ATI RN FUNDAMENTALS PROCTORED ACTUAL EXAM 2026 |
Comprehensive Test Bank with NGN Questions | Verified
Q&A | Pass Guaranteed - A+ Graded
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (15 Questions)
Q1. A nurse is caring for a client who has just been informed by the provider that they
need emergency surgery. The client states, "I don't want the surgery. I want to go home."
Which action by the nurse demonstrates respect for the client's autonomy?
A. Explain to the client that refusing surgery could result in death and have them sign an
against medical advice (AMA) form immediately
B. Notify the provider and request a psychiatric consultation to evaluate the client's
decision-making capacity
C. Ensure the client understands the risks and benefits of refusal, document the
conversation, and support their right to make an informed decision
D. Tell the client that their family would want them to have the surgery and ask the
family to convince them
,Rationale: On the ATI RN Fundamentals Proctored, remember that informed consent
includes the right to refuse treatment. The nurse's role is to ensure the client has
adequate information to make an informed choice, not to coerce or manipulate.
Documenting the conversation and supporting autonomous decision-making is the
priority action here.
Correct Answer: C
Q2. A nurse on a medical-surgical unit receives report on four clients. Which client
should the nurse assess FIRST?
A. A client with a blood pressure of 148/92 mm Hg who reports a mild headache
B. A client with a respiratory rate of 28/min and oxygen saturation of 88% on room air
C. A client with a temperature of 101.2°F (38.4°C) who is receiving antibiotics for
pneumonia
D. A client with a heart rate of 104 bpm who is anxious about an upcoming procedure
Rationale: The priority action is always airway and breathing first. A respiratory rate of
28 with an SpO2 of 88% indicates significant hypoxemia that requires immediate
assessment and intervention. The other clients are stable or have expected findings that
can be addressed after the priority client is stabilized.
Correct Answer: B
,Q3. Which of the following actions by a registered nurse (RN) represents a violation of
the Health Insurance Portability and Accountability Act (HIPAA)?
A. Discussing a client's condition with the charge nurse at the nurses' station in a low
voice
B. Accessing the electronic health record of a neighbor who is admitted to another unit
out of curiosity
C. Providing a client's medical information to the client's spouse who is listed as an
emergency contact
D. Reporting a client's positive tuberculosis test result to the state health department
Rationale: That's correct because for NGN clinical judgment, you need to recognize that
HIPAA protects client privacy. Accessing records without a treatment-related need is a
clear violation — the nurse has no professional reason to view the neighbor's chart. The
other options either involve permitted disclosures or proper public health reporting.
Correct Answer: B
Q4. A nurse is delegating tasks on a busy medical-surgical unit. Which task is
appropriate to delegate to an unlicensed assistive personnel (UAP)?
, A. Administering oral medications to a stable client
B. Performing a sterile dressing change on a postoperative wound
C. Assisting a client with ambulation to the bathroom
D. Teaching a newly diagnosed diabetic client about insulin administration
Rationale: According to ATI and NCLEX standards, the five rights of delegation guide us
here. Ambulation assistance is within the UAP's scope of practice — it's a routine,
predictable task that doesn't require nursing judgment. Medication administration,
sterile procedures, and client teaching all require licensed nurse scope and cannot be
delegated to UAP.
Correct Answer: C
Q5. A nurse witnesses a client fall in the bathroom. After ensuring the client is safe and
assessing for injury, which is the PRIORITY action?
A. Complete the incident report before the end of the shift
B. Notify the provider and obtain orders for x-rays
C. Document the fall in the client's medical record with objective findings
Comprehensive Test Bank with NGN Questions | Verified
Q&A | Pass Guaranteed - A+ Graded
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (15 Questions)
Q1. A nurse is caring for a client who has just been informed by the provider that they
need emergency surgery. The client states, "I don't want the surgery. I want to go home."
Which action by the nurse demonstrates respect for the client's autonomy?
A. Explain to the client that refusing surgery could result in death and have them sign an
against medical advice (AMA) form immediately
B. Notify the provider and request a psychiatric consultation to evaluate the client's
decision-making capacity
C. Ensure the client understands the risks and benefits of refusal, document the
conversation, and support their right to make an informed decision
D. Tell the client that their family would want them to have the surgery and ask the
family to convince them
,Rationale: On the ATI RN Fundamentals Proctored, remember that informed consent
includes the right to refuse treatment. The nurse's role is to ensure the client has
adequate information to make an informed choice, not to coerce or manipulate.
Documenting the conversation and supporting autonomous decision-making is the
priority action here.
Correct Answer: C
Q2. A nurse on a medical-surgical unit receives report on four clients. Which client
should the nurse assess FIRST?
A. A client with a blood pressure of 148/92 mm Hg who reports a mild headache
B. A client with a respiratory rate of 28/min and oxygen saturation of 88% on room air
C. A client with a temperature of 101.2°F (38.4°C) who is receiving antibiotics for
pneumonia
D. A client with a heart rate of 104 bpm who is anxious about an upcoming procedure
Rationale: The priority action is always airway and breathing first. A respiratory rate of
28 with an SpO2 of 88% indicates significant hypoxemia that requires immediate
assessment and intervention. The other clients are stable or have expected findings that
can be addressed after the priority client is stabilized.
Correct Answer: B
,Q3. Which of the following actions by a registered nurse (RN) represents a violation of
the Health Insurance Portability and Accountability Act (HIPAA)?
A. Discussing a client's condition with the charge nurse at the nurses' station in a low
voice
B. Accessing the electronic health record of a neighbor who is admitted to another unit
out of curiosity
C. Providing a client's medical information to the client's spouse who is listed as an
emergency contact
D. Reporting a client's positive tuberculosis test result to the state health department
Rationale: That's correct because for NGN clinical judgment, you need to recognize that
HIPAA protects client privacy. Accessing records without a treatment-related need is a
clear violation — the nurse has no professional reason to view the neighbor's chart. The
other options either involve permitted disclosures or proper public health reporting.
Correct Answer: B
Q4. A nurse is delegating tasks on a busy medical-surgical unit. Which task is
appropriate to delegate to an unlicensed assistive personnel (UAP)?
, A. Administering oral medications to a stable client
B. Performing a sterile dressing change on a postoperative wound
C. Assisting a client with ambulation to the bathroom
D. Teaching a newly diagnosed diabetic client about insulin administration
Rationale: According to ATI and NCLEX standards, the five rights of delegation guide us
here. Ambulation assistance is within the UAP's scope of practice — it's a routine,
predictable task that doesn't require nursing judgment. Medication administration,
sterile procedures, and client teaching all require licensed nurse scope and cannot be
delegated to UAP.
Correct Answer: C
Q5. A nurse witnesses a client fall in the bathroom. After ensuring the client is safe and
assessing for injury, which is the PRIORITY action?
A. Complete the incident report before the end of the shift
B. Notify the provider and obtain orders for x-rays
C. Document the fall in the client's medical record with objective findings
