ATI RN ADULT MEDICAL SURGICAL (MED-SURG)
PROCTORED EXAM 2026 WITH NGN — 100 REAL
QUESTIONS AND CORRECT ANSWERS 2026 EDITION
Question 1
📌 IMAGE
📌 QUESTION (Rewritten)
A nurse is assessing a client who has a short-leg fiberglass cast. Which finding should
the nurse identify as an early manifestation of compartment syndrome?
📌 OPTIONS
A. Erythema of the toes
B. Capillary refill less than 2 seconds
C. Intense pain with movement
D. Bounding distal pulses
🔵 Correct Answer: C. Intense pain with movement
Explanation: Severe pain that worsens with passive movement is one of the earliest
and most significant signs of compartment syndrome. The condition occurs when
pressure within a closed muscle compartment compromises circulation and tissue
perfusion. Early intervention is critical to prevent permanent nerve and muscle damage.
Question 2
,📌 IMAGE
📌 QUESTION (Rewritten)
A nurse is monitoring a client receiving 2 units of packed red blood cells. Which
manifestation indicates a hemolytic transfusion reaction?
📌 OPTIONS
A. Hypertension
B. Chills
C. Back pain
D. Bradycardia
🔵 Correct Answer: C. Back pain
Explanation: Acute hemolytic transfusion reactions commonly present with low back
pain, flank pain, fever, chills, and hemoglobinuria. These reactions occur when donor red
blood cells are destroyed by the recipient’s immune system due to incompatibility.
Question 3
📌 IMAGE
,📌 QUESTION (Rewritten)
A nurse is caring for a client following total hip arthroplasty. Which intervention helps
prevent hip dislocation?
📌 OPTIONS
A. Elevate the knees higher than the hips when relaxing
B. Place a towel pillow between the legs while in bed
C. Encourage the client to lean forward when standing
D. Remove the wedge device when turning
🔵 Correct Answer: B. Place a towel pillow between the legs while in bed
Explanation: After hip replacement surgery, maintaining hip abduction is essential to
prevent dislocation. An abduction pillow or towel between the legs keeps the hip in
proper alignment and reduces the risk of adduction-related displacement.
Question 4
📌 IMAGE
📌 QUESTION (Rewritten)
A preoperative client reports an allergy to bananas. The nurse should recognize that
the client is at risk for allergic cross-reactivity with which substance?
📌 OPTIONS
A. Povidone-iodine
B. Latex
, C. Anesthetics
D. Adhesive tape
🔵 Correct Answer: B. Latex
Explanation: Clients with allergies to bananas, avocados, kiwis, or chestnuts are at
increased risk for latex allergy because of similar protein structures. Nurses should
implement latex precautions to avoid allergic reactions.
Question 5
📌 IMAGE
📌 QUESTION (Rewritten)
A home health nurse visits an older adult during winter and finds the thermostat set to
12.8°C (55°F). The client states, “I keep the heat low because I can’t afford the bill.”
Which action should the nurse take?
📌 OPTIONS
A. Provide written information about hypothermia
B. Contact the local Department of Health and Human Services
C. Inform the client’s family about the financial situation
D. Recommend staying at a shelter until the bill can be paid
🔵 Correct Answer: B. Contact the local Department of Health and Human Services
Explanation: The nurse should advocate for the client by connecting them with
community resources and social assistance programs. Referring the client to Health and
Human Services helps address the underlying financial issue while preserving autonomy
and safety.
PROCTORED EXAM 2026 WITH NGN — 100 REAL
QUESTIONS AND CORRECT ANSWERS 2026 EDITION
Question 1
📌 IMAGE
📌 QUESTION (Rewritten)
A nurse is assessing a client who has a short-leg fiberglass cast. Which finding should
the nurse identify as an early manifestation of compartment syndrome?
📌 OPTIONS
A. Erythema of the toes
B. Capillary refill less than 2 seconds
C. Intense pain with movement
D. Bounding distal pulses
🔵 Correct Answer: C. Intense pain with movement
Explanation: Severe pain that worsens with passive movement is one of the earliest
and most significant signs of compartment syndrome. The condition occurs when
pressure within a closed muscle compartment compromises circulation and tissue
perfusion. Early intervention is critical to prevent permanent nerve and muscle damage.
Question 2
,📌 IMAGE
📌 QUESTION (Rewritten)
A nurse is monitoring a client receiving 2 units of packed red blood cells. Which
manifestation indicates a hemolytic transfusion reaction?
📌 OPTIONS
A. Hypertension
B. Chills
C. Back pain
D. Bradycardia
🔵 Correct Answer: C. Back pain
Explanation: Acute hemolytic transfusion reactions commonly present with low back
pain, flank pain, fever, chills, and hemoglobinuria. These reactions occur when donor red
blood cells are destroyed by the recipient’s immune system due to incompatibility.
Question 3
📌 IMAGE
,📌 QUESTION (Rewritten)
A nurse is caring for a client following total hip arthroplasty. Which intervention helps
prevent hip dislocation?
📌 OPTIONS
A. Elevate the knees higher than the hips when relaxing
B. Place a towel pillow between the legs while in bed
C. Encourage the client to lean forward when standing
D. Remove the wedge device when turning
🔵 Correct Answer: B. Place a towel pillow between the legs while in bed
Explanation: After hip replacement surgery, maintaining hip abduction is essential to
prevent dislocation. An abduction pillow or towel between the legs keeps the hip in
proper alignment and reduces the risk of adduction-related displacement.
Question 4
📌 IMAGE
📌 QUESTION (Rewritten)
A preoperative client reports an allergy to bananas. The nurse should recognize that
the client is at risk for allergic cross-reactivity with which substance?
📌 OPTIONS
A. Povidone-iodine
B. Latex
, C. Anesthetics
D. Adhesive tape
🔵 Correct Answer: B. Latex
Explanation: Clients with allergies to bananas, avocados, kiwis, or chestnuts are at
increased risk for latex allergy because of similar protein structures. Nurses should
implement latex precautions to avoid allergic reactions.
Question 5
📌 IMAGE
📌 QUESTION (Rewritten)
A home health nurse visits an older adult during winter and finds the thermostat set to
12.8°C (55°F). The client states, “I keep the heat low because I can’t afford the bill.”
Which action should the nurse take?
📌 OPTIONS
A. Provide written information about hypothermia
B. Contact the local Department of Health and Human Services
C. Inform the client’s family about the financial situation
D. Recommend staying at a shelter until the bill can be paid
🔵 Correct Answer: B. Contact the local Department of Health and Human Services
Explanation: The nurse should advocate for the client by connecting them with
community resources and social assistance programs. Referring the client to Health and
Human Services helps address the underlying financial issue while preserving autonomy
and safety.
