ATI Medical-Surgical (Med-Surg)
Proctored Exam 2025 – Complete
Test Bank with Verified NGN
Questions, Correct Answers, and
Detailed Rationales
Contents
1 Introduction 2
2 Cardiovascular System 2
3 Respiratory System 4
4 Neurological System 6
5 Gastrointestinal System 7
6 Musculoskeletal System 8
7 Endocrine System 8
8 Renal System 9
9 Oncology 9
10 Additional Questions 10
11 Conclusion 24
1
,1 Introduction
This test bank is designed for the 2025 ATI Medical-Surgical Proctored Exam, fo-
cusing on Next Generation NCLEX (NGN)-style questions that emphasize clinical
judgment. It contains exactly 100 questions, including multiple-choice, select-
all-that-apply, and case study formats, each with correct answers and concise
rationales to reinforce learning. Content is sourced primarily from verified Qui-
zlet resources, refactored for clarity with minimal jargon, and includes newly
crafted questions to ensure relevance. The questions cover key medical-surgical
topics, including cardiovascular, respiratory, gastrointestinal, neurological, mus-
culoskeletal, endocrine, renal, and oncology systems, ensuring comprehensive
preparation. The document is formatted for PDF export, spanning approximately
60 pages with a professional layout.
2 Cardiovascular System
1. Question: A nurse is caring for a client with angina scheduled for exer-
cise ECG at 1100. Which statement requires contacting the provider for
rescheduling?
a. ”I’m still hungry after cereal at 0700.”
b. ”I skipped my heart pills as instructed.”
c. ”Chest pain occurred twice since last visit.”
d. ”I smoked a cigarette this morning.”
Answer: d
Rationale: Smoking elevates heart rate and blood pressure, risking inac-
curate ECG results and worsening angina.
2. Question: A nurse teaches discharge for heart failure. Report which find-
ing immediately?
a. 2 lb weight gain in 24 hours.
b. Systolic BP up 10 mmHg.
c. Dyspnea on exertion.
d. Dizziness on standing.
Answer: a
Rationale: Sudden weight gain indicates fluid overload, a critical heart
failure complication.
3. Question: For a client on warfarin with DVT history, effective therapy
shows:
a. Hemoglobin 14 g/dL.
b. Minimal bruising.
c. Decreased BP.
d. INR 2.
Answer: d
Rationale: INR of 2 is within the therapeutic range for anticoagulation in
DVT.
4. Question: Client on heparin develops hematuria; aPTT 96 seconds. Action?
a. Increase infusion 2 mL/hr.
2
, b. Monitor as prescribed.
c. Request PT.
d. Stop infusion.
Answer: d
Rationale: Elevated aPTT indicates bleeding risk; stopping heparin pre-
vents hemorrhage.
5. Question: Heart failure client with atrial fibrillation; report immediately:
a. Slurred speech.
b. Irregular pulse.
c. Edema.
d. Fatigue.
Answer: a
Rationale: Slurred speech suggests possible stroke, a risk in atrial fibrilla-
tion due to clot formation.
6. Question: Peripheral artery disease client lab values needing dietary teach-
ing:
a. Chol 180, HDL 70, LDL 90.
b. Chol 185, HDL 50, LDL 120.
c. Chol 190, HDL 25, LDL 160.
d. Chol 195, HDL 55, LDL 125.
Answer: c
Rationale: Low HDL and high LDL increase PAD risk; dietary teaching fo-
cuses on low-fat intake.
7. Question: ED client with bradydysrhythmia; monitor for:
a. Confusion.
b. Friction rub.
c. Hypertension.
d. Dry skin.
Answer: a
Rationale: Confusion indicates poor cerebral perfusion due to slow heart
rate.
8. Question: Post-cardiac cath care:
a. Bed rest 24 hours.
b. Fluids 1 L/day.
c. Affected extremity extended.
d. Dress change q8h.
Answer: c
Rationale: Keeping the extremity extended prevents bleeding at the catheter
site.
9. Question: Discharge teaching for sublingual nitroglycerin:
a. Keep 1 year.
b. Lie down when taking.
c. Stop if headache.
d. Up to 5 tabs in 15 min.
Answer: b
3
Proctored Exam 2025 – Complete
Test Bank with Verified NGN
Questions, Correct Answers, and
Detailed Rationales
Contents
1 Introduction 2
2 Cardiovascular System 2
3 Respiratory System 4
4 Neurological System 6
5 Gastrointestinal System 7
6 Musculoskeletal System 8
7 Endocrine System 8
8 Renal System 9
9 Oncology 9
10 Additional Questions 10
11 Conclusion 24
1
,1 Introduction
This test bank is designed for the 2025 ATI Medical-Surgical Proctored Exam, fo-
cusing on Next Generation NCLEX (NGN)-style questions that emphasize clinical
judgment. It contains exactly 100 questions, including multiple-choice, select-
all-that-apply, and case study formats, each with correct answers and concise
rationales to reinforce learning. Content is sourced primarily from verified Qui-
zlet resources, refactored for clarity with minimal jargon, and includes newly
crafted questions to ensure relevance. The questions cover key medical-surgical
topics, including cardiovascular, respiratory, gastrointestinal, neurological, mus-
culoskeletal, endocrine, renal, and oncology systems, ensuring comprehensive
preparation. The document is formatted for PDF export, spanning approximately
60 pages with a professional layout.
2 Cardiovascular System
1. Question: A nurse is caring for a client with angina scheduled for exer-
cise ECG at 1100. Which statement requires contacting the provider for
rescheduling?
a. ”I’m still hungry after cereal at 0700.”
b. ”I skipped my heart pills as instructed.”
c. ”Chest pain occurred twice since last visit.”
d. ”I smoked a cigarette this morning.”
Answer: d
Rationale: Smoking elevates heart rate and blood pressure, risking inac-
curate ECG results and worsening angina.
2. Question: A nurse teaches discharge for heart failure. Report which find-
ing immediately?
a. 2 lb weight gain in 24 hours.
b. Systolic BP up 10 mmHg.
c. Dyspnea on exertion.
d. Dizziness on standing.
Answer: a
Rationale: Sudden weight gain indicates fluid overload, a critical heart
failure complication.
3. Question: For a client on warfarin with DVT history, effective therapy
shows:
a. Hemoglobin 14 g/dL.
b. Minimal bruising.
c. Decreased BP.
d. INR 2.
Answer: d
Rationale: INR of 2 is within the therapeutic range for anticoagulation in
DVT.
4. Question: Client on heparin develops hematuria; aPTT 96 seconds. Action?
a. Increase infusion 2 mL/hr.
2
, b. Monitor as prescribed.
c. Request PT.
d. Stop infusion.
Answer: d
Rationale: Elevated aPTT indicates bleeding risk; stopping heparin pre-
vents hemorrhage.
5. Question: Heart failure client with atrial fibrillation; report immediately:
a. Slurred speech.
b. Irregular pulse.
c. Edema.
d. Fatigue.
Answer: a
Rationale: Slurred speech suggests possible stroke, a risk in atrial fibrilla-
tion due to clot formation.
6. Question: Peripheral artery disease client lab values needing dietary teach-
ing:
a. Chol 180, HDL 70, LDL 90.
b. Chol 185, HDL 50, LDL 120.
c. Chol 190, HDL 25, LDL 160.
d. Chol 195, HDL 55, LDL 125.
Answer: c
Rationale: Low HDL and high LDL increase PAD risk; dietary teaching fo-
cuses on low-fat intake.
7. Question: ED client with bradydysrhythmia; monitor for:
a. Confusion.
b. Friction rub.
c. Hypertension.
d. Dry skin.
Answer: a
Rationale: Confusion indicates poor cerebral perfusion due to slow heart
rate.
8. Question: Post-cardiac cath care:
a. Bed rest 24 hours.
b. Fluids 1 L/day.
c. Affected extremity extended.
d. Dress change q8h.
Answer: c
Rationale: Keeping the extremity extended prevents bleeding at the catheter
site.
9. Question: Discharge teaching for sublingual nitroglycerin:
a. Keep 1 year.
b. Lie down when taking.
c. Stop if headache.
d. Up to 5 tabs in 15 min.
Answer: b
3
