ATI MED SURG Proctored Exam Practice Questions and Answers with Rationale 2026
ATI MED SURG Proctored Exam Practice
Questions and Answers with Rationale ATI
Exam 2026 Nclex Questions
1. Heart Failure
A client with left-sided heart failure reports dyspnea and cough with frothy sputum. What is the
priority action?
A. Administer oxygen
B. Place in supine position
C. Encourage fluids
D. Give antipyretics
Answer: A
Rationale: Oxygen improves hypoxia caused by pulmonary congestion.
2. COPD
Which finding is expected in a client with COPD?
A. Bradycardia
B. Barrel chest
C. Hypocapnia
D. Increased oxygen saturation
Answer: B
Rationale: Air trapping causes hyperinflated lungs → barrel chest.
3. Myocardial Infarction
Priority intervention for chest pain?
A. Give morphine
B. Obtain ECG
C. Check bowel sounds
D. Encourage walking
, ATI MED SURG Proctored Exam Practice Questions and Answers with Rationale 2026
Answer: B
Rationale: ECG confirms ischemia/infarction immediately.
4. Stroke
Which sign indicates ischemic stroke?
A. Sudden severe headache
B. Unilateral weakness
C. Fever
D. Bradycardia
Answer: B
Rationale: Focal neurological deficit is classic.
5. Diabetes
Which indicates hypoglycemia?
A. Polyuria
B. Fruity breath
C. Tremors and sweating
D. Kussmaul breathing
Answer: C
Rationale: Adrenergic response to low glucose.
6. DKA
Priority treatment?
A. IV insulin
B. Oral glucose
C. Fluid restriction
D. Heparin
Answer: A
Rationale: Insulin corrects hyperglycemia and ketosis.
, ATI MED SURG Proctored Exam Practice Questions and Answers with Rationale 2026
7. Hyperkalemia
Which ECG change is expected?
A. U waves
B. Peaked T waves
C. ST elevation
D. Prolonged QT
Answer: B
Rationale: Classic hyperkalemia sign.
8. Hypokalemia
Manifestation?
A. Bradycardia
B. Muscle weakness
C. Hyperreflexia
D. Tetany only
Answer: B
Rationale: Low K+ reduces neuromuscular function.
9. Pneumonia
Best nursing intervention?
A. Supine rest
B. Incentive spirometry
C. Fluid restriction
D. Oxygen avoidance
Answer: B
Rationale: Promotes lung expansion.
ATI MED SURG Proctored Exam Practice
Questions and Answers with Rationale ATI
Exam 2026 Nclex Questions
1. Heart Failure
A client with left-sided heart failure reports dyspnea and cough with frothy sputum. What is the
priority action?
A. Administer oxygen
B. Place in supine position
C. Encourage fluids
D. Give antipyretics
Answer: A
Rationale: Oxygen improves hypoxia caused by pulmonary congestion.
2. COPD
Which finding is expected in a client with COPD?
A. Bradycardia
B. Barrel chest
C. Hypocapnia
D. Increased oxygen saturation
Answer: B
Rationale: Air trapping causes hyperinflated lungs → barrel chest.
3. Myocardial Infarction
Priority intervention for chest pain?
A. Give morphine
B. Obtain ECG
C. Check bowel sounds
D. Encourage walking
, ATI MED SURG Proctored Exam Practice Questions and Answers with Rationale 2026
Answer: B
Rationale: ECG confirms ischemia/infarction immediately.
4. Stroke
Which sign indicates ischemic stroke?
A. Sudden severe headache
B. Unilateral weakness
C. Fever
D. Bradycardia
Answer: B
Rationale: Focal neurological deficit is classic.
5. Diabetes
Which indicates hypoglycemia?
A. Polyuria
B. Fruity breath
C. Tremors and sweating
D. Kussmaul breathing
Answer: C
Rationale: Adrenergic response to low glucose.
6. DKA
Priority treatment?
A. IV insulin
B. Oral glucose
C. Fluid restriction
D. Heparin
Answer: A
Rationale: Insulin corrects hyperglycemia and ketosis.
, ATI MED SURG Proctored Exam Practice Questions and Answers with Rationale 2026
7. Hyperkalemia
Which ECG change is expected?
A. U waves
B. Peaked T waves
C. ST elevation
D. Prolonged QT
Answer: B
Rationale: Classic hyperkalemia sign.
8. Hypokalemia
Manifestation?
A. Bradycardia
B. Muscle weakness
C. Hyperreflexia
D. Tetany only
Answer: B
Rationale: Low K+ reduces neuromuscular function.
9. Pneumonia
Best nursing intervention?
A. Supine rest
B. Incentive spirometry
C. Fluid restriction
D. Oxygen avoidance
Answer: B
Rationale: Promotes lung expansion.
