ATI PN
FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Exam has 70 FUNDAMENTALS nursing
questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
https://www.stuvia.com/user/LUCIDWISE
, ➢ Some questions feature brief “scenario” elements and
rationales.
### 1. The practical nurse (PN) is changing a postoperative dressing for
a client with a horizontal lower abdominal incision. What method
should the PN use to remove the tape from the dressing?
- A. Pull the tape quickly in an upward direction.
- B. Pull the tape toward the wound while stabilizing the skin.
- C. Tear the tape away from the wound.
- D. Soak the tape before removal.
Correct Answer: B. Pull the tape toward the wound while stabilizing the
skin.
Expert Rationale: Removing tape toward the wound while supporting the
skin minimizes trauma, reduces pain, and prevents stress on the incision
line.
---
### 2. The practical nurse (PN) is administering scheduled morning
medications to a client who states, "I haven't seen that pill before. Are
you sure it's correct?" Which action should the PN take?
- A. Advise the client the medication is prescribed and administer it.
- B. Withhold the medication and recheck the prescription.
- C. Ignore the concern and continue administration.
- D. Tell the client not to worry about medication changes.
Correct Answer: B. Withhold the medication and recheck the prescription.
https://www.stuvia.com/user/LUCIDWISE
,Expert Rationale: The PN must prioritize client safety and autonomy.
Rechecking the medication prevents medication errors and upholds the
client’s right to be informed.
---
### 3. An older client who is admitted to the hospital with dehydration
and electrolyte imbalance is confused and incontinent of urine. Which
action provides the best strategy for the practical nurse (PN) to
implement for the client’s incontinence?
- A. Apply absorbent briefs at all times.
- B. Institute a scheduled toileting program.
- C. Restrict fluid intake.
- D. Insert an indwelling urinary catheter.
Correct Answer: B. Institute a scheduled toileting program.
Expert Rationale: A scheduled toileting program promotes continence,
reduces skin breakdown, and maintains client dignity in confused elderly
clients.
### 4. Which action should the practical nurse (PN) follow when
applying an elasticized bandage to a client's leg?
- A. Secure the bandage tightly around the leg.
- B. Overlap turns of the bandage equally.
- C. Apply the bandage in a spiral with broad gaps.
- D. Leave a space between the bandage and the skin.
Correct Answer: B. Overlap turns of the bandage equally.
Expert Rationale: Overlapping each turn of the bandage equally ensures
uniform pressure distribution and prevents circulatory compromise. Equal
https://www.stuvia.com/user/LUCIDWISE
, overlapping also stabilizes the bandage, reduces irritation, and enhances
therapeutic effectiveness.
---
### 5. A client who has a pressure-relieving mattress overlay is
mobilized to a chair and imprints of the client's buttocks, heels, and
scapula are evident on the mattress overlay. What action should the
practical nurse implement?
- A. Document the findings as expected.
- B. Reposition the client more frequently.
- C. Remove the mattress overlay.
- D. Place additional pillows on the overlay.
Correct Answer: B. Reposition the client more frequently.
Expert Rationale: Imprints suggest prolonged pressure; frequent
repositioning is necessary to prevent pressure injuries, promote circulation,
and maintain skin integrity.
---
### 6. The practical nurse (PN) obtains an elevated blood pressure
reading for an older male client who is alert. When the PN offers the
client his morning blood pressure medication, he refuses to take it.
What action should the PN take?
- A. Insist that the client take the medication.
- B. Document the refusal and notify the healthcare provider.
- C. Mix the medication with food to encourage ingestion.
- D. Discard the medication without further action.
Correct Answer: B. Document the refusal and notify the healthcare
provider.
https://www.stuvia.com/user/LUCIDWISE
FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Exam has 70 FUNDAMENTALS nursing
questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
https://www.stuvia.com/user/LUCIDWISE
, ➢ Some questions feature brief “scenario” elements and
rationales.
### 1. The practical nurse (PN) is changing a postoperative dressing for
a client with a horizontal lower abdominal incision. What method
should the PN use to remove the tape from the dressing?
- A. Pull the tape quickly in an upward direction.
- B. Pull the tape toward the wound while stabilizing the skin.
- C. Tear the tape away from the wound.
- D. Soak the tape before removal.
Correct Answer: B. Pull the tape toward the wound while stabilizing the
skin.
Expert Rationale: Removing tape toward the wound while supporting the
skin minimizes trauma, reduces pain, and prevents stress on the incision
line.
---
### 2. The practical nurse (PN) is administering scheduled morning
medications to a client who states, "I haven't seen that pill before. Are
you sure it's correct?" Which action should the PN take?
- A. Advise the client the medication is prescribed and administer it.
- B. Withhold the medication and recheck the prescription.
- C. Ignore the concern and continue administration.
- D. Tell the client not to worry about medication changes.
Correct Answer: B. Withhold the medication and recheck the prescription.
https://www.stuvia.com/user/LUCIDWISE
,Expert Rationale: The PN must prioritize client safety and autonomy.
Rechecking the medication prevents medication errors and upholds the
client’s right to be informed.
---
### 3. An older client who is admitted to the hospital with dehydration
and electrolyte imbalance is confused and incontinent of urine. Which
action provides the best strategy for the practical nurse (PN) to
implement for the client’s incontinence?
- A. Apply absorbent briefs at all times.
- B. Institute a scheduled toileting program.
- C. Restrict fluid intake.
- D. Insert an indwelling urinary catheter.
Correct Answer: B. Institute a scheduled toileting program.
Expert Rationale: A scheduled toileting program promotes continence,
reduces skin breakdown, and maintains client dignity in confused elderly
clients.
### 4. Which action should the practical nurse (PN) follow when
applying an elasticized bandage to a client's leg?
- A. Secure the bandage tightly around the leg.
- B. Overlap turns of the bandage equally.
- C. Apply the bandage in a spiral with broad gaps.
- D. Leave a space between the bandage and the skin.
Correct Answer: B. Overlap turns of the bandage equally.
Expert Rationale: Overlapping each turn of the bandage equally ensures
uniform pressure distribution and prevents circulatory compromise. Equal
https://www.stuvia.com/user/LUCIDWISE
, overlapping also stabilizes the bandage, reduces irritation, and enhances
therapeutic effectiveness.
---
### 5. A client who has a pressure-relieving mattress overlay is
mobilized to a chair and imprints of the client's buttocks, heels, and
scapula are evident on the mattress overlay. What action should the
practical nurse implement?
- A. Document the findings as expected.
- B. Reposition the client more frequently.
- C. Remove the mattress overlay.
- D. Place additional pillows on the overlay.
Correct Answer: B. Reposition the client more frequently.
Expert Rationale: Imprints suggest prolonged pressure; frequent
repositioning is necessary to prevent pressure injuries, promote circulation,
and maintain skin integrity.
---
### 6. The practical nurse (PN) obtains an elevated blood pressure
reading for an older male client who is alert. When the PN offers the
client his morning blood pressure medication, he refuses to take it.
What action should the PN take?
- A. Insist that the client take the medication.
- B. Document the refusal and notify the healthcare provider.
- C. Mix the medication with food to encourage ingestion.
- D. Discard the medication without further action.
Correct Answer: B. Document the refusal and notify the healthcare
provider.
https://www.stuvia.com/user/LUCIDWISE
