ATI RN Fundamentals Proctored Exam 2026–2027 | 100
Verified NCLEX-Style Questions & Answers with
Rationales | NGN-Ready | Graded A+ | 100% Pass
Guaranteed
1. A nurse is preparing to administer a first dose of an oral antibiotic to a client with a
known penicillin allergy. The nurse notes that the medication order is for amoxicillin.
Which action should the nurse take first?
A. Administer the medication because the allergy is older than 10 years.
B. Hold the medication and verify the medication order with the provider.
C. Ask the client if they have ever tolerated amoxicillin before.
D. Delegate the administration to the unlicensed assistive personnel.
Answer: B
2. A nurse is caring for a client who is receiving oxygen at 2 L per minute via nasal cannula.
The oxygen saturation is 92% on room air but rises to 98% with oxygen. Which finding
should the nurse monitor most closely?
A. Respiratory rate.
B. Skin turgor.
C. Bowel sounds.
D. Blood glucose level.
Answer: A
3. A client reports shortness of breath when lying flat. Which nursing intervention should
the nurse implement first?
A. Place the client in a high‑Fowler position.
B. Administer oxygen at 2 L per minute.
C. Offer the client a glass of water.
D. Ask the client to take slow, deep breaths.
Answer: A
4. A nurse is preparing to transfer a client from bed to a wheelchair. Which action should
the nurse prioritize to ensure safety?
A. Ask another nurse to hold the client’s hand during transfer.
B. Use a transfer belt and have the client’s legs dangling over the bed for a minute.
C. Instruct the client to stand up quickly to avoid dizziness.
D. Have the client grab the wheelchair arm for support.
Answer: B
5. A nurse is caring for a client with a history of diabetes. The client’s blood pressure is
168/94 mm Hg. Which action should the nurse prioritize?
A. Offer the client a low‑sodium snack.
B. Notify the provider and monitor for signs of end‑organ damage.
, C. Administer the scheduled dose of antihypertensive medication.
D. Instruct the client to lie down immediately.
Answer: B
6. A client reports severe abdominal pain after receiving a dose of oral laxative. Which
assessment finding should the nurse report to the provider immediately?
A. Soft, non‑distended abdomen.
B. Absent bowel sounds and rigid, board‑like abdomen.
C. Mild cramping after several hours.
D. Flatulence and passing gas.
Answer: B
7. A nurse is delegating tasks to an unlicensed assistive personnel. Which task is
appropriate for the UAP to perform?
A. Assess a client who reports new chest pain.
B. Assist a stable client with ambulation in the hallway.
C. Evaluate the effectiveness of a new pain medication.
D. Reassess the client’s IV site for infiltration.
Answer: B
8. A nurse is teaching a client about discharge instructions for a wound dressing change.
Which statement by the client indicates understanding?
A. I can skip the dressing change if the wound looks dry.
B. I will clean the wound with tap water and cover it with a fresh dressing.
C. I will keep the area exposed to the air so it can heal faster.
D. I will apply the dressing only if there is drainage.
Answer: B
9. A client is scheduled for a procedure that requires sedation. Which action should the
nurse prioritize immediately before the procedure?
A. Ask the client to eat a light meal.
B. Confirm that the client has remained NPO as ordered.
C. Administer the pre‑procedure sedative early.
D. Have the client empty the bladder after the procedure.
Answer: B
10.A nurse is caring for a client with a urinary catheter. Which finding should the nurse
report to the provider immediately?
A. Slight pink‑tinged urine.
B. Continuous, unobstructed drainage.
C. Cloudy urine with a foul odor.
D. Client’s request for privacy during perineal care.
Answer: C
11.A nurse notes that a client’s blood glucose is 280 mg/dL with ketones in the urine. Which
action should the nurse prioritize first?
A. Offer the client a glass of orange juice.
B. Administer the prescribed insulin and notify the provider.
C. Provide a high‑carbohydrate snack.
, D. Instruct the client to increase fluid intake.
Answer: B
12.A client reports sudden onset of severe headache and vision changes. Which action
should the nurse prioritize first?
A. Reassure the client that the symptoms are likely temporary.
B. Notify the provider immediately and prepare for stroke protocols.
C. Administer PRN acetaminophen.
D. Offer the client a cool compress for the head.
Answer: B
13.A nurse is caring for a client with a history of deep vein thrombosis. Which action should
the nurse intervene to prevent?
A. Encouraging frequent ambulation.
B. Applying compression stockings as prescribed.
C. Massaging the client’s calf.
D. Administering anticoagulants on schedule.
Answer: C
14.A nurse is caring for a client who is post‑operative and receiving IV fluids. The nurse
notes that the client’s blood pressure has dropped from 130/80 mm Hg to 88/52 mm Hg
with a heart rate of 120 beats per minute. Which action should the nurse prioritize?
A. Clamp the IV line to prevent fluid overload.
B. Increase the IV infusion rate as ordered and notify the provider.
C. Raise the head of the bed to 90 degrees.
D. Administer PRN antiemetic medication.
Answer: B
15.A nurse is teaching a client about fall‑prevention strategies. Which statement by the
client indicates understanding?
A. I will keep my room dark so I can rest better.
B. I will get up quickly if I feel dizzy.
C. I will ask for help when I need to get out of bed.
D. I can use the bed rails only when the nurse is busy.
Answer: C
16.A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with stable chronic heart failure who reports mild fatigue.
B. A client with asthma who has a respiratory rate of 30 breaths per minute and audible
wheezes.
C. A client with stable hypertension who needs a medication review.
D. A client with diabetes who is scheduled for a fasting blood draw in the morning.
Answer: B
17.A nurse is preparing to administer IV potassium to a client with a potassium level of 2.9
mEq/L. Which action should the nurse prioritize?
A. Administer the potassium infusion at 20 mEq per hour.
B. Verify that the IV site is patent and the infusion will be given in the protocol‑approved
time frame.
C. Administer the potassium as an IV push for rapid effect.
Verified NCLEX-Style Questions & Answers with
Rationales | NGN-Ready | Graded A+ | 100% Pass
Guaranteed
1. A nurse is preparing to administer a first dose of an oral antibiotic to a client with a
known penicillin allergy. The nurse notes that the medication order is for amoxicillin.
Which action should the nurse take first?
A. Administer the medication because the allergy is older than 10 years.
B. Hold the medication and verify the medication order with the provider.
C. Ask the client if they have ever tolerated amoxicillin before.
D. Delegate the administration to the unlicensed assistive personnel.
Answer: B
2. A nurse is caring for a client who is receiving oxygen at 2 L per minute via nasal cannula.
The oxygen saturation is 92% on room air but rises to 98% with oxygen. Which finding
should the nurse monitor most closely?
A. Respiratory rate.
B. Skin turgor.
C. Bowel sounds.
D. Blood glucose level.
Answer: A
3. A client reports shortness of breath when lying flat. Which nursing intervention should
the nurse implement first?
A. Place the client in a high‑Fowler position.
B. Administer oxygen at 2 L per minute.
C. Offer the client a glass of water.
D. Ask the client to take slow, deep breaths.
Answer: A
4. A nurse is preparing to transfer a client from bed to a wheelchair. Which action should
the nurse prioritize to ensure safety?
A. Ask another nurse to hold the client’s hand during transfer.
B. Use a transfer belt and have the client’s legs dangling over the bed for a minute.
C. Instruct the client to stand up quickly to avoid dizziness.
D. Have the client grab the wheelchair arm for support.
Answer: B
5. A nurse is caring for a client with a history of diabetes. The client’s blood pressure is
168/94 mm Hg. Which action should the nurse prioritize?
A. Offer the client a low‑sodium snack.
B. Notify the provider and monitor for signs of end‑organ damage.
, C. Administer the scheduled dose of antihypertensive medication.
D. Instruct the client to lie down immediately.
Answer: B
6. A client reports severe abdominal pain after receiving a dose of oral laxative. Which
assessment finding should the nurse report to the provider immediately?
A. Soft, non‑distended abdomen.
B. Absent bowel sounds and rigid, board‑like abdomen.
C. Mild cramping after several hours.
D. Flatulence and passing gas.
Answer: B
7. A nurse is delegating tasks to an unlicensed assistive personnel. Which task is
appropriate for the UAP to perform?
A. Assess a client who reports new chest pain.
B. Assist a stable client with ambulation in the hallway.
C. Evaluate the effectiveness of a new pain medication.
D. Reassess the client’s IV site for infiltration.
Answer: B
8. A nurse is teaching a client about discharge instructions for a wound dressing change.
Which statement by the client indicates understanding?
A. I can skip the dressing change if the wound looks dry.
B. I will clean the wound with tap water and cover it with a fresh dressing.
C. I will keep the area exposed to the air so it can heal faster.
D. I will apply the dressing only if there is drainage.
Answer: B
9. A client is scheduled for a procedure that requires sedation. Which action should the
nurse prioritize immediately before the procedure?
A. Ask the client to eat a light meal.
B. Confirm that the client has remained NPO as ordered.
C. Administer the pre‑procedure sedative early.
D. Have the client empty the bladder after the procedure.
Answer: B
10.A nurse is caring for a client with a urinary catheter. Which finding should the nurse
report to the provider immediately?
A. Slight pink‑tinged urine.
B. Continuous, unobstructed drainage.
C. Cloudy urine with a foul odor.
D. Client’s request for privacy during perineal care.
Answer: C
11.A nurse notes that a client’s blood glucose is 280 mg/dL with ketones in the urine. Which
action should the nurse prioritize first?
A. Offer the client a glass of orange juice.
B. Administer the prescribed insulin and notify the provider.
C. Provide a high‑carbohydrate snack.
, D. Instruct the client to increase fluid intake.
Answer: B
12.A client reports sudden onset of severe headache and vision changes. Which action
should the nurse prioritize first?
A. Reassure the client that the symptoms are likely temporary.
B. Notify the provider immediately and prepare for stroke protocols.
C. Administer PRN acetaminophen.
D. Offer the client a cool compress for the head.
Answer: B
13.A nurse is caring for a client with a history of deep vein thrombosis. Which action should
the nurse intervene to prevent?
A. Encouraging frequent ambulation.
B. Applying compression stockings as prescribed.
C. Massaging the client’s calf.
D. Administering anticoagulants on schedule.
Answer: C
14.A nurse is caring for a client who is post‑operative and receiving IV fluids. The nurse
notes that the client’s blood pressure has dropped from 130/80 mm Hg to 88/52 mm Hg
with a heart rate of 120 beats per minute. Which action should the nurse prioritize?
A. Clamp the IV line to prevent fluid overload.
B. Increase the IV infusion rate as ordered and notify the provider.
C. Raise the head of the bed to 90 degrees.
D. Administer PRN antiemetic medication.
Answer: B
15.A nurse is teaching a client about fall‑prevention strategies. Which statement by the
client indicates understanding?
A. I will keep my room dark so I can rest better.
B. I will get up quickly if I feel dizzy.
C. I will ask for help when I need to get out of bed.
D. I can use the bed rails only when the nurse is busy.
Answer: C
16.A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with stable chronic heart failure who reports mild fatigue.
B. A client with asthma who has a respiratory rate of 30 breaths per minute and audible
wheezes.
C. A client with stable hypertension who needs a medication review.
D. A client with diabetes who is scheduled for a fasting blood draw in the morning.
Answer: B
17.A nurse is preparing to administer IV potassium to a client with a potassium level of 2.9
mEq/L. Which action should the nurse prioritize?
A. Administer the potassium infusion at 20 mEq per hour.
B. Verify that the IV site is patent and the infusion will be given in the protocol‑approved
time frame.
C. Administer the potassium as an IV push for rapid effect.
