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ATI Remediation Fundamentals Proctored Exam 2026/2027: 200+ NCLEX-Style Questions & Rationales – Safety, Pharmacology, NGN Cases, High-Yield Content (A+ Guide)

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Pass the ATI Fundamentals Proctored Exam on your first attempt with this 2026/2027 remediation guide. Over 200 NCLEX-style questions with detailed rationales covering all content areas. Includes: Safety & Infection Control: C. diff, TB, MRSA, restraints, fire safety, PPE Basic Care & Comfort: Pressure injuries, ostomy care, trach suctioning, fall prevention Pharmacology: Insulin mixing, heparin/warfarin monitoring, digoxin toxicity, IV potassium safety Psychosocial Integrity: Grief stages, therapeutic communication, crisis intervention Physiological Adaptation: DKA, COPD, compartment syndrome, autonomic dysreflexia Fluids & Electrolytes: ABG interpretation (metabolic alkalosis/acidosis, respiratory), hyperkalemia (peaked T waves) NGN Case Scenarios: Post-op pneumonia, medication error, DKA, end-of-life care Perfect for: ATI Fundamentals proctored exam remediation, NCLEX-RN prep, nursing fundamentals final exams.

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ATI REMEDIATION FUNDAMENTALS
PROCTORED EXAM 2026-2027 | 200+ NCLEX-
STYLE QUESTIONS & RATIONALES | HIGH-
YIELD CONTENT | LATEST EDITION | A+
REMEDIATION GUIDE



Table of Contents
1. **Safety & Infection Control** (Q1–Q30)
2. **Basic Care & Comfort** (Q31–Q55)
3. **Pharmacology & Medication Administration** (Q56–Q80)
4. **Health Promotion & Maintenance** (Q81–Q100)
5. **Psychosocial Integrity** (Q101–Q120)
6. **Physiological Adaptation (Medical-Surgical Basics)** (Q121–
Q145)
7. **Reduction of Risk Potential** (Q146–Q165)
8. **Management of Care & Legal/Ethical Issues** (Q166–Q185)
9. **Fluid, Electrolyte & Acid-Base Balance** (Q186–Q200)
10. **High-Yield NGN Case Scenarios** (Q201–Q210)


---

,2|Page


# Section 1: Safety & Infection Control (Q1–Q30)


**Q1.** A nurse is caring for a client with *Clostridioides difficile*.
Which type of precautions should the nurse implement?
A. Contact precautions with soap and water for hand hygiene
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only


**Correct Answer: A – Contact precautions + soap/water**
*Rationale: Alcohol-based hand rub does not kill C. diff spores; soap
and water are required.*


**Q2.** A client is on fall precautions. Which intervention is most
important?
A. Keep the bed in the lowest position with brakes locked
B. Raise all side rails
C. Keep the room dark at night
D. Encourage the client to wear slippery socks


**Correct Answer: A – Bed lowest position, brakes locked**
*Rationale: Low bed height reduces injury risk; side rails may increase
fall risk if client climbs over.*

,3|Page




**Q3.** A nurse is applying restraints to a client. Which action is
correct?
A. Tie the restraint to the bed frame (movable part)
B. Tie the restraint to the side rail
C. Remove the restraint every 2 hours for range of motion
D. Apply restraints tightly to prevent movement


**Correct Answer: C – Remove every 2 hours for ROM**
*Rationale: Restraints require frequent release, skin checks, and ROM
exercises.*


**Q4.** A nurse is caring for a client with tuberculosis. Which type of
precautions is required?
A. Airborne precautions (N95 mask, negative pressure room)
B. Droplet precautions
C. Contact precautions
D. Standard precautions only


**Correct Answer: A – Airborne precautions**
*Rationale: TB spreads via small airborne particles; N95 or PAPR is
required.*

, 4|Page


**Q5.** A nurse is preparing to insert a urinary catheter. Which
technique is required?
A. Surgical asepsis (sterile technique)
B. Medical asepsis (clean technique)
C. Hand hygiene with soap and water only
D. Double gloving


**Correct Answer: A – Surgical asepsis**
*Rationale: Indwelling catheter insertion requires sterile technique to
prevent CAUTI.*


**Q6.** A client is on isolation precautions. The nurse should place a
mask on the client when:
A. Transporting the client outside the room
B. The client is alone in the room
C. The nurse enters the room
D. The client is eating


**Correct Answer: A – Transporting outside the room**
*Rationale: Client masks prevent spread of droplets to others during
transport.*

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