ATI PN Fundamentals Proctored Exam
ATI PN Fundamentals Proctored Exam 2026 – NGN
Style (70 Questions
Question: 1 of 70
Time Remaining: 02:59:55
Pause Remaining: 00:05:00
A nurse is caring for a client who has a nasogastric (NG) tube set to continuous
suction. Which of the following findings should the nurse report to the RN
immediately?
• Gastric output of 200 mL in 8 hours
• The client reports nausea
• The NG tube is draining bright red blood
• The client's potassium level is 3.8 mEq/L
Correct Answer: The NG tube is draining bright red blood
Rationale: Bright red blood indicates active gastrointestinal bleeding, a medical
emergency. Nausea is common with NG tubes. Gastric output of 200 mL in 8
hours is normal. Potassium 3.8 is within normal range (3.5–5.0).
Question: 2 of 70
Time Remaining: 02:59:35
Pause Remaining: 00:05:00
A nurse is preparing to administer a cleansing enema to a client. The client asks,
"Why do I need this enema?" Which of the following responses is appropriate?
• "It will soften your stool so you don't become constipated."
© 2026 ATI Nursing Education. All rights reserved.
This is an official individual performance profile for the ATI PN Fundamentals Proctored Exam.
Confidential student report — Level 2 indicates satisfactory readiness for fundamentals nursing judgment.
,ATI PN Fundamentals Proctored Exam
• "It stimulates the bowel to empty before your procedure."
• "It adds fluid to your colon to prevent dehydration."
• "It removes toxins from your large intestine."
Correct Answer: "It stimulates the bowel to empty before your procedure."
Rationale: Cleansing enemas are used to remove stool from the colon before
diagnostic procedures or surgery. They do not primarily soften stool, prevent
dehydration, or remove "toxins."
Question: 3 of 70
Time Remaining: 02:59:05
Pause Remaining: 00:05:00
A nurse is caring for a client who has an indwelling urinary catheter. Which of
the following actions should the nurse take to prevent infection?
• Empty the drainage bag every 24 hours
• Keep the drainage bag on the client's lap during transport
• Ensure the drainage bag is below the level of the bladder
• Irrigate the catheter with sterile saline daily
Correct Answer: Ensure the drainage bag is below the level of the bladder
Rationale: Keeping the drainage bag below bladder level prevents backflow of
urine, reducing infection risk. Empty the bag when full (not on a fixed schedule).
Bag should be hung on bed frame, not on lap. Routine irrigation is not
recommended.
Question: 4 of 70
Time Remaining: 02:58:35
Pause Remaining: 00:05:00
© 2026 ATI Nursing Education. All rights reserved.
This is an official individual performance profile for the ATI PN Fundamentals Proctored Exam.
Confidential student report — Level 2 indicates satisfactory readiness for fundamentals nursing judgment.
,ATI PN Fundamentals Proctored Exam
A nurse is reinforcing teaching with a client about a low-sodium diet. Which of
the following food choices by the client indicates understanding?
• Canned vegetable soup
• Fresh baked chicken breast
• Pickles
• Processed cheese slices
Correct Answer: Fresh baked chicken breast
Rationale: Fresh chicken breast is naturally low in sodium. Canned soup, pickles,
and processed cheese are high in sodium due to preservation and processing.
Question: 5 of 70
Time Remaining: 02:58:05
Pause Remaining: 00:05:00
A nurse is preparing to obtain a capillary blood glucose reading from a client.
Which of the following actions is correct?
• Puncture the center of the client's fingertip
• Wipe the first drop of blood with gauze
• Apply pressure to the site for 5 minutes after the test
• Use the same lancet for multiple punctures if sterile
Correct Answer: Wipe the first drop of blood with gauze
Rationale: Wiping the first drop removes tissue fluid contamination. Puncture
the side of the fingertip (not center) to reduce pain. Apply pressure briefly (not 5
minutes). Lancets are single-use only.
Question: 6 of 70
© 2026 ATI Nursing Education. All rights reserved.
This is an official individual performance profile for the ATI PN Fundamentals Proctored Exam.
Confidential student report — Level 2 indicates satisfactory readiness for fundamentals nursing judgment.
, ATI PN Fundamentals Proctored Exam
Time Remaining: 02:57:35
Pause Remaining: 00:05:00
A nurse is caring for a client who is postoperative and has a prescription for an
incentive spirometer. Which of the following statements by the client indicates a
need for further teaching?
• "I will try to breathe in as slowly as possible."
• "I will sit up straight when using the device."
• "I will use it every hour while I am awake."
• "I will hold the breath for 3 to 5 seconds after inhaling."
Correct Answer: "I will try to breathe in as slowly as possible."
Rationale: The client should inhale slowly and deeply, but "as slowly as
possible" may not achieve sustained maximal inspiration. The other statements
are correct.
Question: 7 of 70
Time Remaining: 02:57:05
Pause Remaining: 00:05:00
A nurse is preparing to insert a straight urinary catheter for a female client.
Which of the following actions should the nurse take first?
• Lubricate the catheter tip
• Cleanse the perineal area
• Identify the client using two identifiers
• Open the sterile catheter kit
Correct Answer: Identify the client using two identifiers
Rationale: Client identification is the first step before any procedure to ensure
right client, right procedure. Cleansing, lubricating, and opening the kit come
after identification.
© 2026 ATI Nursing Education. All rights reserved.
This is an official individual performance profile for the ATI PN Fundamentals Proctored Exam.
Confidential student report — Level 2 indicates satisfactory readiness for fundamentals nursing judgment.
ATI PN Fundamentals Proctored Exam 2026 – NGN
Style (70 Questions
Question: 1 of 70
Time Remaining: 02:59:55
Pause Remaining: 00:05:00
A nurse is caring for a client who has a nasogastric (NG) tube set to continuous
suction. Which of the following findings should the nurse report to the RN
immediately?
• Gastric output of 200 mL in 8 hours
• The client reports nausea
• The NG tube is draining bright red blood
• The client's potassium level is 3.8 mEq/L
Correct Answer: The NG tube is draining bright red blood
Rationale: Bright red blood indicates active gastrointestinal bleeding, a medical
emergency. Nausea is common with NG tubes. Gastric output of 200 mL in 8
hours is normal. Potassium 3.8 is within normal range (3.5–5.0).
Question: 2 of 70
Time Remaining: 02:59:35
Pause Remaining: 00:05:00
A nurse is preparing to administer a cleansing enema to a client. The client asks,
"Why do I need this enema?" Which of the following responses is appropriate?
• "It will soften your stool so you don't become constipated."
© 2026 ATI Nursing Education. All rights reserved.
This is an official individual performance profile for the ATI PN Fundamentals Proctored Exam.
Confidential student report — Level 2 indicates satisfactory readiness for fundamentals nursing judgment.
,ATI PN Fundamentals Proctored Exam
• "It stimulates the bowel to empty before your procedure."
• "It adds fluid to your colon to prevent dehydration."
• "It removes toxins from your large intestine."
Correct Answer: "It stimulates the bowel to empty before your procedure."
Rationale: Cleansing enemas are used to remove stool from the colon before
diagnostic procedures or surgery. They do not primarily soften stool, prevent
dehydration, or remove "toxins."
Question: 3 of 70
Time Remaining: 02:59:05
Pause Remaining: 00:05:00
A nurse is caring for a client who has an indwelling urinary catheter. Which of
the following actions should the nurse take to prevent infection?
• Empty the drainage bag every 24 hours
• Keep the drainage bag on the client's lap during transport
• Ensure the drainage bag is below the level of the bladder
• Irrigate the catheter with sterile saline daily
Correct Answer: Ensure the drainage bag is below the level of the bladder
Rationale: Keeping the drainage bag below bladder level prevents backflow of
urine, reducing infection risk. Empty the bag when full (not on a fixed schedule).
Bag should be hung on bed frame, not on lap. Routine irrigation is not
recommended.
Question: 4 of 70
Time Remaining: 02:58:35
Pause Remaining: 00:05:00
© 2026 ATI Nursing Education. All rights reserved.
This is an official individual performance profile for the ATI PN Fundamentals Proctored Exam.
Confidential student report — Level 2 indicates satisfactory readiness for fundamentals nursing judgment.
,ATI PN Fundamentals Proctored Exam
A nurse is reinforcing teaching with a client about a low-sodium diet. Which of
the following food choices by the client indicates understanding?
• Canned vegetable soup
• Fresh baked chicken breast
• Pickles
• Processed cheese slices
Correct Answer: Fresh baked chicken breast
Rationale: Fresh chicken breast is naturally low in sodium. Canned soup, pickles,
and processed cheese are high in sodium due to preservation and processing.
Question: 5 of 70
Time Remaining: 02:58:05
Pause Remaining: 00:05:00
A nurse is preparing to obtain a capillary blood glucose reading from a client.
Which of the following actions is correct?
• Puncture the center of the client's fingertip
• Wipe the first drop of blood with gauze
• Apply pressure to the site for 5 minutes after the test
• Use the same lancet for multiple punctures if sterile
Correct Answer: Wipe the first drop of blood with gauze
Rationale: Wiping the first drop removes tissue fluid contamination. Puncture
the side of the fingertip (not center) to reduce pain. Apply pressure briefly (not 5
minutes). Lancets are single-use only.
Question: 6 of 70
© 2026 ATI Nursing Education. All rights reserved.
This is an official individual performance profile for the ATI PN Fundamentals Proctored Exam.
Confidential student report — Level 2 indicates satisfactory readiness for fundamentals nursing judgment.
, ATI PN Fundamentals Proctored Exam
Time Remaining: 02:57:35
Pause Remaining: 00:05:00
A nurse is caring for a client who is postoperative and has a prescription for an
incentive spirometer. Which of the following statements by the client indicates a
need for further teaching?
• "I will try to breathe in as slowly as possible."
• "I will sit up straight when using the device."
• "I will use it every hour while I am awake."
• "I will hold the breath for 3 to 5 seconds after inhaling."
Correct Answer: "I will try to breathe in as slowly as possible."
Rationale: The client should inhale slowly and deeply, but "as slowly as
possible" may not achieve sustained maximal inspiration. The other statements
are correct.
Question: 7 of 70
Time Remaining: 02:57:05
Pause Remaining: 00:05:00
A nurse is preparing to insert a straight urinary catheter for a female client.
Which of the following actions should the nurse take first?
• Lubricate the catheter tip
• Cleanse the perineal area
• Identify the client using two identifiers
• Open the sterile catheter kit
Correct Answer: Identify the client using two identifiers
Rationale: Client identification is the first step before any procedure to ensure
right client, right procedure. Cleansing, lubricating, and opening the kit come
after identification.
© 2026 ATI Nursing Education. All rights reserved.
This is an official individual performance profile for the ATI PN Fundamentals Proctored Exam.
Confidential student report — Level 2 indicates satisfactory readiness for fundamentals nursing judgment.
