ATI MED SURG PROCTORED EXAM VERSION A, B, C &
D LATEST 2026/2027 TEST BANK | 4 VERSIONS EACH
CONTAINS 180 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | ATI MED SURG PROCTORED
EXAMS (BRAND NEW!!) QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Cardiovascular and Hematologic Disorders
Respiratory and Pulmonary Disorders
Neurological and Sensory Disorders
Endocrine and Metabolic Disorders
Gastrointestinal and Renal Disorders
Musculoskeletal and Connective Tissue Disorders
Perioperative and Postoperative Nursing Care
Infection Control and Immunologic Disorders
Oncologic and Palliative Care
Emergency and Critical Care Nursing
Introduction
The ATI Medical-Surgical Proctored Examination assesses the entry-level
competency of nursing students in adult medical-surgical nursing
practice. It evaluates clinical judgment across the lifespan, emphasizing
assessment, prioritization, and evidence-based intervention. The
examination employs scenario-based multiple-choice and alternate-
,format questions requiring application of nursing process, pharmacology,
and safety principles. Emphasis is placed on real-world decision-making,
clinical prioritization, and patient-centered management. This
comprehensive test bank ensures candidates demonstrate the
knowledge, skills, and clinical reasoning essential for safe, effective
medical-surgical nursing practice.
SECTION ONE: QUESTIONS 1–540
1. A nurse is caring for a client who has been on bed rest for 3 days.
Which assessment finding indicates the client is at risk for
developing a deep vein thrombosis?
A. Warm, reddened area on the calf
B. Bilateral dependent edema
C. Positive Homans' sign
D. Unilateral calf swelling and tenderness
D. Unilateral calf swelling and tenderness
RATIONALE: Unilateral calf swelling and tenderness are classic signs
of DVT. Homans' sign is no longer considered reliable. Warmth and
redness may occur but are less specific.
2. A nurse is assessing a client who has a new onset of atrial
fibrillation. Which pulse characteristic should the nurse expect?
A. Bounding
B. Irregular
C. Slow
D. Not palpable
B. Irregular
, RATIONALE: Atrial fibrillation causes an irregularly irregular pulse due
to chaotic atrial electrical activity. The ventricular rate is also often rapid.
3. A client with COPD has an SpO2 of 88% on room air and is using
accessory muscles to breathe. What is the priority nursing action?
A. Administer high-flow oxygen via non-rebreather mask
B. Administer low-flow oxygen via nasal cannula
C. Place the client in a supine position
D. Administer a bronchodilator nebulizer treatment
B. Administer low-flow oxygen via nasal cannula
RATIONALE: Clients with COPD rely on hypoxic drive. Low-flow
oxygen at 1-2 L/min is appropriate to maintain SpO2 between 88-92%
without suppressing respiratory drive.
4. A nurse is reviewing discharge instructions with a client who has a
new prescription for warfarin. Which statement by the client
indicates a need for further teaching?
A. "I will avoid eating large amounts of spinach and kale."
B. "I will use a soft toothbrush and electric razor."
C. "I will take aspirin for headaches."
D. "I will have my INR checked regularly."
C. "I will take aspirin for headaches."
RATIONALE: Aspirin increases bleeding risk when taken with
warfarin. Clients should avoid aspirin-containing products and use
acetaminophen for pain relief.
, 5. A nurse is caring for a client who is 4 hours postoperative following
a hip replacement. Which assessment finding requires immediate
intervention?
A. Pain at the surgical site
B. Drainage of 50 mL from the surgical drain
C. Shortness of breath and chest pain
D. Temperature of 100.2°F
C. Shortness of breath and chest pain
RATIONALE: Shortness of breath and chest pain following hip
replacement surgery may indicate a pulmonary embolism, which is a life-
threatening emergency requiring immediate intervention.
6. A nurse is teaching a client who has diabetes mellitus about foot
care. Which instruction should the nurse include?
A. "Soak your feet in hot water daily."
B. "Cut your toenails straight across."
C. "Apply lotion between your toes."
D. "Wear tight-fitting shoes to prevent injury."
B. "Cut your toenails straight across."
RATIONALE: Toenails should be cut straight across to prevent
ingrown nails. Lotions should not be applied between the toes. Shoes
should fit properly. Feet should be soaked in warm, not hot, water.
7. A nurse is assessing a client who has increased intracranial
pressure. Which early sign should the nurse expect?
A. Decreased level of consciousness
B. Fixed and dilated pupils
D LATEST 2026/2027 TEST BANK | 4 VERSIONS EACH
CONTAINS 180 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | ATI MED SURG PROCTORED
EXAMS (BRAND NEW!!) QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Cardiovascular and Hematologic Disorders
Respiratory and Pulmonary Disorders
Neurological and Sensory Disorders
Endocrine and Metabolic Disorders
Gastrointestinal and Renal Disorders
Musculoskeletal and Connective Tissue Disorders
Perioperative and Postoperative Nursing Care
Infection Control and Immunologic Disorders
Oncologic and Palliative Care
Emergency and Critical Care Nursing
Introduction
The ATI Medical-Surgical Proctored Examination assesses the entry-level
competency of nursing students in adult medical-surgical nursing
practice. It evaluates clinical judgment across the lifespan, emphasizing
assessment, prioritization, and evidence-based intervention. The
examination employs scenario-based multiple-choice and alternate-
,format questions requiring application of nursing process, pharmacology,
and safety principles. Emphasis is placed on real-world decision-making,
clinical prioritization, and patient-centered management. This
comprehensive test bank ensures candidates demonstrate the
knowledge, skills, and clinical reasoning essential for safe, effective
medical-surgical nursing practice.
SECTION ONE: QUESTIONS 1–540
1. A nurse is caring for a client who has been on bed rest for 3 days.
Which assessment finding indicates the client is at risk for
developing a deep vein thrombosis?
A. Warm, reddened area on the calf
B. Bilateral dependent edema
C. Positive Homans' sign
D. Unilateral calf swelling and tenderness
D. Unilateral calf swelling and tenderness
RATIONALE: Unilateral calf swelling and tenderness are classic signs
of DVT. Homans' sign is no longer considered reliable. Warmth and
redness may occur but are less specific.
2. A nurse is assessing a client who has a new onset of atrial
fibrillation. Which pulse characteristic should the nurse expect?
A. Bounding
B. Irregular
C. Slow
D. Not palpable
B. Irregular
, RATIONALE: Atrial fibrillation causes an irregularly irregular pulse due
to chaotic atrial electrical activity. The ventricular rate is also often rapid.
3. A client with COPD has an SpO2 of 88% on room air and is using
accessory muscles to breathe. What is the priority nursing action?
A. Administer high-flow oxygen via non-rebreather mask
B. Administer low-flow oxygen via nasal cannula
C. Place the client in a supine position
D. Administer a bronchodilator nebulizer treatment
B. Administer low-flow oxygen via nasal cannula
RATIONALE: Clients with COPD rely on hypoxic drive. Low-flow
oxygen at 1-2 L/min is appropriate to maintain SpO2 between 88-92%
without suppressing respiratory drive.
4. A nurse is reviewing discharge instructions with a client who has a
new prescription for warfarin. Which statement by the client
indicates a need for further teaching?
A. "I will avoid eating large amounts of spinach and kale."
B. "I will use a soft toothbrush and electric razor."
C. "I will take aspirin for headaches."
D. "I will have my INR checked regularly."
C. "I will take aspirin for headaches."
RATIONALE: Aspirin increases bleeding risk when taken with
warfarin. Clients should avoid aspirin-containing products and use
acetaminophen for pain relief.
, 5. A nurse is caring for a client who is 4 hours postoperative following
a hip replacement. Which assessment finding requires immediate
intervention?
A. Pain at the surgical site
B. Drainage of 50 mL from the surgical drain
C. Shortness of breath and chest pain
D. Temperature of 100.2°F
C. Shortness of breath and chest pain
RATIONALE: Shortness of breath and chest pain following hip
replacement surgery may indicate a pulmonary embolism, which is a life-
threatening emergency requiring immediate intervention.
6. A nurse is teaching a client who has diabetes mellitus about foot
care. Which instruction should the nurse include?
A. "Soak your feet in hot water daily."
B. "Cut your toenails straight across."
C. "Apply lotion between your toes."
D. "Wear tight-fitting shoes to prevent injury."
B. "Cut your toenails straight across."
RATIONALE: Toenails should be cut straight across to prevent
ingrown nails. Lotions should not be applied between the toes. Shoes
should fit properly. Feet should be soaked in warm, not hot, water.
7. A nurse is assessing a client who has increased intracranial
pressure. Which early sign should the nurse expect?
A. Decreased level of consciousness
B. Fixed and dilated pupils
