ATI RN
FUNDAMENTALS PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Questions with Complete Verified Answers and Expert
Explanations || NEWEST VERSION
Grade37 Stuvia
This ATI Test Contains:
❖ ATI RN Fundamentals Proctored Exam
❖Exam has 70 Complete Full Questions with Complete Verified
Answers and Expert Explanations
❖Incorporate Next Generation NCLEX (NGN)-Style & Case
Scenarios
❖Structured Rationales
❖100% Guaranteed pass
,### 1. A nurse is caring for a client who has diarrhea due to shigella. Which of the
following precautions should the nurse implement for this client?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective environment precautions
Correct Answer: C. Contact precautions
Rationale:
Shigella is transmitted via fecal-oral route, often through contaminated hands or
surfaces. Contact precautions (using gloves and gowns) help prevent transmission.
Airborne and droplet precautions are not indicated for shigella.
---
### 2. A nurse is assessing a client who reports increased pain following physical
therapy. Which of the following questions assess the quality of the client’s pain?
A. "Where is your pain located?"
B. "Is your pain sharp or dull?"
C. "How long have you had this pain?"
D. "What makes your pain better?"
Correct Answer: B. "Is your pain sharp or dull?"
,Rationale:
Quality of pain refers to the characteristic or description of pain (e.g., sharp, dull,
burning). Location, duration, and relieving factors assess other dimensions of pain.
---
### 3. A nurse is caring for a client who is postoperative following abdominal
surgery. Click to highlight the assessment findings below that the nurse should
report to the provider. To deselect a finding, click on the finding again.
Assessment findings:
- A. Urinary output
- B. Reported pain level
- C. Vital signs
Correct Answer: A. Urinary output and C. Vital signs
Rationale:
Postoperative clients should have adequate urinary output (typically >0.5 mL/kg/hr), and
significant changes might indicate hypovolemia or renal impairment needing provider
notification. Vital signs are crucial to monitor for signs of hemorrhage or infection.
Although pain should be managed, a reported pain level alone does not always require
provider notification unless it is uncontrolled or unusual. Therefore, urinary output and
vital signs are priority findings to report.
---
### 4. A nurse is caring for a client who reports difficulty falling asleep. Which of
the following recommendations should the nurse make?
A. Avoid caffeine at least 1 hour before bedtime
, B. Maintain a consistent time to wake up each day
C. Use electronic devices to help fall asleep
D. Take long naps during the day to reduce nighttime sleepiness
Correct Answer: B. Maintain a consistent time to wake up each day
Rationale:
Maintaining a consistent wake-up time helps regulate the sleep-wake cycle and
improves sleep quality. Avoiding caffeine several hours before bedtime is important, but
1 hour is too short. Electronic devices often disrupt sleep due to blue light, and long
naps can worsen nighttime insomnia.
---
### 5. A nurse is caring for a client who has a sodium level of 125 mEq/L. Which
of the following findings should the nurse expect?
A. Abdominal cramping
B. Hypertension
C. Polyuria
D. Weight gain
Correct Answer: A. Abdominal cramping
Rationale:
A sodium level of 125 mEq/L indicates hyponatremia, which can cause gastrointestinal
symptoms such as abdominal cramping and nausea. Hypertension, polyuria, and weight
gain are not typical in hyponatremia.
---
FUNDAMENTALS PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Questions with Complete Verified Answers and Expert
Explanations || NEWEST VERSION
Grade37 Stuvia
This ATI Test Contains:
❖ ATI RN Fundamentals Proctored Exam
❖Exam has 70 Complete Full Questions with Complete Verified
Answers and Expert Explanations
❖Incorporate Next Generation NCLEX (NGN)-Style & Case
Scenarios
❖Structured Rationales
❖100% Guaranteed pass
,### 1. A nurse is caring for a client who has diarrhea due to shigella. Which of the
following precautions should the nurse implement for this client?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective environment precautions
Correct Answer: C. Contact precautions
Rationale:
Shigella is transmitted via fecal-oral route, often through contaminated hands or
surfaces. Contact precautions (using gloves and gowns) help prevent transmission.
Airborne and droplet precautions are not indicated for shigella.
---
### 2. A nurse is assessing a client who reports increased pain following physical
therapy. Which of the following questions assess the quality of the client’s pain?
A. "Where is your pain located?"
B. "Is your pain sharp or dull?"
C. "How long have you had this pain?"
D. "What makes your pain better?"
Correct Answer: B. "Is your pain sharp or dull?"
,Rationale:
Quality of pain refers to the characteristic or description of pain (e.g., sharp, dull,
burning). Location, duration, and relieving factors assess other dimensions of pain.
---
### 3. A nurse is caring for a client who is postoperative following abdominal
surgery. Click to highlight the assessment findings below that the nurse should
report to the provider. To deselect a finding, click on the finding again.
Assessment findings:
- A. Urinary output
- B. Reported pain level
- C. Vital signs
Correct Answer: A. Urinary output and C. Vital signs
Rationale:
Postoperative clients should have adequate urinary output (typically >0.5 mL/kg/hr), and
significant changes might indicate hypovolemia or renal impairment needing provider
notification. Vital signs are crucial to monitor for signs of hemorrhage or infection.
Although pain should be managed, a reported pain level alone does not always require
provider notification unless it is uncontrolled or unusual. Therefore, urinary output and
vital signs are priority findings to report.
---
### 4. A nurse is caring for a client who reports difficulty falling asleep. Which of
the following recommendations should the nurse make?
A. Avoid caffeine at least 1 hour before bedtime
, B. Maintain a consistent time to wake up each day
C. Use electronic devices to help fall asleep
D. Take long naps during the day to reduce nighttime sleepiness
Correct Answer: B. Maintain a consistent time to wake up each day
Rationale:
Maintaining a consistent wake-up time helps regulate the sleep-wake cycle and
improves sleep quality. Avoiding caffeine several hours before bedtime is important, but
1 hour is too short. Electronic devices often disrupt sleep due to blue light, and long
naps can worsen nighttime insomnia.
---
### 5. A nurse is caring for a client who has a sodium level of 125 mEq/L. Which
of the following findings should the nurse expect?
A. Abdominal cramping
B. Hypertension
C. Polyuria
D. Weight gain
Correct Answer: A. Abdominal cramping
Rationale:
A sodium level of 125 mEq/L indicates hyponatremia, which can cause gastrointestinal
symptoms such as abdominal cramping and nausea. Hypertension, polyuria, and weight
gain are not typical in hyponatremia.
---
