ATI Medical-Surgical Proctored Examination
2026–2027 | Complete 100-Question Practice
Exam with Detailed Rationales, NGN Clinical
Judgment, Critical Care, Prioritization,
Pharmacology, Adult Health Nursing &
NCLEX Readiness Review
ATI Medical-Surgical Proctored
Examination
Comprehensive Adult Health Nursing Practice
Examination
Features
✔ 100 ATI Medical-Surgical Style Questions
✔ Detailed Rationales
✔ Adult Health Nursing Concepts
✔ Critical Care & Emergency Nursing
✔ Pharmacology Integration
✔ Fluid & Electrolyte Management
✔ Cardiovascular, Respiratory, Neurological, Renal & Endocrine Disorders
✔ Delegation & Prioritization
✔ NGN Clinical Judgment Skills
✔ NCLEX Readiness Assessment
Examination Blueprint
1. Cardiovascular Disorders – 15 Questions
,2. Respiratory Disorders – 15 Questions
3. Neurological Disorders – 10 Questions
4. Endocrine Disorders – 10 Questions
5. Renal & Genitourinary Disorders – 10 Questions
6. Gastrointestinal Disorders – 10 Questions
7. Musculoskeletal & Integumentary Disorders – 10 Questions
8. Critical Care & Emergency Nursing – 10 Questions
9. Prioritization, Delegation & NGN Clinical Judgment – 10 Questions
, Questions 1–100
Cardiovascular Disorders
1. A nurse is caring for a client experiencing an acute myocardial infarction. Which
assessment finding requires immediate intervention?
A. Heart rate of 88/min
B. Oxygen saturation of 84%
C. Blood pressure of 138/84 mm Hg
D. Mild anxiety
Correct Answer: B. Oxygen saturation of 84%
Rationale: Severe hypoxemia indicates inadequate oxygen delivery to tissues and can
worsen myocardial ischemia. Immediate intervention is required.
ATI Success Strategy: Apply the ABC framework. Oxygenation problems take priority over
other findings.
Difficulty: Difficult
2. A nurse is caring for a client with heart failure. Which finding indicates fluid volume
excess?
A. Weight loss
B. Peripheral edema
C. Dry mucous membranes
D. Hypotension
Correct Answer: B. Peripheral edema
Rationale: Heart failure commonly causes fluid retention, leading to edema, weight gain,
and pulmonary congestion.
ATI Success Strategy: Daily weights are among the most accurate indicators of fluid
retention.
Difficulty: Easy
, 3. A nurse is reviewing laboratory findings for a client receiving warfarin therapy.
Which result requires further evaluation?
A. INR of 2.5
B. INR of 8.0
C. Heart rate of 80/min
D. Blood pressure of 124/76 mm Hg
Correct Answer: B. INR of 8.0
Rationale: An INR of 8.0 significantly increases the risk for bleeding complications and
requires immediate intervention.
ATI Success Strategy: Therapeutic INR values are generally lower than 8.0 for most
indications.
Difficulty: Moderate
4. A nurse is caring for a client with deep vein thrombosis (DVT). Which manifestation
should the nurse expect?
A. Calf pain and swelling
B. Bilateral hearing loss
C. Productive cough
D. Bradycardia
Correct Answer: A. Calf pain and swelling
Rationale: DVT commonly presents with unilateral pain, swelling, warmth, and redness in
the affected extremity.
ATI Success Strategy: Recognize classic DVT findings and monitor for pulmonary
embolism.
Difficulty: Easy
5. A nurse is caring for a client with atrial fibrillation. What is the primary
complication associated with this dysrhythmia?
A. Stroke
B. Cataracts
C. Peptic ulcer disease
D. Appendicitis
Correct Answer: A. Stroke
2026–2027 | Complete 100-Question Practice
Exam with Detailed Rationales, NGN Clinical
Judgment, Critical Care, Prioritization,
Pharmacology, Adult Health Nursing &
NCLEX Readiness Review
ATI Medical-Surgical Proctored
Examination
Comprehensive Adult Health Nursing Practice
Examination
Features
✔ 100 ATI Medical-Surgical Style Questions
✔ Detailed Rationales
✔ Adult Health Nursing Concepts
✔ Critical Care & Emergency Nursing
✔ Pharmacology Integration
✔ Fluid & Electrolyte Management
✔ Cardiovascular, Respiratory, Neurological, Renal & Endocrine Disorders
✔ Delegation & Prioritization
✔ NGN Clinical Judgment Skills
✔ NCLEX Readiness Assessment
Examination Blueprint
1. Cardiovascular Disorders – 15 Questions
,2. Respiratory Disorders – 15 Questions
3. Neurological Disorders – 10 Questions
4. Endocrine Disorders – 10 Questions
5. Renal & Genitourinary Disorders – 10 Questions
6. Gastrointestinal Disorders – 10 Questions
7. Musculoskeletal & Integumentary Disorders – 10 Questions
8. Critical Care & Emergency Nursing – 10 Questions
9. Prioritization, Delegation & NGN Clinical Judgment – 10 Questions
, Questions 1–100
Cardiovascular Disorders
1. A nurse is caring for a client experiencing an acute myocardial infarction. Which
assessment finding requires immediate intervention?
A. Heart rate of 88/min
B. Oxygen saturation of 84%
C. Blood pressure of 138/84 mm Hg
D. Mild anxiety
Correct Answer: B. Oxygen saturation of 84%
Rationale: Severe hypoxemia indicates inadequate oxygen delivery to tissues and can
worsen myocardial ischemia. Immediate intervention is required.
ATI Success Strategy: Apply the ABC framework. Oxygenation problems take priority over
other findings.
Difficulty: Difficult
2. A nurse is caring for a client with heart failure. Which finding indicates fluid volume
excess?
A. Weight loss
B. Peripheral edema
C. Dry mucous membranes
D. Hypotension
Correct Answer: B. Peripheral edema
Rationale: Heart failure commonly causes fluid retention, leading to edema, weight gain,
and pulmonary congestion.
ATI Success Strategy: Daily weights are among the most accurate indicators of fluid
retention.
Difficulty: Easy
, 3. A nurse is reviewing laboratory findings for a client receiving warfarin therapy.
Which result requires further evaluation?
A. INR of 2.5
B. INR of 8.0
C. Heart rate of 80/min
D. Blood pressure of 124/76 mm Hg
Correct Answer: B. INR of 8.0
Rationale: An INR of 8.0 significantly increases the risk for bleeding complications and
requires immediate intervention.
ATI Success Strategy: Therapeutic INR values are generally lower than 8.0 for most
indications.
Difficulty: Moderate
4. A nurse is caring for a client with deep vein thrombosis (DVT). Which manifestation
should the nurse expect?
A. Calf pain and swelling
B. Bilateral hearing loss
C. Productive cough
D. Bradycardia
Correct Answer: A. Calf pain and swelling
Rationale: DVT commonly presents with unilateral pain, swelling, warmth, and redness in
the affected extremity.
ATI Success Strategy: Recognize classic DVT findings and monitor for pulmonary
embolism.
Difficulty: Easy
5. A nurse is caring for a client with atrial fibrillation. What is the primary
complication associated with this dysrhythmia?
A. Stroke
B. Cataracts
C. Peptic ulcer disease
D. Appendicitis
Correct Answer: A. Stroke
