ATI RN FUNDAMENTALS
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
/ / / /
passing/score/Guarantee
70/Questions/with/Answers
Format/Set/of/Multiple-choice
questions/with/incorporating/Next/Generation/NCLEX/(NGN)/a
nd/Case/Scenario
Expert-Verified/Explanations/&/Solutions
,━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
1./(NGN-Style:/Prioritization)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
CASE/SCENARIO:
A/nurse/in/a/medical-
surgical/unit/receives/shift/report/on/four/clients/who/have/abnormal/findings:
•/Client/A:/Newly/diagnosed/rheumatoid/arthritis/with/an/elevated/C-
reactive/protein/(CRP)//
•/Client/B:/Hyperlipidemia/with/a/total/cholesterol/of/280/mg/dL//
•/Client/C:/One/day/postoperative/with/oxygen/saturation/of/88%//
•/Client/D:/Heart/failure/with/serum/potassium/of/3.1/mEq/L//
QUESTION:
Using/the/airway,/breathing,/circulation/(ABC)/approach,/which/client/should/the/nurse/ass
ess/first?
A./Client/A,/who/has/an/elevated/CRP//
B./Client/B,/who/has/high/cholesterol//
C./Client/C,/who/is/postoperative/and/has/an/O₂/saturation/of/88%//
D./Client/D,/who/has/heart/failure/and/hypokalemia//
CORRECT/ANSWER://
C./Client/C,/who/is/postoperative/and/has/an/O₂/saturation/of/88%.//
EXPERT/EXPLANATION/RATIONALE:
•/An/oxygen/saturation/below/90-
95%/commonly/indicates/hypoxia/and/is/the/most/acute/concern/based/on/ABCs/(Airway/a
nd/Breathing).//
,•/While/hypokalemia/(Client/D)/is/also/a/serious/finding,/it/is/addressed/after/ensuring/a/sta
ble/airway/and/breathing./Elevated/CRP/(Client/A)/and/high/cholesterol/(Client/B)/pose/lon
ger-term/risks/but/are/not/as/immediately/life-threatening.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
2./(NGN-Style:/Recognizing/Cues)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
CASE/SCENARIO:
A/nurse/is/caring/for/a/client/who/has/chronic/obstructive/pulmonary/disease/(COPD)./The/
nurse/reviews/the/client’s/most/recent/vital/signs/and/assessment/data:
•/Temperature:/101.4/°F/(38.6/°C)//
•/Blood/Pressure:/122/76/mm/Hg//
•/Heart/Rate:/90/min//
•/Respirations:/24/min//
•/Oxygen/Saturation:/88%/on/room/air//
QUESTION:
Which/of/the/following/findings/requires/immediate/follow-up/by/the/nurse?
A./Blood/pressure/of/122/76/mm/Hg//
B./Heart/rate/of/90/min//
C./Temperature/of/101.4/°F/(38.6/°C)//
D./Oxygen/saturation/of/88%//
CORRECT/ANSWER://
D./Oxygen/saturation/of/88%.//
EXPERT/EXPLANATION/RATIONALE:
, •/COPD/clients/often/have/lower-than-
normal/oxygen/saturations,/but/88%/is/still/clinically/significant/and/indicates/hypoxia/requi
ring/prompt/nursing/intervention/(e.g.,/apply/prescribed/low-
flow/oxygen,/reassess/respiratory/status).//
•/A/low-
grade/fever/(101.4/°F)/is/also/concerning/for/infection,/but/airway/breathing/problems/take/
priority/(ABCs).
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
3./(NGN-Style:/Priority/Action)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
CASE/SCENARIO:
A/client/comes/to/the/emergency/department/reporting/diffuse/abdominal/pain/and/constip
ation/for/several/days./An/abdominal/x-ray/suggests/possible/fecal/impaction./
QUESTION:
Which/of/the/following/interventions/is/the/nurse’s/priority/before/implementing/other/prescr
ibed/actions?
A./Perform/a/cleansing/enema/as/prescribed.//
B./Place/the/client/in/a/left/side-lying/position/with/right/knee/flexed.//
C./Auscultate/bowel/sounds/in/each/quadrant.//
D./Prepare/the/client/for/manual/digital/removal/of/stool.//
CORRECT/ANSWER://
C./Auscultate/bowel/sounds/in/each/quadrant.//
EXPERT/EXPLANATION/RATIONALE:
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
/ / / /
passing/score/Guarantee
70/Questions/with/Answers
Format/Set/of/Multiple-choice
questions/with/incorporating/Next/Generation/NCLEX/(NGN)/a
nd/Case/Scenario
Expert-Verified/Explanations/&/Solutions
,━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
1./(NGN-Style:/Prioritization)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
CASE/SCENARIO:
A/nurse/in/a/medical-
surgical/unit/receives/shift/report/on/four/clients/who/have/abnormal/findings:
•/Client/A:/Newly/diagnosed/rheumatoid/arthritis/with/an/elevated/C-
reactive/protein/(CRP)//
•/Client/B:/Hyperlipidemia/with/a/total/cholesterol/of/280/mg/dL//
•/Client/C:/One/day/postoperative/with/oxygen/saturation/of/88%//
•/Client/D:/Heart/failure/with/serum/potassium/of/3.1/mEq/L//
QUESTION:
Using/the/airway,/breathing,/circulation/(ABC)/approach,/which/client/should/the/nurse/ass
ess/first?
A./Client/A,/who/has/an/elevated/CRP//
B./Client/B,/who/has/high/cholesterol//
C./Client/C,/who/is/postoperative/and/has/an/O₂/saturation/of/88%//
D./Client/D,/who/has/heart/failure/and/hypokalemia//
CORRECT/ANSWER://
C./Client/C,/who/is/postoperative/and/has/an/O₂/saturation/of/88%.//
EXPERT/EXPLANATION/RATIONALE:
•/An/oxygen/saturation/below/90-
95%/commonly/indicates/hypoxia/and/is/the/most/acute/concern/based/on/ABCs/(Airway/a
nd/Breathing).//
,•/While/hypokalemia/(Client/D)/is/also/a/serious/finding,/it/is/addressed/after/ensuring/a/sta
ble/airway/and/breathing./Elevated/CRP/(Client/A)/and/high/cholesterol/(Client/B)/pose/lon
ger-term/risks/but/are/not/as/immediately/life-threatening.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
2./(NGN-Style:/Recognizing/Cues)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
CASE/SCENARIO:
A/nurse/is/caring/for/a/client/who/has/chronic/obstructive/pulmonary/disease/(COPD)./The/
nurse/reviews/the/client’s/most/recent/vital/signs/and/assessment/data:
•/Temperature:/101.4/°F/(38.6/°C)//
•/Blood/Pressure:/122/76/mm/Hg//
•/Heart/Rate:/90/min//
•/Respirations:/24/min//
•/Oxygen/Saturation:/88%/on/room/air//
QUESTION:
Which/of/the/following/findings/requires/immediate/follow-up/by/the/nurse?
A./Blood/pressure/of/122/76/mm/Hg//
B./Heart/rate/of/90/min//
C./Temperature/of/101.4/°F/(38.6/°C)//
D./Oxygen/saturation/of/88%//
CORRECT/ANSWER://
D./Oxygen/saturation/of/88%.//
EXPERT/EXPLANATION/RATIONALE:
, •/COPD/clients/often/have/lower-than-
normal/oxygen/saturations,/but/88%/is/still/clinically/significant/and/indicates/hypoxia/requi
ring/prompt/nursing/intervention/(e.g.,/apply/prescribed/low-
flow/oxygen,/reassess/respiratory/status).//
•/A/low-
grade/fever/(101.4/°F)/is/also/concerning/for/infection,/but/airway/breathing/problems/take/
priority/(ABCs).
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
3./(NGN-Style:/Priority/Action)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
CASE/SCENARIO:
A/client/comes/to/the/emergency/department/reporting/diffuse/abdominal/pain/and/constip
ation/for/several/days./An/abdominal/x-ray/suggests/possible/fecal/impaction./
QUESTION:
Which/of/the/following/interventions/is/the/nurse’s/priority/before/implementing/other/prescr
ibed/actions?
A./Perform/a/cleansing/enema/as/prescribed.//
B./Place/the/client/in/a/left/side-lying/position/with/right/knee/flexed.//
C./Auscultate/bowel/sounds/in/each/quadrant.//
D./Prepare/the/client/for/manual/digital/removal/of/stool.//
CORRECT/ANSWER://
C./Auscultate/bowel/sounds/in/each/quadrant.//
EXPERT/EXPLANATION/RATIONALE:
