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RN ATI Fundamentals 2026-2027 Proctored
Exam with NGN: Complete 70-Question
Practice Test & Rationales for Retake
Success
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SECTION 1: SAFE & EFFECTIVE CARE
ENVIRONMENT (Delegation, Legal, Ethics)
Q1. A nurse on a med-surg unit has received change-of-shift report and will
care for 4 clients. Which of the following client's needs may the nurse assign to
an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Evaluating a client's ability to swallow after a stroke
Correct Answer: C
Rationale: The application of a condom catheter is a routine, non-invasive task that
falls within the AP's scope of practice. The RN cannot delegate assessment (D),
teaching (B), or tasks requiring clinical judgment (A - client with aspiration risk
requires skilled feeding) .
Q2. A nurse discovers a medication error after administering a double dose of
insulin. What should the nurse do FIRST?
A. Complete an incident report
B. Assess the client's blood glucose level
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C. Notify the nurse manager
D. Document the error in the medical record
Correct Answer: B
Rationale: Client safety is always the priority. The nurse must first assess the client
for hypoglycemia (the immediate risk from excess insulin), then notify the provider,
and finally complete the incident report .
Q3. A nurse prepares an injection of an opioid from a 2 mL vial but only draws
up 1 mL. Which action is correct?
A. Have another nurse witness the waste
B. Notify pharmacy of the leftover drug
C. Lock the remaining drug in the controlled cabinet
D. Discard the vial in the sharps container
Correct Answer: A
Rationale: A second nurse must witness the disposal of a partial dose of a
controlled substance to prevent diversion. Both nurses sign the controlled substance
record .
RN ATI Fundamentals 2026-2027 Proctored
Exam with NGN: Complete 70-Question
Practice Test & Rationales for Retake
Success
,2
,3
SECTION 1: SAFE & EFFECTIVE CARE
ENVIRONMENT (Delegation, Legal, Ethics)
Q1. A nurse on a med-surg unit has received change-of-shift report and will
care for 4 clients. Which of the following client's needs may the nurse assign to
an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Evaluating a client's ability to swallow after a stroke
Correct Answer: C
Rationale: The application of a condom catheter is a routine, non-invasive task that
falls within the AP's scope of practice. The RN cannot delegate assessment (D),
teaching (B), or tasks requiring clinical judgment (A - client with aspiration risk
requires skilled feeding) .
Q2. A nurse discovers a medication error after administering a double dose of
insulin. What should the nurse do FIRST?
A. Complete an incident report
B. Assess the client's blood glucose level
, 4
C. Notify the nurse manager
D. Document the error in the medical record
Correct Answer: B
Rationale: Client safety is always the priority. The nurse must first assess the client
for hypoglycemia (the immediate risk from excess insulin), then notify the provider,
and finally complete the incident report .
Q3. A nurse prepares an injection of an opioid from a 2 mL vial but only draws
up 1 mL. Which action is correct?
A. Have another nurse witness the waste
B. Notify pharmacy of the leftover drug
C. Lock the remaining drug in the controlled cabinet
D. Discard the vial in the sharps container
Correct Answer: A
Rationale: A second nurse must witness the disposal of a partial dose of a
controlled substance to prevent diversion. Both nurses sign the controlled substance
record .
