ATI RN Fundamentals Proctored Exam
(NGN-Style)
Question 1
A nurse is preparing to administer digoxin 0.125 mg to a patient who has atrial
fibrillation. Before giving the medication, the nurse assesses the patient’s apical pulse
and finds it to be 52 beats per minute. The nurse also reviews the patient’s laboratory
results, which reveal a potassium level of 3.1 mEq/L. What should the nurse’s next action
be?
A. Administer the dose as prescribed, since atrial fibrillation requires regular dosing.
B. Hold the dose and notify the provider.
C. Give the medication with food to decrease GI upset.
D. Delay administration until potassium supplements are administered.
Correct Answer: B. Hold the dose and notify the provider.
*
.*
,Question 2
A nurse is preparing to administer an intramuscular (IM) injection of an antibiotic to an
adult patient. The provider’s prescription specifies 2 mL. Which is the most appropriate
site for this injection?
A. Deltoid muscle
B. Dorsogluteal muscle
C. Vastus lateralis muscle
D. Ventrogluteal muscle
Correct Answer: D. Ventrogluteal muscle
Question 3
A nurse is reviewing the principles of medication administration safety with a new
graduate nurse. The preceptor emphasizes the importance of the “six rights” of
medication administration. Which action demonstrates adherence to these safety
principles?
A. Preparing multiple patients’ medications at once to save time.
B. Confirming the patient’s identity using two identifiers before giving a medication.
C. Relying on the patient to state which medications they take daily.
D. Documenting administration after the end of the shift.
,Correct Answer: B. Confirming the patient’s identity using two identifiers.
Question 4
A nurse is caring for an older adult patient who is prescribed multiple medications and
expresses confusion about the schedule. What is the best nursing intervention to
promote adherence and safety?
A. Suggest that the patient discontinue medications that seem less important.
B. Encourage the patient to take all medications at the same time of day.
C. Teach the patient to use a pill organizer with clearly labeled compartments.
D. Rely on family members to administer the medications without patient education.
Correct Answer: C. Teach the patient to use a pill organizer.
, Question 5
Scenario: A 78-year-old client with a history of falls is admitted for pneumonia. The
client is disoriented and attempts to get out of bed unassisted.
Question: What is the nurse’s priority action?
A. Restrain the client to the bed.
B. Implement fall precautions and ensure a bed alarm is active.
C. Encourage independent ambulation.
D. Ignore the behavior.
Correct Answer: B. Implement fall precautions and ensure a bed alarm is active.
Question 6
A nurse is caring for a patient receiving morphine for severe postoperative pain. The
patient reports relief but shows a respiratory rate of 8 breaths per minute, drowsiness,
and shallow breathing. What is the nurse’s priority action?
A. Continue monitoring the patient closely.
B. Document findings and wait for the provider.
C. Administer naloxone.
D. Encourage the patient to take deep breaths.
(NGN-Style)
Question 1
A nurse is preparing to administer digoxin 0.125 mg to a patient who has atrial
fibrillation. Before giving the medication, the nurse assesses the patient’s apical pulse
and finds it to be 52 beats per minute. The nurse also reviews the patient’s laboratory
results, which reveal a potassium level of 3.1 mEq/L. What should the nurse’s next action
be?
A. Administer the dose as prescribed, since atrial fibrillation requires regular dosing.
B. Hold the dose and notify the provider.
C. Give the medication with food to decrease GI upset.
D. Delay administration until potassium supplements are administered.
Correct Answer: B. Hold the dose and notify the provider.
*
.*
,Question 2
A nurse is preparing to administer an intramuscular (IM) injection of an antibiotic to an
adult patient. The provider’s prescription specifies 2 mL. Which is the most appropriate
site for this injection?
A. Deltoid muscle
B. Dorsogluteal muscle
C. Vastus lateralis muscle
D. Ventrogluteal muscle
Correct Answer: D. Ventrogluteal muscle
Question 3
A nurse is reviewing the principles of medication administration safety with a new
graduate nurse. The preceptor emphasizes the importance of the “six rights” of
medication administration. Which action demonstrates adherence to these safety
principles?
A. Preparing multiple patients’ medications at once to save time.
B. Confirming the patient’s identity using two identifiers before giving a medication.
C. Relying on the patient to state which medications they take daily.
D. Documenting administration after the end of the shift.
,Correct Answer: B. Confirming the patient’s identity using two identifiers.
Question 4
A nurse is caring for an older adult patient who is prescribed multiple medications and
expresses confusion about the schedule. What is the best nursing intervention to
promote adherence and safety?
A. Suggest that the patient discontinue medications that seem less important.
B. Encourage the patient to take all medications at the same time of day.
C. Teach the patient to use a pill organizer with clearly labeled compartments.
D. Rely on family members to administer the medications without patient education.
Correct Answer: C. Teach the patient to use a pill organizer.
, Question 5
Scenario: A 78-year-old client with a history of falls is admitted for pneumonia. The
client is disoriented and attempts to get out of bed unassisted.
Question: What is the nurse’s priority action?
A. Restrain the client to the bed.
B. Implement fall precautions and ensure a bed alarm is active.
C. Encourage independent ambulation.
D. Ignore the behavior.
Correct Answer: B. Implement fall precautions and ensure a bed alarm is active.
Question 6
A nurse is caring for a patient receiving morphine for severe postoperative pain. The
patient reports relief but shows a respiratory rate of 8 breaths per minute, drowsiness,
and shallow breathing. What is the nurse’s priority action?
A. Continue monitoring the patient closely.
B. Document findings and wait for the provider.
C. Administer naloxone.
D. Encourage the patient to take deep breaths.
