ATI PN
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. A nurse is reinforcing teaching with a client about the use of a peak flow meter.
Which of the following actions should the nurse make first?
a) Demonstrate the use of the device
b) Determine the client's knowledge of the use of the peak flow meter
c) Record the client’s baseline peak flow readings
d) Explain expected peak flow values
Correct Answer: b) Determine the client's knowledge of the use of the peak flow
meter
Expert Rationale: Assessing the client's prior knowledge allows for individualized
education strategies, ensuring the nurse addresses knowledge gaps.
---
2. A nurse is collecting data about a client's oral care. The client wears dentures and
reports having mouth sores. Which of the following oral care practices by the client
could be a cause of the mouth sores?
a) Cleans dentures daily
b) Removes dentures at night
c) Uses mouthwash regularly
d) Wears dentures while sleeping at night
Correct Answer: d) Wears dentures while sleeping at night
,Expert Rationale: Wearing dentures overnight increases the risk of mucosal irritation
and oral sores due to continuous pressure and decreased salivary flow.
---
3. A nurse is preparing to administer a medication from an ampule. Which of the
following actions should the nurse take?
a) Use a filter needle to aspirate the medication
b) Inject air into the ampule before aspiration
c) Discard the first dose of medication
d) Use a blunt needle for aspiration
Correct Answer: a) Use a filter needle to aspirate the medication
Expert Rationale: Filter needles prevent particulate matter (like glass from the ampule)
from being drawn into the syringe, ensuring client safety.
4. A nurse is reinforcing information with a client who wishes to complete their
advance directives. Which of the following statements should the nurse make?
a) "Your family will need to approve your advance directives."
b) "You can decline to have certain medical procedures performed in your living will."
c) "Only your physician can complete advance directives for you."
, d) "Advance directives are required before hospital admission."
Correct Answer: b) "You can decline to have certain medical procedures performed in
your living will."
Expert Rationale: The client has the right to accept or refuse specific medical
interventions in their living will, ensuring autonomy over their future health care
decisions.
---
5. A nurse is reinforcing teaching with a client who is premenopausal. Which of the
following statements by the client indicates understanding of the teaching?
a) "My risk for hot flashes is lower before menopause."
b) "I might have headaches due to a decline in my estrogen levels."
c) "I should expect regular periods until menopause."
d) "Bone health is not affected during this stage."
Correct Answer: b) "I might have headaches due to a decline in my estrogen levels."
Expert Rationale: Fluctuating estrogen levels in the premenopausal period can lead to
headaches and other symptoms; recognizing this indicates understanding.
---
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. A nurse is reinforcing teaching with a client about the use of a peak flow meter.
Which of the following actions should the nurse make first?
a) Demonstrate the use of the device
b) Determine the client's knowledge of the use of the peak flow meter
c) Record the client’s baseline peak flow readings
d) Explain expected peak flow values
Correct Answer: b) Determine the client's knowledge of the use of the peak flow
meter
Expert Rationale: Assessing the client's prior knowledge allows for individualized
education strategies, ensuring the nurse addresses knowledge gaps.
---
2. A nurse is collecting data about a client's oral care. The client wears dentures and
reports having mouth sores. Which of the following oral care practices by the client
could be a cause of the mouth sores?
a) Cleans dentures daily
b) Removes dentures at night
c) Uses mouthwash regularly
d) Wears dentures while sleeping at night
Correct Answer: d) Wears dentures while sleeping at night
,Expert Rationale: Wearing dentures overnight increases the risk of mucosal irritation
and oral sores due to continuous pressure and decreased salivary flow.
---
3. A nurse is preparing to administer a medication from an ampule. Which of the
following actions should the nurse take?
a) Use a filter needle to aspirate the medication
b) Inject air into the ampule before aspiration
c) Discard the first dose of medication
d) Use a blunt needle for aspiration
Correct Answer: a) Use a filter needle to aspirate the medication
Expert Rationale: Filter needles prevent particulate matter (like glass from the ampule)
from being drawn into the syringe, ensuring client safety.
4. A nurse is reinforcing information with a client who wishes to complete their
advance directives. Which of the following statements should the nurse make?
a) "Your family will need to approve your advance directives."
b) "You can decline to have certain medical procedures performed in your living will."
c) "Only your physician can complete advance directives for you."
, d) "Advance directives are required before hospital admission."
Correct Answer: b) "You can decline to have certain medical procedures performed in
your living will."
Expert Rationale: The client has the right to accept or refuse specific medical
interventions in their living will, ensuring autonomy over their future health care
decisions.
---
5. A nurse is reinforcing teaching with a client who is premenopausal. Which of the
following statements by the client indicates understanding of the teaching?
a) "My risk for hot flashes is lower before menopause."
b) "I might have headaches due to a decline in my estrogen levels."
c) "I should expect regular periods until menopause."
d) "Bone health is not affected during this stage."
Correct Answer: b) "I might have headaches due to a decline in my estrogen levels."
Expert Rationale: Fluctuating estrogen levels in the premenopausal period can lead to
headaches and other symptoms; recognizing this indicates understanding.
---
