ATI RN FUNDAMENTALS PROCTORE
This ATI test contains:
/ / /
EXAM /
passing/score/Guarantee
70/Ques/and/Ans QUESTIONS
(NGN-STYLE & CASE STUDIES)
Format/Set/of/Multiple-choice
Actual
questions Qs & Ans to Pass the Exam
/with/incorporating/Next/Generation/NCLEX/(NGN)/a
nd/Case/studies/questions
Expert-Verified/Explanations/&/Solutions
───────────────────────────────────────────────────────
─
1./NGN-Style/Clinical/Scenario
───────────────────────────────────────────────────────
─
A/nurse/is/caring/for/a/client/who/is/postoperative/following/abdominal/surgery./The/nurse/h
as/gathered/the/following/assessment/data:
•/Urinary/output:/20/mL/hr
•/Client/reports/pain/level:/6/on/a/0–10/scale
,•/Vital/signs:/Temperature/37.2°C/(99.0°F),/Pulse/84/min,/Respirations/18/min,/Blood/pres
sure/118/74/mm/Hg
Question:/Which/of/the/following/findings/is/the/priority/finding/that/the/nurse/should/report/t
o/the/provider?
A./Urinary/output/of/20/mL/hr
B./Reported/pain/level/of/6/on/a/0–10/scale
C./Temperature/of/37.2°C/(99.0°F)
D./Blood/pressure/of/118/74/mm/Hg
Correct/Answer:/A//
Expert/Explanation/Rationale:/An/adult/client’s/urinary/output/should/be/at/least/30/mL/h
r/to/maintain/adequate/kidney/perfusion./A/rate/of/20/mL/hr/may/indicate/decreased/renal/p
erfusion/and/necessitates/immediate/provider/notification./The/other/findings/(pain/of/6/10,
/mild/elevation/in/temperature,/and/blood/pressure/within/normal/limits)/are/not/as/urgent.
───────────────────────────────────────────────────────
─
2./A/nurse/is/caring/for/a/client/who/reports/difficulty/falling/asleep/at/night./Which/of/the/foll
owing/recommendations/should/the/nurse/make?
A./Take/a/daytime/nap/to/catch/up/on/rest.//
B./Consume/a/caffeinated/beverage/before/bedtime.//
C./Maintain/a/consistent/time/to/wake/up/each/day.//
D./Increase/fluid/intake/right/before/bedtime.//
Correct/Answer:/C//
Expert/Explanation/Rationale:/Maintaining/a/consistent/wake-
up/time/helps/regulate/the/sleep-
wake/cycle/and/improves/overall/sleep/hygiene./Daytime/naps,/consuming/stimulants/befo
re/bed,/and/ingesting/fluids/close/to/bedtime/can/negatively/affect/the/ability/to/fall/asleep.
,───────────────────────────────────────────────────────
─
3./A/nurse/is/caring/for/a/client/who/has/diarrhea/secondary/to/a/Shigella/infection./Which/of
/the/following/precautions/should/the/nurse/implement?
A./Airborne/precautions//
B./Droplet/precautions//
C./Contact/precautions/(wear/a/gown)//
D./Standard/precautions/only//
Correct/Answer:/C//
Expert/Explanation/Rationale:/Shigella/transmission/occurs/via/the/fecal-
oral/route/and/requires/contact/precautions./Healthcare/workers/should/wear/gloves/and/a/
gown/when/coming/into/contact/with/the/client’s/environment/or/secretions./Airborne/preca
utions/(e.g.,/N95/mask)/apply/to/pathogens/such/as/tuberculosis,/and/droplet/precautions/
apply/to/infections/spread/via/large/respiratory/droplets/(e.g.,/influenza).
───────────────────────────────────────────────────────
─
4./A/nurse/is/assessing/a/client/who/reports/increased/pain/after/completing/physical/thera
py./Which/of/the/following/questions/by/the/nurse/assesses/the/QUALITY/of/the/client’s/pai
n?
A./“Where/is/your/pain/located?”//
B./“Is/your/pain/sharp/or/dull?”//
C./“How/severe/is/your/pain/on/a/scale/from/0/to/10?”//
D./“When/did/your/pain/start?”//
Correct/Answer:/B//
Expert/Explanation/Rationale:/Asking/if/the/pain/is/“sharp/or/dull”/addresses/the/qualitati
ve/aspect/or/character/of/the/pain./Location,/severity,/and/onset/are/also/important/aspects/
of/pain/assessment/but/do/not/directly/address/the/quality.
, ───────────────────────────────────────────────────────
─
5./A/nurse/is/caring/for/a/client/who/has/a/serum/sodium/level/of/125/mEq/L./Which/of/the/fo
llowing/findings/should/the/nurse/expect?
A./Ecchymosis//
B./Abdominal/cramping//
C./Polyuria//
D./Tachycardia//
Correct/Answer:/B//
Expert/Explanation/Rationale:/Hyponatremia/(low/sodium)/often/presents/with/gastroint
estinal/manifestations/such/as/abdominal/cramping/and/nausea./Tachycardia/can/occur,/b
ut/abdominal/cramping/is/more/specifically/linked/to/hyponatremia;/ecchymosis/and/polyur
ia/are/not/primary/signs/of/hyponatremia.
───────────────────────────────────────────────────────
─
6./NGN-Style/Clinical/Scenario
───────────────────────────────────────────────────────
─
A/client/is/admitted/with/a/large/abdominal/wound/that/has/copious/purulent/drainage./The/
nurse/prepares/to/implement/the/correct/transmission-based/precautions.
Question:/Which/of/the/following/transmission/precautions/should/the/nurse/initiate/for/this/
client?
A./Airborne/precautions//
B./Droplet/precautions//
C./Contact/precautions//
D./Protective/(reverse)/precautions//
Correct/Answer:/C//
This ATI test contains:
/ / /
EXAM /
passing/score/Guarantee
70/Ques/and/Ans QUESTIONS
(NGN-STYLE & CASE STUDIES)
Format/Set/of/Multiple-choice
Actual
questions Qs & Ans to Pass the Exam
/with/incorporating/Next/Generation/NCLEX/(NGN)/a
nd/Case/studies/questions
Expert-Verified/Explanations/&/Solutions
───────────────────────────────────────────────────────
─
1./NGN-Style/Clinical/Scenario
───────────────────────────────────────────────────────
─
A/nurse/is/caring/for/a/client/who/is/postoperative/following/abdominal/surgery./The/nurse/h
as/gathered/the/following/assessment/data:
•/Urinary/output:/20/mL/hr
•/Client/reports/pain/level:/6/on/a/0–10/scale
,•/Vital/signs:/Temperature/37.2°C/(99.0°F),/Pulse/84/min,/Respirations/18/min,/Blood/pres
sure/118/74/mm/Hg
Question:/Which/of/the/following/findings/is/the/priority/finding/that/the/nurse/should/report/t
o/the/provider?
A./Urinary/output/of/20/mL/hr
B./Reported/pain/level/of/6/on/a/0–10/scale
C./Temperature/of/37.2°C/(99.0°F)
D./Blood/pressure/of/118/74/mm/Hg
Correct/Answer:/A//
Expert/Explanation/Rationale:/An/adult/client’s/urinary/output/should/be/at/least/30/mL/h
r/to/maintain/adequate/kidney/perfusion./A/rate/of/20/mL/hr/may/indicate/decreased/renal/p
erfusion/and/necessitates/immediate/provider/notification./The/other/findings/(pain/of/6/10,
/mild/elevation/in/temperature,/and/blood/pressure/within/normal/limits)/are/not/as/urgent.
───────────────────────────────────────────────────────
─
2./A/nurse/is/caring/for/a/client/who/reports/difficulty/falling/asleep/at/night./Which/of/the/foll
owing/recommendations/should/the/nurse/make?
A./Take/a/daytime/nap/to/catch/up/on/rest.//
B./Consume/a/caffeinated/beverage/before/bedtime.//
C./Maintain/a/consistent/time/to/wake/up/each/day.//
D./Increase/fluid/intake/right/before/bedtime.//
Correct/Answer:/C//
Expert/Explanation/Rationale:/Maintaining/a/consistent/wake-
up/time/helps/regulate/the/sleep-
wake/cycle/and/improves/overall/sleep/hygiene./Daytime/naps,/consuming/stimulants/befo
re/bed,/and/ingesting/fluids/close/to/bedtime/can/negatively/affect/the/ability/to/fall/asleep.
,───────────────────────────────────────────────────────
─
3./A/nurse/is/caring/for/a/client/who/has/diarrhea/secondary/to/a/Shigella/infection./Which/of
/the/following/precautions/should/the/nurse/implement?
A./Airborne/precautions//
B./Droplet/precautions//
C./Contact/precautions/(wear/a/gown)//
D./Standard/precautions/only//
Correct/Answer:/C//
Expert/Explanation/Rationale:/Shigella/transmission/occurs/via/the/fecal-
oral/route/and/requires/contact/precautions./Healthcare/workers/should/wear/gloves/and/a/
gown/when/coming/into/contact/with/the/client’s/environment/or/secretions./Airborne/preca
utions/(e.g.,/N95/mask)/apply/to/pathogens/such/as/tuberculosis,/and/droplet/precautions/
apply/to/infections/spread/via/large/respiratory/droplets/(e.g.,/influenza).
───────────────────────────────────────────────────────
─
4./A/nurse/is/assessing/a/client/who/reports/increased/pain/after/completing/physical/thera
py./Which/of/the/following/questions/by/the/nurse/assesses/the/QUALITY/of/the/client’s/pai
n?
A./“Where/is/your/pain/located?”//
B./“Is/your/pain/sharp/or/dull?”//
C./“How/severe/is/your/pain/on/a/scale/from/0/to/10?”//
D./“When/did/your/pain/start?”//
Correct/Answer:/B//
Expert/Explanation/Rationale:/Asking/if/the/pain/is/“sharp/or/dull”/addresses/the/qualitati
ve/aspect/or/character/of/the/pain./Location,/severity,/and/onset/are/also/important/aspects/
of/pain/assessment/but/do/not/directly/address/the/quality.
, ───────────────────────────────────────────────────────
─
5./A/nurse/is/caring/for/a/client/who/has/a/serum/sodium/level/of/125/mEq/L./Which/of/the/fo
llowing/findings/should/the/nurse/expect?
A./Ecchymosis//
B./Abdominal/cramping//
C./Polyuria//
D./Tachycardia//
Correct/Answer:/B//
Expert/Explanation/Rationale:/Hyponatremia/(low/sodium)/often/presents/with/gastroint
estinal/manifestations/such/as/abdominal/cramping/and/nausea./Tachycardia/can/occur,/b
ut/abdominal/cramping/is/more/specifically/linked/to/hyponatremia;/ecchymosis/and/polyur
ia/are/not/primary/signs/of/hyponatremia.
───────────────────────────────────────────────────────
─
6./NGN-Style/Clinical/Scenario
───────────────────────────────────────────────────────
─
A/client/is/admitted/with/a/large/abdominal/wound/that/has/copious/purulent/drainage./The/
nurse/prepares/to/implement/the/correct/transmission-based/precautions.
Question:/Which/of/the/following/transmission/precautions/should/the/nurse/initiate/for/this/
client?
A./Airborne/precautions//
B./Droplet/precautions//
C./Contact/precautions//
D./Protective/(reverse)/precautions//
Correct/Answer:/C//
