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.
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1. (NGN-Style: Prioritization)
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CASE SCENARIO:
A nurse in a medical-surgical unit receives shift report on four clients who have
abnormal findings:
• Client A: Newly diagnosed rheumatoid arthritis with an elevated C-reactive protein
(CRP)
• Client B: Hyperlipidemia with a total cholesterol of 280 mg/dL
• Client C: One day postoperative with oxygen saturation of 88%
• Client D: Heart failure with serum potassium of 3.1 mEq/L
QUESTION:
Using the airway, breathing, circulation (ABC) approach, which client should the nurse
assess first?
A. Client A, who has an elevated CRP
B. Client B, who has high cholesterol
C. Client C, who is postoperative and has an O₂ saturation of 88%
D. Client D, who has heart failure and hypokalemia
CORRECT ANSWER:
,C. Client C, who is postoperative and has an O₂ saturation of 88%.
EXPERT EXPLANATION/RATIONALE:
• An oxygen saturation below 90-95% commonly indicates hypoxia and is the most
acute concern based on ABCs (Airway and Breathing).
• While hypokalemia (Client D) is also a serious finding, it is addressed after ensuring a
stable airway and breathing. Elevated CRP (Client A) and high cholesterol (Client B)
pose longer-term risks but are not as immediately life-threatening.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
2. (NGN-Style: Recognizing Cues)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
CASE SCENARIO:
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD).
The nurse reviews the client’s most recent vital signs and assessment data:
• Temperature: 101.4 °F (38.6 °C)
• Blood Pressure: 122/76 mm Hg
• Heart Rate: 90/min
• Respirations: 24/min
• Oxygen Saturation: 88% on room air
QUESTION:
, Which of the following findings requires immediate follow-up by the nurse?
A. Blood pressure of 122/76 mm Hg
B. Heart rate of 90/min
C. Temperature of 101.4 °F (38.6 °C)
D. Oxygen saturation of 88%
CORRECT ANSWER:
D. Oxygen saturation of 88%.
EXPERT EXPLANATION/RATIONALE:
• COPD clients often have lower-than-normal oxygen saturations, but 88% is still
clinically significant and indicates hypoxia requiring prompt nursing intervention (e.g.,
apply prescribed low-flow oxygen, reassess respiratory status).
• A low-grade fever (101.4 °F) is also concerning for infection, but airway/breathing
problems take priority (ABCs).
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
3. (NGN-Style: Priority Action)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
CASE SCENARIO:
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.
,━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
1. (NGN-Style: Prioritization)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
CASE SCENARIO:
A nurse in a medical-surgical unit receives shift report on four clients who have
abnormal findings:
• Client A: Newly diagnosed rheumatoid arthritis with an elevated C-reactive protein
(CRP)
• Client B: Hyperlipidemia with a total cholesterol of 280 mg/dL
• Client C: One day postoperative with oxygen saturation of 88%
• Client D: Heart failure with serum potassium of 3.1 mEq/L
QUESTION:
Using the airway, breathing, circulation (ABC) approach, which client should the nurse
assess first?
A. Client A, who has an elevated CRP
B. Client B, who has high cholesterol
C. Client C, who is postoperative and has an O₂ saturation of 88%
D. Client D, who has heart failure and hypokalemia
CORRECT ANSWER:
,C. Client C, who is postoperative and has an O₂ saturation of 88%.
EXPERT EXPLANATION/RATIONALE:
• An oxygen saturation below 90-95% commonly indicates hypoxia and is the most
acute concern based on ABCs (Airway and Breathing).
• While hypokalemia (Client D) is also a serious finding, it is addressed after ensuring a
stable airway and breathing. Elevated CRP (Client A) and high cholesterol (Client B)
pose longer-term risks but are not as immediately life-threatening.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
2. (NGN-Style: Recognizing Cues)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
CASE SCENARIO:
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD).
The nurse reviews the client’s most recent vital signs and assessment data:
• Temperature: 101.4 °F (38.6 °C)
• Blood Pressure: 122/76 mm Hg
• Heart Rate: 90/min
• Respirations: 24/min
• Oxygen Saturation: 88% on room air
QUESTION:
, Which of the following findings requires immediate follow-up by the nurse?
A. Blood pressure of 122/76 mm Hg
B. Heart rate of 90/min
C. Temperature of 101.4 °F (38.6 °C)
D. Oxygen saturation of 88%
CORRECT ANSWER:
D. Oxygen saturation of 88%.
EXPERT EXPLANATION/RATIONALE:
• COPD clients often have lower-than-normal oxygen saturations, but 88% is still
clinically significant and indicates hypoxia requiring prompt nursing intervention (e.g.,
apply prescribed low-flow oxygen, reassess respiratory status).
• A low-grade fever (101.4 °F) is also concerning for infection, but airway/breathing
problems take priority (ABCs).
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
3. (NGN-Style: Priority Action)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
CASE SCENARIO:
