ATI REMEDIATION FUNDAMENTALS
PRACTICE PROCTORED EXAM 2026–2027
(60 Original Practice Questions with Correct Answers & Rationales)
Nursing Fundamentals | Remediation-Focused Practice
Key Domains: Patient Safety • Infection Control • Basic Care & Comfort • Medication Administration • Vital Signs • Mobility
• Hygiene • Clinical Judgment
IMPORTANT DISCLAIMER: This is an ORIGINAL educational practice resource for study and remediation purposes only. It is NOT
an official ATI Technologies examination, does NOT contain proprietary ATI proctored exam items or secure test-bank content, and is
NOT affiliated with, endorsed by, or produced by ATI Technologies, Inc., or any nursing school. Content is aligned with common
nursing fundamentals competencies used in remediation after fundamentals assessments (safety, infection control, comfort, meds,
mobility, clinical judgment). ATI blueprints, cut scores, and rationales are proprietary and change—always follow your program’s
ATI remediation plan, focused review, faculty instructions, and approved textbooks/skills resources. This resource is for independent
practice and concept reinforcement only.
Introduction
This structured 60-question practice set supports fundamentals remediation with NCLEX-style clinical
judgment items. Correct answers appear in bold cyan with concise safety rationales explaining why the
correct action is best and why alternatives are weaker. Use after reviewing your ATI Focused Review topics to
close knowledge gaps—not as a substitute for official remediation requirements.
How to Use for Remediation
• Complete under timed conditions (~60–90 minutes) before checking answers.
• Map every missed item to your ATI Focused Review / active learning templates.
• Rewrite the “why” in one sentence connecting safety, infection control, or priority setting.
• Pair weak skill topics with skills lab practice (sterile field, transfers, med checks, VS).
• Retake missed domains 48 hours later to confirm retention.
EXAM QUESTIONS (1–60)
Total: 60 original multiple-choice items. Correct answers in bold cyan with rationales.
1. A nurse is prioritizing care after receiving report. Which client should the nurse assess first?
A. A client who needs help changing the TV channel
B. A stable client waiting for discharge teaching on a multivitamin
C. A client with new-onset restlessness, SpO2 88% on room air, and increased work of breathing
D. A client requesting assistance ordering lunch
Correct Answer: C. A client with new-onset restlessness, SpO2 88% on room air, and increased work
of breathing
Rationale: ABCs and acute physiologic deterioration take priority. Hypoxemia with respiratory distress is a first-level
priority over comfort or routine teaching needs.
2. Which action demonstrates correct use of two client identifiers before a procedure?
A. Skip identification if the nurse cared for the client yesterday
B. Identify the client by room number only
C. Ask the client to state name and date of birth and compare both to the armband and order
D. Ask, 'Are you Mr. Jones?' and accept a nod
, Correct Answer: C. Ask the client to state name and date of birth and compare both to the armband
and order
Rationale: Use at least two identifiers (e.g., name and DOB/MRN). Room number is not an identifier. Avoid leading
yes/no questions.
3. A client is at high risk for falls. Which nursing intervention is most appropriate?
A. Raise all four side rails and leave the client alone for long periods
B. Keep the bed in the highest position for staff convenience
C. Place the bed in the lowest position, call light within reach, nonslip footwear, and respond
promptly to toileting needs
D. Withhold ambulation assistance to encourage independence without assessment
Correct Answer: C. Place the bed in the lowest position, call light within reach, nonslip footwear, and
respond promptly to toileting needs
Rationale: Multifactorial fall prevention includes environment, toileting, footwear, and appropriate bed height. Four
side rails may be a restraint and increase injury risk if the client climbs over.
4. Which situation requires an incident (occurrence) report?
A. Vital signs within expected limits on schedule
B. A client falls while ambulating to the bathroom, even if no injury is visible
C. A routine medication given exactly as ordered without issues
D. A family member asking about visiting hours
Correct Answer: B. A client falls while ambulating to the bathroom, even if no injury is visible
Rationale: Unexpected events (falls, med errors, near misses) are documented per agency policy for quality/safety
tracking—not as routine care notes alone.
5. The fire response acronym RACE stands for:
A. Run, Argue, Call, Exit
B. Remove oxygen, Apply water, Close eyes, Escape only
C. Rescue, Alarm, Contain, Extinguish/Evacuate
D. Report, Assess, Critique, Evaluate only
Correct Answer: C. Rescue, Alarm, Contain, Extinguish/Evacuate
Rationale: RACE prioritizes life safety then containment. PASS (Pull, Aim, Squeeze, Sweep) is for extinguisher use.
6. A client on oxygen is found smoking in the bathroom. What is the nurse's priority action?
A. Increase the oxygen flow while the client finishes smoking
B. Move a second oxygen tank closer to the cigarette
C. Ensure immediate safety—stop the unsafe behavior, eliminate ignition risk, support the client,
and reinforce oxygen/fire safety
D. Leave and document later only
Correct Answer: C. Ensure immediate safety—stop the unsafe behavior, eliminate ignition risk,
support the client, and reinforce oxygen/fire safety
Rationale: Oxygen supports combustion. Priority is remove ignition source and protect the client—never increase O2
during smoking.
7. When applying restraints for a client at risk of self-extubation of a critical airway device, the nurse
should:
A. Apply restraints without an order in non-emergent situations and leave them on
B. Use the least restrictive effective method, verify the order, assess circulation/skin frequently,
provide ROM, and document per policy
PRACTICE PROCTORED EXAM 2026–2027
(60 Original Practice Questions with Correct Answers & Rationales)
Nursing Fundamentals | Remediation-Focused Practice
Key Domains: Patient Safety • Infection Control • Basic Care & Comfort • Medication Administration • Vital Signs • Mobility
• Hygiene • Clinical Judgment
IMPORTANT DISCLAIMER: This is an ORIGINAL educational practice resource for study and remediation purposes only. It is NOT
an official ATI Technologies examination, does NOT contain proprietary ATI proctored exam items or secure test-bank content, and is
NOT affiliated with, endorsed by, or produced by ATI Technologies, Inc., or any nursing school. Content is aligned with common
nursing fundamentals competencies used in remediation after fundamentals assessments (safety, infection control, comfort, meds,
mobility, clinical judgment). ATI blueprints, cut scores, and rationales are proprietary and change—always follow your program’s
ATI remediation plan, focused review, faculty instructions, and approved textbooks/skills resources. This resource is for independent
practice and concept reinforcement only.
Introduction
This structured 60-question practice set supports fundamentals remediation with NCLEX-style clinical
judgment items. Correct answers appear in bold cyan with concise safety rationales explaining why the
correct action is best and why alternatives are weaker. Use after reviewing your ATI Focused Review topics to
close knowledge gaps—not as a substitute for official remediation requirements.
How to Use for Remediation
• Complete under timed conditions (~60–90 minutes) before checking answers.
• Map every missed item to your ATI Focused Review / active learning templates.
• Rewrite the “why” in one sentence connecting safety, infection control, or priority setting.
• Pair weak skill topics with skills lab practice (sterile field, transfers, med checks, VS).
• Retake missed domains 48 hours later to confirm retention.
EXAM QUESTIONS (1–60)
Total: 60 original multiple-choice items. Correct answers in bold cyan with rationales.
1. A nurse is prioritizing care after receiving report. Which client should the nurse assess first?
A. A client who needs help changing the TV channel
B. A stable client waiting for discharge teaching on a multivitamin
C. A client with new-onset restlessness, SpO2 88% on room air, and increased work of breathing
D. A client requesting assistance ordering lunch
Correct Answer: C. A client with new-onset restlessness, SpO2 88% on room air, and increased work
of breathing
Rationale: ABCs and acute physiologic deterioration take priority. Hypoxemia with respiratory distress is a first-level
priority over comfort or routine teaching needs.
2. Which action demonstrates correct use of two client identifiers before a procedure?
A. Skip identification if the nurse cared for the client yesterday
B. Identify the client by room number only
C. Ask the client to state name and date of birth and compare both to the armband and order
D. Ask, 'Are you Mr. Jones?' and accept a nod
, Correct Answer: C. Ask the client to state name and date of birth and compare both to the armband
and order
Rationale: Use at least two identifiers (e.g., name and DOB/MRN). Room number is not an identifier. Avoid leading
yes/no questions.
3. A client is at high risk for falls. Which nursing intervention is most appropriate?
A. Raise all four side rails and leave the client alone for long periods
B. Keep the bed in the highest position for staff convenience
C. Place the bed in the lowest position, call light within reach, nonslip footwear, and respond
promptly to toileting needs
D. Withhold ambulation assistance to encourage independence without assessment
Correct Answer: C. Place the bed in the lowest position, call light within reach, nonslip footwear, and
respond promptly to toileting needs
Rationale: Multifactorial fall prevention includes environment, toileting, footwear, and appropriate bed height. Four
side rails may be a restraint and increase injury risk if the client climbs over.
4. Which situation requires an incident (occurrence) report?
A. Vital signs within expected limits on schedule
B. A client falls while ambulating to the bathroom, even if no injury is visible
C. A routine medication given exactly as ordered without issues
D. A family member asking about visiting hours
Correct Answer: B. A client falls while ambulating to the bathroom, even if no injury is visible
Rationale: Unexpected events (falls, med errors, near misses) are documented per agency policy for quality/safety
tracking—not as routine care notes alone.
5. The fire response acronym RACE stands for:
A. Run, Argue, Call, Exit
B. Remove oxygen, Apply water, Close eyes, Escape only
C. Rescue, Alarm, Contain, Extinguish/Evacuate
D. Report, Assess, Critique, Evaluate only
Correct Answer: C. Rescue, Alarm, Contain, Extinguish/Evacuate
Rationale: RACE prioritizes life safety then containment. PASS (Pull, Aim, Squeeze, Sweep) is for extinguisher use.
6. A client on oxygen is found smoking in the bathroom. What is the nurse's priority action?
A. Increase the oxygen flow while the client finishes smoking
B. Move a second oxygen tank closer to the cigarette
C. Ensure immediate safety—stop the unsafe behavior, eliminate ignition risk, support the client,
and reinforce oxygen/fire safety
D. Leave and document later only
Correct Answer: C. Ensure immediate safety—stop the unsafe behavior, eliminate ignition risk,
support the client, and reinforce oxygen/fire safety
Rationale: Oxygen supports combustion. Priority is remove ignition source and protect the client—never increase O2
during smoking.
7. When applying restraints for a client at risk of self-extubation of a critical airway device, the nurse
should:
A. Apply restraints without an order in non-emergent situations and leave them on
B. Use the least restrictive effective method, verify the order, assess circulation/skin frequently,
provide ROM, and document per policy
