ATI RN Medical Surgical NGN (2025) –
Complete 90 Practice Questions with Correct
Answers and Rationales
Introduction:
This document contains 90 practice questions for the ATI RN
Medical Surgical Next Generation NCLEX (NGN) exam, updated
for 2025. Each question includes the correct answer with a
detailed rationale, covering a wide range of medical-surgical
nursing topics such as preoperative and postoperative care,
respiratory and cardiac disorders, endocrine and renal
conditions, neurological events, oncology, and emergency care. It
is a comprehensive study resource designed to strengthen test-
taking strategies and clinical judgment for exam preparation.
Questions and answers with Rationales:
The nurse is providing preoperative teaching for a client who is
scheduled for a mastectomy. Which of the following statements
should the nurse make?
- "You should accept your body image before discharge."
- "It is important for you to look at the incisional site when the
dressings are removed."
,- "I will refer you to community resources that can provide
support."
- "The scar will remain red and raised for many years after
surgery." -Answer:-- "I will refer you to community resources that
can provide support."
RATIONALE:-The nurse should provide the client with support
resources, including community programs, to assist the client
with acceptance of body changes.
A nurse is assessing a client while suctioning the client's
tracheostomy tube. Which of the following findings should
indicate to the nurse the client is experiencing hypoxia?
- The client starts to cough
- The client's heart rate increases
- The client is diaphoretic
- The client's blood pressure decreases -Answer:-- The client's
heart rate increases
RATIONALE:-Hypoxia related to suctioning can cause the client's
heart rate to increase. If this occurs, the nurse should discontinue
the suctioning and manually oxygenate the client with 100%
,oxygen. The nurse should instruct the client to take 3 or 4 deep
breaths prior to suctioning to reduce the risk for hypoxia.
A nurse is providing follow-up care for a client who sustained a
compound fracture 3 weeks ago. The nurse should recognize that
an expected finding for which of the following laboratory values is
a manifestation of osteomyelitis and should be reported to the
provider?
- Sedimentation rate
- Hematocrit
- Calcium
- Acid phosphatase -Answer:-- Sedimentation rate
RATIONALE:-An increased sedimentation rate occurs when a
client has any type of inflammatory process, such as
osteomyelitis.
A nurse is providing instructions to a client who has type 2
diabetes mellitus and a new prescription for metformin. Which of
the following statements by the client indicates an understanding
of the teaching?
, - "I will monitor my blood sugar carefully because the medication
increases the secretion of insulin."
- "I should take this medication with a meal."
- "I can expect to gain weight while taking this medication."
- "While taking this medication, I will experience flushing of my
skin." -Answer:-- "I should take this medication with a meal."
RATIONALE:-The client should take metformin with or
immediately following meals to improve absorption and to
minimize GI distress.
A nurse is performing a dressing change for a client who is
recovering from a hemicolectomy. When removing the dressing,
the nurse notes that a large part of the bowel is protruding
through the abdomen. Which of the following actions should the
nurse take first?
- Place the client in a supine position
- Measure vital signs
- Cover the wound with a sterile, saline-moistened dressing
- Call for help -Answer:-- Call for help
Complete 90 Practice Questions with Correct
Answers and Rationales
Introduction:
This document contains 90 practice questions for the ATI RN
Medical Surgical Next Generation NCLEX (NGN) exam, updated
for 2025. Each question includes the correct answer with a
detailed rationale, covering a wide range of medical-surgical
nursing topics such as preoperative and postoperative care,
respiratory and cardiac disorders, endocrine and renal
conditions, neurological events, oncology, and emergency care. It
is a comprehensive study resource designed to strengthen test-
taking strategies and clinical judgment for exam preparation.
Questions and answers with Rationales:
The nurse is providing preoperative teaching for a client who is
scheduled for a mastectomy. Which of the following statements
should the nurse make?
- "You should accept your body image before discharge."
- "It is important for you to look at the incisional site when the
dressings are removed."
,- "I will refer you to community resources that can provide
support."
- "The scar will remain red and raised for many years after
surgery." -Answer:-- "I will refer you to community resources that
can provide support."
RATIONALE:-The nurse should provide the client with support
resources, including community programs, to assist the client
with acceptance of body changes.
A nurse is assessing a client while suctioning the client's
tracheostomy tube. Which of the following findings should
indicate to the nurse the client is experiencing hypoxia?
- The client starts to cough
- The client's heart rate increases
- The client is diaphoretic
- The client's blood pressure decreases -Answer:-- The client's
heart rate increases
RATIONALE:-Hypoxia related to suctioning can cause the client's
heart rate to increase. If this occurs, the nurse should discontinue
the suctioning and manually oxygenate the client with 100%
,oxygen. The nurse should instruct the client to take 3 or 4 deep
breaths prior to suctioning to reduce the risk for hypoxia.
A nurse is providing follow-up care for a client who sustained a
compound fracture 3 weeks ago. The nurse should recognize that
an expected finding for which of the following laboratory values is
a manifestation of osteomyelitis and should be reported to the
provider?
- Sedimentation rate
- Hematocrit
- Calcium
- Acid phosphatase -Answer:-- Sedimentation rate
RATIONALE:-An increased sedimentation rate occurs when a
client has any type of inflammatory process, such as
osteomyelitis.
A nurse is providing instructions to a client who has type 2
diabetes mellitus and a new prescription for metformin. Which of
the following statements by the client indicates an understanding
of the teaching?
, - "I will monitor my blood sugar carefully because the medication
increases the secretion of insulin."
- "I should take this medication with a meal."
- "I can expect to gain weight while taking this medication."
- "While taking this medication, I will experience flushing of my
skin." -Answer:-- "I should take this medication with a meal."
RATIONALE:-The client should take metformin with or
immediately following meals to improve absorption and to
minimize GI distress.
A nurse is performing a dressing change for a client who is
recovering from a hemicolectomy. When removing the dressing,
the nurse notes that a large part of the bowel is protruding
through the abdomen. Which of the following actions should the
nurse take first?
- Place the client in a supine position
- Measure vital signs
- Cover the wound with a sterile, saline-moistened dressing
- Call for help -Answer:-- Call for help
