ATI Med-Surg Proctored Exam
Questions
2025 Comprehensive Guide With Correct
Answers
June 3, 2025
Practice Questions for Medical-Surgical Nursing
Prepared for ATI Medical-Surgical Nursing
,Practice Questions for ATI Medical-Surgical Nursing
1. A nurse is caring for a patient with acute myocardial infarction. Which clinical
manifestation should the nurse expect?
A. Bradycardia and hypertension
B. Chest pain radiating to the left arm
C. Fever and chills
D. Nausea without chest discomfort
2. A patient with type 2 diabetes mellitus reports blurred vision and numbness in the
feet. Which condition should the nurse suspect?
A. Hypoglycemia
B. Diabetic neuropathy
C. Ketoacidosis
D. Hyperosmolar hyperglycemic state
3. A nurse is preparing to administer heparin to a patient with a pulmonary embolism.
Which laboratory value should be monitored?
A. International normalized ratio (INR)
B. Activated partial thromboplastin time (aPTT)
C. Platelet count
D. Prothrombin time (PT)
4. A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen
therapy. What is the priority nursing action?
A. Administer oxygen at 6 L/min via nasal cannula.
B. Monitor oxygen saturation to maintain levels above 90%.
C. Encourage deep breathing without supplemental oxygen.
D. Position the patient supine to improve ventilation.
5. A nurse is assessing a patient with heart failure. Which symptom indicates wors-
ening fluid overload?
A. Dry cough and clear lung sounds
B. Weight gain and peripheral edema
C. Decreased urine output and hypotension
D. Increased appetite and stable weight
6. A patient with acute pancreatitis reports severe abdominal pain. Which position
should the nurse recommend to alleviate discomfort?
A. Supine with legs extended
B. Fetal position with knees drawn up
C. Prone with head elevated
D. High Fowler’s position
1
, 7. A nurse is caring for a patient post-total hip replacement. Which intervention pre-
vents dislocation?
A. Encourage crossing the legs while seated.
B. Maintain hip abduction using a pillow.
C. Allow the patient to sit in a low chair.
D. Promote early weight-bearing without restrictions.
8. A patient with a seizure disorder experiences a tonic-clonic seizure. What is the
nurse’s priority action?
A. Insert an oral airway during the seizure.
B. Protect the patient from injury by clearing the area.
C. Restrain the patient to prevent movement.
D. Administer lorazepam intramuscularly during the seizure.
9. A nurse is teaching a patient with hypertension about dietary modifications. Which
recommendation is most appropriate?
A. Increase sodium intake to maintain electrolyte balance.
B. Follow a low-sodium, high-potassium diet.
C. Consume processed foods for convenience.
D. Avoid fruits to reduce sugar intake.
10. A patient with a new colostomy reports leakage around the appliance. What should
the nurse assess first?
A. The patient’s dietary intake
B. The fit and application of the ostomy appliance
C. The frequency of bag changes
D. The patient’s hydration status
11. A nurse is caring for a patient with a chest tube. Which finding requires immediate
action?
A. Continuous bubbling in the water seal chamber
B. 50 mL of serosanguineous drainage in 8 hours
C. Tidaling in the water seal chamber
D. Gentle bubbling in the suction control chamber
12. A patient with chronic kidney disease is on a fluid restriction. What should the
nurse monitor to assess fluid balance?
A. Daily weight and intake/output
B. Blood glucose levels
C. Skin turgor only
D. Heart rate variability
13. A nurse is administering insulin to a patient with type 1 diabetes. Which site is
most appropriate for injection?
2
Questions
2025 Comprehensive Guide With Correct
Answers
June 3, 2025
Practice Questions for Medical-Surgical Nursing
Prepared for ATI Medical-Surgical Nursing
,Practice Questions for ATI Medical-Surgical Nursing
1. A nurse is caring for a patient with acute myocardial infarction. Which clinical
manifestation should the nurse expect?
A. Bradycardia and hypertension
B. Chest pain radiating to the left arm
C. Fever and chills
D. Nausea without chest discomfort
2. A patient with type 2 diabetes mellitus reports blurred vision and numbness in the
feet. Which condition should the nurse suspect?
A. Hypoglycemia
B. Diabetic neuropathy
C. Ketoacidosis
D. Hyperosmolar hyperglycemic state
3. A nurse is preparing to administer heparin to a patient with a pulmonary embolism.
Which laboratory value should be monitored?
A. International normalized ratio (INR)
B. Activated partial thromboplastin time (aPTT)
C. Platelet count
D. Prothrombin time (PT)
4. A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen
therapy. What is the priority nursing action?
A. Administer oxygen at 6 L/min via nasal cannula.
B. Monitor oxygen saturation to maintain levels above 90%.
C. Encourage deep breathing without supplemental oxygen.
D. Position the patient supine to improve ventilation.
5. A nurse is assessing a patient with heart failure. Which symptom indicates wors-
ening fluid overload?
A. Dry cough and clear lung sounds
B. Weight gain and peripheral edema
C. Decreased urine output and hypotension
D. Increased appetite and stable weight
6. A patient with acute pancreatitis reports severe abdominal pain. Which position
should the nurse recommend to alleviate discomfort?
A. Supine with legs extended
B. Fetal position with knees drawn up
C. Prone with head elevated
D. High Fowler’s position
1
, 7. A nurse is caring for a patient post-total hip replacement. Which intervention pre-
vents dislocation?
A. Encourage crossing the legs while seated.
B. Maintain hip abduction using a pillow.
C. Allow the patient to sit in a low chair.
D. Promote early weight-bearing without restrictions.
8. A patient with a seizure disorder experiences a tonic-clonic seizure. What is the
nurse’s priority action?
A. Insert an oral airway during the seizure.
B. Protect the patient from injury by clearing the area.
C. Restrain the patient to prevent movement.
D. Administer lorazepam intramuscularly during the seizure.
9. A nurse is teaching a patient with hypertension about dietary modifications. Which
recommendation is most appropriate?
A. Increase sodium intake to maintain electrolyte balance.
B. Follow a low-sodium, high-potassium diet.
C. Consume processed foods for convenience.
D. Avoid fruits to reduce sugar intake.
10. A patient with a new colostomy reports leakage around the appliance. What should
the nurse assess first?
A. The patient’s dietary intake
B. The fit and application of the ostomy appliance
C. The frequency of bag changes
D. The patient’s hydration status
11. A nurse is caring for a patient with a chest tube. Which finding requires immediate
action?
A. Continuous bubbling in the water seal chamber
B. 50 mL of serosanguineous drainage in 8 hours
C. Tidaling in the water seal chamber
D. Gentle bubbling in the suction control chamber
12. A patient with chronic kidney disease is on a fluid restriction. What should the
nurse monitor to assess fluid balance?
A. Daily weight and intake/output
B. Blood glucose levels
C. Skin turgor only
D. Heart rate variability
13. A nurse is administering insulin to a patient with type 1 diabetes. Which site is
most appropriate for injection?
2
