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“ATI RN Fundamentals Proctored Exam 2025 | 70 Qs |
NGN Format + Rationales | Graded A+”
Question 1
A nurse is caring for a client admitted with pneumonia who has a respiratory rate of
28/min, productive cough, and oxygen saturation of 90% on room air. The nurse is
preparing to implement interventions.
Which of the following actions should the nurse take? (Select all that apply.)
A. Encourage the client to use the incentive spirometer every hour while awake
B. Administer oxygen at 2 L/min via nasal cannula
C. Place the client in a supine position to promote rest
D. Monitor breath sounds every 2 hours
E. Withhold fluids until the fever subsides
, 2
Correct Answers: A, B, D
Rationale: The nurse should encourage incentive spirometry to promote lung expansion
and airway clearance (A), provide low-flow oxygen to improve oxygenation (B), and
monitor breath sounds frequently to assess for deterioration or improvement (D). Supine
positioning (C) is incorrect—it can impair lung expansion and promote aspiration; semi-
Fowler’s or Fowler’s is preferred. Withholding fluids (E) is inappropriate as hydration
helps thin mucus secretions and supports recovery.
Question 2
A client who underwent abdominal surgery 1 day ago reports pain of 8/10 and appears
restless. The nurse assesses the incision and notes slight redness but no drainage. Vital
signs are: BP 148/90, HR 112, Temp 37.9°C (100.2°F).
Which of the following actions should the nurse take? (Select all that apply.)
A. Administer prescribed analgesia
B. Reassess pain level after 1 hour
C. Encourage the client to ambulate
D. Document findings as expected
E. Notify the provider of suspected infection
Correct Answers: A, B, C
Rationale: Pain management (A) is a priority post-op. Reassessing effectiveness within
an hour (B) ensures safe analgesia administration. Encouraging early ambulation (C)
reduces risk of complications like pneumonia or DVT. While a slightly elevated HR and
, 3
temp may be expected, documentation alone (D) is insufficient. There’s no strong
evidence of infection (E) like purulent drainage or high-grade fever, so notifying the
provider is premature.
Question 3
A nurse is providing discharge instructions to a client with a new prescription for a
walker.
Which of the following should the nurse include in the teaching? (Select all that
apply.)
A. Advance the walker first, followed by the weaker leg
B. Keep elbows at a 90-degree angle when using the walker
C. Move both legs simultaneously with the walker
D. Ensure rubber tips are intact on the walker legs
E. Slide the walker forward rather than lifting it
Correct Answers: A, B, D
Rationale: The correct walker technique involves advancing the walker, then the weaker
leg (A), keeping elbows slightly flexed (~90 degrees) for control (B), and ensuring rubber
tips are intact to prevent slipping (D). Moving both legs at once (C) is unsafe. Walkers
should be lifted, not slid (E), to prevent tripping or imbalance unless it’s a wheeled
walker.
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Question 4
A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following steps should the nurse include in the procedure? (Select all
that apply.)
A. Cleanse the urethral meatus from back to front
B. Inflate the balloon before insertion
C. Advance the catheter until urine returns
D. Use sterile gloves during the insertion
E. Secure the catheter to the inner thigh after insertion
Correct Answers: C, D, E
Rationale: During insertion, the nurse should advance the catheter until urine returns (C),
use sterile gloves (D), and secure the catheter to reduce trauma and tension (E). Cleaning
should be front to back to prevent infection (A), and the balloon should never be inflated
before insertion (B) as this can cause urethral trauma.
Question 5
A nurse is caring for a client with dysphagia following a stroke.
Which of the following interventions should the nurse implement to reduce
aspiration risk? (Select all that apply.)
A. Offer thin liquids for easier swallowing
B. Instruct the client to tuck chin while swallowing
C. Ensure the client is seated at a 90-degree angle during meals
“ATI RN Fundamentals Proctored Exam 2025 | 70 Qs |
NGN Format + Rationales | Graded A+”
Question 1
A nurse is caring for a client admitted with pneumonia who has a respiratory rate of
28/min, productive cough, and oxygen saturation of 90% on room air. The nurse is
preparing to implement interventions.
Which of the following actions should the nurse take? (Select all that apply.)
A. Encourage the client to use the incentive spirometer every hour while awake
B. Administer oxygen at 2 L/min via nasal cannula
C. Place the client in a supine position to promote rest
D. Monitor breath sounds every 2 hours
E. Withhold fluids until the fever subsides
, 2
Correct Answers: A, B, D
Rationale: The nurse should encourage incentive spirometry to promote lung expansion
and airway clearance (A), provide low-flow oxygen to improve oxygenation (B), and
monitor breath sounds frequently to assess for deterioration or improvement (D). Supine
positioning (C) is incorrect—it can impair lung expansion and promote aspiration; semi-
Fowler’s or Fowler’s is preferred. Withholding fluids (E) is inappropriate as hydration
helps thin mucus secretions and supports recovery.
Question 2
A client who underwent abdominal surgery 1 day ago reports pain of 8/10 and appears
restless. The nurse assesses the incision and notes slight redness but no drainage. Vital
signs are: BP 148/90, HR 112, Temp 37.9°C (100.2°F).
Which of the following actions should the nurse take? (Select all that apply.)
A. Administer prescribed analgesia
B. Reassess pain level after 1 hour
C. Encourage the client to ambulate
D. Document findings as expected
E. Notify the provider of suspected infection
Correct Answers: A, B, C
Rationale: Pain management (A) is a priority post-op. Reassessing effectiveness within
an hour (B) ensures safe analgesia administration. Encouraging early ambulation (C)
reduces risk of complications like pneumonia or DVT. While a slightly elevated HR and
, 3
temp may be expected, documentation alone (D) is insufficient. There’s no strong
evidence of infection (E) like purulent drainage or high-grade fever, so notifying the
provider is premature.
Question 3
A nurse is providing discharge instructions to a client with a new prescription for a
walker.
Which of the following should the nurse include in the teaching? (Select all that
apply.)
A. Advance the walker first, followed by the weaker leg
B. Keep elbows at a 90-degree angle when using the walker
C. Move both legs simultaneously with the walker
D. Ensure rubber tips are intact on the walker legs
E. Slide the walker forward rather than lifting it
Correct Answers: A, B, D
Rationale: The correct walker technique involves advancing the walker, then the weaker
leg (A), keeping elbows slightly flexed (~90 degrees) for control (B), and ensuring rubber
tips are intact to prevent slipping (D). Moving both legs at once (C) is unsafe. Walkers
should be lifted, not slid (E), to prevent tripping or imbalance unless it’s a wheeled
walker.
, 4
Question 4
A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following steps should the nurse include in the procedure? (Select all
that apply.)
A. Cleanse the urethral meatus from back to front
B. Inflate the balloon before insertion
C. Advance the catheter until urine returns
D. Use sterile gloves during the insertion
E. Secure the catheter to the inner thigh after insertion
Correct Answers: C, D, E
Rationale: During insertion, the nurse should advance the catheter until urine returns (C),
use sterile gloves (D), and secure the catheter to reduce trauma and tension (E). Cleaning
should be front to back to prevent infection (A), and the balloon should never be inflated
before insertion (B) as this can cause urethral trauma.
Question 5
A nurse is caring for a client with dysphagia following a stroke.
Which of the following interventions should the nurse implement to reduce
aspiration risk? (Select all that apply.)
A. Offer thin liquids for easier swallowing
B. Instruct the client to tuck chin while swallowing
C. Ensure the client is seated at a 90-degree angle during meals
