Actual ATI PN Adult Medical Surgical
(Med-Surg) 2025 Proctored Exam
with NGN | Real Screenshot Questions
& 100% Correct Verified Answers —
Pass First Attempt, No Retakes!
1. NGN: IV Dopamine Infusion Rate
A client is prescribed dopamine at 5 mcg/kg/min. The client
weighs 70 kg. The IV bag contains 400 mg of dopamine in 250 mL
D5W. What is the infusion rate in mL/hr?
A. 10 mL/hr
B. 13 mL/hr
C. 15 mL/hr
D. 18 mL/hr
Correct Answer: B. 13 mL/hr
Rationale: 1. Calculate mcg/min: 5 mcg x 70 kg = 350 mcg/min.
2. Convert to mg/min: 350 mcg / 1000 = 0.35 mg/min.
3. Calculate mg/hr: 0.35 mg x 60 min = 21 mg/hr.
4. Calculate mL/hr: (21 mg/hr x 250 mL) / 400 mg = 13.1 mL/hr
(rounded to 13) .
,2. NGN: Signs of Lithium Toxicity (Select All)
A nurse is assessing a client taking lithium. Which findings
indicate toxicity? (Select All)
A. Tremors
B. Polyuria
C. Nausea and Vomiting
D. Hypertension
E. Confusion
Correct Answer: A, B, C, E
Rationale: Lithium has a narrow therapeutic window. Signs of
toxicity include severe tremors, gastrointestinal distress (N/V/D),
polyuria (nephrogenic diabetes insipidus), and neurological
changes like confusion. Hypertension is not typical; hypotension
may occur .
3. NGN: Priority Action for Air Embolism
A nurse caring for a client with a central line notes the tubing has
disconnected. The client develops sudden dyspnea and
tachycardia. What is the first action?
A. Turn the client to the left side.
B. Clamp the catheter.
C. Administer 100% oxygen.
D. Notify the provider.
Correct Answer: B. Clamp the catheter.
Rationale: This is an air embolism emergency. The priority is to
prevent more air from entering the circulation. The nurse should
immediately clamp the catheter to stop the air entry. After
,clamping, turning the client to the left lateral decubitus
(Trendelenburg) helps trap air in the right atrium .
4. NGN: Matrix for Prednisone Teaching
A client is prescribed prednisone. Which statements indicate
correct understanding? (Mark Yes or No)
"Take the medication with food to reduce stomach upset."
"Stop the medication immediately if you feel better."
"Monitor your blood sugar levels regularly."
"Avoid contact with people who are sick."
Correct Answer: Yes, No, Yes, Yes
Rationale: Prednisone requires a taper; abrupt cessation can
cause adrenal crisis. It increases blood glucose and suppresses the
immune system, increasing infection risk. Taking it with food
reduces gastric irritation .
5. NGN: Steps for Administering IV Antibiotics (Drag & Drop)
Arrange the steps in correct order.
A. Verify medication and dose.
B. Administer medication over prescribed time.
C. Check IV site patency.
D. Monitor client for adverse reactions.
E. Prepare and dilute medication per protocol.
Correct Answer: A → E → C → B → D
Rationale: The correct sequence begins with verification (rights of
medication administration), preparation, site assessment, infusion,
and finally monitoring .
, Medical-Surgical Core Content
6. Post-Thyroidectomy Complication
A client is 6 hours post-thyroidectomy and reports tingling and
numbness in the hands and around the mouth. The nurse
identifies this as:
A. Hypokalemia
B. Hyponatremia
C. Hypocalcemia
D. Hypothyroidism
Correct Answer: C. Hypocalcemia
Rationale: These symptoms (paresthesia, tetany) indicate
hypocalcemia, often caused by accidental removal or damage to
the parathyroid glands during thyroid surgery. The nurse should
assess for Chvostek's or Trousseau's signs .
7. Total Hip Arthroplasty Teaching
A nurse provides discharge teaching to a client post left total hip
arthroplasty. Which instruction is correct?
A. "You may cross your legs at the ankles."
B. "Install a raised toilet seat in your bathroom."
C. "Clean the incision daily with hydrogen peroxide."
D. "Use an incentive spirometer every 8 hours."
Correct Answer: B. Install a raised toilet seat.
Rationale: A raised toilet seat helps prevent hip flexion beyond 90
degrees, which is necessary to prevent dislocation. Crossing legs is
prohibited. Hydrogen peroxide damages tissue. Incentive
spirometry is used every 1-2 hours .
(Med-Surg) 2025 Proctored Exam
with NGN | Real Screenshot Questions
& 100% Correct Verified Answers —
Pass First Attempt, No Retakes!
1. NGN: IV Dopamine Infusion Rate
A client is prescribed dopamine at 5 mcg/kg/min. The client
weighs 70 kg. The IV bag contains 400 mg of dopamine in 250 mL
D5W. What is the infusion rate in mL/hr?
A. 10 mL/hr
B. 13 mL/hr
C. 15 mL/hr
D. 18 mL/hr
Correct Answer: B. 13 mL/hr
Rationale: 1. Calculate mcg/min: 5 mcg x 70 kg = 350 mcg/min.
2. Convert to mg/min: 350 mcg / 1000 = 0.35 mg/min.
3. Calculate mg/hr: 0.35 mg x 60 min = 21 mg/hr.
4. Calculate mL/hr: (21 mg/hr x 250 mL) / 400 mg = 13.1 mL/hr
(rounded to 13) .
,2. NGN: Signs of Lithium Toxicity (Select All)
A nurse is assessing a client taking lithium. Which findings
indicate toxicity? (Select All)
A. Tremors
B. Polyuria
C. Nausea and Vomiting
D. Hypertension
E. Confusion
Correct Answer: A, B, C, E
Rationale: Lithium has a narrow therapeutic window. Signs of
toxicity include severe tremors, gastrointestinal distress (N/V/D),
polyuria (nephrogenic diabetes insipidus), and neurological
changes like confusion. Hypertension is not typical; hypotension
may occur .
3. NGN: Priority Action for Air Embolism
A nurse caring for a client with a central line notes the tubing has
disconnected. The client develops sudden dyspnea and
tachycardia. What is the first action?
A. Turn the client to the left side.
B. Clamp the catheter.
C. Administer 100% oxygen.
D. Notify the provider.
Correct Answer: B. Clamp the catheter.
Rationale: This is an air embolism emergency. The priority is to
prevent more air from entering the circulation. The nurse should
immediately clamp the catheter to stop the air entry. After
,clamping, turning the client to the left lateral decubitus
(Trendelenburg) helps trap air in the right atrium .
4. NGN: Matrix for Prednisone Teaching
A client is prescribed prednisone. Which statements indicate
correct understanding? (Mark Yes or No)
"Take the medication with food to reduce stomach upset."
"Stop the medication immediately if you feel better."
"Monitor your blood sugar levels regularly."
"Avoid contact with people who are sick."
Correct Answer: Yes, No, Yes, Yes
Rationale: Prednisone requires a taper; abrupt cessation can
cause adrenal crisis. It increases blood glucose and suppresses the
immune system, increasing infection risk. Taking it with food
reduces gastric irritation .
5. NGN: Steps for Administering IV Antibiotics (Drag & Drop)
Arrange the steps in correct order.
A. Verify medication and dose.
B. Administer medication over prescribed time.
C. Check IV site patency.
D. Monitor client for adverse reactions.
E. Prepare and dilute medication per protocol.
Correct Answer: A → E → C → B → D
Rationale: The correct sequence begins with verification (rights of
medication administration), preparation, site assessment, infusion,
and finally monitoring .
, Medical-Surgical Core Content
6. Post-Thyroidectomy Complication
A client is 6 hours post-thyroidectomy and reports tingling and
numbness in the hands and around the mouth. The nurse
identifies this as:
A. Hypokalemia
B. Hyponatremia
C. Hypocalcemia
D. Hypothyroidism
Correct Answer: C. Hypocalcemia
Rationale: These symptoms (paresthesia, tetany) indicate
hypocalcemia, often caused by accidental removal or damage to
the parathyroid glands during thyroid surgery. The nurse should
assess for Chvostek's or Trousseau's signs .
7. Total Hip Arthroplasty Teaching
A nurse provides discharge teaching to a client post left total hip
arthroplasty. Which instruction is correct?
A. "You may cross your legs at the ankles."
B. "Install a raised toilet seat in your bathroom."
C. "Clean the incision daily with hydrogen peroxide."
D. "Use an incentive spirometer every 8 hours."
Correct Answer: B. Install a raised toilet seat.
Rationale: A raised toilet seat helps prevent hip flexion beyond 90
degrees, which is necessary to prevent dislocation. Crossing legs is
prohibited. Hydrogen peroxide damages tissue. Incentive
spirometry is used every 1-2 hours .
