1
ATI Med-Surg Proctored Exam 2025–2026
(Forms A, B & C) | 500 Verified Questions +
Rationales | Ultimate NCLEX & ATI Pack
Q1.
A nurse is caring for a client who has pneumonia. Which of the
following findings should the nurse report to the provider?
A. Temperature 38.2°C (100.8°F)
B. O2 saturation 92% on room air
C. Respiratory rate 28/min
D. Confusion and restlessness
✅ Correct Answer: D. Confusion and restlessness
🧠 Rationale: These are signs of hypoxia and may indicate
worsening gas exchange or sepsis.
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Q2.
A client has a serum potassium of 2.8 mEq/L. Which of the
following interventions should the nurse implement first?
A. Place the client on a cardiac monitor
B. Administer oral potassium supplement
C. Encourage foods high in potassium
D. Draw another sample for lab confirmation
✅ Correct Answer: A. Place the client on a cardiac monitor
🧠 Rationale: Hypokalemia increases the risk for life-threatening
dysrhythmias. Cardiac monitoring is the priority.
Q3.
A nurse is reinforcing discharge instructions to a client post
laparoscopic cholecystectomy. Which statement indicates a need
for further teaching?
A. “I can shower in 1–2 days.”
B. “I should avoid fatty foods.”
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C. “I can return to work tomorrow.”
D. “I may have shoulder pain from gas.”
✅ Correct Answer: C. “I can return to work tomorrow.”
🧠 Rationale: Clients are typically advised to rest for a few days
post-op to promote healing.
Q4.
Which finding indicates fluid volume overload in a client receiving
IV fluids?
A. Blood pressure 90/60 mmHg
B. Decreased breath sounds
C. Neck vein distension
D. Increased hematocrit
✅ Correct Answer: C. Neck vein distension
🧠 Rationale: Indicates increased central venous pressure, a
hallmark of fluid overload.
Q5.
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A client with heart failure is receiving furosemide. Which finding
should be reported?
A. Urine output of 2000 mL/day
B. Potassium 3.1 mEq/L
C. Weight loss of 1 kg/day
D. BP 110/70 mmHg
✅ Correct Answer: B. Potassium 3.1 mEq/L
🧠 Rationale: Hypokalemia is a common side effect of loop
diuretics and can lead to dysrhythmias.
Q6.
A nurse is caring for a client post thyroidectomy. Which is the
priority assessment?
A. Assess for hoarseness
B. Monitor for bleeding
C. Evaluate swallowing ability
D. Check for stridor
✅ Correct Answer: D. Check for stridor
ATI Med-Surg Proctored Exam 2025–2026
(Forms A, B & C) | 500 Verified Questions +
Rationales | Ultimate NCLEX & ATI Pack
Q1.
A nurse is caring for a client who has pneumonia. Which of the
following findings should the nurse report to the provider?
A. Temperature 38.2°C (100.8°F)
B. O2 saturation 92% on room air
C. Respiratory rate 28/min
D. Confusion and restlessness
✅ Correct Answer: D. Confusion and restlessness
🧠 Rationale: These are signs of hypoxia and may indicate
worsening gas exchange or sepsis.
, 2
Q2.
A client has a serum potassium of 2.8 mEq/L. Which of the
following interventions should the nurse implement first?
A. Place the client on a cardiac monitor
B. Administer oral potassium supplement
C. Encourage foods high in potassium
D. Draw another sample for lab confirmation
✅ Correct Answer: A. Place the client on a cardiac monitor
🧠 Rationale: Hypokalemia increases the risk for life-threatening
dysrhythmias. Cardiac monitoring is the priority.
Q3.
A nurse is reinforcing discharge instructions to a client post
laparoscopic cholecystectomy. Which statement indicates a need
for further teaching?
A. “I can shower in 1–2 days.”
B. “I should avoid fatty foods.”
, 3
C. “I can return to work tomorrow.”
D. “I may have shoulder pain from gas.”
✅ Correct Answer: C. “I can return to work tomorrow.”
🧠 Rationale: Clients are typically advised to rest for a few days
post-op to promote healing.
Q4.
Which finding indicates fluid volume overload in a client receiving
IV fluids?
A. Blood pressure 90/60 mmHg
B. Decreased breath sounds
C. Neck vein distension
D. Increased hematocrit
✅ Correct Answer: C. Neck vein distension
🧠 Rationale: Indicates increased central venous pressure, a
hallmark of fluid overload.
Q5.
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A client with heart failure is receiving furosemide. Which finding
should be reported?
A. Urine output of 2000 mL/day
B. Potassium 3.1 mEq/L
C. Weight loss of 1 kg/day
D. BP 110/70 mmHg
✅ Correct Answer: B. Potassium 3.1 mEq/L
🧠 Rationale: Hypokalemia is a common side effect of loop
diuretics and can lead to dysrhythmias.
Q6.
A nurse is caring for a client post thyroidectomy. Which is the
priority assessment?
A. Assess for hoarseness
B. Monitor for bleeding
C. Evaluate swallowing ability
D. Check for stridor
✅ Correct Answer: D. Check for stridor
