ATI RN Medical-Surgical Proctored Exam 2025/2026 | Version A & B | 400 Questions with Detailed Rationales | Verified A+ Graded

Master the ATI RN Medical-Surgical Proctored Exam The Medical-Surgical proctored exam is widely considered the most challenging component of the ATI Content Mastery Series (CMS). It requires more than just rote memorization; it demands the application of clinical judgment across every major body system. Our ATI RN Medical-Surgical Proctored Exam Test Bank is engineered to provide students with the exact practice they need to navigate the complexities of Versions A and B. This 400-question collection is not merely a list of answers. It is a structured learning tool that mirrors the ATI testing environment, helping you build the "ATI logic" necessary to identify the priority nursing action, the most concerning assessment finding, and the most effective intervention. Comprehensive Coverage of Versions A & B ATI frequently utilizes two primary versions of the proctored exam to ensure academic integrity. Our package provides full access to both Version A and Version B, covering the diverse range of scenarios you may encounter on exam day. Version A Focus: Often emphasizes cardiovascular, respiratory, and endocrine disorders, with a heavy focus on pharmacological interventions and acute care management. Version B Focus: Frequently shifts toward gastrointestinal, renal, and neurological systems, while incorporating complex multi-system failure and perioperative care scenarios. By studying both versions, you eliminate the guesswork and ensure you are prepared for whatever version your institution administers. Detailed Content Breakdown by System This 400-question test bank is organized into the core domains defined by the ATI Med-Surg blueprint: 1. Cardiovascular and Hematologic Disorders Key Topics: Dysrhythmias (ECG interpretation), Heart Failure management, Myocardial Infarction protocols, Hypertension, and Peripheral Vascular Disease. Clinical Focus: Monitoring for complications of anticoagulation therapy, prioritizing care during a hypertensive crisis, and understanding hemodynamic monitoring. 2. Respiratory System Management Key Topics: ABG interpretation, COPD, Pneumonia, Pulmonary Embolism, and Mechanical Ventilation. Clinical Focus: Prioritizing airway patency, interpreting oxygen saturation trends, and managing chest tube drainage systems. 3. Endocrine and Metabolic Disorders Key Topics: Diabetes Mellitus (DKA vs. HHS), Thyroid disorders (Graves’ vs. Hypothyroidism), and Adrenal insufficiency (Addison’s vs. Cushing’s). Clinical Focus: Insulin administration safety, electrolyte imbalances, and patient education on long-term steroid therapy. 4. Gastrointestinal and Nutritional Health Key Topics: Peptic Ulcer Disease, Cirrhosis/Liver Failure, Pancreatitis, and Inflammatory Bowel Disease (IBD). Clinical Focus: Post-operative care for bariatric surgery, management of TPN (Total Parenteral Nutrition), and recognizing signs of peritonitis. 5. Renal and Urinary Systems Key Topics: Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD), Hemodialysis, and Nephrotic Syndrome. Clinical Focus: Managing fluid restrictions, monitoring for disequilibrium syndrome during dialysis, and identifying early signs of transplant rejection. 6. Neurological and Sensory Function Key Topics: Stroke (CVA) protocols, Increased Intracranial Pressure (ICP), Seizures, and Spinal Cord Injuries. Clinical Focus: The Glasgow Coma Scale (GCS) application, stroke-scale priorities (tPA windows), and safety precautions for patients with neurological deficits. 7. Musculoskeletal and Integumentary Systems Key Topics: Fracture management, Traction, Rheumatoid Arthritis, and Burn management (Rule of Nines). Clinical Focus: Compartment syndrome recognition, pin site care, and fluid resuscitation in the emergent phase of burn care. Why Choose This ATI Test Bank? 1. Verified Rationales for Every Question The "A+ Graded" designation comes from the depth of the rationales. For every question, we provide a detailed explanation of the physiology involved. If the question asks about a potassium-sparing diuretic, the rationale explains the mechanism of action in the distal tubule and why hyperkalemia is the priority risk. This turns "practicing" into "studying." 2. Next Generation (NGN) Item Styles In alignment with the 2025/2026 ATI standards, this test bank includes Next Generation NCLEX (NGN) style items, such as: Extended Multiple Response (Select All That Apply) Highlighting Cues Matrix/Grid items Drag-and-drop prioritization 3. Focus on "Safety and Infection Control" ATI heavily weights questions on safety. Our bank includes scenarios on isolation precautions (Droplet vs. Airborne), surgical asepsis, and the "Rights of Medication Administration," ensuring you don't lose easy points on fundamental safety concepts. 4. Optimized for Level 3 Proficiency To achieve a Level 3, a student must demonstrate a high probability of passing the NCLEX-RN. This test bank focuses on the "Analysis" and "Evaluation" levels of Bloom's Taxonomy, pushing you beyond simple comprehension to the expert-level thinking ATI expects. Preparation Strategy: The Path to Level 3 To maximize the value of these 400 questions, we recommend the following study plan: System-Based Review: Start by taking questions in specific system blocks (e.g., 50 questions on Respiratory). Use the rationales to supplement your ATI Review Module textbook. Simulation Mode: Once you feel confident, take a 100-question timed practice test using questions from both Version A and B. This builds the "testing stamina" required for the actual 100-item proctored exam. Identify Weaknesses: Use the detailed answers to track which systems you are struggling with. If you consistently miss Renal questions, dedicate a day to reviewing the ATI Renal chapter. Prioritization Practice: Focus specifically on questions that ask "Which patient should the nurse see first?" or "What is the priority nursing action?" These are the "make or break" questions on the proctored exam. Conclusion: Invest in Your Nursing Career The ATI RN Medical-Surgical Proctored Exam Test Bank (Versions A & B) is the bridge between being an average student and becoming a top-tier nursing professional. With 400 actual exam questions and verified A+ answers, you will walk into your testing center with the confidence that you have already seen and mastered the material. Secure your success and achieve your Level 3 today with the most trusted ATI Med-Surg resource on the market.