ATI RN ADULT MEDICAL SURGICAL
PROCTORED EXAM 2026 WITH NGN
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
| INSTANT DOWNLOAD PDF.
CORE DOMAINS
Cardiovascular and Hematologic Disorders
Respiratory and Pulmonary Disorders
Gastrointestinal and Renal Disorders
Neurological and Musculoskeletal Disorders
Endocrine and Metabolic Disorders
Perioperative and Postoperative Nursing Care
Pharmacology and Medication Management
Prioritization, Delegation, and Clinical Judgment
INTRODUCTION
The ATI RN Adult Medical Surgical Proctored Examination evaluates
registered nursing candidates for competency in adult health nursing
across the lifespan. The assessment focuses on clinical judgment,
prioritization, and safe nursing interventions for clients with acute
,and chronic medical-surgical conditions. Questions utilize Next
Generation NCLEX (NGN) formats including bowtie, matrix, and
unfolding case studies requiring application of evidence-based
knowledge to real-world clinical scenarios. Emphasis is placed on
recognizing cues, analyzing findings, and implementing appropriate
nursing actions.
SECTION ONE: QUESTIONS 1–100
1. A nurse is receiving change-of-shift report on four clients.
Which client should the nurse assess FIRST?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
RATIONALE: Low urine output (100 mL in 12 hours =
approximately 8 mL/hour) indicates possible acute kidney injury or
severe hypovolemia. Urine output should be at least 30 mL/hour.
This is an urgent finding requiring immediate assessment .
2. A charge nurse is assigning rooms for four clients. Which
client should be placed in a private room?
A. Client with pneumonia
, B. Client with Clostridioides difficile
C. Client with cellulitis
D. Client with urinary tract infection
RATIONALE: C. diff requires contact precautions and a private
room to prevent spore transmission. Pneumonia may need droplet
precautions, while cellulitis and UTI require standard precautions
only .
3. A nurse is delegating tasks to an LPN. Which task is
appropriate?
A. Initial admission assessment
B. Insertion of a nasogastric tube for decompression
C. Teaching a diabetic patient about insulin injection
D. Evaluating the effectiveness of pain medication
RATIONALE: LPNs can perform stable, standard procedures
like NG tube insertion (check facility policy). Initial assessment,
teaching, and evaluation of effectiveness require RN scope .
4. A nurse is caring for a confused client attempting to pull out
their IV line. The provider orders restraints. Which action
should the nurse take BEFORE applying restraints?
A. Obtain verbal consent from the client
B. Try less restrictive measures first
, C. Restrain all four extremities for safety
D. Apply restraints without documentation
RATIONALE: Restraints are a last resort. The nurse must
attempt less restrictive measures first (repositioning, sitters,
diversions). Restraints require a provider order, client/family
notification, and frequent monitoring .
5. A nurse is caring for a client who is 4 hours postoperative
following a transurethral resection of the prostate (TURP).
Which finding is the priority to report to the provider?
A. Thick, red-colored urine
B. Complaints of bladder spasms
C. Continuous bladder irrigation infusing at 40 mL/hr
D. Urine output of 100 mL in the past 4 hours
RATIONALE: Thick, red-colored urine indicates active bleeding.
Small amounts of pink-tinged urine are expected. Bladder spasms
are common post-TURP but are not the priority over hemorrhage .
6. A nurse is caring for a client who has a temperature of 39.7°C
(103.5°F) and has a prescription for a hypothermia blanket.
The nurse should monitor the client for which adverse effect?
A. Hyperthermia
B. Shivering
PROCTORED EXAM 2026 WITH NGN
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
| INSTANT DOWNLOAD PDF.
CORE DOMAINS
Cardiovascular and Hematologic Disorders
Respiratory and Pulmonary Disorders
Gastrointestinal and Renal Disorders
Neurological and Musculoskeletal Disorders
Endocrine and Metabolic Disorders
Perioperative and Postoperative Nursing Care
Pharmacology and Medication Management
Prioritization, Delegation, and Clinical Judgment
INTRODUCTION
The ATI RN Adult Medical Surgical Proctored Examination evaluates
registered nursing candidates for competency in adult health nursing
across the lifespan. The assessment focuses on clinical judgment,
prioritization, and safe nursing interventions for clients with acute
,and chronic medical-surgical conditions. Questions utilize Next
Generation NCLEX (NGN) formats including bowtie, matrix, and
unfolding case studies requiring application of evidence-based
knowledge to real-world clinical scenarios. Emphasis is placed on
recognizing cues, analyzing findings, and implementing appropriate
nursing actions.
SECTION ONE: QUESTIONS 1–100
1. A nurse is receiving change-of-shift report on four clients.
Which client should the nurse assess FIRST?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
RATIONALE: Low urine output (100 mL in 12 hours =
approximately 8 mL/hour) indicates possible acute kidney injury or
severe hypovolemia. Urine output should be at least 30 mL/hour.
This is an urgent finding requiring immediate assessment .
2. A charge nurse is assigning rooms for four clients. Which
client should be placed in a private room?
A. Client with pneumonia
, B. Client with Clostridioides difficile
C. Client with cellulitis
D. Client with urinary tract infection
RATIONALE: C. diff requires contact precautions and a private
room to prevent spore transmission. Pneumonia may need droplet
precautions, while cellulitis and UTI require standard precautions
only .
3. A nurse is delegating tasks to an LPN. Which task is
appropriate?
A. Initial admission assessment
B. Insertion of a nasogastric tube for decompression
C. Teaching a diabetic patient about insulin injection
D. Evaluating the effectiveness of pain medication
RATIONALE: LPNs can perform stable, standard procedures
like NG tube insertion (check facility policy). Initial assessment,
teaching, and evaluation of effectiveness require RN scope .
4. A nurse is caring for a confused client attempting to pull out
their IV line. The provider orders restraints. Which action
should the nurse take BEFORE applying restraints?
A. Obtain verbal consent from the client
B. Try less restrictive measures first
, C. Restrain all four extremities for safety
D. Apply restraints without documentation
RATIONALE: Restraints are a last resort. The nurse must
attempt less restrictive measures first (repositioning, sitters,
diversions). Restraints require a provider order, client/family
notification, and frequent monitoring .
5. A nurse is caring for a client who is 4 hours postoperative
following a transurethral resection of the prostate (TURP).
Which finding is the priority to report to the provider?
A. Thick, red-colored urine
B. Complaints of bladder spasms
C. Continuous bladder irrigation infusing at 40 mL/hr
D. Urine output of 100 mL in the past 4 hours
RATIONALE: Thick, red-colored urine indicates active bleeding.
Small amounts of pink-tinged urine are expected. Bladder spasms
are common post-TURP but are not the priority over hemorrhage .
6. A nurse is caring for a client who has a temperature of 39.7°C
(103.5°F) and has a prescription for a hypothermia blanket.
The nurse should monitor the client for which adverse effect?
A. Hyperthermia
B. Shivering
