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.
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─
,1.`(NGN`–`Case`Study`Style)
A`nurse`is`caring`for`a`client`who`is`postoperative`following`abdominal`surgery.`Th
e`client`has`had`low`urine`output`(15`mL`over`the`past`hour)`and`reports`escalating`
pain`now`rated`8/10`despite`IV`morphine`administered`at`1200.`Vital`signs`at`1200`re
veal`a`heart`rate`of`116/min.`Which`of`the`following`findings`should`the`nurse`report
`to`the`provider?
A.`Low`urinary`output`only
B.`Low`urinary`output`and`severe`pain`level
C.`Elevated`heart`rate`only
D.`Low`urinary`output,`severe`pain`level,`and`elevated`heart`rate
Answer:`D
Expert-Verified`Explanation:
•`Urine`output`<`30`mL/hr`may`indicate`poor`renal`perfusion`or`fluid`imbalance.``
•`Escalating`pain`at`8/10`after`analgesics`could`suggest`inadequate`pain`control`or`a`com
plication.``
•`A`heart`rate`of`116/min`could`be`an`early`sign`of`hypovolemia,`pain,`or`physiologic`stress
.``
•`All`three`combined`warrant`prompt`provider`notification.
───────────────────────────────────────────────────────
─
2.`(NGN`–`Case`Study`Style;`Select`All`That`Apply)
A`nurse`in`a`provider’s`clinic`is`evaluating`a`client`who`has`worsening`heart`failure.
`After`teaching`about`diet`and`weight`monitoring,`the`nurse`asks`which`statements`
indicate`understanding.`Which`THREE`of`the`following`statements`by`the`client`sho
w`correct`understanding?
A.`“I`am`limiting`my`sodium`intake`to`2`grams`daily.”``
,B.`“I`am`eating`fewer`potato`chips`and`more`fruit`for`snacks.”``
C.`“I`know`to`call`my`doctor`if`I`gain`3`pounds`or`more`in`2`days.”``
D.`“I`only`need`to`weigh`myself`once`every`two`weeks.”
Answer:`A,`B,`C
Expert-Verified`Explanation:
•`A`sodium`restriction`of`~2`grams/day`is`standard`in`heart`failure.``
•`Replacing`salty`snacks`with`fruit`can`lower`sodium`intake.``
•`Reporting`a`weight`gain`of`2–
3`lb`over`2`days,`or`5`lb`in`a`week,`is`key`to`detecting`fluid`retention.``
•`Weighing`only`every`two`weeks`is`insufficient;`daily`weights`are`recommended.
───────────────────────────────────────────────────────
─
3.`(NGN`–`Case`Study`Style)
A`nurse`in`the`emergency`department`is`caring`for`a`client`who`has`had`influenza`w
ith`nausea,`vomiting,`and`diarrhea`for`3`days.`The`client`is`now`disoriented`and`atte
mpting`to`pull`out`the`IV`line.`Which`action`should`the`nurse`take`first?
A.`Immediately`place`the`client`in`physical`restraints``
B.`Review`medications`and`IV`infusions`for`potential`causes`of`confusion``
C.`Ask`the`family`to`stay`at`the`bedside`to`calm`the`client``
D.`Apply`a`vest`restraint`to`prevent`wandering``
Answer:`B
Expert-Verified`Explanation:
•`First,`identify/treat`reversible`causes`of`acute`confusion—
e.g.,`medication`side`effects,`electrolyte`imbalances,`dehydration.``
, •`Restraints`are`a`last`resort`after`other`interventions`fail`or`when`safety`is`at`immediate`ris
k.
───────────────────────────────────────────────────────
─
4.`(NGN`–`Case`Study`Style;`Select`All`That`Apply)
A`nurse`is`caring`for`a`client`with`a`stage`2`pressure`injury`on`the`coccyx.`On`day`4,
`the`client’s`temperature`is`38.3°C`(101°F),`WBC`12,000/mm³,`and`prealbumin`12`mg
/dL.`The`client’s`wound-
related`pain`is`2/10,`and`the`wound`tissue`remains`pink.`Which`findings`should`the`
nurse`report`to`the`provider?`(Select`ALL`that`apply.)
A.`Elevated`temperature`and`elevated`WBC`count``
B.`Low`prealbumin`level``
C.`Client’s`pain`level`of`2/10``
D.`Foul`odor`from`the`wound`(if`present)
Correct`Answers:`A,`B,`D
Expert-Verified`Explanation:
•`A`fever`and`WBC`>10,000/mm³`may`suggest`infection`or`inflammation.``
•`Prealbumin`<15`mg/dL`indicates`compromised`nutritional`status.``
•`If`the`wound`has`a`foul`odor,`it`should`be`reported`(possible`infection).``
•`A`mild`pain`level`(2/10)`alone`is`not`typically`urgent.
───────────────────────────────────────────────────────
─
5.`(NGN`–`Case`Study`Style)
A`nurse`is`preparing`a`client`with`a`new`diagnosis`of`seizure`disorder`for`discharge
.`Shortly`after`teaching`about`carbamazepine,`the`nurse`finds`the`client`having`a`se
izure`on`the`floor.`Which`is`the`immediate`first`action?
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.`(NGN`–`Case`Study`Style)
A`nurse`is`caring`for`a`client`who`is`postoperative`following`abdominal`surgery.`Th
e`client`has`had`low`urine`output`(15`mL`over`the`past`hour)`and`reports`escalating`
pain`now`rated`8/10`despite`IV`morphine`administered`at`1200.`Vital`signs`at`1200`re
veal`a`heart`rate`of`116/min.`Which`of`the`following`findings`should`the`nurse`report
`to`the`provider?
A.`Low`urinary`output`only
B.`Low`urinary`output`and`severe`pain`level
C.`Elevated`heart`rate`only
D.`Low`urinary`output,`severe`pain`level,`and`elevated`heart`rate
Answer:`D
Expert-Verified`Explanation:
•`Urine`output`<`30`mL/hr`may`indicate`poor`renal`perfusion`or`fluid`imbalance.``
•`Escalating`pain`at`8/10`after`analgesics`could`suggest`inadequate`pain`control`or`a`com
plication.``
•`A`heart`rate`of`116/min`could`be`an`early`sign`of`hypovolemia,`pain,`or`physiologic`stress
.``
•`All`three`combined`warrant`prompt`provider`notification.
───────────────────────────────────────────────────────
─
2.`(NGN`–`Case`Study`Style;`Select`All`That`Apply)
A`nurse`in`a`provider’s`clinic`is`evaluating`a`client`who`has`worsening`heart`failure.
`After`teaching`about`diet`and`weight`monitoring,`the`nurse`asks`which`statements`
indicate`understanding.`Which`THREE`of`the`following`statements`by`the`client`sho
w`correct`understanding?
A.`“I`am`limiting`my`sodium`intake`to`2`grams`daily.”``
,B.`“I`am`eating`fewer`potato`chips`and`more`fruit`for`snacks.”``
C.`“I`know`to`call`my`doctor`if`I`gain`3`pounds`or`more`in`2`days.”``
D.`“I`only`need`to`weigh`myself`once`every`two`weeks.”
Answer:`A,`B,`C
Expert-Verified`Explanation:
•`A`sodium`restriction`of`~2`grams/day`is`standard`in`heart`failure.``
•`Replacing`salty`snacks`with`fruit`can`lower`sodium`intake.``
•`Reporting`a`weight`gain`of`2–
3`lb`over`2`days,`or`5`lb`in`a`week,`is`key`to`detecting`fluid`retention.``
•`Weighing`only`every`two`weeks`is`insufficient;`daily`weights`are`recommended.
───────────────────────────────────────────────────────
─
3.`(NGN`–`Case`Study`Style)
A`nurse`in`the`emergency`department`is`caring`for`a`client`who`has`had`influenza`w
ith`nausea,`vomiting,`and`diarrhea`for`3`days.`The`client`is`now`disoriented`and`atte
mpting`to`pull`out`the`IV`line.`Which`action`should`the`nurse`take`first?
A.`Immediately`place`the`client`in`physical`restraints``
B.`Review`medications`and`IV`infusions`for`potential`causes`of`confusion``
C.`Ask`the`family`to`stay`at`the`bedside`to`calm`the`client``
D.`Apply`a`vest`restraint`to`prevent`wandering``
Answer:`B
Expert-Verified`Explanation:
•`First,`identify/treat`reversible`causes`of`acute`confusion—
e.g.,`medication`side`effects,`electrolyte`imbalances,`dehydration.``
, •`Restraints`are`a`last`resort`after`other`interventions`fail`or`when`safety`is`at`immediate`ris
k.
───────────────────────────────────────────────────────
─
4.`(NGN`–`Case`Study`Style;`Select`All`That`Apply)
A`nurse`is`caring`for`a`client`with`a`stage`2`pressure`injury`on`the`coccyx.`On`day`4,
`the`client’s`temperature`is`38.3°C`(101°F),`WBC`12,000/mm³,`and`prealbumin`12`mg
/dL.`The`client’s`wound-
related`pain`is`2/10,`and`the`wound`tissue`remains`pink.`Which`findings`should`the`
nurse`report`to`the`provider?`(Select`ALL`that`apply.)
A.`Elevated`temperature`and`elevated`WBC`count``
B.`Low`prealbumin`level``
C.`Client’s`pain`level`of`2/10``
D.`Foul`odor`from`the`wound`(if`present)
Correct`Answers:`A,`B,`D
Expert-Verified`Explanation:
•`A`fever`and`WBC`>10,000/mm³`may`suggest`infection`or`inflammation.``
•`Prealbumin`<15`mg/dL`indicates`compromised`nutritional`status.``
•`If`the`wound`has`a`foul`odor,`it`should`be`reported`(possible`infection).``
•`A`mild`pain`level`(2/10)`alone`is`not`typically`urgent.
───────────────────────────────────────────────────────
─
5.`(NGN`–`Case`Study`Style)
A`nurse`is`preparing`a`client`with`a`new`diagnosis`of`seizure`disorder`for`discharge
.`Shortly`after`teaching`about`carbamazepine,`the`nurse`finds`the`client`having`a`se
izure`on`the`floor.`Which`is`the`immediate`first`action?
