ATI RN
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.
➢ Some questions feature brief “scenario” elements and rationales.
https://www.stuvia.com/user/LUCIDWISE
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QUESTION 1 (NGN-Style: Single Best Answer)
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A nurse in an acute care facility is preparing a discharge summary for a client
who is transferring to a long-term care facility. Which of the following
documentation should the nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports
Answer: C
EXPERT-VERIFIED EXPLANATION:
• Including the client’s current medications is critical for ensuring continuity and safety
when care is transferred.
• Flow sheets, acuity ratings, and incident reports are not typically forwarded to the next
facility. Incident reports are internal documents and remain in-house.
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QUESTION 2 (NGN-Style: Single Best Answer)
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─
A nurse is reviewing protocol in preparation for suctioning secretions from a
client who has a new tracheostomy. Which of the following actions should the
nurse plan to take?
https://www.stuvia.com/user/LUCIDWISE
,A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg.
Answer: B
EXPERT-VERIFIED EXPLANATION:
• Using a suction catheter that is approximately half the internal diameter of the
tracheostomy tube optimizes effectiveness and reduces the risk of hypoxia or mucosal
damage.
• A safe suction pressure is 80–120 mm Hg (not 170).
• Preoxygenation is typically with 100% oxygen (if needed).
• Water-soluble lubricant is more relevant if suctioning nasopharyngeally.
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QUESTION 3 (NGN-Style: Single Best Answer)
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A nurse is caring for a client who has decreased mobility. Which of the following
actions should the nurse take to decrease the client’s risk of developing plantar-
flexion contractures?
A. Place a pillow under the client’s knees.
B. Position a trochanter roll under each hip.
C. Advise the client to wear rubber-soled slippers.
D. Apply an ankle-foot orthotic (AFO) device.
Answer: D
https://www.stuvia.com/user/LUCIDWISE
, EXPERT-VERIFIED EXPLANATION:
• An ankle-foot orthotic or a footboard perpendicular to the mattress supports
dorsiflexion and helps prevent plantar-flexion contractures.
• Placing a pillow under the knees can cause knee/hip flexion contractures and impair
venous return.
• Rubber-soled slippers aid in ambulation but do not prevent foot drop.
• Trochanter rolls prevent external rotation of the hip, not foot contractures.
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QUESTION 4 (NGN-Style: Single Best Answer)
───────────────────────────────────────────────────────
─
A nurse manager is overseeing the care activities on a unit. For which of the
following situations should the nurse manager intervene due to a violation of
HIPAA guidelines?
A. A nurse who is caring for a client reviews that client’s chart with a student nurse
working alongside.
B. A nurse asks a nurse from another unit to assist with documentation for a client.
C. A nurse returns a call to the person appointed in the health care proxy to discuss a
client’s care.
D. A nurse discusses a client’s status with the physical therapist who is treating the
client.
Answer: B
EXPERT-VERIFIED EXPLANATION:
• Only those directly involved in a client’s care (or with a legitimate need to know) may
access or document in the client’s record.
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.
➢ Some questions feature brief “scenario” elements and rationales.
https://www.stuvia.com/user/LUCIDWISE
,───────────────────────────────────────────────────────
─
QUESTION 1 (NGN-Style: Single Best Answer)
───────────────────────────────────────────────────────
─
A nurse in an acute care facility is preparing a discharge summary for a client
who is transferring to a long-term care facility. Which of the following
documentation should the nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports
Answer: C
EXPERT-VERIFIED EXPLANATION:
• Including the client’s current medications is critical for ensuring continuity and safety
when care is transferred.
• Flow sheets, acuity ratings, and incident reports are not typically forwarded to the next
facility. Incident reports are internal documents and remain in-house.
───────────────────────────────────────────────────────
─
QUESTION 2 (NGN-Style: Single Best Answer)
───────────────────────────────────────────────────────
─
A nurse is reviewing protocol in preparation for suctioning secretions from a
client who has a new tracheostomy. Which of the following actions should the
nurse plan to take?
https://www.stuvia.com/user/LUCIDWISE
,A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg.
Answer: B
EXPERT-VERIFIED EXPLANATION:
• Using a suction catheter that is approximately half the internal diameter of the
tracheostomy tube optimizes effectiveness and reduces the risk of hypoxia or mucosal
damage.
• A safe suction pressure is 80–120 mm Hg (not 170).
• Preoxygenation is typically with 100% oxygen (if needed).
• Water-soluble lubricant is more relevant if suctioning nasopharyngeally.
───────────────────────────────────────────────────────
─
QUESTION 3 (NGN-Style: Single Best Answer)
───────────────────────────────────────────────────────
─
A nurse is caring for a client who has decreased mobility. Which of the following
actions should the nurse take to decrease the client’s risk of developing plantar-
flexion contractures?
A. Place a pillow under the client’s knees.
B. Position a trochanter roll under each hip.
C. Advise the client to wear rubber-soled slippers.
D. Apply an ankle-foot orthotic (AFO) device.
Answer: D
https://www.stuvia.com/user/LUCIDWISE
, EXPERT-VERIFIED EXPLANATION:
• An ankle-foot orthotic or a footboard perpendicular to the mattress supports
dorsiflexion and helps prevent plantar-flexion contractures.
• Placing a pillow under the knees can cause knee/hip flexion contractures and impair
venous return.
• Rubber-soled slippers aid in ambulation but do not prevent foot drop.
• Trochanter rolls prevent external rotation of the hip, not foot contractures.
───────────────────────────────────────────────────────
─
QUESTION 4 (NGN-Style: Single Best Answer)
───────────────────────────────────────────────────────
─
A nurse manager is overseeing the care activities on a unit. For which of the
following situations should the nurse manager intervene due to a violation of
HIPAA guidelines?
A. A nurse who is caring for a client reviews that client’s chart with a student nurse
working alongside.
B. A nurse asks a nurse from another unit to assist with documentation for a client.
C. A nurse returns a call to the person appointed in the health care proxy to discuss a
client’s care.
D. A nurse discusses a client’s status with the physical therapist who is treating the
client.
Answer: B
EXPERT-VERIFIED EXPLANATION:
• Only those directly involved in a client’s care (or with a legitimate need to know) may
access or document in the client’s record.
https://www.stuvia.com/user/LUCIDWISE
