ATI RN
FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Exam has 70 FUNDAMENTALS nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
,QUESTION 1
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Case Scenario:
A 52-year-old female client is receiving chemotherapy for breast cancer. Her lab
results from Week 1 to Week 2 are as follows:
• Week 1: Platelets 350,000/mm³
• Week 2: Platelets 100,000/mm³
• Other labs remain within normal limits.
Question:
Based on this information, which intervention should the nurse implement first?
A. Encourage ambulation twice daily.
B. Initiate bleeding precautions.
C. Restrict fluids to 1,000 mL/day.
D. Increase dietary potassium intake.
Answer: B. Initiate bleeding precautions.
Expert Explanation/Rationale:
,A platelet count of 100,000/mm³ places the client at increased risk for bleeding.
Bleeding precautions (e.g., using a soft toothbrush, avoiding IM injections, using
electric razors) are essential. While interventions such as ambulation and adequate
nutrition are important for overall health, addressing the imminent risk of bleeding
takes priority.
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QUESTION 2
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Case Scenario:
A nurse is discussing advance directives with a client who wants to understand their
purpose if they were to face a serious illness.
Question:
Which of the following statements best explains the function of advance directives?
A. “They allow family members to revise your medical insurance plan.”
B. “They clarify financial arrangements in case of hospitalization.”
C. “They indicate the form of treatment you are willing to accept if you become
seriously ill.”
, D. “They ensure the hospital will accept your insurance.”
Answer: C. “They indicate the form of treatment you are willing to accept if you
become seriously ill.”
Expert Explanation/Rationale:
Advance directives are legal documents detailing a client’s preferences for medical
care if they become unable to make decisions. They do not address financial or
insurance issues; they focus on treatment choices.
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QUESTION 3
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Case Scenario:
A client has recently started using a behind-the-ear hearing aid. During a follow-up
visit, the nurse assesses the client’s knowledge of proper hearing aid care.
Question:
Which of the following client statements indicates correct understanding of how to
care for a behind-the-ear hearing aid?
FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Exam has 70 FUNDAMENTALS nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
,QUESTION 1
───────────────────────────────────────────────────────
─
Case Scenario:
A 52-year-old female client is receiving chemotherapy for breast cancer. Her lab
results from Week 1 to Week 2 are as follows:
• Week 1: Platelets 350,000/mm³
• Week 2: Platelets 100,000/mm³
• Other labs remain within normal limits.
Question:
Based on this information, which intervention should the nurse implement first?
A. Encourage ambulation twice daily.
B. Initiate bleeding precautions.
C. Restrict fluids to 1,000 mL/day.
D. Increase dietary potassium intake.
Answer: B. Initiate bleeding precautions.
Expert Explanation/Rationale:
,A platelet count of 100,000/mm³ places the client at increased risk for bleeding.
Bleeding precautions (e.g., using a soft toothbrush, avoiding IM injections, using
electric razors) are essential. While interventions such as ambulation and adequate
nutrition are important for overall health, addressing the imminent risk of bleeding
takes priority.
───────────────────────────────────────────────────────
─
QUESTION 2
───────────────────────────────────────────────────────
─
Case Scenario:
A nurse is discussing advance directives with a client who wants to understand their
purpose if they were to face a serious illness.
Question:
Which of the following statements best explains the function of advance directives?
A. “They allow family members to revise your medical insurance plan.”
B. “They clarify financial arrangements in case of hospitalization.”
C. “They indicate the form of treatment you are willing to accept if you become
seriously ill.”
, D. “They ensure the hospital will accept your insurance.”
Answer: C. “They indicate the form of treatment you are willing to accept if you
become seriously ill.”
Expert Explanation/Rationale:
Advance directives are legal documents detailing a client’s preferences for medical
care if they become unable to make decisions. They do not address financial or
insurance issues; they focus on treatment choices.
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─
QUESTION 3
───────────────────────────────────────────────────────
─
Case Scenario:
A client has recently started using a behind-the-ear hearing aid. During a follow-up
visit, the nurse assesses the client’s knowledge of proper hearing aid care.
Question:
Which of the following client statements indicates correct understanding of how to
care for a behind-the-ear hearing aid?
