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 in an emergency department is assessing a client who reports right lower quadrant
pain, nausea, and vomiting for the past 48 hours. Which of the following actions should the nurse
take first?
A. Palpate the abdomen
,B. Administer an antiemetic
C. Offer pain medication
D. Auscultate bowel sounds
Correct Answer: D. Auscultate bowel sounds
Rationale:
According to the ATI prioritization principles, assessment always precedes intervention. Auscultating bowel
sounds helps identify bowel activity before palpating, which could cause pain or rupture if appendicitis is
suspected. Palpation is important but comes after auscultation. Administering medications without proper
assessment could mask symptoms or cause harm.
---
### 2. A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which
of the following factors is most likely to increase the client's motivation to learn?
A. The nurse's empathy about the client having to self-inject
B. The client's belief that his needs will be met through education
C. The client seeking family approval by agreeing to a teaching plan
D. The nurse explaining the need for education to the client
Correct Answer: B. The client's belief that his needs will be met through education
Rationale:
Motivation to learn increases when the client perceives that the education will help meet their personal
needs, leading to a sense of relevance and benefit. While empathy and family support are important,
internal motivation triggered by a clear understanding of the benefits is more effective.
### 3. A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which
of the following actions is appropriate for the nurse to include?
A. Administer 240 mL (8 oz) of oral contrast before the procedure.
B. Monitor the client for pain in the suprapubic region.
C. Assist the client with a bowel cleansing.
, D. Ensure the client is free of metal objects.
Correct Answer: C. Assist the client with a bowel cleansing.
Rationale:
An intravenous pyelogram (IVP) is a radiographic study of the urinary tract using contrast dye. To improve
visualization, bowel cleansing (through laxatives or enemas) is often required to clear the intestines of fecal
matter that could obscure the images. Oral contrast is usually not administered for IVP; metal objects are
more relevant for MRI rather than IVP; and pain in the suprapubic region is not a typical focus before the
procedure.
---
### 4. A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN)
in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the
plan of care?
A. Change the PN infusion bag every 48 hours.
B. Prepare the client for a central venous line.
C. Administer the PN and fat emulsion separately.
D. Obtain a random blood glucose daily.
Correct Answer: B. Prepare the client for a central venous line.
Rationale:
Parenteral nutrition, especially 20% dextrose, is hyperosmolar and requires administration through a central
venous line to avoid phlebitis and vessel damage. Fat emulsions are usually administered simultaneously
but through a separate lumen or line. PN bags should be changed every 24 hours to reduce infection risk.
Blood glucose should be monitored more frequently than daily due to risk of hyperglycemia.
### 5. A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the
following interventions is the nurse's priority?
A. Determine the client's reading ability
B. Review the use of an artificial larynx
C. With the client schedule a support session
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 in an emergency department is assessing a client who reports right lower quadrant
pain, nausea, and vomiting for the past 48 hours. Which of the following actions should the nurse
take first?
A. Palpate the abdomen
,B. Administer an antiemetic
C. Offer pain medication
D. Auscultate bowel sounds
Correct Answer: D. Auscultate bowel sounds
Rationale:
According to the ATI prioritization principles, assessment always precedes intervention. Auscultating bowel
sounds helps identify bowel activity before palpating, which could cause pain or rupture if appendicitis is
suspected. Palpation is important but comes after auscultation. Administering medications without proper
assessment could mask symptoms or cause harm.
---
### 2. A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which
of the following factors is most likely to increase the client's motivation to learn?
A. The nurse's empathy about the client having to self-inject
B. The client's belief that his needs will be met through education
C. The client seeking family approval by agreeing to a teaching plan
D. The nurse explaining the need for education to the client
Correct Answer: B. The client's belief that his needs will be met through education
Rationale:
Motivation to learn increases when the client perceives that the education will help meet their personal
needs, leading to a sense of relevance and benefit. While empathy and family support are important,
internal motivation triggered by a clear understanding of the benefits is more effective.
### 3. A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which
of the following actions is appropriate for the nurse to include?
A. Administer 240 mL (8 oz) of oral contrast before the procedure.
B. Monitor the client for pain in the suprapubic region.
C. Assist the client with a bowel cleansing.
, D. Ensure the client is free of metal objects.
Correct Answer: C. Assist the client with a bowel cleansing.
Rationale:
An intravenous pyelogram (IVP) is a radiographic study of the urinary tract using contrast dye. To improve
visualization, bowel cleansing (through laxatives or enemas) is often required to clear the intestines of fecal
matter that could obscure the images. Oral contrast is usually not administered for IVP; metal objects are
more relevant for MRI rather than IVP; and pain in the suprapubic region is not a typical focus before the
procedure.
---
### 4. A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN)
in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the
plan of care?
A. Change the PN infusion bag every 48 hours.
B. Prepare the client for a central venous line.
C. Administer the PN and fat emulsion separately.
D. Obtain a random blood glucose daily.
Correct Answer: B. Prepare the client for a central venous line.
Rationale:
Parenteral nutrition, especially 20% dextrose, is hyperosmolar and requires administration through a central
venous line to avoid phlebitis and vessel damage. Fat emulsions are usually administered simultaneously
but through a separate lumen or line. PN bags should be changed every 24 hours to reduce infection risk.
Blood glucose should be monitored more frequently than daily due to risk of hyperglycemia.
### 5. A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the
following interventions is the nurse's priority?
A. Determine the client's reading ability
B. Review the use of an artificial larynx
C. With the client schedule a support session
