ATI MED SURG PROCTORED EXAM - (90
QUESTIONS) UP-TO-DATE ACTUAL EXAM
QUESTIONS AND 100% ACCURATE SOLUTIONS |
VERIFIED ANSWERS - INSTANT PDF DOWNLOAD
Examiner/Administrator: Assessment Technologies Institute (ATI)
CANDIDATE INFORMATION
Name: ____________________________
Candidate ID: _____________________
Date: ____________________________
Examination Centre: _______________
INSTRUCTIONS TO CANDIDATES
You are required to complete all questions within the allotted time. This
assessment consists of approximately 90 multiple-choice questions designed to
evaluate your clinical reasoning, prioritization, and application of medical-
surgical nursing knowledge. Read each question carefully and select the most
appropriate answer. Only one answer is correct for each question unless
otherwise stated. Time allocation: 90 minutes. Use clinical judgment and
evidence-based practice principles throughout.
DISCLAIMER
This is an original simulated examination inspired by the format and rigor of the
ATI Med-Surg Proctored Exam. It is intended solely for educational preparation
and does not replicate actual exam content.
CORE DOMAINS
• Cardiovascular and Hemodynamic Stability
• Respiratory Function and Oxygenation
• Neurological and Cognitive Integrity
• Gastrointestinal and Metabolic Balance
, • Endocrine Regulation
• Renal and Fluid-Electrolyte Balance
• Infection Control and Safety
• Perioperative Care and Pain Management
This assessment evaluates the nurse’s ability to apply clinical knowledge in
complex patient scenarios, emphasizing prioritization, delegation, and
evidence-based interventions. Candidates are expected to integrate
pathophysiology, pharmacology, and nursing care principles in decision-
making.
Q1. A nurse is caring for a client with acute decompensated heart failure who
presents with dyspnea, crackles, and peripheral edema. Which intervention
should the nurse implement first?
A. Administer IV furosemide
B. Position the client in high-Fowler’s
C. Restrict oral fluid intake
D. Obtain daily weights
Correct Answer: B. Position the client in high-Fowler’s
Explanation: 🟡 Positioning improves ventilation immediately and reduces
preload, making it the priority. IV diuretics are essential but require time to act.
Fluid restriction and daily weights are important but not urgent interventions.
Q2. A nurse is assessing a client with chronic obstructive pulmonary disease
(COPD). Which finding requires immediate intervention?
A. Barrel-shaped chest
B. Oxygen saturation of 88%
C. Use of accessory muscles
D. Confusion and restlessness
Correct Answer: D. Confusion and restlessness
Explanation: 🟡 Confusion indicates hypoxia or hypercapnia and requires
urgent intervention. Barrel chest is chronic. SpO₂ of 88% may be baseline in
,COPD. Accessory muscle use indicates distress but not as critical as altered
mental status.
Q3. A client with diabetes mellitus reports dizziness and sweating. Blood
glucose is 54 mg/dL. What is the priority action?
A. Administer insulin
B. Provide 15 g of fast-acting carbohydrate
C. Encourage oral fluids
D. Check urine ketones
Correct Answer: B. Provide 15 g of fast-acting carbohydrate
Explanation: 🟡 This is hypoglycemia. Immediate glucose replacement is
required. Insulin would worsen the condition. Fluids and ketones are secondary
concerns.
Q4. A nurse is caring for a postoperative client who develops sudden chest pain
and dyspnea. What is the priority action?
A. Administer analgesics
B. Notify the provider
C. Elevate legs
D. Apply oxygen
Correct Answer: D. Apply oxygen
Explanation: 🟡 Suspected pulmonary embolism requires immediate
oxygenation. Notification follows stabilization. Analgesics and positioning are
secondary.
Q5. A nurse is monitoring a client receiving IV potassium. Which finding
indicates toxicity?
A. Muscle weakness
B. Hypertension
C. Increased urine output
D. Tachycardia
, Correct Answer: A. Muscle weakness
Explanation: 🟡 Hyperkalemia causes muscle weakness and cardiac
dysrhythmias. Hypertension and tachycardia are less specific. Increased urine
output is unrelated.
Q6. A client with stroke has right-sided weakness. Which intervention promotes
safety?
A. Place items on the right side
B. Encourage use of affected limb
C. Assist with ambulation
D. Keep bed in high position
Correct Answer: C. Assist with ambulation
Explanation: 🟡 Safety is priority due to weakness. Placing items on affected
side reduces independence. Bed should be low. Encouraging use is good but
safety comes first.
Q7. A nurse assesses a client with sepsis. Which finding indicates worsening
condition?
A. Fever
B. Elevated WBC
C. Hypotension
D. Tachycardia
Correct Answer: C. Hypotension
Explanation: 🟡 Hypotension signals septic shock and poor perfusion. Fever
and WBC are expected. Tachycardia is compensatory.
Q8. A client is receiving heparin therapy. Which lab value is most important?
A. INR
B. Platelets
C. aPTT
D. Hemoglobin
QUESTIONS) UP-TO-DATE ACTUAL EXAM
QUESTIONS AND 100% ACCURATE SOLUTIONS |
VERIFIED ANSWERS - INSTANT PDF DOWNLOAD
Examiner/Administrator: Assessment Technologies Institute (ATI)
CANDIDATE INFORMATION
Name: ____________________________
Candidate ID: _____________________
Date: ____________________________
Examination Centre: _______________
INSTRUCTIONS TO CANDIDATES
You are required to complete all questions within the allotted time. This
assessment consists of approximately 90 multiple-choice questions designed to
evaluate your clinical reasoning, prioritization, and application of medical-
surgical nursing knowledge. Read each question carefully and select the most
appropriate answer. Only one answer is correct for each question unless
otherwise stated. Time allocation: 90 minutes. Use clinical judgment and
evidence-based practice principles throughout.
DISCLAIMER
This is an original simulated examination inspired by the format and rigor of the
ATI Med-Surg Proctored Exam. It is intended solely for educational preparation
and does not replicate actual exam content.
CORE DOMAINS
• Cardiovascular and Hemodynamic Stability
• Respiratory Function and Oxygenation
• Neurological and Cognitive Integrity
• Gastrointestinal and Metabolic Balance
, • Endocrine Regulation
• Renal and Fluid-Electrolyte Balance
• Infection Control and Safety
• Perioperative Care and Pain Management
This assessment evaluates the nurse’s ability to apply clinical knowledge in
complex patient scenarios, emphasizing prioritization, delegation, and
evidence-based interventions. Candidates are expected to integrate
pathophysiology, pharmacology, and nursing care principles in decision-
making.
Q1. A nurse is caring for a client with acute decompensated heart failure who
presents with dyspnea, crackles, and peripheral edema. Which intervention
should the nurse implement first?
A. Administer IV furosemide
B. Position the client in high-Fowler’s
C. Restrict oral fluid intake
D. Obtain daily weights
Correct Answer: B. Position the client in high-Fowler’s
Explanation: 🟡 Positioning improves ventilation immediately and reduces
preload, making it the priority. IV diuretics are essential but require time to act.
Fluid restriction and daily weights are important but not urgent interventions.
Q2. A nurse is assessing a client with chronic obstructive pulmonary disease
(COPD). Which finding requires immediate intervention?
A. Barrel-shaped chest
B. Oxygen saturation of 88%
C. Use of accessory muscles
D. Confusion and restlessness
Correct Answer: D. Confusion and restlessness
Explanation: 🟡 Confusion indicates hypoxia or hypercapnia and requires
urgent intervention. Barrel chest is chronic. SpO₂ of 88% may be baseline in
,COPD. Accessory muscle use indicates distress but not as critical as altered
mental status.
Q3. A client with diabetes mellitus reports dizziness and sweating. Blood
glucose is 54 mg/dL. What is the priority action?
A. Administer insulin
B. Provide 15 g of fast-acting carbohydrate
C. Encourage oral fluids
D. Check urine ketones
Correct Answer: B. Provide 15 g of fast-acting carbohydrate
Explanation: 🟡 This is hypoglycemia. Immediate glucose replacement is
required. Insulin would worsen the condition. Fluids and ketones are secondary
concerns.
Q4. A nurse is caring for a postoperative client who develops sudden chest pain
and dyspnea. What is the priority action?
A. Administer analgesics
B. Notify the provider
C. Elevate legs
D. Apply oxygen
Correct Answer: D. Apply oxygen
Explanation: 🟡 Suspected pulmonary embolism requires immediate
oxygenation. Notification follows stabilization. Analgesics and positioning are
secondary.
Q5. A nurse is monitoring a client receiving IV potassium. Which finding
indicates toxicity?
A. Muscle weakness
B. Hypertension
C. Increased urine output
D. Tachycardia
, Correct Answer: A. Muscle weakness
Explanation: 🟡 Hyperkalemia causes muscle weakness and cardiac
dysrhythmias. Hypertension and tachycardia are less specific. Increased urine
output is unrelated.
Q6. A client with stroke has right-sided weakness. Which intervention promotes
safety?
A. Place items on the right side
B. Encourage use of affected limb
C. Assist with ambulation
D. Keep bed in high position
Correct Answer: C. Assist with ambulation
Explanation: 🟡 Safety is priority due to weakness. Placing items on affected
side reduces independence. Bed should be low. Encouraging use is good but
safety comes first.
Q7. A nurse assesses a client with sepsis. Which finding indicates worsening
condition?
A. Fever
B. Elevated WBC
C. Hypotension
D. Tachycardia
Correct Answer: C. Hypotension
Explanation: 🟡 Hypotension signals septic shock and poor perfusion. Fever
and WBC are expected. Tachycardia is compensatory.
Q8. A client is receiving heparin therapy. Which lab value is most important?
A. INR
B. Platelets
C. aPTT
D. Hemoglobin
