ATI RN ADULT MEDICAL SURGICAL (MED-SURG)
PROCTORED ACTUAL EXAM 2026 WITH NGN — 100
REAL QUESTIONS AND CORRECT ANSWERS 2026
EDITION
Question 1
📌 QUESTION (Rewritten)
A nurse is assessing a client who has a short-leg fiberglass cast. Which finding should the
nurse identify as an early manifestation of compartment syndrome?
📌 OPTIONS
A. Erythema of the toes
B. Capillary refill less than 2 seconds
C. Intense pain with movement
D. Bounding distal pulses
🔵 Correct Answer: C. Intense pain with movement
🟢 Explanation: Severe pain that worsens with passive movement is one of the earliest and
most significant signs of compartment syndrome. The condition occurs when pressure within
,a closed muscle compartment compromises circulation and tissue perfusion. Early
intervention is critical to prevent permanent nerve and muscle damage.
Question 2
📌 QUESTION (Rewritten)
A nurse is monitoring a client receiving 2 units of packed red blood cells. Which
manifestation indicates a hemolytic transfusion reaction?
📌 OPTIONS
A. Hypertension
B. Chills
C. Back pain
D. Bradycardia
🔵 Correct Answer: C. Back pain
🟢 Explanation: Acute hemolytic transfusion reactions commonly present with low back
pain, flank pain, fever, chills, and hemoglobinuria. These reactions occur when donor red
blood cells are destroyed by the recipient’s immune system due to incompatibility.
Question 3
,📌 QUESTION (Rewritten)
A nurse is caring for a client following total hip arthroplasty. Which intervention helps
prevent hip dislocation?
📌 OPTIONS
A. Elevate the knees higher than the hips when relaxing
B. Place a towel pillow between the legs while in bed
C. Encourage the client to lean forward when standing
D. Remove the wedge device when turning
🔵 Correct Answer: B. Place a towel pillow between the legs while in bed
🟢 Explanation: After hip replacement surgery, maintaining hip abduction is essential to
prevent dislocation. An abduction pillow or towel between the legs keeps the hip in proper
alignment and reduces the risk of adduction-related displacement.
Question 4
, 📌 QUESTION (Rewritten)
A preoperative client reports an allergy to bananas. The nurse should recognize that the client
is at risk for allergic cross-reactivity with which substance?
📌 OPTIONS
A. Povidone-iodine
B. Latex
C. Anesthetics
D. Adhesive tape
🔵 Correct Answer: B. Latex
🟢 Explanation: Clients with allergies to bananas, avocados, kiwis, or chestnuts are at
increased risk for latex allergy because of similar protein structures. Nurses should
implement latex precautions to avoid allergic reactions.
Question 5
PROCTORED ACTUAL EXAM 2026 WITH NGN — 100
REAL QUESTIONS AND CORRECT ANSWERS 2026
EDITION
Question 1
📌 QUESTION (Rewritten)
A nurse is assessing a client who has a short-leg fiberglass cast. Which finding should the
nurse identify as an early manifestation of compartment syndrome?
📌 OPTIONS
A. Erythema of the toes
B. Capillary refill less than 2 seconds
C. Intense pain with movement
D. Bounding distal pulses
🔵 Correct Answer: C. Intense pain with movement
🟢 Explanation: Severe pain that worsens with passive movement is one of the earliest and
most significant signs of compartment syndrome. The condition occurs when pressure within
,a closed muscle compartment compromises circulation and tissue perfusion. Early
intervention is critical to prevent permanent nerve and muscle damage.
Question 2
📌 QUESTION (Rewritten)
A nurse is monitoring a client receiving 2 units of packed red blood cells. Which
manifestation indicates a hemolytic transfusion reaction?
📌 OPTIONS
A. Hypertension
B. Chills
C. Back pain
D. Bradycardia
🔵 Correct Answer: C. Back pain
🟢 Explanation: Acute hemolytic transfusion reactions commonly present with low back
pain, flank pain, fever, chills, and hemoglobinuria. These reactions occur when donor red
blood cells are destroyed by the recipient’s immune system due to incompatibility.
Question 3
,📌 QUESTION (Rewritten)
A nurse is caring for a client following total hip arthroplasty. Which intervention helps
prevent hip dislocation?
📌 OPTIONS
A. Elevate the knees higher than the hips when relaxing
B. Place a towel pillow between the legs while in bed
C. Encourage the client to lean forward when standing
D. Remove the wedge device when turning
🔵 Correct Answer: B. Place a towel pillow between the legs while in bed
🟢 Explanation: After hip replacement surgery, maintaining hip abduction is essential to
prevent dislocation. An abduction pillow or towel between the legs keeps the hip in proper
alignment and reduces the risk of adduction-related displacement.
Question 4
, 📌 QUESTION (Rewritten)
A preoperative client reports an allergy to bananas. The nurse should recognize that the client
is at risk for allergic cross-reactivity with which substance?
📌 OPTIONS
A. Povidone-iodine
B. Latex
C. Anesthetics
D. Adhesive tape
🔵 Correct Answer: B. Latex
🟢 Explanation: Clients with allergies to bananas, avocados, kiwis, or chestnuts are at
increased risk for latex allergy because of similar protein structures. Nurses should
implement latex precautions to avoid allergic reactions.
Question 5
