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) and 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 assess 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 and Breathing).
• While hypokalemia (Client D) is also a serious finding, it is addressed after ensuring a stable airway and
breathing. Elevated CRP (Client A) and high cholesterol (Client B) pose longer-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 requiring 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 constipation for several
days. An abdominal x-ray suggests possible fecal impaction.
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) and 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 assess 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 and Breathing).
• While hypokalemia (Client D) is also a serious finding, it is addressed after ensuring a stable airway and
breathing. Elevated CRP (Client A) and high cholesterol (Client B) pose longer-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 requiring 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 constipation for several
days. An abdominal x-ray suggests possible fecal impaction.
