1
ATI FUNDAMENTAL 2025 RETAKE LATEST UPDATE
QUESTIONS AND ANSWERS |NCLEX -RN
FOUNDATIONS PROCTORED EXAM PREPARATION |
VERIFIED |GRADED A+
INTRODUCTION .
This comprehensive practice examination is designed for nursing students preparing for
the ATI Fundamentals of Nursing Proctored Exam (Retake) for the 2025 testing cycle.
This exam covers foundational nursing concepts including the nursing process (ADPIE),
safety and infection control, health promotion, basic care and comfort, medication
administration, nutrition, elimination, oxygenation, skin integrity, fluid/electrolyte
balance, and perioperative care.
Section 1: Nursing Process and Critical Thinking (Questions 1-15)
Q1: A nurse is caring for a patient who reports pain 8/10 and has an order for morphine
4 mg IV push. Which step of the nursing process is the nurse implementing when
administering the medication?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
[CORRECT] D. Implementation
Rationale:
• Implementation is the step of the nursing process where the nurse carries out the
planned interventions (e.g., administering medications, providing patient education,
performing procedures). Assessment is data collection. Diagnosis is identifying the
problem. Planning is setting goals and outcomes.
Q2: A nurse is prioritizing care for four patients. Which patient should the nurse see
first?
, 2
A. A patient requesting pain medication
B. A patient with a new diagnosis of diabetes needing discharge teaching
C. A patient with a respiratory rate of 10 breaths/min and oxygen saturation 88%
D. A patient who needs assistance with ambulation
[CORRECT] C. A patient with a respiratory rate of 10 breaths/min and oxygen saturation
88%
Rationale:
• ABCs (Airway, Breathing, Circulation) take priority. A respiratory rate of 10 bpm
(bradypnea) and SpO2 88% (hypoxemia) indicate impaired breathing. This patient
requires immediate intervention (oxygen, airway management). Pain, teaching, and
ambulation are lower priority (stable vs unstable).
Q3: A nurse is documenting patient care using the SOAP format. Which information
would be included in the "O" (objective) section?
A. Patient reports "I feel nauseated"
B. Patient states pain is 6/10
C. Blood pressure 140/90 mmHg, heart rate 88 bpm, respiratory rate 18 bpm
D. Patient is worried about surgery
[CORRECT] C. Blood pressure 140/90 mmHg, heart rate 88 bpm, respiratory rate 18
bpm
Rationale:
• Objective (O) data are measurable, observable, and verifiable (vital signs, physical
exam findings, lab results). Subjective (S) data are what the patient reports
(symptoms, feelings, pain level). Blood pressure, heart rate, and respiratory rate are
objective measurements.
Q4: A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate
to delegate?
A. Assessing a patient's lung sounds
B. Administering oral medications
C. Obtaining a patient's blood pressure and temperature
D. Creating a plan of care for a patient
, 3
[CORRECT] C. Obtaining a patient's blood pressure and temperature
Rationale:
• Delegation requires matching the task to the AP's scope of practice. APs can obtain
vital signs, assist with activities of daily living (ADLs), ambulate patients, and
measure I&O. Assessment, medication administration, and care planning require
nursing judgment and cannot be delegated.
Q5: A nurse is using the nursing process to care for a patient. Which action occurs
during the diagnosis phase?
A. Collecting data from the patient interview
B. Analyzing data to identify patient problems
C. Setting measurable patient goals
D. Evaluating patient response to interventions
[CORRECT] B. Analyzing data to identify patient problems
Rationale:
• Diagnosis involves analyzing assessment data to identify patient problems, risks, or
health promotion opportunities. Collection of data occurs during Assessment.
Setting goals occurs during Planning. Evaluating responses occurs during
Evaluation.
Q6: A nurse is prioritizing care using Maslow's hierarchy of needs. Which patient need
takes the highest priority?
A. A patient requesting a visit from family
B. A patient reporting difficulty breathing
C. A patient asking for help filling out insurance forms
D. A patient requesting a magazine to read
[CORRECT] B. A patient reporting difficulty breathing
Rationale:
• Physiological needs (breathing, oxygenation) are the highest priority in Maslow's
hierarchy, followed by safety, love/belonging, esteem, and self-actualization.
Difficulty breathing represents a physiological need for oxygen. Family visits
, 4
(love/belonging), insurance forms (safety/security), and magazines
(esteem/cognitive) are lower priorities.
Q7: A nurse is evaluating a patient's plan of care. Which finding indicates the patient has
achieved the expected outcome?
A. Patient states pain has decreased from 8/10 to 3/10
B. Patient received pain medication as ordered
C. Patient has a prescription for pain medication
D. Patient understands the importance of taking pain medication
[CORRECT] A. Patient states pain has decreased from 8/10 to 3/10
Rationale:
• Evaluation determines whether expected outcomes were achieved. A decrease in
pain rating from 8/10 to 3/10 is a measurable outcome indicating goal achievement.
Receiving medication (implementation), having a prescription (planning), and
understanding teaching (implementation) do not indicate outcome achievement.
Q8: A nurse is using clinical judgment to care for a patient. Which action demonstrates
analysis in the clinical judgment model?
A. Recognizing abnormal vital signs
B. Identifying potential complications based on patient data
C. Taking action to stabilize the patient
D. Reviewing the patient's medical history
[CORRECT] B. Identifying potential complications based on patient data
Rationale:
• Analysis in the clinical judgment model involves interpreting data, recognizing
patterns, and identifying potential complications or underlying problems.
Recognizing abnormal signs is assessment. Taking action is implementation.
Reviewing history is data collection (assessment).
Q9: Which documentation entry follows the PIE (Problem, Intervention, Evaluation)
format?
ATI FUNDAMENTAL 2025 RETAKE LATEST UPDATE
QUESTIONS AND ANSWERS |NCLEX -RN
FOUNDATIONS PROCTORED EXAM PREPARATION |
VERIFIED |GRADED A+
INTRODUCTION .
This comprehensive practice examination is designed for nursing students preparing for
the ATI Fundamentals of Nursing Proctored Exam (Retake) for the 2025 testing cycle.
This exam covers foundational nursing concepts including the nursing process (ADPIE),
safety and infection control, health promotion, basic care and comfort, medication
administration, nutrition, elimination, oxygenation, skin integrity, fluid/electrolyte
balance, and perioperative care.
Section 1: Nursing Process and Critical Thinking (Questions 1-15)
Q1: A nurse is caring for a patient who reports pain 8/10 and has an order for morphine
4 mg IV push. Which step of the nursing process is the nurse implementing when
administering the medication?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
[CORRECT] D. Implementation
Rationale:
• Implementation is the step of the nursing process where the nurse carries out the
planned interventions (e.g., administering medications, providing patient education,
performing procedures). Assessment is data collection. Diagnosis is identifying the
problem. Planning is setting goals and outcomes.
Q2: A nurse is prioritizing care for four patients. Which patient should the nurse see
first?
, 2
A. A patient requesting pain medication
B. A patient with a new diagnosis of diabetes needing discharge teaching
C. A patient with a respiratory rate of 10 breaths/min and oxygen saturation 88%
D. A patient who needs assistance with ambulation
[CORRECT] C. A patient with a respiratory rate of 10 breaths/min and oxygen saturation
88%
Rationale:
• ABCs (Airway, Breathing, Circulation) take priority. A respiratory rate of 10 bpm
(bradypnea) and SpO2 88% (hypoxemia) indicate impaired breathing. This patient
requires immediate intervention (oxygen, airway management). Pain, teaching, and
ambulation are lower priority (stable vs unstable).
Q3: A nurse is documenting patient care using the SOAP format. Which information
would be included in the "O" (objective) section?
A. Patient reports "I feel nauseated"
B. Patient states pain is 6/10
C. Blood pressure 140/90 mmHg, heart rate 88 bpm, respiratory rate 18 bpm
D. Patient is worried about surgery
[CORRECT] C. Blood pressure 140/90 mmHg, heart rate 88 bpm, respiratory rate 18
bpm
Rationale:
• Objective (O) data are measurable, observable, and verifiable (vital signs, physical
exam findings, lab results). Subjective (S) data are what the patient reports
(symptoms, feelings, pain level). Blood pressure, heart rate, and respiratory rate are
objective measurements.
Q4: A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate
to delegate?
A. Assessing a patient's lung sounds
B. Administering oral medications
C. Obtaining a patient's blood pressure and temperature
D. Creating a plan of care for a patient
, 3
[CORRECT] C. Obtaining a patient's blood pressure and temperature
Rationale:
• Delegation requires matching the task to the AP's scope of practice. APs can obtain
vital signs, assist with activities of daily living (ADLs), ambulate patients, and
measure I&O. Assessment, medication administration, and care planning require
nursing judgment and cannot be delegated.
Q5: A nurse is using the nursing process to care for a patient. Which action occurs
during the diagnosis phase?
A. Collecting data from the patient interview
B. Analyzing data to identify patient problems
C. Setting measurable patient goals
D. Evaluating patient response to interventions
[CORRECT] B. Analyzing data to identify patient problems
Rationale:
• Diagnosis involves analyzing assessment data to identify patient problems, risks, or
health promotion opportunities. Collection of data occurs during Assessment.
Setting goals occurs during Planning. Evaluating responses occurs during
Evaluation.
Q6: A nurse is prioritizing care using Maslow's hierarchy of needs. Which patient need
takes the highest priority?
A. A patient requesting a visit from family
B. A patient reporting difficulty breathing
C. A patient asking for help filling out insurance forms
D. A patient requesting a magazine to read
[CORRECT] B. A patient reporting difficulty breathing
Rationale:
• Physiological needs (breathing, oxygenation) are the highest priority in Maslow's
hierarchy, followed by safety, love/belonging, esteem, and self-actualization.
Difficulty breathing represents a physiological need for oxygen. Family visits
, 4
(love/belonging), insurance forms (safety/security), and magazines
(esteem/cognitive) are lower priorities.
Q7: A nurse is evaluating a patient's plan of care. Which finding indicates the patient has
achieved the expected outcome?
A. Patient states pain has decreased from 8/10 to 3/10
B. Patient received pain medication as ordered
C. Patient has a prescription for pain medication
D. Patient understands the importance of taking pain medication
[CORRECT] A. Patient states pain has decreased from 8/10 to 3/10
Rationale:
• Evaluation determines whether expected outcomes were achieved. A decrease in
pain rating from 8/10 to 3/10 is a measurable outcome indicating goal achievement.
Receiving medication (implementation), having a prescription (planning), and
understanding teaching (implementation) do not indicate outcome achievement.
Q8: A nurse is using clinical judgment to care for a patient. Which action demonstrates
analysis in the clinical judgment model?
A. Recognizing abnormal vital signs
B. Identifying potential complications based on patient data
C. Taking action to stabilize the patient
D. Reviewing the patient's medical history
[CORRECT] B. Identifying potential complications based on patient data
Rationale:
• Analysis in the clinical judgment model involves interpreting data, recognizing
patterns, and identifying potential complications or underlying problems.
Recognizing abnormal signs is assessment. Taking action is implementation.
Reviewing history is data collection (assessment).
Q9: Which documentation entry follows the PIE (Problem, Intervention, Evaluation)
format?
