FUNDAMENTALS PROCTORED
(VERSION 1, 2, 3 EXAMS)
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This,ATI,test,contains:,
Passing,Score,Guarantee,
Each,Exam,has,70,FUNDAMENTALS,nursing,questio
ns,
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.
,Table of Contents
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ATI,PN,Fundamentals,Proctored,Exam,(V1) ....................................... 2
ATI,PN,Fundamentals,Proctored,Exam,(V2) ..................................... 37
ATI,PN,Fundamentals,Proctored,Exam,(V3) ..................................... 74
ATI,PN,Fundamentals,Proctored,Exam,(V1)
1.,Maintaining,Sterility,in,Procedures,,
A,nurse,is,wearing,sterile,gloves,in,preparation,for,assisting,with,a,client's,sterile,pr
ocedure.,While,waiting,for,the,procedure,to,begin,,how,should,the,nurse,position,th
eir,hands?,,
A.,Place,one,hand,over,the,other,against,the,part,of,the,gown,covering,the,upper,body.,,
B.,Keep,their,arms,at,the,sides,of,their,body,with,their,hands,in,a,relaxed,position.,,
C.,Interlock,their,fingers,and,hold,their,hands,away,from,their,body,above,their,waist.,,
Correct,Answer:,C.,Interlock,their,fingers,and,hold,their,hands,away,from,their,body,abov
e,their,waist.
Expert,Rationale:,Holding,hands,above,the,waist,and,away,from,the,body,helps,maintain,
sterility,,as,areas,below,the,waist,or,close,to,the,body,are,considered,contaminated.
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2.,Suctioning,a,Tracheostomy,,
,A,nurse,in,a,long-
term,care,facility,is,caring,for,a,client,who,has,a,tracheostomy.,Which,of,the,followin
g,actions,should,the,nurse,take?,,
A.,Apply,suction,while,inserting,the,catheter.,,
B.,Apply,intermittent,suction,for,up,to,30,seconds.,,
C.,Preoxygenate,the,client,prior,to,suctioning.,,
D.,Instruct,the,client,to,swallow,during,catheter,insertion.,,
Correct,Answer:,C.,Preoxygenate,the,client,prior,to,suctioning.
Expert,Rationale:,Preoxygenation,prevents,hypoxemia,during,suctioning—an,evidence-
based,practice,that,is,especially,critical,for,clients,with,tracheostomies,who,are,at,higher,ris
k,of,desaturation.
3.,Guided,Imagery,for,Chronic,Pain,Management,,
A,nurse,is,reinforcing,teaching,with,a,client,about,using,guided,imagery,to,manage,
chronic,pain.,Which,of,the,following,statements,by,the,client,indicates,an,understan
ding,of,this,technique?,,
A.,"I,think,about,my,grandfather's,farm,to,reduce,pain.",,
B.,"I,listen,to,my,favorite,music,to,take,my,mind,off,the,pain.",,
C.,"I,use,focused,breathing,to,control,my,pain.",,
D.,"I,learn,to,notice,the,sensation,of,muscle,tension.",,
Correct,Answer:,A.,"I,think,about,my,grandfather's,farm,to,reduce,pain."
Expert,Rationale:,Guided,imagery,involves,creating,mental,images,that,promote,relaxati
on,and,distract,from,pain,,aligning,perfectly,with,imagining,a,peaceful,place,such,as,the,cli
ent’s,grandfather’s,farm.,This,demonstrates,effective,use,of,visualization,,proven,in,resear
ch,to,modulate,pain,pathways.
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, 4.,Client,Privacy,and,Confidentiality,(HIPAA),,
A,nurse,on,a,medical-
surgical,unit,receives,a,telephone,call,from,an,individual,who,identifies,himself,as,t
he,client's,employer.,The,employer,asks,the,nurse,about,the,client's,condition.,Whic
h,of,the,following,is,an,appropriate,response,by,the,nurse?,,
A.,"The,client's,condition,is,stable,right,now.",,
B.,"I,will,tell,him,you,called.",,
C.,"I,cannot,confirm,or,deny,that,we,have,a,client,by,that,name.",,
D.,"He,is,here,in,the,hospital,,but,I,cannot,tell,you,anything,else.",,
Correct,Answer:,C.,"I,cannot,confirm,or,deny,that,we,have,a,client,by,that,name."
Expert,Rationale:,The,Health,Insurance,Portability,and,Accountability,Act,(HIPAA),prohib
its,divulging,any,patient,information,without,consent.,This,response,protects,confidentiality
,and,adheres,to,legal,and,ethical,standards.
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5.,Environmental,Stress,Reduction,in,Acute,Care,,
A,nurse,is,assisting,in,creating,a,plan,to,reduce,environmental,stressors,for,clients,i
n,an,acute,care,unit.,Which,of,the,following,actions,should,the,nurse,include?,,
A.,Restrict,the,number,of,visitors,for,clients.,,
B.,Turn,on,loud,music,in,client,care,areas.,,
C.,Offer,the,clients,many,choices,regarding,care.,,
D.,Assign,different,nurses,to,provide,care,for,clients,each,day.,,
Correct,Answer:,A.,Restrict,the,number,of,visitors,for,clients.
Expert,Rationale:,Limiting,visitors,reduces,noise,and,interruptions,,which,contributes,to,a,
calmer,environment,and,supports,patient,healing.
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