Medical Surgical
Medical Surgical ATI Proctored Exam with 100
Actual Questions and Answers (Verified Answers)
and Expert Rationale | Latest (2026/2027) Updated
Version
THIS DOCUMENT CONTAINS:
❖Medical Surgical ATI Proctored Exam
❖Medical Surgical Exam
❖100 Actual Questions and Answers (Verified
Answers)
❖Expert Rationale
❖Latest (2026/2027) Updated Version
,1.A patient with heart failure reports sudden weight gain of 3 kg
in 2 days. What is the priority nursing action?
A. Notify the provider
B. Encourage increased fluid intake
C. Restrict sodium intake
D. Schedule daily weights
Answer: A. Notify the provider
Expert Rationale: Rapid weight gain indicates fluid retention, which
can worsen heart failure. Immediate provider notification is required.
2.A patient with COPD has an oxygen saturation of 88% on room air.
What is the first action?
A. Give high-flow oxygen at 6 L/min
B. Assess respiratory rate and effort
C. Call the provider immediately
D. Place the patient in Trendelenburg position
Answer: B. Assess respiratory rate and effort
Expert Rationale: Assess the patient’s respiratory status before giving
supplemental oxygen to determine severity.
,3.Which electrolyte imbalance is most likely in a patient with vomiting
and NG suction?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hyponatremia
Answer: B. Hypokalemia
Expert Rationale: Vomiting and NG suction cause loss of potassium,
leading to hypokalemia.
4.A patient receiving heparin develops a platelet count of
50,000/mm³. What is the priority action?
A. Continue therapy and monitor
B. Hold heparin and notify provider
C. Increase heparin dose
D. Give vitamin K
Answer: B. Hold heparin and notify provider
Expert Rationale: Low platelets indicate possible heparin-induced
, thrombocytopenia. Stop heparin immediately.
5.Which nursing action is priority for a post-op patient with new
confusion and restlessness?
A. Offer fluids
B. Check vital signs and oxygen saturation
C. Give pain medication
D. Reorient the patient
Answer: B. Check vital signs and oxygen saturation
Expert Rationale: Confusion may indicate hypoxia, hypotension, or
infection; assess vital signs first.
6.A patient with type 1 diabetes has blood glucose 350 mg/dL
and fruity breath. Which condition is likely?
A. Hyperosmolar hyperglycemic state (HHS)
B. Hypoglycemia
C. Diabetic ketoacidosis (DKA)
D. Metabolic alkalosis
Answer: C. Diabetic ketoacidosis (DKA)
Medical Surgical ATI Proctored Exam with 100
Actual Questions and Answers (Verified Answers)
and Expert Rationale | Latest (2026/2027) Updated
Version
THIS DOCUMENT CONTAINS:
❖Medical Surgical ATI Proctored Exam
❖Medical Surgical Exam
❖100 Actual Questions and Answers (Verified
Answers)
❖Expert Rationale
❖Latest (2026/2027) Updated Version
,1.A patient with heart failure reports sudden weight gain of 3 kg
in 2 days. What is the priority nursing action?
A. Notify the provider
B. Encourage increased fluid intake
C. Restrict sodium intake
D. Schedule daily weights
Answer: A. Notify the provider
Expert Rationale: Rapid weight gain indicates fluid retention, which
can worsen heart failure. Immediate provider notification is required.
2.A patient with COPD has an oxygen saturation of 88% on room air.
What is the first action?
A. Give high-flow oxygen at 6 L/min
B. Assess respiratory rate and effort
C. Call the provider immediately
D. Place the patient in Trendelenburg position
Answer: B. Assess respiratory rate and effort
Expert Rationale: Assess the patient’s respiratory status before giving
supplemental oxygen to determine severity.
,3.Which electrolyte imbalance is most likely in a patient with vomiting
and NG suction?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hyponatremia
Answer: B. Hypokalemia
Expert Rationale: Vomiting and NG suction cause loss of potassium,
leading to hypokalemia.
4.A patient receiving heparin develops a platelet count of
50,000/mm³. What is the priority action?
A. Continue therapy and monitor
B. Hold heparin and notify provider
C. Increase heparin dose
D. Give vitamin K
Answer: B. Hold heparin and notify provider
Expert Rationale: Low platelets indicate possible heparin-induced
, thrombocytopenia. Stop heparin immediately.
5.Which nursing action is priority for a post-op patient with new
confusion and restlessness?
A. Offer fluids
B. Check vital signs and oxygen saturation
C. Give pain medication
D. Reorient the patient
Answer: B. Check vital signs and oxygen saturation
Expert Rationale: Confusion may indicate hypoxia, hypotension, or
infection; assess vital signs first.
6.A patient with type 1 diabetes has blood glucose 350 mg/dL
and fruity breath. Which condition is likely?
A. Hyperosmolar hyperglycemic state (HHS)
B. Hypoglycemia
C. Diabetic ketoacidosis (DKA)
D. Metabolic alkalosis
Answer: C. Diabetic ketoacidosis (DKA)
