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ATI Med-Surg Proctored Exam 2025–2026 | 300 NGN-
Ready Questions with Rationales | Full Clinical Test Bank
About this Resource
This study pack contains 300 verified ATI-style questions specifically tailored for the
Medical-Surgical Proctored Exam (2025–2026). It includes Next Generation NCLEX
(NGN) scenario-based questions, priority-setting items, and detailed rationales for each
answer to help nursing students understand the "why" behind the correct choice. Whether
you're preparing for ATI Form A, B, or final proctored assessments, this guide is designed to
help you master clinical reasoning, delegation, safety, and system-based nursing care.
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🔖 Table of Contents (Preview)
Section Topics Covered
Part 1 NGN Clinical Scenarios (Qs 1–50)
Systems-Based Review – Cardio, Neuro, GI, GU
Part 2
(Qs 51–150)
Part 3 Safety & Prioritization Questions (Qs 151–200)
Part 4 Pharmacology in Med-Surg (Qs 201–250)
Miscellaneous & Bonus High-Yield Qs (Qs 251–
Part 5
300)
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✅ Let's Begin with Part 1: NGN Clinical Scenarios (Qs 1–10)
Q1.
A nurse is caring for a client post-op following a cholecystectomy.
Which assessment finding should be reported immediately?
A. Heart rate of 98 bpm
B. Abdominal distension and rigidity
C. Pain level of 4/10
D. Output of 60 mL/hr urine
✅ Correct Answer: B. Abdominal distension and rigidity
🧠 Rationale: This may indicate internal bleeding or peritonitis,
both of which are life-threatening complications requiring urgent
intervention. The other findings are within expected ranges post-
operatively.
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Q2.
A client with COPD is receiving O2 via nasal cannula at 5 L/min. The
client is increasingly drowsy. What action should the nurse take first?
A. Increase O2 to 8 L/min
B. Prepare for intubation
C. Assess respiratory rate and SpO2
D. Notify the provider immediately
✅ Correct Answer: C. Assess respiratory rate and SpO2
🧠 Rationale: High-flow oxygen can suppress the respiratory drive in
COPD clients. Assess before acting to determine if O2 therapy is
causing CO2 retention.
ATI Med-Surg Proctored Exam 2025–2026 | 300 NGN-
Ready Questions with Rationales | Full Clinical Test Bank
About this Resource
This study pack contains 300 verified ATI-style questions specifically tailored for the
Medical-Surgical Proctored Exam (2025–2026). It includes Next Generation NCLEX
(NGN) scenario-based questions, priority-setting items, and detailed rationales for each
answer to help nursing students understand the "why" behind the correct choice. Whether
you're preparing for ATI Form A, B, or final proctored assessments, this guide is designed to
help you master clinical reasoning, delegation, safety, and system-based nursing care.
, 2
🔖 Table of Contents (Preview)
Section Topics Covered
Part 1 NGN Clinical Scenarios (Qs 1–50)
Systems-Based Review – Cardio, Neuro, GI, GU
Part 2
(Qs 51–150)
Part 3 Safety & Prioritization Questions (Qs 151–200)
Part 4 Pharmacology in Med-Surg (Qs 201–250)
Miscellaneous & Bonus High-Yield Qs (Qs 251–
Part 5
300)
, 3
✅ Let's Begin with Part 1: NGN Clinical Scenarios (Qs 1–10)
Q1.
A nurse is caring for a client post-op following a cholecystectomy.
Which assessment finding should be reported immediately?
A. Heart rate of 98 bpm
B. Abdominal distension and rigidity
C. Pain level of 4/10
D. Output of 60 mL/hr urine
✅ Correct Answer: B. Abdominal distension and rigidity
🧠 Rationale: This may indicate internal bleeding or peritonitis,
both of which are life-threatening complications requiring urgent
intervention. The other findings are within expected ranges post-
operatively.
, 4
Q2.
A client with COPD is receiving O2 via nasal cannula at 5 L/min. The
client is increasingly drowsy. What action should the nurse take first?
A. Increase O2 to 8 L/min
B. Prepare for intubation
C. Assess respiratory rate and SpO2
D. Notify the provider immediately
✅ Correct Answer: C. Assess respiratory rate and SpO2
🧠 Rationale: High-flow oxygen can suppress the respiratory drive in
COPD clients. Assess before acting to determine if O2 therapy is
causing CO2 retention.
