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. NCLEX NGN Style, Case Scenario
A nurse is assisting in the care of a client diagnosed with a urinary tract infection (UTI).
The nurse reviews the client’s medical record and notes that the provider prescribed
amoxicillin, although the client reports a history of penicillin allergy.
Vital Signs: T: 37.9°C, HR: 95/min, BP: 128/74 mmHg, RR: 18/min, SpO2: 98%
Which of the following actions should the nurse take? Select all that apply.
- A. Clarify the prescription for amoxicillin with the provider.
- B. Place the client on contact precautions.
- C. Administer the prescribed antibiotic.
- D. Encourage increased oral fluid intake.
- E. Notify the laboratory for a urine culture and sensitivity.
Correct Answer:
A, D, E
Expert Rationale:
Amoxicillin should not be administered without provider clarification due to the
client’s reported allergy (A). Encouraging oral fluids aids in flushing bacteria from the
urinary tract (D). Notifying the laboratory for culture and sensitivity helps ensure the
,antibiotic prescribed is appropriate (E). Placing the client on contact precautions is
unnecessary for uncomplicated UTI, which is not typically spread by contact (B).
---
2. NCLEX NGN Style
A nurse is providing end-of-life care to a client with advanced metastatic cancer
experiencing dyspnea and anxiety.
Vital Signs: T: 36.7°C
HR: 104/min
BP: 110/64 mmHg
RR: 32/min
SpO2: 90% on 2L NC
Which action should the nurse take?
- A. Elevate the head of the bed.
- B. Reposition the client once every 4 hr.
- C. Instruct the client to deep breathe every hour.
- D. Administer IV fluids to decrease secretions.
Correct Answer:
, A
Expert Rationale:
Elevating the head of the bed promotes lung expansion and relieves dyspnea.
Repositioning every 4 hours may not sufficiently address breathing difficulty; more
frequent assessment and adjustment are often needed. Deep breaths may not be
possible or comfortable for clients in end-of-life stages. IV fluids risk increasing
pulmonary secretions, worsening dyspnea.
---
3. NCLEX NGN Style, Case Scenario
A nurse is caring for a 42-year-old client diagnosed with acute lymphocytic leukemia,
who is refusing blood products based on religious beliefs.
Vital Signs:
T: 36.9°C
HR: 90/min
BP: 122/80 mmHg
RR: 20/min
Which of the following responses should the nurse make?
- A. "Are you aware that declining blood may place you at greater risk?"
- B. "I understand that you decided not to receive blood products."
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. NCLEX NGN Style, Case Scenario
A nurse is assisting in the care of a client diagnosed with a urinary tract infection (UTI).
The nurse reviews the client’s medical record and notes that the provider prescribed
amoxicillin, although the client reports a history of penicillin allergy.
Vital Signs: T: 37.9°C, HR: 95/min, BP: 128/74 mmHg, RR: 18/min, SpO2: 98%
Which of the following actions should the nurse take? Select all that apply.
- A. Clarify the prescription for amoxicillin with the provider.
- B. Place the client on contact precautions.
- C. Administer the prescribed antibiotic.
- D. Encourage increased oral fluid intake.
- E. Notify the laboratory for a urine culture and sensitivity.
Correct Answer:
A, D, E
Expert Rationale:
Amoxicillin should not be administered without provider clarification due to the
client’s reported allergy (A). Encouraging oral fluids aids in flushing bacteria from the
urinary tract (D). Notifying the laboratory for culture and sensitivity helps ensure the
,antibiotic prescribed is appropriate (E). Placing the client on contact precautions is
unnecessary for uncomplicated UTI, which is not typically spread by contact (B).
---
2. NCLEX NGN Style
A nurse is providing end-of-life care to a client with advanced metastatic cancer
experiencing dyspnea and anxiety.
Vital Signs: T: 36.7°C
HR: 104/min
BP: 110/64 mmHg
RR: 32/min
SpO2: 90% on 2L NC
Which action should the nurse take?
- A. Elevate the head of the bed.
- B. Reposition the client once every 4 hr.
- C. Instruct the client to deep breathe every hour.
- D. Administer IV fluids to decrease secretions.
Correct Answer:
, A
Expert Rationale:
Elevating the head of the bed promotes lung expansion and relieves dyspnea.
Repositioning every 4 hours may not sufficiently address breathing difficulty; more
frequent assessment and adjustment are often needed. Deep breaths may not be
possible or comfortable for clients in end-of-life stages. IV fluids risk increasing
pulmonary secretions, worsening dyspnea.
---
3. NCLEX NGN Style, Case Scenario
A nurse is caring for a 42-year-old client diagnosed with acute lymphocytic leukemia,
who is refusing blood products based on religious beliefs.
Vital Signs:
T: 36.9°C
HR: 90/min
BP: 122/80 mmHg
RR: 20/min
Which of the following responses should the nurse make?
- A. "Are you aware that declining blood may place you at greater risk?"
- B. "I understand that you decided not to receive blood products."
