ATI RN Fundamentals Proctored Exam 2024/2025 with NGN: 70 Real Exam
Questions and Answers | Comprehensive Study Guide And Test Practice
1. Multiple Choice Question
Which of the following interventions should the nurse prioritize when caring for
a client at risk for falls?
a. Encourage the client to ambulate independently
b. Place the call light within the client’s reach
c. Keep the client’s bed in the highest position
d. Use physical restraints to prevent the client from getting out of bed
Answer: b. Place the call light within the client’s reach
Rationale: Placing the call light within the client’s reach empowers the client to
call for assistance and reduces the risk of unassisted ambulation, a common cause
of falls.
2. True/False Question
Hand hygiene is the most effective method for preventing the spread of
infections in healthcare settings.
Answer: True
Rationale: Proper hand hygiene is critical for breaking the chain of infection, as it
prevents the transmission of pathogens between patients and healthcare
providers.
3. Fill-in-the-Blank Question
The normal range for an adult's respiratory rate is ______ breaths per minute.
Answer: 12-20
Rationale: A respiratory rate within this range is considered normal for adults and
indicates effective ventilation and oxygenation.
,4. Scenario Question
A nurse finds a client unresponsive with a blood glucose level of 45 mg/dL. What
is the nurse’s priority intervention?
a. Administer IV insulin
b. Reassess the client in 30 minutes
c. Administer 15 g of oral glucose if the client can swallow
d. Call the healthcare provider immediately
Answer: c. Administer 15 g of oral glucose if the client can swallow
Rationale: Hypoglycemia requires immediate correction. If the client can swallow,
providing oral glucose is the safest and most effective intervention.
5. Priority Setting (SATA)
Which actions should the nurse take to prevent pressure injuries? Select all that
apply:
a. Turn the client every 2 hours
b. Massage reddened areas to promote circulation
c. Use a moisture barrier cream for incontinent clients
d. Provide a high-protein diet
e. Position pillows under the client's heels
Answer: a, c, d, e
Rationale: Regular repositioning, barrier creams, adequate nutrition, and
offloading pressure points are key strategies for pressure injury prevention.
Massaging reddened areas can exacerbate tissue damage.
6. Matching Question
Match the client condition with the correct nursing intervention:
1. Hypertension
2. Postoperative pain
3. Hypothermia
, 4. Risk of aspiration
a. Administer prescribed antihypertensive medication
b. Use incentive spirometry
c. Apply warm blankets
d. Elevate the head of the bed
Answer:
1-a, 2-b, 3-c, 4-d
Rationale: Each intervention targets the specific condition to promote optimal
client outcomes.
7. Drag-and-Drop Sequence
Place the following steps of a bed bath in the correct order:
a. Wash the client’s face
b. Wash the client’s chest and abdomen
c. Wash the client’s arms and hands
d. Wash the client’s legs and feet
e. Wash the perineal area
Answer: a, c, b, d, e
Rationale: A head-to-toe approach is standard practice to maintain cleanliness
and minimize contamination.
8. Multiple Choice Question
A client has an oxygen saturation of 88%. What is the nurse’s priority action?
a. Apply a nasal cannula at 2 L/min
b. Check the placement of the pulse oximeter sensor
c. Call the respiratory therapist
d. Document the findings
Answer: b. Check the placement of the pulse oximeter sensor
Rationale: False readings can occur due to poor sensor placement. Ensuring
accuracy before taking further action is essential.
Questions and Answers | Comprehensive Study Guide And Test Practice
1. Multiple Choice Question
Which of the following interventions should the nurse prioritize when caring for
a client at risk for falls?
a. Encourage the client to ambulate independently
b. Place the call light within the client’s reach
c. Keep the client’s bed in the highest position
d. Use physical restraints to prevent the client from getting out of bed
Answer: b. Place the call light within the client’s reach
Rationale: Placing the call light within the client’s reach empowers the client to
call for assistance and reduces the risk of unassisted ambulation, a common cause
of falls.
2. True/False Question
Hand hygiene is the most effective method for preventing the spread of
infections in healthcare settings.
Answer: True
Rationale: Proper hand hygiene is critical for breaking the chain of infection, as it
prevents the transmission of pathogens between patients and healthcare
providers.
3. Fill-in-the-Blank Question
The normal range for an adult's respiratory rate is ______ breaths per minute.
Answer: 12-20
Rationale: A respiratory rate within this range is considered normal for adults and
indicates effective ventilation and oxygenation.
,4. Scenario Question
A nurse finds a client unresponsive with a blood glucose level of 45 mg/dL. What
is the nurse’s priority intervention?
a. Administer IV insulin
b. Reassess the client in 30 minutes
c. Administer 15 g of oral glucose if the client can swallow
d. Call the healthcare provider immediately
Answer: c. Administer 15 g of oral glucose if the client can swallow
Rationale: Hypoglycemia requires immediate correction. If the client can swallow,
providing oral glucose is the safest and most effective intervention.
5. Priority Setting (SATA)
Which actions should the nurse take to prevent pressure injuries? Select all that
apply:
a. Turn the client every 2 hours
b. Massage reddened areas to promote circulation
c. Use a moisture barrier cream for incontinent clients
d. Provide a high-protein diet
e. Position pillows under the client's heels
Answer: a, c, d, e
Rationale: Regular repositioning, barrier creams, adequate nutrition, and
offloading pressure points are key strategies for pressure injury prevention.
Massaging reddened areas can exacerbate tissue damage.
6. Matching Question
Match the client condition with the correct nursing intervention:
1. Hypertension
2. Postoperative pain
3. Hypothermia
, 4. Risk of aspiration
a. Administer prescribed antihypertensive medication
b. Use incentive spirometry
c. Apply warm blankets
d. Elevate the head of the bed
Answer:
1-a, 2-b, 3-c, 4-d
Rationale: Each intervention targets the specific condition to promote optimal
client outcomes.
7. Drag-and-Drop Sequence
Place the following steps of a bed bath in the correct order:
a. Wash the client’s face
b. Wash the client’s chest and abdomen
c. Wash the client’s arms and hands
d. Wash the client’s legs and feet
e. Wash the perineal area
Answer: a, c, b, d, e
Rationale: A head-to-toe approach is standard practice to maintain cleanliness
and minimize contamination.
8. Multiple Choice Question
A client has an oxygen saturation of 88%. What is the nurse’s priority action?
a. Apply a nasal cannula at 2 L/min
b. Check the placement of the pulse oximeter sensor
c. Call the respiratory therapist
d. Document the findings
Answer: b. Check the placement of the pulse oximeter sensor
Rationale: False readings can occur due to poor sensor placement. Ensuring
accuracy before taking further action is essential.
