1
ATI PN Fundamentals 2025 – Actual
Proctored Exam with 100% Verified
Answers and Detailed Explanations |
Retake-Ready Full Test Bank
Below is a set of 200 original, realistic, and challenging multiple-choice questions designed for
the ATI PN Fundamentals 2025 Proctored Exam, aligned with the ATI Practical Nurse (PN)
Fundamentals content outline. Each question includes four answer options, with the correct
answer, followed by a concise explanation based on current ATI PN Fundamentals principles,
focusing on nursing care, safety, infection control, patient education, and basic care.
1. A nurse is assisting a client with ambulation using a walker. Which action ensures
client safety?
a. Instruct the client to hold the walker by the side bars.
b. Walk in front of the client to guide them.
c. Ensure the walker is at the client’s waist level.
d. Allow the client to lean backward while walking.
c. Ensure the walker is at the client’s waist level.
Explanation: The walker should be at waist level to provide optimal stability and prevent
falls, per ATI PN Fundamentals safety guidelines.
2. Which position is most appropriate for a client receiving a nasogastric tube feeding?
a. Supine
b. Prone
c. Semi-Fowler’s
d. Lateral recumbent
c. Semi-Fowler’s
Explanation: Semi-Fowler’s position (30–45 degrees) reduces the risk of aspiration
during NG tube feedings, per ATI PN Fundamentals.
3. A nurse is performing hand hygiene. What is the minimum duration for effective
handwashing?
a. 10 seconds
b. 20 seconds
c. 30 seconds
d. 60 seconds
b. 20 seconds
, 2
Explanation: ATI PN Fundamentals recommends at least 20 seconds of handwashing to
effectively remove pathogens, per CDC guidelines.
4. A client with a new colostomy asks about dietary restrictions. What should the
nurse recommend?
a. Avoid high-fiber foods initially.
b. Increase dairy intake.
c. Consume carbonated beverages.
d. Eat large meals to promote output.
a. Avoid high-fiber foods initially.
Explanation: High-fiber foods can cause blockages in a new colostomy; ATI PN
Fundamentals advises a low-fiber diet initially.
5. Which action by a nurse demonstrates proper use of personal protective equipment
(PPE) for contact precautions?
a. Remove gloves after gown.
b. Wear a mask when entering the room.
c. Don gown and gloves before entering.
d. Keep gloves on while charting.
c. Don gown and gloves before entering.
Explanation: Contact precautions require gown and gloves before entering the client’s
room, per ATI PN Fundamentals infection control guidelines.
6. A nurse is assisting a client with a bed bath. Which area should be cleaned last?
a. Face
b. Perineal area
c. Arms
d. Chest
b. Perineal area
Explanation: The perineal area is cleaned last to prevent cross-contamination, per ATI
PN Fundamentals hygiene protocols.
7. What is the priority action for a nurse when a client reports chest pain during
ambulation?
a. Continue ambulation slowly.
b. Stop and have the client rest.
c. Administer oxygen immediately.
d. Check blood pressure.
b. Stop and have the client rest.
Explanation: Stopping activity and allowing rest is the priority to reduce cardiac demand,
per ATI PN Fundamentals.
8. A nurse is preparing to administer a medication via intramuscular injection. Which
site is most appropriate for an adult?
a. Deltoid
b. Vastus lateralis
c. Ventrogluteal
d. Dorsogluteal
c. Ventrogluteal
Explanation: The ventrogluteal site is preferred for IM injections in adults due to lower
risk of nerve injury, per ATI PN Fundamentals.
, 3
9. Which statement by a client indicates understanding of crutch-walking
instructions?
a. “I will bear weight on my hands, not my armpits.”
b. “I will place the crutches 12 inches in front of me.”
c. “I will lean on the crutches for support.”
d. “I will use one crutch under each armpit.”
a. “I will bear weight on my hands, not my armpits.”
Explanation: Weight should be borne on the hands to prevent nerve damage, per ATI PN
Fundamentals mobility guidelines.
10. A nurse is caring for a client with a urinary catheter. What action prevents
infection?
a. Clean the catheter with alcohol daily.
b. Keep the drainage bag below bladder level.
c. Disconnect the catheter to empty the bag.
d. Secure the catheter to the bed.
b. Keep the drainage bag below bladder level.
Explanation: Keeping the drainage bag below the bladder prevents urine backflow,
reducing infection risk, per ATI PN Fundamentals.
11. What is the correct sequence for donning PPE?
a. Gloves, gown, mask, goggles
b. Gown, mask, goggles, gloves
c. Mask, gown, gloves, goggles
d. Gown, gloves, mask, goggles
b. Gown, mask, goggles, gloves
Explanation: ATI PN Fundamentals specifies donning PPE in this order to ensure proper
protection and ease of application.
12. A nurse is teaching a client about a low-sodium diet. Which food should the client
avoid?
a. Fresh apples
b. Canned soup
c. Brown rice
d. Grilled chicken
b. Canned soup
Explanation: Canned soups are high in sodium, which should be avoided on a low-
sodium diet, per ATI PN Fundamentals nutrition guidelines.
13. A client is receiving oxygen via nasal cannula at 2 L/min. What should the nurse
monitor?
a. Skin integrity around the nose
b. Blood pressure every hour
c. Urine output every shift
d. Heart rate every 4 hours
a. Skin integrity around the nose
Explanation: Prolonged nasal cannula use can cause skin breakdown, requiring
monitoring, per ATI PN Fundamentals.
14. Which action is appropriate when assisting a client with a meal tray?
a. Open all containers for the client.
, 4
b. Feed the client immediately.
c. Assess the client’s ability to self-feed.
d. Leave the tray and return later.
c. Assess the client’s ability to self-feed.
Explanation: Assessing self-feeding ability promotes independence, per ATI PN
Fundamentals client care principles.
15. A nurse is caring for a client with a pressure injury. What is the priority
intervention?
a. Apply a wet-to-dry dressing.
b. Reposition the client every 2 hours.
c. Administer oral antibiotics.
d. Cleanse with hydrogen peroxide.
b. Reposition the client every 2 hours.
Explanation: Repositioning prevents further tissue damage, a priority for pressure injury
care, per ATI PN Fundamentals.
16. What is the correct technique for measuring a client’s temperature orally?
a. Place the thermometer in the cheek.
b. Insert the thermometer under the tongue.
c. Hold the thermometer in place for 10 seconds.
d. Take the temperature after drinking water.
b. Insert the thermometer under the tongue.
Explanation: The thermometer should be placed under the tongue for accurate
measurement, per ATI PN Fundamentals.
17. A nurse is assisting a client with a transfer from bed to chair. What is the first step?
a. Lower the bed to the lowest position.
b. Lock the wheels of the bed.
c. Place a chair next to the bed.
d. Assist the client to stand immediately.
b. Lock the wheels of the bed.
Explanation: Locking the bed wheels ensures safety during transfer, per ATI PN
Fundamentals.
18. Which statement indicates a client understands postoperative deep breathing
exercises?
a. “I will breathe in quickly and exhale slowly.”
b. “I will take slow, deep breaths and hold for 3 seconds.”
c. “I will cough before each deep breath.”
d. “I will perform the exercises once daily.”
b. “I will take slow, deep breaths and hold for 3 seconds.”
Explanation: Slow, deep breathing with a brief hold promotes lung expansion, per ATI
PN Fundamentals.
19. A nurse is caring for a client with a new tracheostomy. What is the priority action?
a. Suction the tracheostomy every 4 hours.
b. Ensure the tracheostomy ties are secure.
c. Change the tracheostomy tube daily.
d. Apply a wet dressing to the site.
b. Ensure the tracheostomy ties are secure.
ATI PN Fundamentals 2025 – Actual
Proctored Exam with 100% Verified
Answers and Detailed Explanations |
Retake-Ready Full Test Bank
Below is a set of 200 original, realistic, and challenging multiple-choice questions designed for
the ATI PN Fundamentals 2025 Proctored Exam, aligned with the ATI Practical Nurse (PN)
Fundamentals content outline. Each question includes four answer options, with the correct
answer, followed by a concise explanation based on current ATI PN Fundamentals principles,
focusing on nursing care, safety, infection control, patient education, and basic care.
1. A nurse is assisting a client with ambulation using a walker. Which action ensures
client safety?
a. Instruct the client to hold the walker by the side bars.
b. Walk in front of the client to guide them.
c. Ensure the walker is at the client’s waist level.
d. Allow the client to lean backward while walking.
c. Ensure the walker is at the client’s waist level.
Explanation: The walker should be at waist level to provide optimal stability and prevent
falls, per ATI PN Fundamentals safety guidelines.
2. Which position is most appropriate for a client receiving a nasogastric tube feeding?
a. Supine
b. Prone
c. Semi-Fowler’s
d. Lateral recumbent
c. Semi-Fowler’s
Explanation: Semi-Fowler’s position (30–45 degrees) reduces the risk of aspiration
during NG tube feedings, per ATI PN Fundamentals.
3. A nurse is performing hand hygiene. What is the minimum duration for effective
handwashing?
a. 10 seconds
b. 20 seconds
c. 30 seconds
d. 60 seconds
b. 20 seconds
, 2
Explanation: ATI PN Fundamentals recommends at least 20 seconds of handwashing to
effectively remove pathogens, per CDC guidelines.
4. A client with a new colostomy asks about dietary restrictions. What should the
nurse recommend?
a. Avoid high-fiber foods initially.
b. Increase dairy intake.
c. Consume carbonated beverages.
d. Eat large meals to promote output.
a. Avoid high-fiber foods initially.
Explanation: High-fiber foods can cause blockages in a new colostomy; ATI PN
Fundamentals advises a low-fiber diet initially.
5. Which action by a nurse demonstrates proper use of personal protective equipment
(PPE) for contact precautions?
a. Remove gloves after gown.
b. Wear a mask when entering the room.
c. Don gown and gloves before entering.
d. Keep gloves on while charting.
c. Don gown and gloves before entering.
Explanation: Contact precautions require gown and gloves before entering the client’s
room, per ATI PN Fundamentals infection control guidelines.
6. A nurse is assisting a client with a bed bath. Which area should be cleaned last?
a. Face
b. Perineal area
c. Arms
d. Chest
b. Perineal area
Explanation: The perineal area is cleaned last to prevent cross-contamination, per ATI
PN Fundamentals hygiene protocols.
7. What is the priority action for a nurse when a client reports chest pain during
ambulation?
a. Continue ambulation slowly.
b. Stop and have the client rest.
c. Administer oxygen immediately.
d. Check blood pressure.
b. Stop and have the client rest.
Explanation: Stopping activity and allowing rest is the priority to reduce cardiac demand,
per ATI PN Fundamentals.
8. A nurse is preparing to administer a medication via intramuscular injection. Which
site is most appropriate for an adult?
a. Deltoid
b. Vastus lateralis
c. Ventrogluteal
d. Dorsogluteal
c. Ventrogluteal
Explanation: The ventrogluteal site is preferred for IM injections in adults due to lower
risk of nerve injury, per ATI PN Fundamentals.
, 3
9. Which statement by a client indicates understanding of crutch-walking
instructions?
a. “I will bear weight on my hands, not my armpits.”
b. “I will place the crutches 12 inches in front of me.”
c. “I will lean on the crutches for support.”
d. “I will use one crutch under each armpit.”
a. “I will bear weight on my hands, not my armpits.”
Explanation: Weight should be borne on the hands to prevent nerve damage, per ATI PN
Fundamentals mobility guidelines.
10. A nurse is caring for a client with a urinary catheter. What action prevents
infection?
a. Clean the catheter with alcohol daily.
b. Keep the drainage bag below bladder level.
c. Disconnect the catheter to empty the bag.
d. Secure the catheter to the bed.
b. Keep the drainage bag below bladder level.
Explanation: Keeping the drainage bag below the bladder prevents urine backflow,
reducing infection risk, per ATI PN Fundamentals.
11. What is the correct sequence for donning PPE?
a. Gloves, gown, mask, goggles
b. Gown, mask, goggles, gloves
c. Mask, gown, gloves, goggles
d. Gown, gloves, mask, goggles
b. Gown, mask, goggles, gloves
Explanation: ATI PN Fundamentals specifies donning PPE in this order to ensure proper
protection and ease of application.
12. A nurse is teaching a client about a low-sodium diet. Which food should the client
avoid?
a. Fresh apples
b. Canned soup
c. Brown rice
d. Grilled chicken
b. Canned soup
Explanation: Canned soups are high in sodium, which should be avoided on a low-
sodium diet, per ATI PN Fundamentals nutrition guidelines.
13. A client is receiving oxygen via nasal cannula at 2 L/min. What should the nurse
monitor?
a. Skin integrity around the nose
b. Blood pressure every hour
c. Urine output every shift
d. Heart rate every 4 hours
a. Skin integrity around the nose
Explanation: Prolonged nasal cannula use can cause skin breakdown, requiring
monitoring, per ATI PN Fundamentals.
14. Which action is appropriate when assisting a client with a meal tray?
a. Open all containers for the client.
, 4
b. Feed the client immediately.
c. Assess the client’s ability to self-feed.
d. Leave the tray and return later.
c. Assess the client’s ability to self-feed.
Explanation: Assessing self-feeding ability promotes independence, per ATI PN
Fundamentals client care principles.
15. A nurse is caring for a client with a pressure injury. What is the priority
intervention?
a. Apply a wet-to-dry dressing.
b. Reposition the client every 2 hours.
c. Administer oral antibiotics.
d. Cleanse with hydrogen peroxide.
b. Reposition the client every 2 hours.
Explanation: Repositioning prevents further tissue damage, a priority for pressure injury
care, per ATI PN Fundamentals.
16. What is the correct technique for measuring a client’s temperature orally?
a. Place the thermometer in the cheek.
b. Insert the thermometer under the tongue.
c. Hold the thermometer in place for 10 seconds.
d. Take the temperature after drinking water.
b. Insert the thermometer under the tongue.
Explanation: The thermometer should be placed under the tongue for accurate
measurement, per ATI PN Fundamentals.
17. A nurse is assisting a client with a transfer from bed to chair. What is the first step?
a. Lower the bed to the lowest position.
b. Lock the wheels of the bed.
c. Place a chair next to the bed.
d. Assist the client to stand immediately.
b. Lock the wheels of the bed.
Explanation: Locking the bed wheels ensures safety during transfer, per ATI PN
Fundamentals.
18. Which statement indicates a client understands postoperative deep breathing
exercises?
a. “I will breathe in quickly and exhale slowly.”
b. “I will take slow, deep breaths and hold for 3 seconds.”
c. “I will cough before each deep breath.”
d. “I will perform the exercises once daily.”
b. “I will take slow, deep breaths and hold for 3 seconds.”
Explanation: Slow, deep breathing with a brief hold promotes lung expansion, per ATI
PN Fundamentals.
19. A nurse is caring for a client with a new tracheostomy. What is the priority action?
a. Suction the tracheostomy every 4 hours.
b. Ensure the tracheostomy ties are secure.
c. Change the tracheostomy tube daily.
d. Apply a wet dressing to the site.
b. Ensure the tracheostomy ties are secure.
