RN ATI Adult Med-Surg Proctored Exam — 600 Practice Questions with Verified Answers &
Detailed Rationales
Table of Contents
Exam Overview
Domain 1: Perioperative & Postoperative Care (Questions 1–50)
- Preoperative Assessment & Preparation
- Intraoperative Complications
- Postoperative Assessment & Management
- Anesthesia Recovery & Airway Management
- Surgical Site Infection Prevention
Domain 2: Cardiovascular & Hematologic Systems (Questions 51–140)
- Coronary Artery Disease & Myocardial Infarction
- Heart Failure & Cardiomyopathy
- Dysrhythmias & Pacemakers
- Peripheral Vascular Disease & DVT
- Hypertension & Hypertensive Crisis
- Anemia, Thrombocytopenia & Coagulopathies
- Blood Product Administration
Domain 3: Respiratory & Gas Exchange (Questions 141–220)
- Pneumonia & Atelectasis
- COPD & Asthma
,- Pulmonary Embolism
- Chest Tubes & Thoracic Surgery
- Mechanical Ventilation
- Tuberculosis & Airborne Precautions
Domain 4: Neurological & Musculoskeletal Systems (Questions 221–310)
- Increased Intracranial Pressure & TBI
- Stroke & Transient Ischemic Attack
- Seizures & Epilepsy
- Spinal Cord Injury
- Fractures & Traction
- Total Joint Arthroplasty
- Alzheimer's Disease & Delirium
Domain 5: Gastrointestinal & Hepatic Systems (Questions 311–400)
- Upper GI Bleed & PUD
- Bowel Obstruction & Ileus
- Inflammatory Bowel Disease
- Liver Cirrhosis & Hepatitis
- Pancreatitis & Cholecystitis
- Ostomies & NG Tube Management
Domain 6: Renal & Urinary Systems (Questions 401–470)
- Acute Kidney Injury & Chronic Kidney Disease
- Dialysis (Hemodialysis & Peritoneal)
- Urinary Tract Infections & Pyelonephritis
,- Nephrostomy & Urinary Diversions
- Fluid & Electrolyte Imbalances
Domain 7: Endocrine & Metabolic Systems (Questions 471–530)
- Diabetes Mellitus & DKA
- Thyroid Disorders (Hyper/Hypothyroidism)
- Adrenal Disorders (Cushing's & Addison's)
- Syndrome of Inappropriate ADH (SIADH)
- Diabetes Insipidus
Domain 8: Emergency & Trauma Nursing (Questions 531–570)
- Triage & Mass Casualty
- Shock (Hypovolemic, Cardiogenic, Septic)
- Burns & Inhalation Injury
- Poisoning & Overdose
- Rapid Response & Code Management
Domain 9: Prioritization, Delegation & Safety (Questions 571–600)
- Priority Assessment & Intervention
- Delegation & Scope of Practice
- Medication Safety & High-Alert Drugs
- Infection Control & Isolation Precautions
Exam Overview
, The ATI RN Adult Medical-Surgical Proctored Exam is a standardized assessment designed to
evaluate a nursing student's mastery of adult medical-surgical nursing content and clinical
judgment. The exam is administered through ATI Testing and is typically taken at the end of an
adult medical-surgical nursing course.
Exam Format and Structure
Feature Detail
:---:---
Number of Questions 100 scored items
Time Limit 100 minutes (1 minute per question)
Question Types Multiple-choice, Select All That Apply (SATA), NGN Case Studies, Bow-tie,
Matrix/Grid, Drop-Down Cloze, Highlighting Text
Scoring Level 1, 2, or 3 proficiency; Level 2 or 3 is typically required
Level 3 Score Range 82.2% – 100.0%
Level 2 Score Range 66.7% – 82.1%
Source: ATI proctoring guidelines; ATI proctored exam overview
Core Content Domains
The exam assesses clinical judgment across the following body systems and specialty areas:
Domain Key Topics
:---:---
Cardiovascular & Hematologic CAD, MI, heart failure, dysrhythmias, PVD, DVT, anemia,
coagulopathies
Detailed Rationales
Table of Contents
Exam Overview
Domain 1: Perioperative & Postoperative Care (Questions 1–50)
- Preoperative Assessment & Preparation
- Intraoperative Complications
- Postoperative Assessment & Management
- Anesthesia Recovery & Airway Management
- Surgical Site Infection Prevention
Domain 2: Cardiovascular & Hematologic Systems (Questions 51–140)
- Coronary Artery Disease & Myocardial Infarction
- Heart Failure & Cardiomyopathy
- Dysrhythmias & Pacemakers
- Peripheral Vascular Disease & DVT
- Hypertension & Hypertensive Crisis
- Anemia, Thrombocytopenia & Coagulopathies
- Blood Product Administration
Domain 3: Respiratory & Gas Exchange (Questions 141–220)
- Pneumonia & Atelectasis
- COPD & Asthma
,- Pulmonary Embolism
- Chest Tubes & Thoracic Surgery
- Mechanical Ventilation
- Tuberculosis & Airborne Precautions
Domain 4: Neurological & Musculoskeletal Systems (Questions 221–310)
- Increased Intracranial Pressure & TBI
- Stroke & Transient Ischemic Attack
- Seizures & Epilepsy
- Spinal Cord Injury
- Fractures & Traction
- Total Joint Arthroplasty
- Alzheimer's Disease & Delirium
Domain 5: Gastrointestinal & Hepatic Systems (Questions 311–400)
- Upper GI Bleed & PUD
- Bowel Obstruction & Ileus
- Inflammatory Bowel Disease
- Liver Cirrhosis & Hepatitis
- Pancreatitis & Cholecystitis
- Ostomies & NG Tube Management
Domain 6: Renal & Urinary Systems (Questions 401–470)
- Acute Kidney Injury & Chronic Kidney Disease
- Dialysis (Hemodialysis & Peritoneal)
- Urinary Tract Infections & Pyelonephritis
,- Nephrostomy & Urinary Diversions
- Fluid & Electrolyte Imbalances
Domain 7: Endocrine & Metabolic Systems (Questions 471–530)
- Diabetes Mellitus & DKA
- Thyroid Disorders (Hyper/Hypothyroidism)
- Adrenal Disorders (Cushing's & Addison's)
- Syndrome of Inappropriate ADH (SIADH)
- Diabetes Insipidus
Domain 8: Emergency & Trauma Nursing (Questions 531–570)
- Triage & Mass Casualty
- Shock (Hypovolemic, Cardiogenic, Septic)
- Burns & Inhalation Injury
- Poisoning & Overdose
- Rapid Response & Code Management
Domain 9: Prioritization, Delegation & Safety (Questions 571–600)
- Priority Assessment & Intervention
- Delegation & Scope of Practice
- Medication Safety & High-Alert Drugs
- Infection Control & Isolation Precautions
Exam Overview
, The ATI RN Adult Medical-Surgical Proctored Exam is a standardized assessment designed to
evaluate a nursing student's mastery of adult medical-surgical nursing content and clinical
judgment. The exam is administered through ATI Testing and is typically taken at the end of an
adult medical-surgical nursing course.
Exam Format and Structure
Feature Detail
:---:---
Number of Questions 100 scored items
Time Limit 100 minutes (1 minute per question)
Question Types Multiple-choice, Select All That Apply (SATA), NGN Case Studies, Bow-tie,
Matrix/Grid, Drop-Down Cloze, Highlighting Text
Scoring Level 1, 2, or 3 proficiency; Level 2 or 3 is typically required
Level 3 Score Range 82.2% – 100.0%
Level 2 Score Range 66.7% – 82.1%
Source: ATI proctoring guidelines; ATI proctored exam overview
Core Content Domains
The exam assesses clinical judgment across the following body systems and specialty areas:
Domain Key Topics
:---:---
Cardiovascular & Hematologic CAD, MI, heart failure, dysrhythmias, PVD, DVT, anemia,
coagulopathies
