2023 ATI RN
FUNDAMENTALS
400+ QUESTIONS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,QUESTION 1 (Medication Calculation, NGN-style Short Scenario)
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Scenario: A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-
old child who has difficulty swallowing pills. The pharmacy dispenses diphenhydramine
oral syrup labeled 12.5 mg per 5 mL.
Question: How many mL should the nurse administer? (Round the answer to the
nearest whole number.)
A. 4 mL
B. 6 mL
C. 8 mL
D. 10 mL
Answer: C (8 mL)
Expert-Verified Explanation:
• Dose required: 20 mg.
• Concentration: 12.5 mg in 5 mL.
• Calculation: (20 mg ÷ 12.5 mg) × 5 mL = 8 mL.
• Rounding to the nearest whole number yields 8 mL.
QUESTION 2 (Therapeutic Communication)
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Scenario: A malnourished client voices concern about a loose wedding ring and fears it
might fall off.
Question: Which of the following is the most appropriate nursing response?
A. “I will place it in your drawer so it won’t get lost.”
B. “I can pin it to your hospital gown so you won’t lose it.”
C. “I will hold onto it until a family member can take it home.”
D. “I can put it in a locked storage unit for you.”
Answer: D
Expert-Verified Explanation:
• Valuables should be kept secure, ideally in a locked facility or hospital safe.
• This ensures the client’s property remains protected, reducing the risk of loss.
• Other options (A, B, C) do not ensure optimal security for valuables.
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QUESTION 3 (Client Safety and Restraints)
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Scenario: A charge nurse is teaching newly licensed nurses about using restraints.
Question: In which of the following situations is applying restraints appropriate?
A. The client is pacing in the hallway.
B. As part of a fall prevention program.
C. At the request of the client’s family.
D. When the client poses a threat to self.
Answer: D
Expert-Verified Explanation:
• Restraints should only be used when the client poses a risk to self or others and less-
restrictive measures have failed.
• Pacing (A) does not necessarily indicate imminent harm, nor do questions about fall
prevention (B) or family request (C).
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QUESTION 4 (Roles of the Nurse)
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Scenario: A nurse manager is planning to observe a newly licensed nurse perform a
straight catheterization to ensure client safety and proper technique.
Question: In this observation, the nurse manager is acting in which of the
following roles?
A. Case manager
B. Client educator
C. Client care provider
D. Client advocate
Answer: D
Expert-Verified Explanation:
, • By ensuring a newly licensed nurse uses proper technique to protect the client from
harm, the nurse manager is advocating for the client’s safety.
• Although education (B) or direct client care (C) may be functions here, the primary
focus is upholding the client’s rights and well-being, which is advocacy.
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QUESTION 5 (Geriatric Care, NGN-style)
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Scenario: A charge nurse prepares an educational program on delirium for newly hired
nurses at a long-term care facility.
Question: Which statement about delirium should the nurse include?
A. “Delirium does not affect a client’s perception of their environment.”
B. “Delirium does not affect a client’s sleep cycle.”
C. “Delirium typically has an abrupt onset.”
D. “Delirium has a slow progression.”
Answer: C
Expert-Verified Explanation:
• Delirium is characterized by acute onset and fluctuating levels of consciousness.
• It does affect perception and sleep-wake cycles (ruling out A and B), and is not slow in
progression (D).
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QUESTION 6 (Stages of Grief)
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Scenario: A client recently received a new diagnosis of a chronic illness. The client
states, “The doctor must be wrong. I can’t be that sick.”
Question: Which stage or reaction of grief is the client demonstrating?
A. Acceptance
B. Denial
C. Anger
D. Depression
FUNDAMENTALS
400+ QUESTIONS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,QUESTION 1 (Medication Calculation, NGN-style Short Scenario)
───────────────────────────────────────────────────────
─
Scenario: A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-
old child who has difficulty swallowing pills. The pharmacy dispenses diphenhydramine
oral syrup labeled 12.5 mg per 5 mL.
Question: How many mL should the nurse administer? (Round the answer to the
nearest whole number.)
A. 4 mL
B. 6 mL
C. 8 mL
D. 10 mL
Answer: C (8 mL)
Expert-Verified Explanation:
• Dose required: 20 mg.
• Concentration: 12.5 mg in 5 mL.
• Calculation: (20 mg ÷ 12.5 mg) × 5 mL = 8 mL.
• Rounding to the nearest whole number yields 8 mL.
QUESTION 2 (Therapeutic Communication)
───────────────────────────────────────────────────────
─
Scenario: A malnourished client voices concern about a loose wedding ring and fears it
might fall off.
Question: Which of the following is the most appropriate nursing response?
A. “I will place it in your drawer so it won’t get lost.”
B. “I can pin it to your hospital gown so you won’t lose it.”
C. “I will hold onto it until a family member can take it home.”
D. “I can put it in a locked storage unit for you.”
Answer: D
Expert-Verified Explanation:
• Valuables should be kept secure, ideally in a locked facility or hospital safe.
• This ensures the client’s property remains protected, reducing the risk of loss.
• Other options (A, B, C) do not ensure optimal security for valuables.
,───────────────────────────────────────────────────────
─
QUESTION 3 (Client Safety and Restraints)
───────────────────────────────────────────────────────
─
Scenario: A charge nurse is teaching newly licensed nurses about using restraints.
Question: In which of the following situations is applying restraints appropriate?
A. The client is pacing in the hallway.
B. As part of a fall prevention program.
C. At the request of the client’s family.
D. When the client poses a threat to self.
Answer: D
Expert-Verified Explanation:
• Restraints should only be used when the client poses a risk to self or others and less-
restrictive measures have failed.
• Pacing (A) does not necessarily indicate imminent harm, nor do questions about fall
prevention (B) or family request (C).
───────────────────────────────────────────────────────
─
QUESTION 4 (Roles of the Nurse)
───────────────────────────────────────────────────────
─
Scenario: A nurse manager is planning to observe a newly licensed nurse perform a
straight catheterization to ensure client safety and proper technique.
Question: In this observation, the nurse manager is acting in which of the
following roles?
A. Case manager
B. Client educator
C. Client care provider
D. Client advocate
Answer: D
Expert-Verified Explanation:
, • By ensuring a newly licensed nurse uses proper technique to protect the client from
harm, the nurse manager is advocating for the client’s safety.
• Although education (B) or direct client care (C) may be functions here, the primary
focus is upholding the client’s rights and well-being, which is advocacy.
───────────────────────────────────────────────────────
─
QUESTION 5 (Geriatric Care, NGN-style)
───────────────────────────────────────────────────────
─
Scenario: A charge nurse prepares an educational program on delirium for newly hired
nurses at a long-term care facility.
Question: Which statement about delirium should the nurse include?
A. “Delirium does not affect a client’s perception of their environment.”
B. “Delirium does not affect a client’s sleep cycle.”
C. “Delirium typically has an abrupt onset.”
D. “Delirium has a slow progression.”
Answer: C
Expert-Verified Explanation:
• Delirium is characterized by acute onset and fluctuating levels of consciousness.
• It does affect perception and sleep-wake cycles (ruling out A and B), and is not slow in
progression (D).
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QUESTION 6 (Stages of Grief)
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─
Scenario: A client recently received a new diagnosis of a chronic illness. The client
states, “The doctor must be wrong. I can’t be that sick.”
Question: Which stage or reaction of grief is the client demonstrating?
A. Acceptance
B. Denial
C. Anger
D. Depression
