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 (NGN STYLE: Select All That Apply)
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A nurse is caring for a client who has a peripheral IV inserted for fluid replacement.
On Day 1, the IV site was dry and intact, without redness or swelling. On Day 2, the IV
site is edematous; the skin surrounding the catheter site appears taut, blanched, cool
to the touch, and IV fluid is not infusing. Which of the following actions should the
nurse take? (Select all that apply.)
A. Stop the IV infusion.
B. Elevate the affected extremity.
C. Apply a warm compress to the affected area.
D. Restart a new IV in the same affected extremity.
Correct Answers: A, B, and C
Expert Explanation/Rationale:
• Infiltration or extravasation is suspected when the area is cool, edematous, blanched,
and fluid will not infuse.
• The priority interventions include stopping the IV (A) and removing the catheter to
prevent further infiltration.
• Elevate the extremity (B) to reduce swelling.
,• Warm (or sometimes cool, depending on the solution) compresses (C) help the body
absorb the infiltration more quickly.
• Restarting an IV distal to the affected site (D) is not appropriate; a new site should
typically be started in a different vein or proximal to the previous site.
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QUESTION 2 (PRIORITIZATION)
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A nurse in a medical-surgical unit is caring for six clients. Based on the following data,
which client should the nurse assess first?
• Client 1: Newly diagnosed rheumatoid arthritis; stable vital signs.
• Client 3: Postoperative day 1, reporting pain at 8 on a 0-to-10 pain scale. Received
morphine 5 mg subcut about 30 minutes ago.
• Client 4: Newly diagnosed heart failure, stable but with mild dyspnea.
• Client 6: Newly diagnosed diabetes mellitus, scheduled for teaching later today.
A. Client 1 (new rheumatoid arthritis)
B. Client 3 (postoperative pain level of 8)
C. Client 4 (new heart failure)
, D. Client 6 (new diabetes mellitus)
Correct Answer: B
Expert Explanation/Rationale:
• According to priority-setting frameworks (e.g., Maslow’s hierarchy and acute vs.
chronic), unmanaged severe pain (8/10) in an immediate postoperative client (B)
requires prompt assessment and possible intervention.
• Although Client 4 (C) also requires close monitoring for heart failure, the nurse
should first ensure adequate pain management and assess for potential complications
related to postoperative pain.
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QUESTION 3
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A nurse is giving a change-of-shift report about a client who was admitted earlier in
the day with pneumonia. Which of the following pieces of information is the priority to
include in the report?
A. The client’s admitting diagnosis
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 (NGN STYLE: Select All That Apply)
───────────────────────────────────────────────────────
─
A nurse is caring for a client who has a peripheral IV inserted for fluid replacement.
On Day 1, the IV site was dry and intact, without redness or swelling. On Day 2, the IV
site is edematous; the skin surrounding the catheter site appears taut, blanched, cool
to the touch, and IV fluid is not infusing. Which of the following actions should the
nurse take? (Select all that apply.)
A. Stop the IV infusion.
B. Elevate the affected extremity.
C. Apply a warm compress to the affected area.
D. Restart a new IV in the same affected extremity.
Correct Answers: A, B, and C
Expert Explanation/Rationale:
• Infiltration or extravasation is suspected when the area is cool, edematous, blanched,
and fluid will not infuse.
• The priority interventions include stopping the IV (A) and removing the catheter to
prevent further infiltration.
• Elevate the extremity (B) to reduce swelling.
,• Warm (or sometimes cool, depending on the solution) compresses (C) help the body
absorb the infiltration more quickly.
• Restarting an IV distal to the affected site (D) is not appropriate; a new site should
typically be started in a different vein or proximal to the previous site.
───────────────────────────────────────────────────────
─
QUESTION 2 (PRIORITIZATION)
───────────────────────────────────────────────────────
─
A nurse in a medical-surgical unit is caring for six clients. Based on the following data,
which client should the nurse assess first?
• Client 1: Newly diagnosed rheumatoid arthritis; stable vital signs.
• Client 3: Postoperative day 1, reporting pain at 8 on a 0-to-10 pain scale. Received
morphine 5 mg subcut about 30 minutes ago.
• Client 4: Newly diagnosed heart failure, stable but with mild dyspnea.
• Client 6: Newly diagnosed diabetes mellitus, scheduled for teaching later today.
A. Client 1 (new rheumatoid arthritis)
B. Client 3 (postoperative pain level of 8)
C. Client 4 (new heart failure)
, D. Client 6 (new diabetes mellitus)
Correct Answer: B
Expert Explanation/Rationale:
• According to priority-setting frameworks (e.g., Maslow’s hierarchy and acute vs.
chronic), unmanaged severe pain (8/10) in an immediate postoperative client (B)
requires prompt assessment and possible intervention.
• Although Client 4 (C) also requires close monitoring for heart failure, the nurse
should first ensure adequate pain management and assess for potential complications
related to postoperative pain.
───────────────────────────────────────────────────────
─
QUESTION 3
───────────────────────────────────────────────────────
─
A nurse is giving a change-of-shift report about a client who was admitted earlier in
the day with pneumonia. Which of the following pieces of information is the priority to
include in the report?
A. The client’s admitting diagnosis
