ATI RN FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE STUDIES)
Actual Qs & Ans to Pass the Exam
,This ATI test contains:
passing score Guarantee
70 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case studies questions
Expert-Verified Explanations & Solutions
─
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, 1. NGN-Style Clinical Scene
A nurse is caring for a client who is postoperative following abdominal surgery. The nurse has gathered the
following assessment data:
• Urinary output: 20 mL/hr
• Client reports pain level: 6 on a 0–10 scale
• Vital signs: Temperature 37.2°C (99.0°F), Pulse 84/min, Respirations 18/min, Blood pressure 118/74 mm
Hg
Question: Which of the following findings is the priority finding that the nurse should report to the provider?
A. Urinary output of 20 mL/hr
B. Reported pain level of 6 on a 0–10 scale
C. Temperature of 37.2°C (99.0°F)
D. Blood pressure of 118/74 mm Hg
Correct Answer: A
Expert Explanation/Rationale: An adult client’s urinary output should be at least 30 mL/hr to maintain
adequate kidney perfusion. A rate of 20 mL/hr may indicate decreased renal perfusion and necessitates
immediate provider notification. The other findings (pain of 6/10, mild elevation in temperature, and blood
pressure within normal limits) are not as urgent.
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2. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following
recommendations should the nurse make?
A. Take a daytime nap to catch up on rest.
B. Consume a caffeinated beverage before bedtime.
C. Maintain a consistent time to wake up each day.
D. Increase fluid intake right before bedtime.
Correct Answer: C
Expert Explanation/Rationale: Maintaining a consistent wake-up time helps regulate the sleep-wake cycle
and improves overall sleep hygiene. Daytime naps, consuming stimulants before bed, and ingesting fluids
close to bedtime can negatively affect the ability to fall asleep.
, ───────────────────────────────────────────────────────
3. A nurse is caring for a client who has diarrhea secondary to a Shigella infection. Which of the following
precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions (wear a gown)
D. Standard precautions only
Correct Answer: C
Expert Explanation/Rationale: Shigella transmission occurs via the fecal-oral route and requires contact
precautions. Healthcare workers should wear gloves and a gown when coming into contact with the client’s
environment or secretions. Airborne precautions (e.g., N95 mask) apply to pathogens such as tuberculosis,
and droplet precautions apply to infections spread via large respiratory droplets (e.g., influenza).
───────────────────────────────────────────────────────
4. A nurse is assessing a client who reports increased pain after completing physical therapy. Which of the
following questions by the nurse assesses the QUALITY of the client’s pain?
A. “Where is your pain located?”
B. “Is your pain sharp or dull?”
C. “How severe is your pain on a scale from 0 to 10?”
D. “When did your pain start?”
Correct Answer: B
Expert Explanation/Rationale: Asking if the pain is “sharp or dull” addresses the qualitative aspect or
character of the pain. Location, severity, and onset are also important aspects of pain assessment but do
not directly address the quality.
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─
5. A nurse is caring for a client who has a serum sodium level of 125 mEq/L. Which of the following findings
should the nurse expect?
A. Ecchymosis
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE STUDIES)
Actual Qs & Ans to Pass the Exam
,This ATI test contains:
passing score Guarantee
70 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case studies questions
Expert-Verified Explanations & Solutions
─
───────────────────────────────────────────────────────
, 1. NGN-Style Clinical Scene
A nurse is caring for a client who is postoperative following abdominal surgery. The nurse has gathered the
following assessment data:
• Urinary output: 20 mL/hr
• Client reports pain level: 6 on a 0–10 scale
• Vital signs: Temperature 37.2°C (99.0°F), Pulse 84/min, Respirations 18/min, Blood pressure 118/74 mm
Hg
Question: Which of the following findings is the priority finding that the nurse should report to the provider?
A. Urinary output of 20 mL/hr
B. Reported pain level of 6 on a 0–10 scale
C. Temperature of 37.2°C (99.0°F)
D. Blood pressure of 118/74 mm Hg
Correct Answer: A
Expert Explanation/Rationale: An adult client’s urinary output should be at least 30 mL/hr to maintain
adequate kidney perfusion. A rate of 20 mL/hr may indicate decreased renal perfusion and necessitates
immediate provider notification. The other findings (pain of 6/10, mild elevation in temperature, and blood
pressure within normal limits) are not as urgent.
───────────────────────────────────────────────────────
2. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following
recommendations should the nurse make?
A. Take a daytime nap to catch up on rest.
B. Consume a caffeinated beverage before bedtime.
C. Maintain a consistent time to wake up each day.
D. Increase fluid intake right before bedtime.
Correct Answer: C
Expert Explanation/Rationale: Maintaining a consistent wake-up time helps regulate the sleep-wake cycle
and improves overall sleep hygiene. Daytime naps, consuming stimulants before bed, and ingesting fluids
close to bedtime can negatively affect the ability to fall asleep.
, ───────────────────────────────────────────────────────
3. A nurse is caring for a client who has diarrhea secondary to a Shigella infection. Which of the following
precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions (wear a gown)
D. Standard precautions only
Correct Answer: C
Expert Explanation/Rationale: Shigella transmission occurs via the fecal-oral route and requires contact
precautions. Healthcare workers should wear gloves and a gown when coming into contact with the client’s
environment or secretions. Airborne precautions (e.g., N95 mask) apply to pathogens such as tuberculosis,
and droplet precautions apply to infections spread via large respiratory droplets (e.g., influenza).
───────────────────────────────────────────────────────
4. A nurse is assessing a client who reports increased pain after completing physical therapy. Which of the
following questions by the nurse assesses the QUALITY of the client’s pain?
A. “Where is your pain located?”
B. “Is your pain sharp or dull?”
C. “How severe is your pain on a scale from 0 to 10?”
D. “When did your pain start?”
Correct Answer: B
Expert Explanation/Rationale: Asking if the pain is “sharp or dull” addresses the qualitative aspect or
character of the pain. Location, severity, and onset are also important aspects of pain assessment but do
not directly address the quality.
───────────────────────────────────────────────────────
─
5. A nurse is caring for a client who has a serum sodium level of 125 mEq/L. Which of the following findings
should the nurse expect?
A. Ecchymosis
