Download your ATI RN Fundamentals Proctored Exam Test Bank
Complete Study Guide – 250+ Practice Questions with Answers in Bold
Italic & Detailed Rationales 2026 Edition – NGN-Style Case Studies
Included | INSTANT PDF DOWNLOAD
⭐⭐⭐⭐⭐ "I passed my ATI Fundamentals Proctored Exam on the first
attempt! The bold italic answers made it easy to review, and the rationales with
nursing process references helped me understand the concepts, not just memorize
answers. This test bank was the difference between passing and failing!
EXAM OVERVIEW
The ATI RN Fundamentals Proctored Exam assesses foundational nursing knowledge
essential for safe, competent practice. This test bank covers all key content areas tested on
the ATI Fundamentals proctored exam, including NGN-style questions.
Component Details
Exam Name ATI RN Fundamentals Proctored Exam
Format Multiple Choice, NGN-Style Case Studies
Topics Safe & Effective Care Environment, Health Promotion,
Psychosocial Integrity, Physiological Integrity
NGN Case studies with unfolding scenarios, bow-tie questions, matrix
Integration questions
, TABLE OF CONTENTS
Section Topic Questions
1 Safe & Effective Care Environment 1-25
2 Infection Control & Prevention 26-45
3 Mobility & Immobility 46-60
4 Hygiene & Personal Care 61-70
5 Nutrition & Hydration 71-85
6 Elimination 86-95
7 Oxygenation & Respiratory Care 96-110
8 Pain Management 111-120
9 Medication Administration 121-140
10 Safety & Emergency Preparedness 141-155
11 Health Promotion & Patient Education 156-170
12 Psychosocial Integrity 171-180
13 NGN-Style Case Studies 181-210
14 Dosage Calculations & IV Therapy 211-225
15 Legal & Ethical Issues 226-240
16 Nursing Process & Critical Thinking 241-250
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT
1. A nurse is caring for a client who has a new diagnosis of tuberculosis. Which of the
following precautions should the nurse implement?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
, ***Rationale Tuberculosis is transmitted via airborne droplets that remain suspended in
the air. Airborne precautions require a negative pressure room, N95 respirator mask, and
appropriate PPE. Droplet precautions are for diseases spread by large droplets (influenza,
pertussis). Contact precautions are for diseases spread by direct contact (MRSA, VRE).
2. A nurse is preparing to transfer a client from a bed to a stretcher. Which of the following
actions should the nurse take?
A) Keep the bed in the lowest position
B) Lock the wheels on both the bed and the stretcher
C) Place the stretcher at a 90-degree angle to the bed
D) Use a transfer belt only if the client is cooperative
***Rationale Locking wheels on both the bed and stretcher prevents movement during
transfer, reducing fall risk. The bed should be at the same height as the stretcher, not the
lowest position. The stretcher should be parallel to the bed, not angled. A transfer belt
should be used for all clients requiring assistance to ensure stability .
3. A nurse is completing an incident report after a client falls. Which of the following
statements should the nurse include?
A) "The client was confused and should have been on bed alarm."
B) "The client was found lying on the floor beside the bed."
C) "The client fell because the nursing assistant forgot to raise the bed rails."
D) "The client was attempting to get to the bathroom without assistance."
***Rationale Incident reports should contain objective, factual information without blame
or opinion. Only B provides an objective description. Statements assigning blame or
speculating about causes should be avoided. Incident reports are used for quality
improvement, not for disciplinary action .
4. A nurse is caring for a client who is post-operative and has an indwelling urinary catheter.
Which of the following actions should the nurse take to prevent catheter-associated urinary
tract infection (CAUTI)?
A) Perform hand hygiene before and after catheter care
B) Empty the drainage bag every 24 hours
C) Keep the drainage bag on the bed
, D) Irrigate the catheter daily with sterile water
***Rationale Hand hygiene is the most important intervention to prevent CAUTI. The
drainage bag should be emptied every 8 hours, not every 24 hours. The bag should be kept
below the level of the bladder, not on the bed. Irrigation should only be done with a provider
order, not routinely .
5. A nurse is preparing to insert a nasogastric (NG) tube. Which of the following is the
correct length to insert?
A) Measure from tip of nose to earlobe to xiphoid process
B) Measure from tip of nose to earlobe to umbilicus
C) Measure from tip of nose to earlobe to symphysis pubis
D) Measure from tip of nose to earlobe to sternal notch
***Rationale The standard measurement for NG tube insertion is from the tip of the nose
to the earlobe to the xiphoid process. This measurement approximates the distance from
the nose to the stomach .
6. A nurse is caring for a client who has a new prescription for a wrist restraint. Which of the
following actions should the nurse take?
A) Tie the restraint using a quick-release knot
B) Attach the restraint to the side rail
C) Remove the restraint every 4 hours
D) Apply the restraint tightly to prevent movement
****Rationale Restraints must be tied with a quick-release knot to allow for rapid removal
in an emergency. Restraints should be attached to the bed frame, not the side rail (which
moves). Restraints should be removed at least every 2 hours for range of motion and skin
assessment. Restraints should be applied snug but not tight—should allow one to two
fingers under the restraint .*
7. A nurse is preparing to administer a cleansing enema to a client. In which position should
the nurse place the client?
A) Left Sims' position
B) Right Sims' position
C) Supine position
D) Prone position
Complete Study Guide – 250+ Practice Questions with Answers in Bold
Italic & Detailed Rationales 2026 Edition – NGN-Style Case Studies
Included | INSTANT PDF DOWNLOAD
⭐⭐⭐⭐⭐ "I passed my ATI Fundamentals Proctored Exam on the first
attempt! The bold italic answers made it easy to review, and the rationales with
nursing process references helped me understand the concepts, not just memorize
answers. This test bank was the difference between passing and failing!
EXAM OVERVIEW
The ATI RN Fundamentals Proctored Exam assesses foundational nursing knowledge
essential for safe, competent practice. This test bank covers all key content areas tested on
the ATI Fundamentals proctored exam, including NGN-style questions.
Component Details
Exam Name ATI RN Fundamentals Proctored Exam
Format Multiple Choice, NGN-Style Case Studies
Topics Safe & Effective Care Environment, Health Promotion,
Psychosocial Integrity, Physiological Integrity
NGN Case studies with unfolding scenarios, bow-tie questions, matrix
Integration questions
, TABLE OF CONTENTS
Section Topic Questions
1 Safe & Effective Care Environment 1-25
2 Infection Control & Prevention 26-45
3 Mobility & Immobility 46-60
4 Hygiene & Personal Care 61-70
5 Nutrition & Hydration 71-85
6 Elimination 86-95
7 Oxygenation & Respiratory Care 96-110
8 Pain Management 111-120
9 Medication Administration 121-140
10 Safety & Emergency Preparedness 141-155
11 Health Promotion & Patient Education 156-170
12 Psychosocial Integrity 171-180
13 NGN-Style Case Studies 181-210
14 Dosage Calculations & IV Therapy 211-225
15 Legal & Ethical Issues 226-240
16 Nursing Process & Critical Thinking 241-250
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT
1. A nurse is caring for a client who has a new diagnosis of tuberculosis. Which of the
following precautions should the nurse implement?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
, ***Rationale Tuberculosis is transmitted via airborne droplets that remain suspended in
the air. Airborne precautions require a negative pressure room, N95 respirator mask, and
appropriate PPE. Droplet precautions are for diseases spread by large droplets (influenza,
pertussis). Contact precautions are for diseases spread by direct contact (MRSA, VRE).
2. A nurse is preparing to transfer a client from a bed to a stretcher. Which of the following
actions should the nurse take?
A) Keep the bed in the lowest position
B) Lock the wheels on both the bed and the stretcher
C) Place the stretcher at a 90-degree angle to the bed
D) Use a transfer belt only if the client is cooperative
***Rationale Locking wheels on both the bed and stretcher prevents movement during
transfer, reducing fall risk. The bed should be at the same height as the stretcher, not the
lowest position. The stretcher should be parallel to the bed, not angled. A transfer belt
should be used for all clients requiring assistance to ensure stability .
3. A nurse is completing an incident report after a client falls. Which of the following
statements should the nurse include?
A) "The client was confused and should have been on bed alarm."
B) "The client was found lying on the floor beside the bed."
C) "The client fell because the nursing assistant forgot to raise the bed rails."
D) "The client was attempting to get to the bathroom without assistance."
***Rationale Incident reports should contain objective, factual information without blame
or opinion. Only B provides an objective description. Statements assigning blame or
speculating about causes should be avoided. Incident reports are used for quality
improvement, not for disciplinary action .
4. A nurse is caring for a client who is post-operative and has an indwelling urinary catheter.
Which of the following actions should the nurse take to prevent catheter-associated urinary
tract infection (CAUTI)?
A) Perform hand hygiene before and after catheter care
B) Empty the drainage bag every 24 hours
C) Keep the drainage bag on the bed
, D) Irrigate the catheter daily with sterile water
***Rationale Hand hygiene is the most important intervention to prevent CAUTI. The
drainage bag should be emptied every 8 hours, not every 24 hours. The bag should be kept
below the level of the bladder, not on the bed. Irrigation should only be done with a provider
order, not routinely .
5. A nurse is preparing to insert a nasogastric (NG) tube. Which of the following is the
correct length to insert?
A) Measure from tip of nose to earlobe to xiphoid process
B) Measure from tip of nose to earlobe to umbilicus
C) Measure from tip of nose to earlobe to symphysis pubis
D) Measure from tip of nose to earlobe to sternal notch
***Rationale The standard measurement for NG tube insertion is from the tip of the nose
to the earlobe to the xiphoid process. This measurement approximates the distance from
the nose to the stomach .
6. A nurse is caring for a client who has a new prescription for a wrist restraint. Which of the
following actions should the nurse take?
A) Tie the restraint using a quick-release knot
B) Attach the restraint to the side rail
C) Remove the restraint every 4 hours
D) Apply the restraint tightly to prevent movement
****Rationale Restraints must be tied with a quick-release knot to allow for rapid removal
in an emergency. Restraints should be attached to the bed frame, not the side rail (which
moves). Restraints should be removed at least every 2 hours for range of motion and skin
assessment. Restraints should be applied snug but not tight—should allow one to two
fingers under the restraint .*
7. A nurse is preparing to administer a cleansing enema to a client. In which position should
the nurse place the client?
A) Left Sims' position
B) Right Sims' position
C) Supine position
D) Prone position
