ATI RN FUNDAMENTALS PROCTORED EXAM 2 VERSIONS
2026/2027 | 70 Standard + 10 NGN Each | Retake All Correctly
Answered | A+ Graded | ATI CMS & NGN Standards | Pass
Guaranteed - A+ Graded
=== VERSION 1 (70 STANDARD + 10 NGN = 80 QUESTIONS) ===
[V1 Section 1: Safe & Effective Care Environment (Q1-12)]
VERSION 1 - Q1
A nurse is caring for a client who has a history of falls and is receiving opioid
analgesics. Which action should the nurse take first to ensure client safety?
A. Place the call light within the client's reach
B. Keep the bed in the lowest position with wheels locked
C. Assess the client's level of consciousness and mobility
D. Apply a vest restraint for fall prevention
Correct Answer: C. Assess the client's level of consciousness and mobility [CORRECT]
Rationale: Assessment is the first step of the nursing process and must precede any
intervention. The nurse must first assess the client's current status (level of
consciousness, gait, strength) before implementing fall prevention strategies. Options A
and B are appropriate interventions but require assessment first. Option D (restraint) is
inappropriate as a first-line intervention and violates least-restrictive principle. (ATI
Fundamentals, Chapter 12: Safety)
,VERSION 1 - Q2
A nurse is delegating tasks to a UAP (Unlicensed Assistive Personnel) on a
medical-surgical unit. Which task is appropriate to delegate to the UAP?
A. Administering oral medications to a stable client
B. Performing sterile dressing changes on a postoperative client
C. Assisting a client with ambulation using a gait belt
D. Inserting a urinary catheter for a client with retention
Correct Answer: C. Assisting a client with ambulation using a gait belt [CORRECT]
Rationale: UAPs can assist with ambulation and basic mobility tasks under nurse
supervision. Administering medications (A), sterile procedures (B), and catheter
insertion (D) require nursing licensure and cannot be delegated to UAPs per scope of
practice regulations. (ATI Fundamentals, Chapter 2: Delegation and Supervision)
VERSION 1 - Q3
A nurse is caring for a client who is on contact precautions for Clostridioides difficile
infection. Which PPE should the nurse don before entering the room?
A. Gown and gloves only
B. Gloves, gown, and N95 respirator
C. Gloves, gown, mask, and eye protection
D. Gloves only
Correct Answer: A. Gown and gloves only [CORRECT]
Rationale: Contact precautions require gown and gloves. C. difficile is transmitted via
contact with contaminated surfaces or fecal matter; airborne or droplet precautions are
not indicated. N95 (B) is for airborne precautions. Mask and eye protection (C) are for
,droplet precautions. Gloves alone (D) are insufficient for contact precautions. (ATI
Fundamentals, Chapter 11: Infection Control)
VERSION 1 - Q4
A nurse is reviewing the QSEN competencies with a group of nursing students. Which
statement by a student demonstrates understanding of the safety competency?
A. "I will use evidence-based practice to improve client outcomes."
B. "I will minimize risk of harm to clients and providers through system effectiveness
and individual performance."
C. "I will use information and technology to communicate and manage knowledge."
D. "I will recognize the client as the source of control and full partner in care."
Correct Answer: B. "I will minimize risk of harm to clients and providers through system
effectiveness and individual performance." [CORRECT]
Rationale: QSEN safety competency specifically focuses on minimizing risk of harm
through both individual performance and system effectiveness. Option A describes EBP
competency. Option C describes informatics competency. Option D describes
patient-centered care competency. (ATI Fundamentals, Chapter 1: QSEN Competencies)
VERSION 1 - Q5
A nurse discovers a medication error in which a client received the wrong dose of
digoxin 2 hours ago. The client is currently asymptomatic. What is the nurse's first
priority action?
A. Document the error in the client's medical record
B. Notify the provider and complete an incident report
C. Assess the client for signs of digoxin toxicity
D. Check the medication administration record for transcription errors
, Correct Answer: C. Assess the client for signs of digoxin toxicity [CORRECT]
Rationale: Client safety is the priority. Even though the client is currently asymptomatic,
the nurse must first assess for signs of digoxin toxicity (nausea, vomiting, visual
disturbances, bradycardia, arrhythmias) before notifying the provider or documenting.
Assessment precedes all other nursing actions. (ATI Fundamentals, Chapter 32:
Medication Administration)
VERSION 1 - Q6
A nurse is caring for a client who has been placed in wrist restraints due to pulling at IV
lines. Which action by the nurse demonstrates appropriate restraint use?
A. Securing the restraints to the bed frame with quick-release knots
B. Checking circulation every 8 hours and documenting findings
C. Removing the restraints every 2 hours to allow range of motion
D. Applying the restraints tightly to prevent the client from removing them
Correct Answer: C. Removing the restraints every 2 hours to allow range of motion
[CORRECT]
Rationale: Restraints must be removed every 2 hours for range of motion, toileting, and
assessment per CMS and The Joint Commission standards. Restraints should be
secured to the bed frame (A) but this alone is insufficient. Circulation must be checked
every 15-30 minutes, not every 8 hours (B). Restraints should never be applied tightly (D)
as this compromises circulation. (ATI Fundamentals, Chapter 12: Safety and Restraints)
VERSION 1 - Q7
2026/2027 | 70 Standard + 10 NGN Each | Retake All Correctly
Answered | A+ Graded | ATI CMS & NGN Standards | Pass
Guaranteed - A+ Graded
=== VERSION 1 (70 STANDARD + 10 NGN = 80 QUESTIONS) ===
[V1 Section 1: Safe & Effective Care Environment (Q1-12)]
VERSION 1 - Q1
A nurse is caring for a client who has a history of falls and is receiving opioid
analgesics. Which action should the nurse take first to ensure client safety?
A. Place the call light within the client's reach
B. Keep the bed in the lowest position with wheels locked
C. Assess the client's level of consciousness and mobility
D. Apply a vest restraint for fall prevention
Correct Answer: C. Assess the client's level of consciousness and mobility [CORRECT]
Rationale: Assessment is the first step of the nursing process and must precede any
intervention. The nurse must first assess the client's current status (level of
consciousness, gait, strength) before implementing fall prevention strategies. Options A
and B are appropriate interventions but require assessment first. Option D (restraint) is
inappropriate as a first-line intervention and violates least-restrictive principle. (ATI
Fundamentals, Chapter 12: Safety)
,VERSION 1 - Q2
A nurse is delegating tasks to a UAP (Unlicensed Assistive Personnel) on a
medical-surgical unit. Which task is appropriate to delegate to the UAP?
A. Administering oral medications to a stable client
B. Performing sterile dressing changes on a postoperative client
C. Assisting a client with ambulation using a gait belt
D. Inserting a urinary catheter for a client with retention
Correct Answer: C. Assisting a client with ambulation using a gait belt [CORRECT]
Rationale: UAPs can assist with ambulation and basic mobility tasks under nurse
supervision. Administering medications (A), sterile procedures (B), and catheter
insertion (D) require nursing licensure and cannot be delegated to UAPs per scope of
practice regulations. (ATI Fundamentals, Chapter 2: Delegation and Supervision)
VERSION 1 - Q3
A nurse is caring for a client who is on contact precautions for Clostridioides difficile
infection. Which PPE should the nurse don before entering the room?
A. Gown and gloves only
B. Gloves, gown, and N95 respirator
C. Gloves, gown, mask, and eye protection
D. Gloves only
Correct Answer: A. Gown and gloves only [CORRECT]
Rationale: Contact precautions require gown and gloves. C. difficile is transmitted via
contact with contaminated surfaces or fecal matter; airborne or droplet precautions are
not indicated. N95 (B) is for airborne precautions. Mask and eye protection (C) are for
,droplet precautions. Gloves alone (D) are insufficient for contact precautions. (ATI
Fundamentals, Chapter 11: Infection Control)
VERSION 1 - Q4
A nurse is reviewing the QSEN competencies with a group of nursing students. Which
statement by a student demonstrates understanding of the safety competency?
A. "I will use evidence-based practice to improve client outcomes."
B. "I will minimize risk of harm to clients and providers through system effectiveness
and individual performance."
C. "I will use information and technology to communicate and manage knowledge."
D. "I will recognize the client as the source of control and full partner in care."
Correct Answer: B. "I will minimize risk of harm to clients and providers through system
effectiveness and individual performance." [CORRECT]
Rationale: QSEN safety competency specifically focuses on minimizing risk of harm
through both individual performance and system effectiveness. Option A describes EBP
competency. Option C describes informatics competency. Option D describes
patient-centered care competency. (ATI Fundamentals, Chapter 1: QSEN Competencies)
VERSION 1 - Q5
A nurse discovers a medication error in which a client received the wrong dose of
digoxin 2 hours ago. The client is currently asymptomatic. What is the nurse's first
priority action?
A. Document the error in the client's medical record
B. Notify the provider and complete an incident report
C. Assess the client for signs of digoxin toxicity
D. Check the medication administration record for transcription errors
, Correct Answer: C. Assess the client for signs of digoxin toxicity [CORRECT]
Rationale: Client safety is the priority. Even though the client is currently asymptomatic,
the nurse must first assess for signs of digoxin toxicity (nausea, vomiting, visual
disturbances, bradycardia, arrhythmias) before notifying the provider or documenting.
Assessment precedes all other nursing actions. (ATI Fundamentals, Chapter 32:
Medication Administration)
VERSION 1 - Q6
A nurse is caring for a client who has been placed in wrist restraints due to pulling at IV
lines. Which action by the nurse demonstrates appropriate restraint use?
A. Securing the restraints to the bed frame with quick-release knots
B. Checking circulation every 8 hours and documenting findings
C. Removing the restraints every 2 hours to allow range of motion
D. Applying the restraints tightly to prevent the client from removing them
Correct Answer: C. Removing the restraints every 2 hours to allow range of motion
[CORRECT]
Rationale: Restraints must be removed every 2 hours for range of motion, toileting, and
assessment per CMS and The Joint Commission standards. Restraints should be
secured to the bed frame (A) but this alone is insufficient. Circulation must be checked
every 15-30 minutes, not every 8 hours (B). Restraints should never be applied tightly (D)
as this compromises circulation. (ATI Fundamentals, Chapter 12: Safety and Restraints)
VERSION 1 - Q7
