ATI CMS Mega Bundle 2026–2027 | Med-Surg, Maternal Newborn (OB), Pediatrics & Mental Health (Forms A, B, C + Retakes) with Rationales well verified rationales+ Bonus Past Papers From 2018 – 2025 with Diagrams, Rationales & Pictures | Questions & Answers W

,Table of Contents
ATI Medical-Surgical (Adult Health) Proctored Exam form A............................................................................................................. 3
ATI Medical-Surgical (Adult Health) Proctored Exam form B ....................................................................................................... 67
ATI Medical-Surgical (Adult Health) Proctored Exam form C ................................................................................................. 151
ATI Medical-Surgical (Adult Health) form A RETAKE ...................................................................................................................... 195
ATI Medical-Surgical (Adult Health) form B RETAKE .................................................................................................................. 268
ATI Medical-Surgical (Adult Health) form C RETAKE .............................................................................................................. 298
ATI RN Maternal Newborn Form A ................................................................................................................................................ 431
ATI RN Maternal Newborn Form B ............................................................................................................................................ 542
ATI RN Maternal Newborn Form C ........................................................................................................................................ 616
ATI RN Maternal Newborn Form A RETAKE ................................................................................................................................... 694
ATI RN Maternal Newborn Form B RETAKE ............................................................................................................................... 770
ATI RN Maternal Newborn Form C RETAKE ........................................................................................................................... 788
ATI RN Pediatric Nursing Form A ................................................................................................................................................... 799
ATI RN Pediatric Nursing Form B ............................................................................................................................................... 816
ATI RN Pediatric Nursing Form C ........................................................................................................................................... 832
ATI RN Pediatric Nursing Form A Retake ....................................................................................................................................... 905
ATI RN Pediatric Nursing Form B Retake.................................................................................................................................... 970
ATI RN Pediatric Nursing Form C Retake .............................................................................................................................. 1033
ATI RN Mental health form A ...................................................................................................................................................... 1049
ATI RN Mental health form B ................................................................................................................................................... 1102
ATI RN Mental health form C ............................................................................................................................................... 1141
ATI RN Mental health form A Retake ........................................................................................................................................... 1193
ATI RN Mental health form B Retake ....................................................................................................................................... 1243
ATI RN Mental health form C Retake ................................................................................................................................... 1296
ATI Medical-Surgical (Adult Health) Proctored Past Papers From 2018 – 2025 with Diagrams, Rationales & Pictures ............... 1348
ATI RN Maternal Newborn Proctored Past Papers From 2018 – 2025 with Diagrams, Rationales & Pictures ......................... 1479
ATI RN Pediatric Nursing Proctored Past Papers From 2018 – 2025 with Diagrams, Rationales & Pictures ........................ 1581
ATI RN Mental health Proctored Past Papers From 2018 – 2025 with Diagrams, Rationales & Pictures ................................. 170396

,ATI Medical-Surgical (Adult Health) Proctored form A




Correct Answer: Sequence the steps 1–4
Place the client in an upright sitting position.
Confirm that the client's bladder is empty.
Administer an antihypertensive medication intravenously.
Indicate the risk for autonomic dysreflexia in the client's medical record.
Detailed Rationale
1. Place the client in an upright sitting position — FIRST
Autonomic dysreflexia is a potentially life-threatening emergency that can occur in clients with spinal cord injuries, especially injuries at or
above T6. It can cause severe hypertension, headache, flushing, and sweating. Sitting the client upright helps lower blood pressure through
gravitational pooling of blood in the lower extremities.
2. Confirm that the client's bladder is empty — SECOND

, Bladder distention is one of the most common triggers of autonomic dysreflexia. Check the urinary drainage system for kinks or obstruction and
assess for bladder distention. If necessary, follow the appropriate bladder-emptying protocol. Removing the trigger helps stop the sympathetic
response.
3. Administer an antihypertensive medication intravenously — THIRD, if indicated
If severe hypertension persists, administer a prescribed, rapid-acting antihypertensive medication according to the emergency protocol. Monitor
blood pressure closely because autonomic dysreflexia can cause dangerous blood pressure elevations. In practice, assess and remove the
triggering stimulus promptly while preparing medication when indicated; do not delay emergency treatment if the client's condition is critical.
4. Indicate the risk for autonomic dysreflexia in the client's medical record — LAST
Documenting the risk supports future prevention and safe care. However, documentation is not an immediate intervention and must not delay
positioning the client, identifying and removing triggers, or treating persistent severe hypertension.




Question 2
A nurse is caring for a client with chronic heart failure who has been prescribed furosemide. During the assessment, which of the following
findings would the nurse identify as a potential adverse effect of this medication?
a. Serum potassium level of 3.0 mEq/L
b. Blood pressure reading of 130/80 mm Hg
c. Urine output of 100 mL/hr
d. Weight loss of 1 kg in 24 hours
Correct Answer: a. Serum potassium level of 3.0 mEq/L
Rationale:
Furosemide is a high-ceiling (loop) diuretic that acts on the ascending loop of Henle to inhibit the reabsorption of sodium and chloride. This
potent diuretic effect leads to significant fluid and electrolyte loss. A well-known and clinically significant adverse effect of loop diuretics is
hypokalemia, as they increase potassium excretion in the urine.
Option A (Serum potassium 3.0 mEq/L): This is the correct answer. The normal range for serum potassium is typically 3.5 to 5.0 mEq/L. A value
of 3.0 mEq/L indicates moderate hypokalemia. This is a critical finding because low potassium levels can lead to serious cardiac complications,
including fatal cardiac arrhythmias (e.g., ventricular tachycardia, ventricular fibrillation), muscle weakness, and ileus. The nurse must recognize
this as a potential adverse drug effect and notify the provider, as the client may require potassium supplementation or a change in diuretic
therapy.
Option B (Blood pressure 130/80 mm Hg): This blood pressure reading is within the normal to prehypertensive range. While furosemide is used
to manage fluid overload in heart failure and can lower blood pressure, this value does not indicate an adverse effect like hypotension. It is a
stable and acceptable reading.
Option C (Urine output 100 mL/hr): This indicates a robust diuretic response. In a client with heart failure, this is a therapeutic and desired
effect of furosemide, demonstrating that the medication is working to eliminate excess fluid. It is not an adverse effect.
Option D (Weight loss of 1 kg in 24 hours): A weight loss of 1 kg (approximately 2.2 lbs) is equivalent to about 1 liter of fluid loss. This is a
positive indicator of effective diuresis in a client being treated for fluid overload. While the nurse should monitor for excessive fluid loss, a 1 kg
drop is generally a therapeutic goal, not an adverse finding.
DIF: Application
REF: Cardiac Pharmacology / Diuretics
OBJ: Recognize adverse effects of diuretics
TOP: Assessment / Nursing Process Step: Evaluation

Question 3
A nurse is caring for a client in the immediate postoperative period following a total hip arthroplasty (hip replacement). Which of the
following nursing actions is most important to prevent the complication of hip prosthesis dislocation?
a. Place the client in a prone position every 4 hours.
b. Maintain the client's legs in an abducted position.
c. Encourage the client to flex the hip to 90 degrees when sitting.
d. Use a fracture bedpan for all toileting needs.
Correct Answer: b. Maintain the client's legs in an abducted position.
Rationale:
The primary goal of postoperative care following a total hip arthroplasty is to maintain the alignment of the new prosthetic joint and prevent its
dislocation. The surgical approach and the design of the prosthesis place the client at risk for dislocation if certain movements are performed.
Option B (Maintain the client's legs in an abducted position): This is the correct answer. Abduction (moving the leg away from the body's
midline) is a safe position that keeps the head of the prosthesis securely within the acetabular cup. The nurse should use an abductor pillow or