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ATI Med Surg Proctored Exam 2026 (NURS 320/NURS 330) – 150+ ATI & NCLEX Practice Questions on Neurology, Cardiovascular, Oncology, Renal, Respiratory & Critical Care Nursing

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This ATI Medical-Surgical Nursing Proctored Exam study guide contains more than 150 updated ATI-style and NCLEX-RN practice questions with detailed rationales focused on high-priority adult health nursing concepts and clinical judgment. The document comprehensively covers neurological disorders, cardiovascular emergencies, oncology nursing, renal complications, respiratory care, gastrointestinal disorders, infection control, endocrine disorders, postoperative care, burns, electrolyte imbalances, and critical care nursing interventions frequently tested on ATI Med Surg Proctored Exams and nursing school assessments. The material is organized in a structured question-and-answer format designed to strengthen clinical reasoning, prioritization, pharmacology application, patient safety, and evidence-based nursing practice. Key nursing topics include intracranial pressure monitoring, ventriculostomy complications, lumbar puncture care, cerebrovascular accidents (CVA), myasthenia gravis, autonomic dysreflexia, diabetes insipidus, acute kidney injury, acute tubular necrosis, myocardial infarction management, dysrhythmias, heart failure, peripheral vascular disease, thrombocytopenia, disseminated intravascular coagulation (DIC), enteral nutrition, bronchoscopy preparation, tuberculosis precautions, Clostridium difficile isolation, burn management, postoperative complications, and cancer pain management. The guide also emphasizes nursing interventions related to airway management, aspiration prevention, infection prevention, medication administration, fluid and electrolyte monitoring, and emergency nursing priorities. This resource is especially valuable for Associate Degree Nursing (ADN) students, Bachelor of Science in Nursing (BSN) students, practical nursing students, ATI remediation candidates, and NCLEX-RN test takers preparing for medical-surgical nursing examinations and clinical evaluations. The content aligns closely with ATI Nursing Education standards, Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems by Harding, Kwong, Roberts, Hagler, and Reinisch, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing by Hinkle and Cheever, and evidence-based nursing guidelines from organizations such as the American Heart Association (AHA), Centers for Disease Control and Prevention (CDC), and National Institutes of Health (NIH). The study guide is highly effective for ATI Med Surg Proctored Exam preparation, NCLEX remediation, nursing school finals, clinical rotation review, and strengthening competency in adult health nursing. The detailed rationales help students understand not only the correct answers but also the underlying pathophysiology, nursing priorities, and clinical decision-making principles essential for safe professional nursing practice. Keywords ATI Med Surg Proctored Exam, ATI medical surgical nursing, NCLEX RN review, adult health nursing, neurological nursing, cardiovascular nursing, oncology nursing, renal nursing, respiratory nursing, critical care nursing, ventriculostomy, intracranial pressure monitoring, lumbar puncture care, cerebrovascular accident, stroke nursing, myasthenia gravis, autonomic dysreflexia, diabetes insipidus, acute kidney injury, acute tubular necrosis, myocardial infarction, dysrhythmias, heart failure, peripheral vascular disease, thrombocytopenia, disseminated intravascular coagulation, enteral feeding, bronchoscopy nursing care, tuberculosis precautions, Clostridium difficile, burn management, electrolyte imbalance, hypocalcemia, hyperkalemia, postoperative complications, oxygen therapy safety, cancer pain management, NG tube care, PEG tube feeding, pacemaker teaching, infection control, pharmacology nursing, nursing interventions, patient safety, ATI remediation, nursing exam prep, NCLEX practice questions, evidence based nursing, nursing rationales, clinical judgment, nursing school study guide

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ATI Med Surg Proctored Exam
Latest updated 2026 Exam
Questions and Answers |
Already Graded A+

A nurse is caring for a client who experienced a traumatic head injury

and has an intraventricular catheter (Ventriculostomy) for ICP

monitoring. The nurse should monitor the client for which of the following

complications related to the ventriculostomy?:




a. Headache

b. Infection

c. Aphasia


d. Hypertension - ANSWER ✔✔b. Infection

,Monitor for infection and use strict asepsis to avoid life-threatening

meningitis.

A nurse is providing education to a client who is to undergo an EEG the

next day. Which of the following info should the nurse include in the

teaching?




a. "Do not wash your hair the morning of the procedure."

b. "Try and stay awake most of the night prior to the procedure."

c. "The procedure will take approximately 15 mins."

d. "You will need to lie flat for 4 hours after the procedure." -

ANSWER ✔✔b. "Try and stay awake most of the night prior to the

procedure."




Tell the client to remain awake to provide cranial stress and increase the

possibility of abnormal electrical activity

A nurse is caring for a client who is postprocedural following a lumbar

puncture and reports a throbbing headache when sitting upright. Which

of the following actions should the nurse take? SATA.

,a. Use the GCS scale to assess the client

b. Assist the client into a supine position

c. Administer an opioid analgesic

d. Encourage the client to increase PO fluid intake

e. Instruct the client to perform coughing and deep breathing -

ANSWER ✔✔B, D


A nurse is caring for a client who has continuous bladder irrigation

following a transurethral resection of the prostate (TURP). Which of the

following findings should the nurse report to the provider?




a Output equal to the instilled irrigate

b. Client reports bladder spasms

c. Viscous urinary output with clots


d. Reports of strong urge to urinate - ANSWER ✔✔c. Viscous urinary

output with clots




Urine that is bright red with clots is an indication of arterial bleeding.



3
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, A nurse is monitoring the ECG of a client who has hypocalcemia. Which

of the following findings should the nurse expect?




a. Flattened T waves

b. Prolonged QT intervals

c. Shortened QT intervals


d Widened QRS complexes - ANSWER ✔✔b. Prolonged QT intervals


Manifestations of hypocalcemia include tingling, numbness, tetany,

seizures, prolonged QT intervals, and laryngospasm.

A nurse is preparing a client who has a brain tumor for a CT scan. Which

of the following factors affects the manner in which the nurse will prepare

the client for the scan?




a. No food or fluids consumed for 4 hours

b. Difficulty recalling recent events

c. Development of hives while eating shrimp


d. Paresthesia in both hands - ANSWER ✔✔c. Development of hives

while eating shrimp

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