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 Clinical Scenario
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A nurse is caring for a client who is postoperative following abdominal surgery. The
nurse has gathered the following assessment data:
• Urinary output: 20 mL/hr
• Client reports pain level: 6 on a 0–10 scale
• Vital signs: Temperature 37.2°C (99.0°F), Pulse 84/min, Respirations 18/min, Blood
pressure 118/74 mm Hg
Question: Which of the following findings is the priority finding that the nurse should
report to the provider?
A. Urinary output of 20 mL/hr
B. Reported pain level of 6 on a 0–10 scale
C. Temperature of 37.2°C (99.0°F)
D. Blood pressure of 118/74 mm Hg
Correct Answer: A
Expert Explanation/Rationale: An adult client’s urinary output should be at least 30
mL/hr to maintain adequate kidney perfusion. A rate of 20 mL/hr may indicate
,decreased renal perfusion and necessitates immediate provider notification. The other
findings (pain of 6/10, mild elevation in temperature, and blood pressure within
normal limits) are not as urgent.
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2. A nurse is caring for a client who reports difficulty falling asleep at night. Which of
the following recommendations should the nurse make?
A. Take a daytime nap to catch up on rest.
B. Consume a caffeinated beverage before bedtime.
C. Maintain a consistent time to wake up each day.
D. Increase fluid intake right before bedtime.
Correct Answer: C
Expert Explanation/Rationale: Maintaining a consistent wake-up time helps regulate
the sleep-wake cycle and improves overall sleep hygiene. Daytime naps, consuming
stimulants before bed, and ingesting fluids close to bedtime can negatively affect the
ability to fall asleep.
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, 3. A nurse is caring for a client who has diarrhea secondary to a Shigella infection.
Which of the following precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions (wear a gown)
D. Standard precautions only
Correct Answer: C
Expert Explanation/Rationale: Shigella transmission occurs via the fecal-oral route and
requires contact precautions. Healthcare workers should wear gloves and a gown
when coming into contact with the client’s environment or secretions. Airborne
precautions (e.g., N95 mask) apply to pathogens such as tuberculosis, and droplet
precautions apply to infections spread via large respiratory droplets (e.g., influenza).
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4. A nurse is assessing a client who reports increased pain after completing physical
therapy. Which of the following questions by the nurse assesses the QUALITY of the
client’s pain?
A. “Where is your pain located?”
B. “Is your pain sharp or dull?”
C. “How severe is your pain on a scale from 0 to 10?”
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 Clinical Scenario
───────────────────────────────────────────────────────
─
A nurse is caring for a client who is postoperative following abdominal surgery. The
nurse has gathered the following assessment data:
• Urinary output: 20 mL/hr
• Client reports pain level: 6 on a 0–10 scale
• Vital signs: Temperature 37.2°C (99.0°F), Pulse 84/min, Respirations 18/min, Blood
pressure 118/74 mm Hg
Question: Which of the following findings is the priority finding that the nurse should
report to the provider?
A. Urinary output of 20 mL/hr
B. Reported pain level of 6 on a 0–10 scale
C. Temperature of 37.2°C (99.0°F)
D. Blood pressure of 118/74 mm Hg
Correct Answer: A
Expert Explanation/Rationale: An adult client’s urinary output should be at least 30
mL/hr to maintain adequate kidney perfusion. A rate of 20 mL/hr may indicate
,decreased renal perfusion and necessitates immediate provider notification. The other
findings (pain of 6/10, mild elevation in temperature, and blood pressure within
normal limits) are not as urgent.
───────────────────────────────────────────────────────
─
2. A nurse is caring for a client who reports difficulty falling asleep at night. Which of
the following recommendations should the nurse make?
A. Take a daytime nap to catch up on rest.
B. Consume a caffeinated beverage before bedtime.
C. Maintain a consistent time to wake up each day.
D. Increase fluid intake right before bedtime.
Correct Answer: C
Expert Explanation/Rationale: Maintaining a consistent wake-up time helps regulate
the sleep-wake cycle and improves overall sleep hygiene. Daytime naps, consuming
stimulants before bed, and ingesting fluids close to bedtime can negatively affect the
ability to fall asleep.
───────────────────────────────────────────────────────
─
, 3. A nurse is caring for a client who has diarrhea secondary to a Shigella infection.
Which of the following precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions (wear a gown)
D. Standard precautions only
Correct Answer: C
Expert Explanation/Rationale: Shigella transmission occurs via the fecal-oral route and
requires contact precautions. Healthcare workers should wear gloves and a gown
when coming into contact with the client’s environment or secretions. Airborne
precautions (e.g., N95 mask) apply to pathogens such as tuberculosis, and droplet
precautions apply to infections spread via large respiratory droplets (e.g., influenza).
───────────────────────────────────────────────────────
─
4. A nurse is assessing a client who reports increased pain after completing physical
therapy. Which of the following questions by the nurse assesses the QUALITY of the
client’s pain?
A. “Where is your pain located?”
B. “Is your pain sharp or dull?”
C. “How severe is your pain on a scale from 0 to 10?”
