ATI Medical Surgical Nursing Exam
2025 Verified NGN Questions with
Correct Answers for Optimal Exam
Performance
Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Questions and Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
1
,ATI Medical Surgical Nursing Exam 2025 2
1 Introduction
This document provides a focused collection of verified Next Generation NCLEX (NGN)
style questions and answers for the ATI Medical Surgical Nursing Exam 2025. Content
is drawn primarily from reliable study resources, emphasizing key medical-surgical top-
ics such as cardiovascular, respiratory, gastrointestinal, endocrine, and musculoskeletal
systems. Questions are streamlined to highlight essential stems and correct responses,
minimizing extraneous details while retaining necessary medical terminology. This com-
pilation includes 300 questions to support thorough preparation, organized numerically
for easy reference. Use this for practice, review, and optimal exam performance.
2 Questions and Answers
1. Which 3 findings require immediate follow-up for a 28-year-old client at
a provider’s office?
Answer: Abdomen assessment, vaginal spotting, menstrual period
2. Which 5 actions should a nurse take when reviewing a client’s electronic
medical record?
Answer: Place the client on seizure precautions, administer magnesium sulfate IV
bolus as prescribed, obtain creatinine, platelet, BUN, and liver enzymes as pre-
scribed, assess for worsening headache and epigastric pain hourly and as needed,
monitor level of consciousness, deep tendon reflexes, and visual disturbances hourly
3. What condition is a 28-year-old client experiencing, as evidenced by right
lower quadrant abdominal tenderness?
Answer: Ectopic pregnancy
4. Which findings indicate the client’s condition is not improving?
Answer: Clonus positive, DTR 4+, reports headache as 4 on a 0 to 10 pain scale,
platelets 95,000/mmş, aspartate aminotransferase (AST) 60 units/L, alanine amino-
transferase (ALT) 50 units/L
5. Which findings should a nurse report to the provider for a postpartum
client?
Answer: Blood pressure 152/105 mm Hg, +2 pitting edema, headache, heartburn
6. What is the priority intervention for a postpartum client, followed by the
next action?
Answer: Assess the client deep tendon reflexes, followed by assess the client for
visual disturbances
7. What condition is a postpartum client at greatest risk for developing, as
evidenced by increased blood pressure?
Answer: Preeclampsia
8. For a postpartum client, which potential provider prescriptions are an-
ticipated: obtain specimen for urinalysis, monitor intake and output,
administer magnesium sulfate, place the client on seizure precautions,
draw creatinine and BUN?
Answer: Obtain specimen for urinalysis (anticipated), monitor intake and output
, ATI Medical Surgical Nursing Exam 2025 3
(anticipated), administer magnesium sulfate (anticipated), place the client on seizure
precautions (anticipated), draw creatinine and BUN (anticipated)
9. For a postpartum client, which potential provider prescription is con-
traindicated: administer labetalol?
Answer: Administer labetalol (contraindicated)
10. What should a nurse first address for a 28-year-old client, followed by the
next priority?
Answer: Heart rate, followed by vaginal spotting
11. Which actions should a nurse take to prepare a 28-year-old client for
surgery?
Answer: Insert 18 gauge peripheral IV prior to surgery, obtain a complete blood
count, verify a consent form is signed by the client
12. Which findings indicate a potential complication of surgery requiring im-
mediate follow-up for a 28-year-old client?
Answer: Temperature 35.3řC (95.5řF), blood pressure 90/60 mm Hg, oxygen satu-
ration 94% (oxygen 2L/min via nasal cannula), skin cool and moist to touch, pedal
pulse +1 bilateral
13. For a 28-year-old client, which potential provider prescriptions are antici-
pated: transvaginal ultrasound, repeat quantitative B-hCG level, methotrex-
ate IM, blood typing?
Answer: Transvaginal ultrasound (anticipated), repeat quantitative B-hCG level
(anticipated), methotrexate IM (anticipated), blood typing (anticipated)
14. For an adolescent, which condition is most likely developing, as evidenced
by C-reactive protein?
Answer: Pelvic inflammatory disease
15. What should a nurse first implement for an adolescent based on the
provider’s prescription?
Answer: Educate first, ceftriaxone
16. For a client 3 days postpartum, which actions should the nurse take for
endometritis, and which parameters should be monitored?
Answer: Actions: Plan to administer IV antibiotics, obtain a culture of vaginal fluid
using a sterile swab; Parameters to monitor: Temperature, lochia amount and odor
17. For which adverse effect should a nurse instruct a perimenopausal client
on hormone replacement therapy to notify the provider?
Answer: Calf pain
18. Which action should a nurse take to manage a closed-suction drain for a
client postoperative following a laparotomy?
Answer: Compress the drain reservoir after emptying
19. Which finding should indicate to a nurse that a client’s condition is im-
proving when caring for a client who has diabetic ketoacidosis (DKA)?
Answer: Glucose 272 mg/dL
20. Which laboratory finding should a nurse identify as an indication of a
2025 Verified NGN Questions with
Correct Answers for Optimal Exam
Performance
Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Questions and Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
1
,ATI Medical Surgical Nursing Exam 2025 2
1 Introduction
This document provides a focused collection of verified Next Generation NCLEX (NGN)
style questions and answers for the ATI Medical Surgical Nursing Exam 2025. Content
is drawn primarily from reliable study resources, emphasizing key medical-surgical top-
ics such as cardiovascular, respiratory, gastrointestinal, endocrine, and musculoskeletal
systems. Questions are streamlined to highlight essential stems and correct responses,
minimizing extraneous details while retaining necessary medical terminology. This com-
pilation includes 300 questions to support thorough preparation, organized numerically
for easy reference. Use this for practice, review, and optimal exam performance.
2 Questions and Answers
1. Which 3 findings require immediate follow-up for a 28-year-old client at
a provider’s office?
Answer: Abdomen assessment, vaginal spotting, menstrual period
2. Which 5 actions should a nurse take when reviewing a client’s electronic
medical record?
Answer: Place the client on seizure precautions, administer magnesium sulfate IV
bolus as prescribed, obtain creatinine, platelet, BUN, and liver enzymes as pre-
scribed, assess for worsening headache and epigastric pain hourly and as needed,
monitor level of consciousness, deep tendon reflexes, and visual disturbances hourly
3. What condition is a 28-year-old client experiencing, as evidenced by right
lower quadrant abdominal tenderness?
Answer: Ectopic pregnancy
4. Which findings indicate the client’s condition is not improving?
Answer: Clonus positive, DTR 4+, reports headache as 4 on a 0 to 10 pain scale,
platelets 95,000/mmş, aspartate aminotransferase (AST) 60 units/L, alanine amino-
transferase (ALT) 50 units/L
5. Which findings should a nurse report to the provider for a postpartum
client?
Answer: Blood pressure 152/105 mm Hg, +2 pitting edema, headache, heartburn
6. What is the priority intervention for a postpartum client, followed by the
next action?
Answer: Assess the client deep tendon reflexes, followed by assess the client for
visual disturbances
7. What condition is a postpartum client at greatest risk for developing, as
evidenced by increased blood pressure?
Answer: Preeclampsia
8. For a postpartum client, which potential provider prescriptions are an-
ticipated: obtain specimen for urinalysis, monitor intake and output,
administer magnesium sulfate, place the client on seizure precautions,
draw creatinine and BUN?
Answer: Obtain specimen for urinalysis (anticipated), monitor intake and output
, ATI Medical Surgical Nursing Exam 2025 3
(anticipated), administer magnesium sulfate (anticipated), place the client on seizure
precautions (anticipated), draw creatinine and BUN (anticipated)
9. For a postpartum client, which potential provider prescription is con-
traindicated: administer labetalol?
Answer: Administer labetalol (contraindicated)
10. What should a nurse first address for a 28-year-old client, followed by the
next priority?
Answer: Heart rate, followed by vaginal spotting
11. Which actions should a nurse take to prepare a 28-year-old client for
surgery?
Answer: Insert 18 gauge peripheral IV prior to surgery, obtain a complete blood
count, verify a consent form is signed by the client
12. Which findings indicate a potential complication of surgery requiring im-
mediate follow-up for a 28-year-old client?
Answer: Temperature 35.3řC (95.5řF), blood pressure 90/60 mm Hg, oxygen satu-
ration 94% (oxygen 2L/min via nasal cannula), skin cool and moist to touch, pedal
pulse +1 bilateral
13. For a 28-year-old client, which potential provider prescriptions are antici-
pated: transvaginal ultrasound, repeat quantitative B-hCG level, methotrex-
ate IM, blood typing?
Answer: Transvaginal ultrasound (anticipated), repeat quantitative B-hCG level
(anticipated), methotrexate IM (anticipated), blood typing (anticipated)
14. For an adolescent, which condition is most likely developing, as evidenced
by C-reactive protein?
Answer: Pelvic inflammatory disease
15. What should a nurse first implement for an adolescent based on the
provider’s prescription?
Answer: Educate first, ceftriaxone
16. For a client 3 days postpartum, which actions should the nurse take for
endometritis, and which parameters should be monitored?
Answer: Actions: Plan to administer IV antibiotics, obtain a culture of vaginal fluid
using a sterile swab; Parameters to monitor: Temperature, lochia amount and odor
17. For which adverse effect should a nurse instruct a perimenopausal client
on hormone replacement therapy to notify the provider?
Answer: Calf pain
18. Which action should a nurse take to manage a closed-suction drain for a
client postoperative following a laparotomy?
Answer: Compress the drain reservoir after emptying
19. Which finding should indicate to a nurse that a client’s condition is im-
proving when caring for a client who has diabetic ketoacidosis (DKA)?
Answer: Glucose 272 mg/dL
20. Which laboratory finding should a nurse identify as an indication of a
