FUNDAMENTALS – ATI/NCLEX EXAM QUESTIONS WITH
VERIFIED ANSWERS & DETAILED RATIONALES | NURSING
REVISION PACK
COURSE NAME
ATI Medical-Surgical Nursing
LEVEL
College / University Level
SHORT INTRODUCTION
This ATI Medical-Surgical Nursing Paper 1 revision pack is designed to help
nursing students master foundational med-surg concepts, patient care priorities,
and ATI/NCLEX clinical reasoning. It contains exam-style questions with verified
answers and detailed rationales ideal for ATI exams, nursing school assessments,
NCLEX preparation, and clinical practice.
INSTRUCTIONS
Answer all questions.
Carefully read each clinical scenario before responding.
Prioritize patient safety and nursing judgment.
Apply ATI and NCLEX critical-thinking strategies.
Use evidence-based nursing principles throughout the exam.
Suggested Time: 2 Hours 30 Minutes.
EXAM STRUCTURE
, SECTION A — Multiple Choice Questions (15 Questions)
SECTION B — Short Answer Questions (10 Questions)
SECTION C — Scenario/Application Questions (10 Questions)
SECTION D — Higher-Order Thinking Questions (5 Questions)
PAPER 1 — FOUNDATION LEVEL
SECTION A — MULTIPLE CHOICE QUESTIONS
1. Which patient should the nurse assess FIRST?
A. Patient requesting pain medication
B. Patient with oxygen saturation of 84%
C. Patient waiting for discharge teaching
D. Patient requesting water
Answer: B
Low oxygen saturation indicates impaired oxygenation and requires immediate
intervention.
2. Which nursing action helps prevent postoperative pneumonia?
A. Bed rest only
B. Encourage incentive spirometer use
C. Restrict fluids
D. Limit coughing
Answer: B
Incentive spirometry promotes lung expansion and prevents atelectasis and
pneumonia.