ATI RN
FUNDAMENTALS
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
,This ATI test contains:
passing score Guarantee
70 Questions with Answers
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
Expert-Verified Explanations & Solutions
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,QUESTION 1 (NGN STYLE: Select All That Apply)
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A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. On Day 1, the IV site
was dry and intact, without redness or swelling. On Day 2, the IV site is edematous; the skin surrounding
the catheter site appears taut, blanched, cool to the touch, and IV fluid is not infusing. Which of the
following actions should the nurse take? (Select all that apply.)
A. Stop the IV infusion.
B. Elevate the affected extremity.
C. Apply a warm compress to the affected area.
D. Restart a new IV in the same affected extremity.
Correct Answers: A, B, and C
Expert Explanation/Rationale:
• Infiltration or extravasation is suspected when the area is cool, edematous, blanched, and fluid will not
infuse.
• The priority interventions include stopping the IV (A) and removing the catheter to prevent further
infiltration.
• Elevate the extremity (B) to reduce swelling.
• Warm (or sometimes cool, depending on the solution) compresses (C) help the body absorb the infiltration
more quickly.
• Restarting an IV distal to the affected site (D) is not appropriate; a new site should typically be started in a
different vein or proximal to the previous site.
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QUESTION 2 (PRIORITIZATION)
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A nurse in a medical-surgical unit is caring for six clients. Based on the following data, which client should
the nurse assess first?
• Client 1: Newly diagnosed rheumatoid arthritis; stable vital signs.
• Client 3: Postoperative day 1, reporting pain at 8 on a 0-to-10 pain scale. Received morphine 5 mg subcut
about 30 minutes ago.
• Client 4: Newly diagnosed heart failure, stable but with mild dyspnea.
• Client 6: Newly diagnosed diabetes mellitus, scheduled for teaching later today.
A. Client 1 (new rheumatoid arthritis)
B. Client 3 (postoperative pain level of 8)
C. Client 4 (new heart failure)
D. Client 6 (new diabetes mellitus)
Correct Answer: B
Expert Explanation/Rationale:
• According to priority-setting frameworks (e.g., Maslow’s hierarchy and acute vs. chronic), unmanaged
severe pain (8/10) in an immediate postoperative client (B) requires prompt assessment and possible
intervention.
• Although Client 4 (C) also requires close monitoring for heart failure, the nurse should first ensure
adequate pain management and assess for potential complications related to postoperative pain.
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QUESTION 3
───────────────────────────────────────────────────────
─
FUNDAMENTALS
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
,This ATI test contains:
passing score Guarantee
70 Questions with Answers
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
Expert-Verified Explanations & Solutions
───────────────────────────────────────────────────────
─
,QUESTION 1 (NGN STYLE: Select All That Apply)
───────────────────────────────────────────────────────
─
A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. On Day 1, the IV site
was dry and intact, without redness or swelling. On Day 2, the IV site is edematous; the skin surrounding
the catheter site appears taut, blanched, cool to the touch, and IV fluid is not infusing. Which of the
following actions should the nurse take? (Select all that apply.)
A. Stop the IV infusion.
B. Elevate the affected extremity.
C. Apply a warm compress to the affected area.
D. Restart a new IV in the same affected extremity.
Correct Answers: A, B, and C
Expert Explanation/Rationale:
• Infiltration or extravasation is suspected when the area is cool, edematous, blanched, and fluid will not
infuse.
• The priority interventions include stopping the IV (A) and removing the catheter to prevent further
infiltration.
• Elevate the extremity (B) to reduce swelling.
• Warm (or sometimes cool, depending on the solution) compresses (C) help the body absorb the infiltration
more quickly.
• Restarting an IV distal to the affected site (D) is not appropriate; a new site should typically be started in a
different vein or proximal to the previous site.
, ───────────────────────────────────────────────────────
─
QUESTION 2 (PRIORITIZATION)
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─
A nurse in a medical-surgical unit is caring for six clients. Based on the following data, which client should
the nurse assess first?
• Client 1: Newly diagnosed rheumatoid arthritis; stable vital signs.
• Client 3: Postoperative day 1, reporting pain at 8 on a 0-to-10 pain scale. Received morphine 5 mg subcut
about 30 minutes ago.
• Client 4: Newly diagnosed heart failure, stable but with mild dyspnea.
• Client 6: Newly diagnosed diabetes mellitus, scheduled for teaching later today.
A. Client 1 (new rheumatoid arthritis)
B. Client 3 (postoperative pain level of 8)
C. Client 4 (new heart failure)
D. Client 6 (new diabetes mellitus)
Correct Answer: B
Expert Explanation/Rationale:
• According to priority-setting frameworks (e.g., Maslow’s hierarchy and acute vs. chronic), unmanaged
severe pain (8/10) in an immediate postoperative client (B) requires prompt assessment and possible
intervention.
• Although Client 4 (C) also requires close monitoring for heart failure, the nurse should first ensure
adequate pain management and assess for potential complications related to postoperative pain.
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QUESTION 3
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