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Examiner/Administrator: Assessment Technologies Institute (ATI)
CANDIDATE INFORMATION
Name: ____________________________________________
Candidate ID: ______________________________________
Date: _____________________________________________
Examination Centre: _________________________________
INSTRUCTIONS TO CANDIDATES
This assessment consists of approximately 60 multiple-choice questions
designed to evaluate foundational nursing knowledge and clinical judgment
in practical nursing contexts. You are allotted 90 minutes to complete the
exam. Carefully read each question and select the most appropriate answer.
Mark only one response per question. Clinical scenarios require application
of safety, prioritization, and evidence-based nursing practices. No external
materials are permitted.
CORE COMPETENCY AREAS
• Safety and Infection Control
• Basic Nursing Care and Comfort
• Pharmacological Principles
• Documentation and Legal/Ethical Practice
• Vital Signs and Assessment
• Mobility and Patient Positioning
• Fluid and Electrolyte Balance
• Communication and Patient Education
, This simulated examination is designed to reflect the structure and rigor of
the ATI PN Fundamentals Proctored Exam. It is intended solely for
educational preparation and does not represent actual exam content.
This assessment evaluates the candidate’s ability to apply foundational
nursing knowledge in clinical scenarios. Emphasis is placed on patient safety,
prioritization, infection control, and effective communication. Candidates
must demonstrate critical thinking and adherence to nursing standards when
responding to patient care situations.
Q1. A nurse is caring for a postoperative client who suddenly reports shortness
of breath and chest pain. Which action should the nurse take first?
A. Administer prescribed analgesics
B. Elevate the head of the bed
C. Notify the healthcare provider
D. Assess oxygen saturation
Correct Answer: D. Assess oxygen saturation
Explanation: The nurse should first assess the patient (ABC priority—
airway, breathing, circulation). Oxygen saturation provides immediate data on
respiratory status. Elevating the bed may help but assessment comes first.
Notifying the provider occurs after assessment. Analgesics do not address the
emergent issue.
Q2. A nurse is performing hand hygiene. Which situation requires the use of
soap and water instead of alcohol-based sanitizer?
A. After removing gloves
B. Before medication administration
,C. After contact with a client with C. difficile
D. Before patient contact
Correct Answer: C. After contact with a client with C. difficile
Explanation: C. difficile spores are not killed by alcohol-based sanitizers;
soap and water are required. Gloves removal still allows sanitizer use unless
visibly soiled. Routine care can use sanitizer unless specific pathogens are
involved.
Q3. A nurse is caring for a client with a stage II pressure ulcer. Which
intervention is appropriate?
A. Apply heat to the area
B. Keep the wound moist
C. Massage the surrounding tissue
D. Leave the wound open to air
Correct Answer: B. Keep the wound moist
Explanation: Moist wound healing promotes tissue repair. Heat and
massage can damage tissue. Leaving wounds open delays healing and increases
infection risk.
Q4. A nurse notes a client’s blood pressure is 88/54 mmHg. What is the priority
action?
A. Document the finding
B. Encourage oral fluids
C. Reassess the blood pressure
D. Notify the provider immediately
, Correct Answer: C. Reassess the blood pressure
Explanation: Always validate abnormal findings before acting.
Documentation comes after confirmation. Provider notification follows
reassessment. Fluids may be appropriate but only after confirming hypotension.
Q5. A nurse is caring for a client with urinary retention. Which intervention is
appropriate?
A. Restrict fluid intake
B. Encourage voiding every 2 hours
C. Insert indwelling catheter immediately
D. Apply cold compress to abdomen
Correct Answer: B. Encourage voiding every 2 hours
Explanation: Scheduled voiding promotes bladder emptying. Catheterization
is last resort. Fluid restriction worsens retention. Cold compress is ineffective.
Q6. A nurse is teaching about fall prevention. Which statement indicates
understanding?
A. “I will keep my bed in a high position.”
B. “I will use nonskid footwear.”
C. “I will walk without assistance.”
D. “I will keep lights off at night.”
Correct Answer: B. I will use nonskid footwear
Explanation: Nonskid footwear reduces fall risk. High beds increase injury
risk. Assistance is needed if unstable. Lighting improves safety.