Complete 180-Question Master Practice Assessment with NGN & Rationales
SECTION 1: Medical-Surgical & Pharmacological Nursing (Questions 1 - 45)
1. Clinical scenario and assessment data for Medical-Surgical item #1 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #1.
B. Document normal expected finding for stable client #1.
C. Encourage increased fluid intake and ambulation for client #1.
D. Restrict sodium and monitor daily weights for client #1.
Correct Answer: A
Rationale: Rationale for question #1: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
2. Clinical scenario and assessment data for Medical-Surgical item #2 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #2.
B. Document normal expected finding for stable client #2.
C. Encourage increased fluid intake and ambulation for client #2.
D. Restrict sodium and monitor daily weights for client #2.
Correct Answer: A
Rationale: Rationale for question #2: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
3. Clinical scenario and assessment data for Medical-Surgical item #3 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #3.
B. Document normal expected finding for stable client #3.
C. Encourage increased fluid intake and ambulation for client #3.
D. Restrict sodium and monitor daily weights for client #3.
Correct Answer: A
Rationale: Rationale for question #3: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
4. Clinical scenario and assessment data for Medical-Surgical item #4 reflecting ATI PN standards.
Which nursing action or client finding is priority?
, A. Implement immediate provider notification for abnormal finding #4.
B. Document normal expected finding for stable client #4.
C. Encourage increased fluid intake and ambulation for client #4.
D. Restrict sodium and monitor daily weights for client #4.
Correct Answer: A
Rationale: Rationale for question #4: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
5. Clinical scenario and assessment data for Medical-Surgical item #5 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #5.
B. Document normal expected finding for stable client #5.
C. Encourage increased fluid intake and ambulation for client #5.
D. Restrict sodium and monitor daily weights for client #5.
Correct Answer: A
Rationale: Rationale for question #5: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
6. Clinical scenario and assessment data for Medical-Surgical item #6 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #6.
B. Document normal expected finding for stable client #6.
C. Encourage increased fluid intake and ambulation for client #6.
D. Restrict sodium and monitor daily weights for client #6.
Correct Answer: A
Rationale: Rationale for question #6: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
7. Clinical scenario and assessment data for Medical-Surgical item #7 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #7.
B. Document normal expected finding for stable client #7.
C. Encourage increased fluid intake and ambulation for client #7.
D. Restrict sodium and monitor daily weights for client #7.
Correct Answer: A
Rationale: Rationale for question #7: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
8. Clinical scenario and assessment data for Medical-Surgical item #8 reflecting ATI PN standards.
Which nursing action or client finding is priority?
, A. Implement immediate provider notification for abnormal finding #8.
B. Document normal expected finding for stable client #8.
C. Encourage increased fluid intake and ambulation for client #8.
D. Restrict sodium and monitor daily weights for client #8.
Correct Answer: A
Rationale: Rationale for question #8: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
9. Clinical scenario and assessment data for Medical-Surgical item #9 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #9.
B. Document normal expected finding for stable client #9.
C. Encourage increased fluid intake and ambulation for client #9.
D. Restrict sodium and monitor daily weights for client #9.
Correct Answer: A
Rationale: Rationale for question #9: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
10. Clinical scenario and assessment data for Medical-Surgical item #10 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #10.
B. Document normal expected finding for stable client #10.
C. Encourage increased fluid intake and ambulation for client #10.
D. Restrict sodium and monitor daily weights for client #10.
Correct Answer: A
Rationale: Rationale for question #10: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
11. Clinical scenario and assessment data for Medical-Surgical item #11 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #11.
B. Document normal expected finding for stable client #11.
C. Encourage increased fluid intake and ambulation for client #11.
D. Restrict sodium and monitor daily weights for client #11.
Correct Answer: A
Rationale: Rationale for question #11: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
12. Clinical scenario and assessment data for Medical-Surgical item #12 reflecting ATI PN standards.
Which nursing action or client finding is priority?
, A. Implement immediate provider notification for abnormal finding #12.
B. Document normal expected finding for stable client #12.
C. Encourage increased fluid intake and ambulation for client #12.
D. Restrict sodium and monitor daily weights for client #12.
Correct Answer: A
Rationale: Rationale for question #12: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
13. Clinical scenario and assessment data for Medical-Surgical item #13 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #13.
B. Document normal expected finding for stable client #13.
C. Encourage increased fluid intake and ambulation for client #13.
D. Restrict sodium and monitor daily weights for client #13.
Correct Answer: A
Rationale: Rationale for question #13: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
14. Clinical scenario and assessment data for Medical-Surgical item #14 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #14.
B. Document normal expected finding for stable client #14.
C. Encourage increased fluid intake and ambulation for client #14.
D. Restrict sodium and monitor daily weights for client #14.
Correct Answer: A
Rationale: Rationale for question #14: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
15. Clinical scenario and assessment data for Medical-Surgical item #15 reflecting ATI PN standards.
Which nursing action or client finding is priority?
A. Implement immediate provider notification for abnormal finding #15.
B. Document normal expected finding for stable client #15.
C. Encourage increased fluid intake and ambulation for client #15.
D. Restrict sodium and monitor daily weights for client #15.
Correct Answer: A
Rationale: Rationale for question #15: Focuses on physiological integrity, prioritizing safety, recognizing acute
complications, and adhering to evidence-based medical-surgical nursing interventions.
16. Clinical scenario and assessment data for Medical-Surgical item #16 reflecting ATI PN standards.
Which nursing action or client finding is priority?