90 ATI NCLEX-PN MEDSURGE EXAM SIMULATOR 2026

Note: Open HMTL file on a laptop or Ipad

Medical-Surgical Nursing System Review

90 Questions All Major Body Systems

Every system. Every disorder. One focused assessment.

Medical-surgical nursing is the backbone of clinical practice — and the heaviest hitter on NCLEX-PN. This 90-item assessment takes a body-systems approach, putting your knowledge of adult pathophysiology, priority interventions, and clinical decision-making under exam conditions across the full spectrum of med-surg nursing.

Questions are written in the same single best-answer, scenario-based format used by NCLEX-PN and ATI — with a client, a clinical scenario, and four plausible options designed to test your ability to distinguish the best response, not just recall a fact. Distractors are deliberately crafted from common misconceptions and frequently tested clinical pitfalls.

What's included:

• 90 high-yield questions spanning 10 major body systems
• 10 systems covered:Cardiovascular — HF, MI, dysrhythmias, PAD, hypertension, post-cath care
• Respiratory — pneumonia, chest tubes, COPD, ARDS, TB, pulmonary embolism
• Neurological — ICP, Parkinson's, Guillain-Barré, multiple sclerosis, seizures, strokes
• Gastrointestinal — pancreatitis, cirrhosis, Crohn's, peptic ulcer, appendicitis, ostomy care
• Renal & Genitourinary — AKI, CKD, dialysis, nephrotic syndrome, UTI, renal stones
• Endocrine — DKA, HHS, hypothyroidism, Cushing's, Addison's, SIADH, diabetes insipidus
• Musculoskeletal — fractures, compartment syndrome, osteoarthritis, RA, gout, joint replacement
• Integumentary — pressure injuries, burns, cellulitis, venous stasis ulcers, wound staging
• Hematologic, Immune & Oncologic — sickle cell, hemophilia, leukemia, DIC, polycythemia
• Eye, Ear & Sensory — glaucoma, cataracts, Ménière's disease, macular degeneration

Pediatric Nursing System Review

90 Questions — Growth, Development & Childhood Disorders

From the crib to the clinic. Every milestone. Every condition.

Pediatric nursing demands a fundamentally different lens — developmental context, weight-based dosing, family-centered communication, and clinical presentations that don't look anything like their adult counterparts. This 90-item pediatric assessment is built for students who need to move beyond textbook definitions and practice applying pediatric principles under realistic exam conditions.

Questions span the full arc of pediatric nursing — from normal growth and Erikson's developmental stages, to acute respiratory emergencies, congenital heart defects, childhood cancers, and mandatory reporting obligations. Every scenario is grounded in the clinical realities of caring for patients from birth through adolescence.

What's included:

• 90 single best-answer questions across 10 core pediatric topic areas
• 10 topic areas covered:Growth & Development — milestones, Erikson's stages, discipline, anticipatory guidance
• Pediatric Respiratory — croup, bronchiolitis, asthma, epiglottitis, cystic fibrosis, RSV
• Pediatric Cardiovascular — tetralogy of Fallot, VSD, CHF, Kawasaki disease, coarctation of the aorta
• Pediatric Gastrointestinal — pyloric stenosis, intussusception, celiac disease, Hirschsprung's, appendicitis
• Pediatric Neurological — febrile seizures, hydrocephalus, meningitis, cerebral palsy, spina bifida
• Pediatric Musculoskeletal — developmental dysplasia of the hip, scoliosis, clubfoot, osteomyelitis, Osgood-Schlatter
• Pediatric Endocrine & Metabolic — PKU, type 1 DM, congenital hypothyroidism, precocious puberty, DKA
• Pediatric Renal & Genitourinary — nephrotic syndrome, glomerulonephritis, UTIs, HUS, vesicoureteral reflux
• Pediatric Hematologic & Oncologic — sickle cell, hemophilia, ALL, ITP, iron-deficiency anemia
• Safety, Immunizations & Infectious Disease — SIDS prevention, vaccine schedules, child abuse reporting, poisoning, car seat safety