diff --git a/package-lock.json b/package-lock.json
index f46f91d052..e3306faea4 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -24502,13 +24502,13 @@
       }
     },
     "node_modules/mongodb": {
-      "version": "6.15.0",
-      "resolved": "https://registry.npmjs.org/mongodb/-/mongodb-6.15.0.tgz",
-      "integrity": "sha512-ifBhQ0rRzHDzqp9jAQP6OwHSH7dbYIQjD3SbJs9YYk9AikKEettW/9s/tbSFDTpXcRbF+u1aLrhHxDFaYtZpFQ==",
+      "version": "6.19.0",
+      "resolved": "https://registry.npmjs.org/mongodb/-/mongodb-6.19.0.tgz",
+      "integrity": "sha512-H3GtYujOJdeKIMLKBT9PwlDhGrQfplABNF1G904w6r5ZXKWyv77aB0X9B+rhmaAwjtllHzaEkvi9mkGVZxs2Bw==",
       "dev": true,
       "dependencies": {
         "@mongodb-js/saslprep": "^1.1.9",
-        "bson": "^6.10.3",
+        "bson": "^6.10.4",
         "mongodb-connection-string-url": "^3.0.0"
       },
       "engines": {
@@ -24520,7 +24520,7 @@
         "gcp-metadata": "^5.2.0",
         "kerberos": "^2.0.1",
         "mongodb-client-encryption": ">=6.0.0 <7",
-        "snappy": "^7.2.2",
+        "snappy": "^7.3.2",
         "socks": "^2.7.1"
       },
       "peerDependenciesMeta": {
@@ -34671,7 +34671,7 @@
         "@types/mocha": "10.0.10",
         "@types/node": "18.18.14",
         "cross-env": "7.0.3",
-        "mongodb": "6.15.0",
+        "mongodb": "6.19.0",
         "nyc": "17.1.0",
         "rimraf": "5.0.10",
         "test-all-versions": "6.1.0",
@@ -45817,7 +45817,7 @@
         "@types/mocha": "10.0.10",
         "@types/node": "18.18.14",
         "cross-env": "7.0.3",
-        "mongodb": "6.15.0",
+        "mongodb": "6.19.0",
         "nyc": "17.1.0",
         "rimraf": "5.0.10",
         "test-all-versions": "6.1.0",
@@ -59154,13 +59154,13 @@
       "optional": true
     },
     "mongodb": {
-      "version": "6.15.0",
-      "resolved": "https://registry.npmjs.org/mongodb/-/mongodb-6.15.0.tgz",
-      "integrity": "sha512-ifBhQ0rRzHDzqp9jAQP6OwHSH7dbYIQjD3SbJs9YYk9AikKEettW/9s/tbSFDTpXcRbF+u1aLrhHxDFaYtZpFQ==",
+      "version": "6.19.0",
+      "resolved": "https://registry.npmjs.org/mongodb/-/mongodb-6.19.0.tgz",
+      "integrity": "sha512-H3GtYujOJdeKIMLKBT9PwlDhGrQfplABNF1G904w6r5ZXKWyv77aB0X9B+rhmaAwjtllHzaEkvi9mkGVZxs2Bw==",
       "dev": true,
       "requires": {
         "@mongodb-js/saslprep": "^1.1.9",
-        "bson": "^6.10.3",
+        "bson": "^6.10.4",
         "mongodb-connection-string-url": "^3.0.0"
       }
     },
diff --git a/packages/instrumentation-mongodb/package.json b/packages/instrumentation-mongodb/package.json
index 843588c417..9882833a1d 100644
--- a/packages/instrumentation-mongodb/package.json
+++ b/packages/instrumentation-mongodb/package.json
@@ -65,7 +65,7 @@
     "@types/mocha": "10.0.10",
     "@types/node": "18.18.14",
     "cross-env": "7.0.3",
-    "mongodb": "6.15.0",
+    "mongodb": "6.19.0",
     "nyc": "17.1.0",
     "rimraf": "5.0.10",
     "test-all-versions": "6.1.0",
diff --git a/packages/instrumentation-mongodb/test/mongodb-v5-v6.test.ts b/packages/instrumentation-mongodb/test/mongodb-v5-v6.test.ts
index da4083a179..a0674395dc 100644
--- a/packages/instrumentation-mongodb/test/mongodb-v5-v6.test.ts
+++ b/packages/instrumentation-mongodb/test/mongodb-v5-v6.test.ts
@@ -509,18 +509,29 @@ describe('MongoDBInstrumentation-Tracing-v5', () => {
         create({
           responseHook: (span: Span, result: any) => {
             const { data } = result;
-            if (data.n) {
-              span.setAttribute('mongodb_insert_count', result.data.n);
+
+            // from 6.19.0 insert returns a MongoDBResponse class with a
+            // `toObject()` method instead of the plain { ok: 1, n: [Number] } response
+            let insertCount = data.n;
+            if (!insertCount && typeof data.toObject === 'function') {
+              insertCount = data.toObject().n;
+            }
+
+            if (insertCount) {
+              span.setAttribute('mongodb_insert_count', insertCount);
             }
+
             // from v6.8.0 the cursor property is not an object but an instance of
             // `CursorResponse`. We need to use the `toObject` method to be able to inspect the data
-            const cursorObj = data.cursor.firstBatch
-              ? data.cursor
-              : data.cursor.toObject();
-            span.setAttribute(
-              'mongodb_first_result',
-              JSON.stringify(cursorObj.firstBatch[0])
-            );
+            if (data.cursor) {
+              const cursorObj = data.cursor.firstBatch
+                ? data.cursor
+                : data.cursor.toObject();
+              span.setAttribute(
+                'mongodb_first_result',
+                JSON.stringify(cursorObj.firstBatch[0])
+              );
+            }
           },
         });
       });