ATI Medical-Surgical (Med-Surg)
Proctored Exam 2025 Complete
Test Bank with Verified NGN
Questions, Correct Answers, and
Detailed Rationales
Comprehensive Study Guide for Nursing Students
Prepared for 2025 ATI Proctored Exam Preparation
October 2025
,Table of Contents
1 Introduction 2
2 General Medical-Surgical Questions 2
3 Cardiovascular System 3
4 Respiratory System 4
5 Endocrine and Renal Systems 5
6 Musculoskeletal and Neurological Systems 6
7 Gastrointestinal and Oncology Systems 7
8 Additional Next Generation NCLEX (NGN) Questions 8
9 Additional Relevant Questions 9
10 Conclusion 17
1
, 2 GENERAL MEDICAL-SURGICAL QUESTIONS 2
1 Introduction
This comprehensive test bank is designed for nursing students preparing for the 2025
ATI Medical-Surgical (Med-Surg) Proctored Exam. It includes over 200 Next Generation
NCLEX (NGN)-style questions with verified answers and detailed rationales to enhance
clinical understanding. The content is streamlined to focus on key medical-surgical top-
ics, eliminating unnecessary details for efficient study. Topics cover cardiovascular, respi-
ratory, gastrointestinal, endocrine, musculoskeletal, neurological, oncological, and renal
systems, ensuring thorough preparation.
2 General Medical-Surgical Questions
1. A nurse is reviewing the medical record of a client who has a prescription
for morphine. Which finding should the nurse report to the provider?
Correct Answer: Urinary retention
Rationale: Morphine can cause urinary retention by relaxing bladder muscles,
leading to incomplete emptying. This should be reported to prevent complications
like infection or bladder distension.
2. A nurse is caring for a client at risk for pressure ulcers. Which action
should the nurse take?
Correct Answer: Position pillows between bony prominences
Rationale: Pillows reduce friction and pressure on vulnerable areas, promoting
even weight distribution and maintaining skin integrity.
3. A nurse is caring for a postoperative client receiving IV cefazolin. The
client reports intense itching 10 minutes after starting the infusion.
What is the first action?
Correct Answer: Stop the medication infusion
Rationale: Itching may indicate an allergic reaction. Stopping the infusion pre-
vents escalation to anaphylaxis, prioritizing client safety.
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which
information should the nurse include?
Correct Answer: You are at risk for infertility with this infection, regardless of
treatment
Rationale: Gonorrhea can cause scarring in reproductive tissues, leading to per-
manent infertility even after successful antibiotic treatment.
5. A nurse examines an IV site and notes a red line up the arm with throb-
bing pain. What complication does this indicate?
Correct Answer: Thrombophlebitis
Rationale: A red streak and pain suggest vein inflammation and clot formation,
often due to IV catheter irritation.
6. A nurse is reinforcing teaching with an adolescent client on testicular
self-examination. Which statement shows understanding?
Correct Answer: I understand that testicular cancer is painless
Rationale: Early testicular cancer often presents without pain, making monthly
self-examinations critical for early detection.
Proctored Exam 2025 Complete
Test Bank with Verified NGN
Questions, Correct Answers, and
Detailed Rationales
Comprehensive Study Guide for Nursing Students
Prepared for 2025 ATI Proctored Exam Preparation
October 2025
,Table of Contents
1 Introduction 2
2 General Medical-Surgical Questions 2
3 Cardiovascular System 3
4 Respiratory System 4
5 Endocrine and Renal Systems 5
6 Musculoskeletal and Neurological Systems 6
7 Gastrointestinal and Oncology Systems 7
8 Additional Next Generation NCLEX (NGN) Questions 8
9 Additional Relevant Questions 9
10 Conclusion 17
1
, 2 GENERAL MEDICAL-SURGICAL QUESTIONS 2
1 Introduction
This comprehensive test bank is designed for nursing students preparing for the 2025
ATI Medical-Surgical (Med-Surg) Proctored Exam. It includes over 200 Next Generation
NCLEX (NGN)-style questions with verified answers and detailed rationales to enhance
clinical understanding. The content is streamlined to focus on key medical-surgical top-
ics, eliminating unnecessary details for efficient study. Topics cover cardiovascular, respi-
ratory, gastrointestinal, endocrine, musculoskeletal, neurological, oncological, and renal
systems, ensuring thorough preparation.
2 General Medical-Surgical Questions
1. A nurse is reviewing the medical record of a client who has a prescription
for morphine. Which finding should the nurse report to the provider?
Correct Answer: Urinary retention
Rationale: Morphine can cause urinary retention by relaxing bladder muscles,
leading to incomplete emptying. This should be reported to prevent complications
like infection or bladder distension.
2. A nurse is caring for a client at risk for pressure ulcers. Which action
should the nurse take?
Correct Answer: Position pillows between bony prominences
Rationale: Pillows reduce friction and pressure on vulnerable areas, promoting
even weight distribution and maintaining skin integrity.
3. A nurse is caring for a postoperative client receiving IV cefazolin. The
client reports intense itching 10 minutes after starting the infusion.
What is the first action?
Correct Answer: Stop the medication infusion
Rationale: Itching may indicate an allergic reaction. Stopping the infusion pre-
vents escalation to anaphylaxis, prioritizing client safety.
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which
information should the nurse include?
Correct Answer: You are at risk for infertility with this infection, regardless of
treatment
Rationale: Gonorrhea can cause scarring in reproductive tissues, leading to per-
manent infertility even after successful antibiotic treatment.
5. A nurse examines an IV site and notes a red line up the arm with throb-
bing pain. What complication does this indicate?
Correct Answer: Thrombophlebitis
Rationale: A red streak and pain suggest vein inflammation and clot formation,
often due to IV catheter irritation.
6. A nurse is reinforcing teaching with an adolescent client on testicular
self-examination. Which statement shows understanding?
Correct Answer: I understand that testicular cancer is painless
Rationale: Early testicular cancer often presents without pain, making monthly
self-examinations critical for early detection.
