ATI PN
FUNDAMENTALS PROCTORED
RETAKE Qs BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ 300+ FUNDAMENTALS Retake 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.
, Preview Questions Below
Get the Complete PDF After Purchase
"If you require further clarification or in need of any
study resources, feel free to Message me."
,### 1. The practical nurse (PN) is changing a postoperative dressing for a
client with a horizontal lower abdominal incision. What method should the PN
use to remove the tape from the dressing?
- A. Pull the tape quickly in an upward direction.
- B. Pull the tape toward the wound while stabilizing the skin.
- C. Tear the tape away from the wound.
- D. Soak the tape before removal.
Correct Answer: B. Pull the tape toward the wound while stabilizing the skin.
Expert Rationale: Removing tape toward the wound while supporting the skin
minimizes trauma, reduces pain, and prevents stress on the incision line.
---
### 2. The practical nurse (PN) is administering scheduled morning
medications to a client who states, "I haven't seen that pill before. Are you
sure it's correct?" Which action should the PN take?
- A. Advise the client the medication is prescribed and administer it.
- B. Withhold the medication and recheck the prescription.
- C. Ignore the concern and continue administration.
- D. Tell the client not to worry about medication changes.
Correct Answer: B. Withhold the medication and recheck the prescription.
Expert Rationale: The PN must prioritize client safety and autonomy. Rechecking
the medication prevents medication errors and upholds the client’s right to be
informed.
---
,### 3. An older client who is admitted to the hospital with dehydration and
electrolyte imbalance is confused and incontinent of urine. Which action
provides the best strategy for the practical nurse (PN) to implement for the
client’s incontinence?
- A. Apply absorbent briefs at all times.
- B. Institute a scheduled toileting program.
- C. Restrict fluid intake.
- D. Insert an indwelling urinary catheter.
Correct Answer: B. Institute a scheduled toileting program.
Expert Rationale: A scheduled toileting program promotes continence, reduces
skin breakdown, and maintains client dignity in confused elderly clients.
### 4. Which action should the practical nurse (PN) follow when applying an
elasticized bandage to a client's leg?
- A. Secure the bandage tightly around the leg.
- B. Overlap turns of the bandage equally.
- C. Apply the bandage in a spiral with broad gaps.
- D. Leave a space between the bandage and the skin.
Correct Answer: B. Overlap turns of the bandage equally.
Expert Rationale: Overlapping each turn of the bandage equally ensures uniform
pressure distribution and prevents circulatory compromise. Equal overlapping also
stabilizes the bandage, reduces irritation, and enhances therapeutic effectiveness.
---
,### 5. A client who has a pressure-relieving mattress overlay is mobilized to a
chair and imprints of the client's buttocks, heels, and scapula are evident on
the mattress overlay. What action should the practical nurse implement?
- A. Document the findings as expected.
- B. Reposition the client more frequently.
- C. Remove the mattress overlay.
- D. Place additional pillows on the overlay.
Correct Answer: B. Reposition the client more frequently.
Expert Rationale: Imprints suggest prolonged pressure; frequent repositioning is
necessary to prevent pressure injuries, promote circulation, and maintain skin
integrity.
---
### 6. The practical nurse (PN) obtains an elevated blood pressure reading for
an older male client who is alert. When the PN offers the client his morning
blood pressure medication, he refuses to take it. What action should the PN
take?
- A. Insist that the client take the medication.
- B. Document the refusal and notify the healthcare provider.
- C. Mix the medication with food to encourage ingestion.
- D. Discard the medication without further action.
Correct Answer: B. Document the refusal and notify the healthcare provider.
Expert Rationale: PNs must respect the client's right to refuse medication,
document the event, and notify the provider to evaluate further risks or
interventions.
---
,### 7. A client with gastroenteritis, nausea, and vomiting is currently on
"Nothing by mouth" (NPO) status. The healthcare provider prescribes oral
intake to be advanced as tolerated. Which fluid should the practical nurse
offer first?
- A. Orange juice
- B. Ice chips or sips of water
- C. Milk
- D. Hot tea
Correct Answer: B. Ice chips or sips of water
Expert Rationale: Clear fluids such as ice chips or sips of water are least likely to
cause further gastrointestinal upset after NPO status is lifted.
---
### 8. An older client who is unable to swallow is receiving continuous
nasogastric tube (NGT) feeding. Before administering medications through
the NGT, what action should the practical nurse (PN) implement?
- A. Crush all medications together.
- B. Flush the tube with 15-30 mL of water.
- C. Administer all medications at once.
- D. Mix medications with tube feeding formula.
Correct Answer: B. Flush the tube with 15-30 mL of water.
Expert Rationale: Flushing the tube maintains patency, prevents drug-feed
interaction, and ensures medications are delivered effectively.
---
,### 9. Which food should the practical nurse (PN) recommend for a client to
increase the dietary intake of potassium?
- A. Apples
- B. Bananas
- C. White rice
- D. Chicken breast
Correct Answer: B. Bananas
Expert Rationale: Bananas are a rich dietary source of potassium, essential for
nerve and muscle function.
---
### 10. An older female recently diagnosed with coronary artery disease
(CAD) cooks at home using saturated fats. Which intervention should the
practical nurse implement to help the client reduce modifiable risk factors?
- A. Advise her to substitute unsaturated fats such as olive oil.
- B. Instruct her to use more butter.
- C. Recommend increasing red meat intake.
- D. Suggest eating fried foods less often but still using saturated fats.
Correct Answer: A. Advise her to substitute unsaturated fats such as olive oil.
Expert Rationale: Replacing saturated fats with unsaturated fats reduces
cardiovascular risk and aligns with a heart-healthy lifestyle modification.
---
,### 11. Which action should the practical nurse (PN) implement when
administering a subcutaneous injection to a client who weighs 325 pounds?
- A. Use a 1/2-inch needle and inject at a 45-degree angle.
- B. Use a 1-inch needle and inject at a 90-degree angle.
- C. Use a 5/8-inch needle and inject at a 10-degree angle.
- D. Use an insulin syringe only.
Correct Answer: B. Use a 1-inch needle and inject at a 90-degree angle.
Expert Rationale: Larger clients may require a longer needle to ensure
subcutaneous rather than intradermal administration.
---
### 12. A client is receiving a daily prescription for furosemide (Lasix) 40 mg
PO but is unable to swallow. The practical nurse (PN) should consult with the
healthcare provider about which component of the prescription?
- A. Dose
- B. Route
- C. Drug
- D. Time
Correct Answer: B. Route
Expert Rationale: The route must be changed to accommodate swallowing
difficulties, such as requesting a liquid, IV, or enteral route.
---
### 13. Which food should the practical nurse (PN) recommend to a client as a
source of complete protein?
,- A. Lentils
- B. Eggs
- C. Rice
- D. Broccoli
Correct Answer: B. Eggs
Expert Rationale: Eggs contain all essential amino acids, making them a
complete protein source.
---
### 14. An older client has been receiving nasogastric tube (NGT) feedings for
several days. Which finding should the practical nurse (PN) report to the
healthcare provider?
- A. Slightly elevated temperature (99.2°F/37.3°C)
- B. Abdominal distention and discomfort
- C. Tolerating full-strength tube feeds
- D. Passing flatus
Correct Answer: B. Abdominal distention and discomfort
Expert Rationale: These signs may indicate intolerance to feeds, obstruction, or
other complications, requiring prompt provider notification.
---
### 15. What action should the practical nurse (PN) take when drawing
medication from an ampule?
- A. Use a regular needle and syringe.
- B. Use a filter needle to aspirate the medication.
, - C. Inject air into the ampule before withdrawing medication.
- D. Break the ampule without a protective barrier.
Correct Answer: B. Use a filter needle to aspirate the medication.
Expert Rationale: A filter needle prevents glass particles from being withdrawn
and administered to the client.
---
### 16. Which action should the practical nurse (PN) implement when
supporting an older client who is afraid of dying?
- A. Ignore the client’s comments about death.
- B. Provide an opportunity for the client to express fears.
- C. Avoid discussing end of life.
- D. Minimize the client’s concerns.
Correct Answer: B. Provide an opportunity for the client to express fears.
Expert Rationale: Actively listening and allowing open discussion about end-of-
life fears promotes psychological comfort and client-centered care.
---
### 17. The practical nurse (PN) is obtaining the vital signs for a client who
has a urinary tract infection with methicillin-resistant Staphylococcus aureus
(MRSA). How should the PN proceed?
- A. Use the same equipment as other clients.
- B. Use dedicated or single-use equipment.
- C. Obtain vital signs before hand hygiene.
- D. Perform vital signs only once daily.
FUNDAMENTALS PROCTORED
RETAKE Qs BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ 300+ FUNDAMENTALS Retake 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.
, Preview Questions Below
Get the Complete PDF After Purchase
"If you require further clarification or in need of any
study resources, feel free to Message me."
,### 1. The practical nurse (PN) is changing a postoperative dressing for a
client with a horizontal lower abdominal incision. What method should the PN
use to remove the tape from the dressing?
- A. Pull the tape quickly in an upward direction.
- B. Pull the tape toward the wound while stabilizing the skin.
- C. Tear the tape away from the wound.
- D. Soak the tape before removal.
Correct Answer: B. Pull the tape toward the wound while stabilizing the skin.
Expert Rationale: Removing tape toward the wound while supporting the skin
minimizes trauma, reduces pain, and prevents stress on the incision line.
---
### 2. The practical nurse (PN) is administering scheduled morning
medications to a client who states, "I haven't seen that pill before. Are you
sure it's correct?" Which action should the PN take?
- A. Advise the client the medication is prescribed and administer it.
- B. Withhold the medication and recheck the prescription.
- C. Ignore the concern and continue administration.
- D. Tell the client not to worry about medication changes.
Correct Answer: B. Withhold the medication and recheck the prescription.
Expert Rationale: The PN must prioritize client safety and autonomy. Rechecking
the medication prevents medication errors and upholds the client’s right to be
informed.
---
,### 3. An older client who is admitted to the hospital with dehydration and
electrolyte imbalance is confused and incontinent of urine. Which action
provides the best strategy for the practical nurse (PN) to implement for the
client’s incontinence?
- A. Apply absorbent briefs at all times.
- B. Institute a scheduled toileting program.
- C. Restrict fluid intake.
- D. Insert an indwelling urinary catheter.
Correct Answer: B. Institute a scheduled toileting program.
Expert Rationale: A scheduled toileting program promotes continence, reduces
skin breakdown, and maintains client dignity in confused elderly clients.
### 4. Which action should the practical nurse (PN) follow when applying an
elasticized bandage to a client's leg?
- A. Secure the bandage tightly around the leg.
- B. Overlap turns of the bandage equally.
- C. Apply the bandage in a spiral with broad gaps.
- D. Leave a space between the bandage and the skin.
Correct Answer: B. Overlap turns of the bandage equally.
Expert Rationale: Overlapping each turn of the bandage equally ensures uniform
pressure distribution and prevents circulatory compromise. Equal overlapping also
stabilizes the bandage, reduces irritation, and enhances therapeutic effectiveness.
---
,### 5. A client who has a pressure-relieving mattress overlay is mobilized to a
chair and imprints of the client's buttocks, heels, and scapula are evident on
the mattress overlay. What action should the practical nurse implement?
- A. Document the findings as expected.
- B. Reposition the client more frequently.
- C. Remove the mattress overlay.
- D. Place additional pillows on the overlay.
Correct Answer: B. Reposition the client more frequently.
Expert Rationale: Imprints suggest prolonged pressure; frequent repositioning is
necessary to prevent pressure injuries, promote circulation, and maintain skin
integrity.
---
### 6. The practical nurse (PN) obtains an elevated blood pressure reading for
an older male client who is alert. When the PN offers the client his morning
blood pressure medication, he refuses to take it. What action should the PN
take?
- A. Insist that the client take the medication.
- B. Document the refusal and notify the healthcare provider.
- C. Mix the medication with food to encourage ingestion.
- D. Discard the medication without further action.
Correct Answer: B. Document the refusal and notify the healthcare provider.
Expert Rationale: PNs must respect the client's right to refuse medication,
document the event, and notify the provider to evaluate further risks or
interventions.
---
,### 7. A client with gastroenteritis, nausea, and vomiting is currently on
"Nothing by mouth" (NPO) status. The healthcare provider prescribes oral
intake to be advanced as tolerated. Which fluid should the practical nurse
offer first?
- A. Orange juice
- B. Ice chips or sips of water
- C. Milk
- D. Hot tea
Correct Answer: B. Ice chips or sips of water
Expert Rationale: Clear fluids such as ice chips or sips of water are least likely to
cause further gastrointestinal upset after NPO status is lifted.
---
### 8. An older client who is unable to swallow is receiving continuous
nasogastric tube (NGT) feeding. Before administering medications through
the NGT, what action should the practical nurse (PN) implement?
- A. Crush all medications together.
- B. Flush the tube with 15-30 mL of water.
- C. Administer all medications at once.
- D. Mix medications with tube feeding formula.
Correct Answer: B. Flush the tube with 15-30 mL of water.
Expert Rationale: Flushing the tube maintains patency, prevents drug-feed
interaction, and ensures medications are delivered effectively.
---
,### 9. Which food should the practical nurse (PN) recommend for a client to
increase the dietary intake of potassium?
- A. Apples
- B. Bananas
- C. White rice
- D. Chicken breast
Correct Answer: B. Bananas
Expert Rationale: Bananas are a rich dietary source of potassium, essential for
nerve and muscle function.
---
### 10. An older female recently diagnosed with coronary artery disease
(CAD) cooks at home using saturated fats. Which intervention should the
practical nurse implement to help the client reduce modifiable risk factors?
- A. Advise her to substitute unsaturated fats such as olive oil.
- B. Instruct her to use more butter.
- C. Recommend increasing red meat intake.
- D. Suggest eating fried foods less often but still using saturated fats.
Correct Answer: A. Advise her to substitute unsaturated fats such as olive oil.
Expert Rationale: Replacing saturated fats with unsaturated fats reduces
cardiovascular risk and aligns with a heart-healthy lifestyle modification.
---
,### 11. Which action should the practical nurse (PN) implement when
administering a subcutaneous injection to a client who weighs 325 pounds?
- A. Use a 1/2-inch needle and inject at a 45-degree angle.
- B. Use a 1-inch needle and inject at a 90-degree angle.
- C. Use a 5/8-inch needle and inject at a 10-degree angle.
- D. Use an insulin syringe only.
Correct Answer: B. Use a 1-inch needle and inject at a 90-degree angle.
Expert Rationale: Larger clients may require a longer needle to ensure
subcutaneous rather than intradermal administration.
---
### 12. A client is receiving a daily prescription for furosemide (Lasix) 40 mg
PO but is unable to swallow. The practical nurse (PN) should consult with the
healthcare provider about which component of the prescription?
- A. Dose
- B. Route
- C. Drug
- D. Time
Correct Answer: B. Route
Expert Rationale: The route must be changed to accommodate swallowing
difficulties, such as requesting a liquid, IV, or enteral route.
---
### 13. Which food should the practical nurse (PN) recommend to a client as a
source of complete protein?
,- A. Lentils
- B. Eggs
- C. Rice
- D. Broccoli
Correct Answer: B. Eggs
Expert Rationale: Eggs contain all essential amino acids, making them a
complete protein source.
---
### 14. An older client has been receiving nasogastric tube (NGT) feedings for
several days. Which finding should the practical nurse (PN) report to the
healthcare provider?
- A. Slightly elevated temperature (99.2°F/37.3°C)
- B. Abdominal distention and discomfort
- C. Tolerating full-strength tube feeds
- D. Passing flatus
Correct Answer: B. Abdominal distention and discomfort
Expert Rationale: These signs may indicate intolerance to feeds, obstruction, or
other complications, requiring prompt provider notification.
---
### 15. What action should the practical nurse (PN) take when drawing
medication from an ampule?
- A. Use a regular needle and syringe.
- B. Use a filter needle to aspirate the medication.
, - C. Inject air into the ampule before withdrawing medication.
- D. Break the ampule without a protective barrier.
Correct Answer: B. Use a filter needle to aspirate the medication.
Expert Rationale: A filter needle prevents glass particles from being withdrawn
and administered to the client.
---
### 16. Which action should the practical nurse (PN) implement when
supporting an older client who is afraid of dying?
- A. Ignore the client’s comments about death.
- B. Provide an opportunity for the client to express fears.
- C. Avoid discussing end of life.
- D. Minimize the client’s concerns.
Correct Answer: B. Provide an opportunity for the client to express fears.
Expert Rationale: Actively listening and allowing open discussion about end-of-
life fears promotes psychological comfort and client-centered care.
---
### 17. The practical nurse (PN) is obtaining the vital signs for a client who
has a urinary tract infection with methicillin-resistant Staphylococcus aureus
(MRSA). How should the PN proceed?
- A. Use the same equipment as other clients.
- B. Use dedicated or single-use equipment.
- C. Obtain vital signs before hand hygiene.
- D. Perform vital signs only once daily.
