease (CKD) who is complaining of indigestion. What intervention should the nurse
implement?
a. Administer 30 minutes before eating.
b. Evaluate the effectiveness 1 hour after administration.
c. Instruct the client to swallow the tablet whole.
d. Question the healthcare provider's prescription. –
P 4
Medical Surgical 09/07/2026
Exam
ATI RN Adult Medical Surgical 2026 2 Actual
Proctored Exam Featuring All Complete NGN
100 Screenshot Questions and Answers for
Level 3 Pass RN ATI Exam
1. A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is the priority for this
client?
a. Fluid and electrolyte balance.
b. Prevention of water toxicity.
c. Reduced glucose in the urine.
d. Adequate cellular nourishment. –
P 1
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Correct Answer :D
Rationale
Diabetes mellitus Type 1 is characterized by hyperglycemia that precipitates glucosuria and polyuria (frequent
urination), polydipsia (excessive thirst), and polyphagia (excessive hunger). Polyphagia is a consequence of
cellular malnourishment when insulin deficiency prevents utilization of glucose into the cell for energy, so the
outcome statement should include stabilization of adequate cellular nutrition which is done by providing the
insulin supplement the client needs.
2. A client has taken steroids for 12 years to help manage chronic obstructive pulmonary disease (COPD). When
making a home visit, which nursing function is of greatest importance to this client? Assess the client's
a. pulse rate, both apically and radially.
b. blood pressure, both standing and sitting.
c. temperature.
d. skin color and turgor. –
Correct Answer :C
Rationale
It is very important to check the client's temperature. Long term use of steroids use COPD clients is effective in
suppressing inflammation in their airways making it easier for them to breath, but at the same time suppresses
the immune system, placing the client at risk for infection.
3. Which intervention should the nurse plan to implement when caring for a client who has just undergone a
right above-the-knee amputation?
a. Maintain the residual limb on three pillows at all times.
P 2
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
b. Place a large tourniquet at the client's bedside.
c. Apply constant, direct pressure to the residual limb.
d. Do not allow the client to lie in the prone position. –
Correct Answer :B
Rationale
A large tourniquet should be placed in plain sight at the client's bedside, in the event severe bleeding occurs. The
purpose is to have the tourniquet available to applied to the residual limb to control bleeding if hemorrhaging
was to occur. The residual limb should not be placed on a pillow because a flexion contracture of the hip may
result and the client should be encouraged to lie in the prone position to prevent flexion contracture of the hip.
4. The nurse knows that lab values sometimes vary for the older client. Which data would the nurse expect to
find when reviewing laboratory values of an 80-year-old male?
a. Increased WBC, decreased RBC.
b. Increased serum bilirubin, slightly increased liver enzymes.
c. Increased protein in the urine, slightly increased serum glucose levels.
d. Decreased serum sodium, an increased urine specific gravity. –
Correct Answer :C
Rationale
As older adults aged, the protein found in urine slightly rises as a result of kidney changes and the serum glucose
increases slightly, also due to changes in the kidney. The specific gravity declines by age 80 from 1.032 to 1.024.
P 3
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
5. In preparing to administer intravenous albumin to a client following surgery, what is the priority nursing
intervention? (Select all that apply.)
a. Set the infusion pump to infuse the albumin within four hours.
b. Compare the client's blood type with the label on the albumin.
c. Assign a UAP to monitor blood pressure q15 minutes.
d. Administer through a large gauge catheter.
e. Monitor hemoglobin and hematocrit levels.
f. Assess for increased bleeding after administration. –
Correct Answer :A, C, D, E, F
Rationale
Albumin should be infused within four hours because it does not contain any preservatives. Any fluid remaining
after four hours should be discarded. Albumin administration does not require blood typing. Vital signs should be
monitored periodically to assess for fluid volume overload. A large gauge catheter allows for fast infusion rate,
which may be necessary. Hemodilution may decrease hemoglobin (HgB) and hematocrit (HCT) levels, so the
HgB and HCT levels should be monitored. While monitoring for bleeding because of the increased blood volume
and blood pressure.
6. The healthcare provider prescribes aluminum and magnesium hydroxide (Maalox), 1 tablet PO PRN, for a
client with chronic kidney disease (CKD) who is complaining of indigestion. What intervention should the nurse
implement?
a. Administer 30 minutes before eating.
b. Evaluate the effectiveness 1 hour after administration.
c. Instruct the client to swallow the tablet whole.
d. Question the healthcare provider's prescription. –
P 4
