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ATI MEDSURG PROCTORED EXAM
NGN-STYLE QUESTION BANK
2026/2027 Latest Edition
100+ High-Yield Questions & Answers with Detailed
Rationales
Adult Health Nursing Success
Document Information
Element Details
Exam ATI RN MedSurg Proctored Exam
Format Next Generation NCLEX (NGN) Style
Edition 2026/2027
Questions 100+
Question Multiple Choice, Select All That Apply (SATA), Bow-Tie, Drag an
Types Drop, Matrix/Grid, Case Studies
Language English
How to Use This Question Bank
,2|Page
This question bank is organized by body system and follows the ATI
Content Mastery Series (CMS) blueprint. Each question includes:
1. Clinical Scenario: Realistic patient presentation
2. NGN-Style Question: Multiple choice, SATA, bow-tie, or case
study format
3. Correct Answer: With detailed rationale
4. Distractor Analysis: Why incorrect options are wrong
5. High-Yield Tip: ATI exam strategy
Pro Tip: The 2026/2027 ATI MedSurg Proctored Exam places increased
emphasis on clinical judgment through NGN-style items. Practice with
these questions to develop your clinical reasoning skills.
Table of Contents
Section System/Topic Questions
1 Cardiovascular Disorders 15
2 Respiratory Disorders 12
3 Gastrointestinal Disorders 12
4 Renal & Urinary Disorders 10
5 Neurological Disorders 12
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Section System/Topic Questions
6 Endocrine Disorders 10
7 Musculoskeletal Disorders 8
8 Hematological Disorders 8
9 Immunological Disorders 6
10 Integumentary Disorders 5
11 Perioperative Care 6
12 NGN Case Studies (Unfolding Scenarios) 4
Total 100+
SECTION 1: CARDIOVASCULAR DISORDERS
Question 1.1
Scenario: A 68-year-old male client is admitted to the telemetry unit
with acute decompensated heart failure (ADHF). He reports shortness of
breath at rest, orthopnea, and a weight gain of 5 lbs in the past 3 days.
Assessment reveals crackles in bilateral lung bases, jugular venous
distension (JVD), and +3 pitting edema in the lower extremities. Vital
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signs: BP 162/94 mm Hg, HR 112 bpm, RR 28 breaths/min, SpO2 88%
on room air.
Question: The nurse receives an order for furosemide 40 mg IV push.
Which assessment finding is the priority to report to the healthcare
provider before administering this medication?
A. Blood pressure 162/94 mm Hg
B. Serum potassium level of 3.2 mEq/L
C. Heart rate of 112 bpm
D. Urine output of 30 mL in the last hour
Correct Answer: B. Serum potassium level of 3.2 mEq/L
Rationale:
Furosemide is a loop diuretic that causes excretion of potassium. A
serum potassium level of 3.2 mEq/L indicates hypokalemia (normal
range 3.5-5.0 mEq/L). Administering furosemide to a client with
hypokalemia can precipitate dangerous cardiac dysrhythmias, including
ventricular tachycardia and cardiac arrest. The priority is to correct the
potassium level before or concurrently with diuretic administration.
Distractor Analysis:
• A. BP 162/94 mm Hg: Hypertension is expected in heart failure
and is not a contraindication for furosemide.
• C. HR 112 bpm: Tachycardia is compensatory in heart failure and
expected.
• D. Urine output 30 mL in 1 hour: This is adequate urine output
(≥30 mL/hr). The diuretic is being given to increase output.
ATI MEDSURG PROCTORED EXAM
NGN-STYLE QUESTION BANK
2026/2027 Latest Edition
100+ High-Yield Questions & Answers with Detailed
Rationales
Adult Health Nursing Success
Document Information
Element Details
Exam ATI RN MedSurg Proctored Exam
Format Next Generation NCLEX (NGN) Style
Edition 2026/2027
Questions 100+
Question Multiple Choice, Select All That Apply (SATA), Bow-Tie, Drag an
Types Drop, Matrix/Grid, Case Studies
Language English
How to Use This Question Bank
,2|Page
This question bank is organized by body system and follows the ATI
Content Mastery Series (CMS) blueprint. Each question includes:
1. Clinical Scenario: Realistic patient presentation
2. NGN-Style Question: Multiple choice, SATA, bow-tie, or case
study format
3. Correct Answer: With detailed rationale
4. Distractor Analysis: Why incorrect options are wrong
5. High-Yield Tip: ATI exam strategy
Pro Tip: The 2026/2027 ATI MedSurg Proctored Exam places increased
emphasis on clinical judgment through NGN-style items. Practice with
these questions to develop your clinical reasoning skills.
Table of Contents
Section System/Topic Questions
1 Cardiovascular Disorders 15
2 Respiratory Disorders 12
3 Gastrointestinal Disorders 12
4 Renal & Urinary Disorders 10
5 Neurological Disorders 12
,3|Page
Section System/Topic Questions
6 Endocrine Disorders 10
7 Musculoskeletal Disorders 8
8 Hematological Disorders 8
9 Immunological Disorders 6
10 Integumentary Disorders 5
11 Perioperative Care 6
12 NGN Case Studies (Unfolding Scenarios) 4
Total 100+
SECTION 1: CARDIOVASCULAR DISORDERS
Question 1.1
Scenario: A 68-year-old male client is admitted to the telemetry unit
with acute decompensated heart failure (ADHF). He reports shortness of
breath at rest, orthopnea, and a weight gain of 5 lbs in the past 3 days.
Assessment reveals crackles in bilateral lung bases, jugular venous
distension (JVD), and +3 pitting edema in the lower extremities. Vital
, 4|Page
signs: BP 162/94 mm Hg, HR 112 bpm, RR 28 breaths/min, SpO2 88%
on room air.
Question: The nurse receives an order for furosemide 40 mg IV push.
Which assessment finding is the priority to report to the healthcare
provider before administering this medication?
A. Blood pressure 162/94 mm Hg
B. Serum potassium level of 3.2 mEq/L
C. Heart rate of 112 bpm
D. Urine output of 30 mL in the last hour
Correct Answer: B. Serum potassium level of 3.2 mEq/L
Rationale:
Furosemide is a loop diuretic that causes excretion of potassium. A
serum potassium level of 3.2 mEq/L indicates hypokalemia (normal
range 3.5-5.0 mEq/L). Administering furosemide to a client with
hypokalemia can precipitate dangerous cardiac dysrhythmias, including
ventricular tachycardia and cardiac arrest. The priority is to correct the
potassium level before or concurrently with diuretic administration.
Distractor Analysis:
• A. BP 162/94 mm Hg: Hypertension is expected in heart failure
and is not a contraindication for furosemide.
• C. HR 112 bpm: Tachycardia is compensatory in heart failure and
expected.
• D. Urine output 30 mL in 1 hour: This is adequate urine output
(≥30 mL/hr). The diuretic is being given to increase output.
