Actual ATI PN Fundamentals 2023 New 2026
Proctored Exam with NGN | All Questions and
100% Verified Answers to Pass PN ATI
Fundamentals Proctored Assessment
Question 1
A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A) Put all four side rails up on the bed
B) Ask the unlicensed assistive personnel to place restraints on the client's upper
extremities
C) Request that the client's roommate put the call light on when the client is attempting
to get out of bed
D) Check on the client at regular intervals to ascertain the need to use the bathroom
Correct Answer: D
Rationale: Regular rounding and anticipating the client's needs is the safest approach
for a confused client with dizziness. Side rails can be a restraint and increase injury risk.
Restraints require a provider order and are a last resort. Relying on a roommate is not
appropriate .
Question 2
,The nurse should use which type of precautions for a client being admitted to the
hospital with suspected tuberculosis?
A) Hand hygiene only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Correct Answer: D
Rationale: Tuberculosis is transmitted via airborne droplet nuclei that remain
suspended in the air. Airborne precautions require a negative pressure room and an N95
respirator. Contact and droplet precautions are for different transmission routes .
Question 3
The nurse is wearing sterile gloves in preparation for assisting with a client's sterile
procedure. While waiting for the procedure to begin, how should the nurse position their
hands?
A) Place one hand over the other against the part of the gown covering the upper body
B) Keep their arms at the sides of their body with hands in a relaxed position
C) Interlock fingers and hold hands away from body above the waist
D) Place hands on the sterile field
Correct Answer: C
Rationale: Sterile-gloved hands must be kept above the waist and away from the body
to maintain sterility. Areas below the waist or close to the body are considered
contaminated .
Question 4
A nurse on a medical-surgical unit receives a telephone call from an individual who
identifies himself as the client's employer. The employer asks about the client's condition.
Which response is appropriate?
A) "The client's condition is stable right now."
B) "I will tell him you called."
,C) "I cannot confirm or deny that we have a client by that name."
D) "He is here in the hospital, but I cannot tell you anything else."
Correct Answer: C
Rationale: HIPAA prohibits divulging any patient information without consent. The
nurse cannot even confirm the client's presence in the facility. This response protects
confidentiality .
Question 5
A nurse is assisting with admission of a client who has streptococcal pharyngitis. Which
precautions should the nurse implement?
A) Use an N95 respirator
B) Wear a surgical mask when giving direct care
C) Wear sterile gloves only
D) Place the client in airborne isolation
Correct Answer: B
Rationale: Streptococcal pharyngitis is transmitted via droplets. A surgical mask is
required for close contact. N95 respirators are for airborne precautions .
Question 6
The nurse's best explanation for why a severely neutropenic client is placed in reverse
isolation is that reverse isolation helps prevent spread of organisms:
A) To the client from sources outside the client's environment
B) From the client to healthcare personnel, visitors, and other clients
C) By using special techniques to handle the client's linens and personal items
D) By using special techniques to dispose of contaminated materials
Correct Answer: A
Rationale: Reverse isolation (protective isolation) protects the immunocompromised
client from organisms that could cause life-threatening infections. The client is vulnerable
to pathogens from others .
, Question 7
A nurse is caring for a client receiving detoxification for opioid use disorder. As the nurse
prepares to administer methadone IM, the client expresses fear of needles. Which action
is appropriate?
A) Remind the client they must receive the medication as prescribed
B) Tell the client not to worry because the pain will be temporary
C) Request a change in the medication route to PO
D) Administer the injection quickly without further discussion
Correct Answer: C
Rationale: Advocating for a change in administration route respects patient autonomy
and supports adherence. Methadone is available orally. The nurse should address the
client's concern and collaborate with the provider .
Question 8
A client on a medical-surgical unit has a TENS unit and reports a buzzing sensation at the
application site. The nurse should identify this finding as a:
A) Expected sensation
B) Safety hazard
C) Sign of effective therapy
D) Normal reaction to electrical stimulation
Correct Answer: B
Rationale: A buzzing sensation could indicate malfunction or improper use of the
TENS unit, posing a safety risk for skin burns or electrical injury. The nurse should assess
the unit and skin underneath .
Question 9
A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which
action should the nurse take first?
Proctored Exam with NGN | All Questions and
100% Verified Answers to Pass PN ATI
Fundamentals Proctored Assessment
Question 1
A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A) Put all four side rails up on the bed
B) Ask the unlicensed assistive personnel to place restraints on the client's upper
extremities
C) Request that the client's roommate put the call light on when the client is attempting
to get out of bed
D) Check on the client at regular intervals to ascertain the need to use the bathroom
Correct Answer: D
Rationale: Regular rounding and anticipating the client's needs is the safest approach
for a confused client with dizziness. Side rails can be a restraint and increase injury risk.
Restraints require a provider order and are a last resort. Relying on a roommate is not
appropriate .
Question 2
,The nurse should use which type of precautions for a client being admitted to the
hospital with suspected tuberculosis?
A) Hand hygiene only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Correct Answer: D
Rationale: Tuberculosis is transmitted via airborne droplet nuclei that remain
suspended in the air. Airborne precautions require a negative pressure room and an N95
respirator. Contact and droplet precautions are for different transmission routes .
Question 3
The nurse is wearing sterile gloves in preparation for assisting with a client's sterile
procedure. While waiting for the procedure to begin, how should the nurse position their
hands?
A) Place one hand over the other against the part of the gown covering the upper body
B) Keep their arms at the sides of their body with hands in a relaxed position
C) Interlock fingers and hold hands away from body above the waist
D) Place hands on the sterile field
Correct Answer: C
Rationale: Sterile-gloved hands must be kept above the waist and away from the body
to maintain sterility. Areas below the waist or close to the body are considered
contaminated .
Question 4
A nurse on a medical-surgical unit receives a telephone call from an individual who
identifies himself as the client's employer. The employer asks about the client's condition.
Which response is appropriate?
A) "The client's condition is stable right now."
B) "I will tell him you called."
,C) "I cannot confirm or deny that we have a client by that name."
D) "He is here in the hospital, but I cannot tell you anything else."
Correct Answer: C
Rationale: HIPAA prohibits divulging any patient information without consent. The
nurse cannot even confirm the client's presence in the facility. This response protects
confidentiality .
Question 5
A nurse is assisting with admission of a client who has streptococcal pharyngitis. Which
precautions should the nurse implement?
A) Use an N95 respirator
B) Wear a surgical mask when giving direct care
C) Wear sterile gloves only
D) Place the client in airborne isolation
Correct Answer: B
Rationale: Streptococcal pharyngitis is transmitted via droplets. A surgical mask is
required for close contact. N95 respirators are for airborne precautions .
Question 6
The nurse's best explanation for why a severely neutropenic client is placed in reverse
isolation is that reverse isolation helps prevent spread of organisms:
A) To the client from sources outside the client's environment
B) From the client to healthcare personnel, visitors, and other clients
C) By using special techniques to handle the client's linens and personal items
D) By using special techniques to dispose of contaminated materials
Correct Answer: A
Rationale: Reverse isolation (protective isolation) protects the immunocompromised
client from organisms that could cause life-threatening infections. The client is vulnerable
to pathogens from others .
, Question 7
A nurse is caring for a client receiving detoxification for opioid use disorder. As the nurse
prepares to administer methadone IM, the client expresses fear of needles. Which action
is appropriate?
A) Remind the client they must receive the medication as prescribed
B) Tell the client not to worry because the pain will be temporary
C) Request a change in the medication route to PO
D) Administer the injection quickly without further discussion
Correct Answer: C
Rationale: Advocating for a change in administration route respects patient autonomy
and supports adherence. Methadone is available orally. The nurse should address the
client's concern and collaborate with the provider .
Question 8
A client on a medical-surgical unit has a TENS unit and reports a buzzing sensation at the
application site. The nurse should identify this finding as a:
A) Expected sensation
B) Safety hazard
C) Sign of effective therapy
D) Normal reaction to electrical stimulation
Correct Answer: B
Rationale: A buzzing sensation could indicate malfunction or improper use of the
TENS unit, posing a safety risk for skin burns or electrical injury. The nurse should assess
the unit and skin underneath .
Question 9
A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which
action should the nurse take first?
