,ATI RN Adult Medical-Surgical Proctored
Exam (NGN) 2026 – Real Exam Questions
with Verified Answers | A+ Graded
Sample NGN-Style Practice Questions (Illustrative Only)
Question 1: Cardiovascular - Myocardial Infarction (MI)
Scenario: A 58-year-old male presents to the ED with crushing substernal chest pain radiating to
his left jaw, diaphoresis, and shortness of breath. Vital signs: BP 148/92, HR 118, RR 28, SpO2
92% on room air. ECG shows ST-elevation in leads II, III, and aVF.
1. Analyze the cues above. Which findings are most consistent with an acute inferior wall MI?
(Select all that apply).
A. Crushing substernal chest pain
B. Pain radiating to the left jaw
C. ST-elevation in leads II, III, aVF
D. Tachycardia
E. Diaphoresis
Answer: B, C. Pain radiating to the jaw is a common associated symptom. ST-elevation in the
inferior leads (II, III, aVF) is the hallmark diagnostic cue for an inferior wall MI. While A, D, and E
are common in MI, they are not specific to an inferior location.
Question 2: Endocrine - Diabetic Ketoacidosis (DKA)
Scenario: A nurse is reviewing orders for a client newly admitted with DKA. Which intervention
should the nurse implement first?
A. Begin an intravenous insulin infusion.
B. Administer 0.9% sodium chloride IV bolus.
C. Obtain a bedside blood glucose reading.
D. Start continuous ECG monitoring.
Answer: B. The primary life-threatening issue in DKA is severe dehydration and hypovolemia.
The first priority is fluid resuscitation with IV normal saline to restore perfusion, followed by
insulin therapy (A) to correct hyperglycemia and ketosis. C and D are important but not the
immediate priority over fluid resuscitation.
Question 3: Matrix-Style Question - COPD
Match the following medications for COPD management to their correct primary action and a
key nursing consideration.
,Medication Primary Action Nursing Consideration
1. Tiotropium Monitor for hyperglycemia and oral thrush. R
A. Long-acting bronchodilator (LABA)
(Spiriva) mouth after use.
2. Fluticasone B. Anticholinergic / Long-acting Ensure the client uses a spacer. Assess for sig
(Flovent) muscarinic antagonist (LAMA) of systemic corticosteroid effects.
3. Albuterol Use as a rescue inhaler, not for scheduled us
C. Inhaled corticosteroid (ICS)
(Proventil) Monitor for tachycardia.
4. Salmeterol Contraindicated in clients with a milk protein
D. Short-acting beta-agonist (SABA)
(Serevent) allergy.
Answer:
• 1-B (Tiotropium is a LAMA; key consideration: milk protein allergy warning for the dry
powder capsule form).
• 2-C (Fluticasone is an ICS; key consideration: use spacer, monitor for side effects).
• 3-D (Albuterol is a SABA; key consideration: rescue inhaler, tachycardia).
• 4-A (Salmeterol is a LABA; key consideration: not for acute symptoms).
Question 4: Cloze/Drop-Down - Fluid & Electrolytes
Scenario: A client with heart failure is receiving IV furosemide (Lasix). The nurse should monitor
for (1) and instruct the client to increase dietary intake of (2) to prevent deficiency.
Drop-down options for (1): (Hypokalemia, Hyperkalemia, Hypernatremia, Hypomagnesemia)
Drop-down options for (2): (Bananas and potatoes, Dairy products, Red meat and eggs, Orange
juice and tomatoes)
Answer: (1) Hypokalemia, (2) Bananas and potatoes. Loop diuretics like furosemide cause
potassium wasting. Foods high in potassium (like bananas and potatoes) should be encouraged.
Question 5: Extended Drag & Drop - Prioritization (Ordered Response)
Scenario: A nurse on a medical-surgical unit receives report on four clients. In which order
should the nurse assess these clients? Place in order from highest to lowest priority.
A. A client with Parkinson's disease who reports difficulty swallowing their morning medication.
B. A client 2 hours post-right total hip arthroplasty with a pain rating of 8/10.
, C. A client with cirrhosis who is confused and has asterixis (liver flap).
D. A client with pneumonia on day 3 of antibiotics, with a temperature of 100.8°F (38.2°C).
Answer: C, B, A, D
• C is highest priority: New confusion and asterixis in a client with cirrhosis suggest acute
hepatic encephalopathy, a potentially life-threatening complication.
• B is next: Uncontrolled acute postoperative pain requires prompt intervention for
comfort and to facilitate mobility.
• A is next: Difficulty swallowing poses a risk for aspiration but is not immediately life-
threatening.
• D is lowest priority: A mild fever on antibiotics for pneumonia requires monitoring but is
expected and not the most urgent.
Invest in your future and your patients' safety. Use legitimate study methods. You've worked
incredibly hard to get to this point—prepare with integrity. Good luck with your studies
questiona dna answers
I cannot and will not provide "questiona dna answers" (real questions and answers) for the ATI
or any other proprietary nursing exam. As previously explained, this would be:
1. Illegal (copyright infringement of ATI's protected material)
2. Unethical (violates academic and professional integrity)
3. Harmful to patient safety (undermines the competency verification process)
4. Likely fraudulent (claims of "real exam" content are almost always scams)
Instead, here's a structured approach to creating your own effective study questions:
Study Method: The Question-Creation Technique
(This is more effective than searching for leaked content)
Step 1: Pick a System & Disease
Example: Cardiovascular → Heart Failure
Step 2: Write Your Own NGN-Style Questions
*"A 72-year-old client with a history of heart failure presents with increased shortness of
breath, 3+ pitting edema in lower extremities, and weight gain of 2.3 kg (5 lbs) in 48 hours.*
Exam (NGN) 2026 – Real Exam Questions
with Verified Answers | A+ Graded
Sample NGN-Style Practice Questions (Illustrative Only)
Question 1: Cardiovascular - Myocardial Infarction (MI)
Scenario: A 58-year-old male presents to the ED with crushing substernal chest pain radiating to
his left jaw, diaphoresis, and shortness of breath. Vital signs: BP 148/92, HR 118, RR 28, SpO2
92% on room air. ECG shows ST-elevation in leads II, III, and aVF.
1. Analyze the cues above. Which findings are most consistent with an acute inferior wall MI?
(Select all that apply).
A. Crushing substernal chest pain
B. Pain radiating to the left jaw
C. ST-elevation in leads II, III, aVF
D. Tachycardia
E. Diaphoresis
Answer: B, C. Pain radiating to the jaw is a common associated symptom. ST-elevation in the
inferior leads (II, III, aVF) is the hallmark diagnostic cue for an inferior wall MI. While A, D, and E
are common in MI, they are not specific to an inferior location.
Question 2: Endocrine - Diabetic Ketoacidosis (DKA)
Scenario: A nurse is reviewing orders for a client newly admitted with DKA. Which intervention
should the nurse implement first?
A. Begin an intravenous insulin infusion.
B. Administer 0.9% sodium chloride IV bolus.
C. Obtain a bedside blood glucose reading.
D. Start continuous ECG monitoring.
Answer: B. The primary life-threatening issue in DKA is severe dehydration and hypovolemia.
The first priority is fluid resuscitation with IV normal saline to restore perfusion, followed by
insulin therapy (A) to correct hyperglycemia and ketosis. C and D are important but not the
immediate priority over fluid resuscitation.
Question 3: Matrix-Style Question - COPD
Match the following medications for COPD management to their correct primary action and a
key nursing consideration.
,Medication Primary Action Nursing Consideration
1. Tiotropium Monitor for hyperglycemia and oral thrush. R
A. Long-acting bronchodilator (LABA)
(Spiriva) mouth after use.
2. Fluticasone B. Anticholinergic / Long-acting Ensure the client uses a spacer. Assess for sig
(Flovent) muscarinic antagonist (LAMA) of systemic corticosteroid effects.
3. Albuterol Use as a rescue inhaler, not for scheduled us
C. Inhaled corticosteroid (ICS)
(Proventil) Monitor for tachycardia.
4. Salmeterol Contraindicated in clients with a milk protein
D. Short-acting beta-agonist (SABA)
(Serevent) allergy.
Answer:
• 1-B (Tiotropium is a LAMA; key consideration: milk protein allergy warning for the dry
powder capsule form).
• 2-C (Fluticasone is an ICS; key consideration: use spacer, monitor for side effects).
• 3-D (Albuterol is a SABA; key consideration: rescue inhaler, tachycardia).
• 4-A (Salmeterol is a LABA; key consideration: not for acute symptoms).
Question 4: Cloze/Drop-Down - Fluid & Electrolytes
Scenario: A client with heart failure is receiving IV furosemide (Lasix). The nurse should monitor
for (1) and instruct the client to increase dietary intake of (2) to prevent deficiency.
Drop-down options for (1): (Hypokalemia, Hyperkalemia, Hypernatremia, Hypomagnesemia)
Drop-down options for (2): (Bananas and potatoes, Dairy products, Red meat and eggs, Orange
juice and tomatoes)
Answer: (1) Hypokalemia, (2) Bananas and potatoes. Loop diuretics like furosemide cause
potassium wasting. Foods high in potassium (like bananas and potatoes) should be encouraged.
Question 5: Extended Drag & Drop - Prioritization (Ordered Response)
Scenario: A nurse on a medical-surgical unit receives report on four clients. In which order
should the nurse assess these clients? Place in order from highest to lowest priority.
A. A client with Parkinson's disease who reports difficulty swallowing their morning medication.
B. A client 2 hours post-right total hip arthroplasty with a pain rating of 8/10.
, C. A client with cirrhosis who is confused and has asterixis (liver flap).
D. A client with pneumonia on day 3 of antibiotics, with a temperature of 100.8°F (38.2°C).
Answer: C, B, A, D
• C is highest priority: New confusion and asterixis in a client with cirrhosis suggest acute
hepatic encephalopathy, a potentially life-threatening complication.
• B is next: Uncontrolled acute postoperative pain requires prompt intervention for
comfort and to facilitate mobility.
• A is next: Difficulty swallowing poses a risk for aspiration but is not immediately life-
threatening.
• D is lowest priority: A mild fever on antibiotics for pneumonia requires monitoring but is
expected and not the most urgent.
Invest in your future and your patients' safety. Use legitimate study methods. You've worked
incredibly hard to get to this point—prepare with integrity. Good luck with your studies
questiona dna answers
I cannot and will not provide "questiona dna answers" (real questions and answers) for the ATI
or any other proprietary nursing exam. As previously explained, this would be:
1. Illegal (copyright infringement of ATI's protected material)
2. Unethical (violates academic and professional integrity)
3. Harmful to patient safety (undermines the competency verification process)
4. Likely fraudulent (claims of "real exam" content are almost always scams)
Instead, here's a structured approach to creating your own effective study questions:
Study Method: The Question-Creation Technique
(This is more effective than searching for leaked content)
Step 1: Pick a System & Disease
Example: Cardiovascular → Heart Failure
Step 2: Write Your Own NGN-Style Questions
*"A 72-year-old client with a history of heart failure presents with increased shortness of
breath, 3+ pitting edema in lower extremities, and weight gain of 2.3 kg (5 lbs) in 48 hours.*
