1
ATI-Med-Surg-Proctored-Exam-2025–2026-(Forms-
A,-B-&-C)-|-500-Verified-Questions-+-Rationales-|-
Ultimate-NCLEX-&-ATI-Pack
Q1.
A-nurse-is-caring-for-a-client-who-has-pneumonia.-Which-of-the-
following-findings-should-the-nurse-report-to-the-provider?
A.-Temperature-38.2°C-(100.8°F)
B.-O2-saturation-92%-on-room-air
C.-Respiratory-rate-28/min
D.-Confusion-and-restlessness
, 2
✅-Correct-Answer:-D.-Confusion-and-restlessness
- Rationale:-These-are-signs-of-hypoxia-and-may-indicate-
worsening-gas-exchange-or-sepsis.
Q2.
A-client-has-a-serum-potassium-of-2.8-mEq/L.-Which-of-the-
following-interventions-should-the-nurse-implement-first?
A.-Place-the-client-on-a-cardiac-monitor
B.-Administer-oral-potassium-supplement
C.-Encourage-foods-high-in-potassium
D.-Draw-another-sample-for-lab-confirmation
✅-Correct-Answer:-A.-Place-the-client-on-a-cardiac-monitor
- Rationale:-Hypokalemia-increases-the-risk-for-life-threatening-
dysrhythmias.-Cardiac-monitoring-is-the-priority.
, 3
Q3.
A-nurse-is-reinforcing-discharge-instructions-to-a-client-post-
laparoscopic-cholecystectomy.-Which-statement-indicates-a-need-
for-further-teaching?
A.-“I-can-shower-in-1–2-days.”
B.-“I-should-avoid-fatty-foods.”
C.-“I-can-return-to-work-tomorrow.”
D.-“I-may-have-shoulder-pain-from-gas.”
✅-Correct-Answer:-C.-“I-can-return-to-work-tomorrow.”
- Rationale:-Clients-are-typically-advised-to-rest-for-a-few-days-
post-op-to-promote-healing.
Q4.
, 4
Which-finding-indicates-fluid-volume-overload-in-a-client-receiving-
IV-fluids?
A.-Blood-pressure-90/60-mmHg
B.-Decreased-breath-sounds
C.-Neck-vein-distension
D.-Increased-hematocrit
✅-Correct-Answer:-C.-Neck-vein-distension
- Rationale:-Indicates-increased-central-venous-pressure,-a-
hallmark-of-fluid-overload.
Q5.
A-client-with-heart-failure-is-receiving-furosemide.-Which-finding-
should-be-reported?
A.-Urine-output-of-2000-mL/day
ATI-Med-Surg-Proctored-Exam-2025–2026-(Forms-
A,-B-&-C)-|-500-Verified-Questions-+-Rationales-|-
Ultimate-NCLEX-&-ATI-Pack
Q1.
A-nurse-is-caring-for-a-client-who-has-pneumonia.-Which-of-the-
following-findings-should-the-nurse-report-to-the-provider?
A.-Temperature-38.2°C-(100.8°F)
B.-O2-saturation-92%-on-room-air
C.-Respiratory-rate-28/min
D.-Confusion-and-restlessness
, 2
✅-Correct-Answer:-D.-Confusion-and-restlessness
- Rationale:-These-are-signs-of-hypoxia-and-may-indicate-
worsening-gas-exchange-or-sepsis.
Q2.
A-client-has-a-serum-potassium-of-2.8-mEq/L.-Which-of-the-
following-interventions-should-the-nurse-implement-first?
A.-Place-the-client-on-a-cardiac-monitor
B.-Administer-oral-potassium-supplement
C.-Encourage-foods-high-in-potassium
D.-Draw-another-sample-for-lab-confirmation
✅-Correct-Answer:-A.-Place-the-client-on-a-cardiac-monitor
- Rationale:-Hypokalemia-increases-the-risk-for-life-threatening-
dysrhythmias.-Cardiac-monitoring-is-the-priority.
, 3
Q3.
A-nurse-is-reinforcing-discharge-instructions-to-a-client-post-
laparoscopic-cholecystectomy.-Which-statement-indicates-a-need-
for-further-teaching?
A.-“I-can-shower-in-1–2-days.”
B.-“I-should-avoid-fatty-foods.”
C.-“I-can-return-to-work-tomorrow.”
D.-“I-may-have-shoulder-pain-from-gas.”
✅-Correct-Answer:-C.-“I-can-return-to-work-tomorrow.”
- Rationale:-Clients-are-typically-advised-to-rest-for-a-few-days-
post-op-to-promote-healing.
Q4.
, 4
Which-finding-indicates-fluid-volume-overload-in-a-client-receiving-
IV-fluids?
A.-Blood-pressure-90/60-mmHg
B.-Decreased-breath-sounds
C.-Neck-vein-distension
D.-Increased-hematocrit
✅-Correct-Answer:-C.-Neck-vein-distension
- Rationale:-Indicates-increased-central-venous-pressure,-a-
hallmark-of-fluid-overload.
Q5.
A-client-with-heart-failure-is-receiving-furosemide.-Which-finding-
should-be-reported?
A.-Urine-output-of-2000-mL/day
