ATI RN
FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
,This ATI test contains:
Passing Score Guarantee
Exam has 70 FUNDAMENTALS nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
1. A nurse is admitting a client who is malnourished. The client states, "My wedding ring is loose
and I'm worried I will lose it if it falls off." Which of the following is an appropriate response by the
nurse?
A. "I will place it in your drawer so it won't get lost."
B. "I can pin it to your hospital gown so you won't lose it."
,C. "I will hold onto it until a family member can take it home."
D. "I can put it in a locked storage unit for you."
Correct Answer: D
Rationale:
Placing valuables in a locked storage area protects the client's belongings while respecting their property.
It's important to ensure safety of personal items without taking possession away indefinitely or risking loss.
---
2. A charge nurse is teaching a group of newly licensed nurses about the use of restraints. In which
of the following clinical situations should the nurse apply restraints?
A. If the client is pacing in the hallway
B. As a part of a fall prevention program
C. At the request of the client's family
D. When the client poses a threat to self
Correct Answer: D
Rationale:
Restraints are used only when the client is a danger to themselves or others, not for convenience, fall
prevention programs, or at family requests alone. This aligns with ethical and legal standards to protect
client safety.
3. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has
difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 ml oral syrup. Which of the
following images indicates the correct number of mL the nurse should administer? (Round answer to
the nearest whole number.)
Dosage Calculation: 8 mL
*A. 5 mL*
*B. 8 mL*
, *C. 10 mL*
*D. 12 mL*
Correct Answer: B
Rationale:
To calculate the volume to administer:
\( \frac{20\, mg \times 5\, mL}{12.5\, mg} = 8\, mL \).
The nurse should administer 8 mL of the syrup. This ensures accurate dosing based on the concentration
available, which is critical in pediatric medication administration.
---
4. To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a
straight catheterization on a client. In which of the following roles is the nurse manager
functioning?
A. Case manager
B. Client educator
C. Client care provider
D. Client advocate
Correct Answer: D
Rationale:
By overseeing and ensuring safe care through direct observation, the nurse manager acts as a client
advocate, ensuring client rights and safety during procedures.
---
5. A charge nurse in a long-term care facility is preparing an educational program about delirium for
newly hired nurses. Which of the following statements should the nurse plan to include?
A. "Delirium does not affect a client's perception of her environment."
FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
,This ATI test contains:
Passing Score Guarantee
Exam has 70 FUNDAMENTALS nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
1. A nurse is admitting a client who is malnourished. The client states, "My wedding ring is loose
and I'm worried I will lose it if it falls off." Which of the following is an appropriate response by the
nurse?
A. "I will place it in your drawer so it won't get lost."
B. "I can pin it to your hospital gown so you won't lose it."
,C. "I will hold onto it until a family member can take it home."
D. "I can put it in a locked storage unit for you."
Correct Answer: D
Rationale:
Placing valuables in a locked storage area protects the client's belongings while respecting their property.
It's important to ensure safety of personal items without taking possession away indefinitely or risking loss.
---
2. A charge nurse is teaching a group of newly licensed nurses about the use of restraints. In which
of the following clinical situations should the nurse apply restraints?
A. If the client is pacing in the hallway
B. As a part of a fall prevention program
C. At the request of the client's family
D. When the client poses a threat to self
Correct Answer: D
Rationale:
Restraints are used only when the client is a danger to themselves or others, not for convenience, fall
prevention programs, or at family requests alone. This aligns with ethical and legal standards to protect
client safety.
3. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has
difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 ml oral syrup. Which of the
following images indicates the correct number of mL the nurse should administer? (Round answer to
the nearest whole number.)
Dosage Calculation: 8 mL
*A. 5 mL*
*B. 8 mL*
, *C. 10 mL*
*D. 12 mL*
Correct Answer: B
Rationale:
To calculate the volume to administer:
\( \frac{20\, mg \times 5\, mL}{12.5\, mg} = 8\, mL \).
The nurse should administer 8 mL of the syrup. This ensures accurate dosing based on the concentration
available, which is critical in pediatric medication administration.
---
4. To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a
straight catheterization on a client. In which of the following roles is the nurse manager
functioning?
A. Case manager
B. Client educator
C. Client care provider
D. Client advocate
Correct Answer: D
Rationale:
By overseeing and ensuring safe care through direct observation, the nurse manager acts as a client
advocate, ensuring client rights and safety during procedures.
---
5. A charge nurse in a long-term care facility is preparing an educational program about delirium for
newly hired nurses. Which of the following statements should the nurse plan to include?
A. "Delirium does not affect a client's perception of her environment."
