Page 1 of 60
ATI PN FUNDAMENTALS PROCTORED EXAM
COMPREHENSIVE 2026 COMPLETE (125)
CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES.
ATI PN
Prepare for the ATI PN Fundamentals Proctored Exam with focused review
materials covering the nursing process, basic nursing skills, patient-
centered care, safety and infection prevention, vital signs, health
assessment, medication administration, dosage calculations, hygiene
and comfort, mobility, nutrition, elimination, fluid and electrolyte
balance, communication, documentation, legal and ethical principles,
and evidence-based nursing interventions. Designed to build confidence
in performing fundamental nursing procedures, recognizing patient care
priorities, applying safe medication practices, and making sound clinical
decisions. Suitable for practical nursing students and candidates
preparing for the ATI PN Fundamentals Proctored Exam.
MULTIPLE CHOICE.
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1–25)
1. A licensed practical nurse (LPN) is preparing to administer
medication to a client. Which of the following is the MOST important
action to ensure client safety?
, Page 2 of 60
A. Verify the medication order with the charge nurse
B. Check the client's identification using two identifiers
C. Review the client's allergy history
D. Assess the client's vital signs before administration
Correct answer: B. Check the client's identification using two
identifiers
Rationale: The most important action to ensure client safety during
medication administration is to check the client's identification
using two identifiers (e.g., name and date of birth). This is a standard
safety protocol that prevents medication errors by ensuring the right
client receives the right medication.
2. A nurse is caring for a client who is at risk for falls. Which of the
following actions should the nurse take to prevent falls?
A. Keep all four bed rails up at all times
B. Place the bed in the lowest position with the wheels locked
C. Restrain the client to prevent ambulation
D. Keep the client's room dark to promote sleep
Correct answer: B. Place the bed in the lowest position with the
wheels locked
Rationale: Placing the bed in the lowest position with the wheels
locked reduces the risk of injury if the client attempts to get out of
bed unassisted. Restraints should be avoided unless absolutely
necessary, and keeping the room dark increases fall risk.
3. A nurse is preparing to enter a room with a client who has MRSA.
What is the priority action?
, Page 3 of 60
A. Wear a surgical mask
B. Don gloves and gown
C. Apply an N95 respirator
D. Wash hands with alcohol gel
Correct answer: B. Don gloves and gown
Rationale: MRSA requires contact precautions. Gloves and a gown
are required to prevent transmission via direct contact. Contact
precautions are used for infections spread by direct or indirect
contact with the client or the client's environment.
4. A client is on airborne precautions for tuberculosis. What personal
protective equipment (PPE) should the nurse wear when entering the
room?
A. Gloves only
B. N95 respirator
C. Surgical mask
D. Face shield
Correct answer: B. N95 respirator
Rationale: Tuberculosis requires airborne precautions, which
include an N95 respirator. Airborne precautions are required for
infections transmitted by airborne droplet nuclei (e.g., TB, measles,
varicella).
5. A nurse is caring for a client who has a tracheostomy and requires
suctioning. Which of the following actions should the nurse take?
A. Hyperoxygenate the client before suctioning
B. Insert the catheter during exhalation
, Page 4 of 60
C. Apply suction during insertion of the catheter
D. Apply suction for no more than 15 seconds
Correct answer: A. Hyperoxygenate the client before suctioning
Rationale: The nurse should hyperoxygenate the client before
suctioning to prevent hypoxemia. Suction should be applied only
during withdrawal (not insertion), and for no more than 10-15
seconds.
6. A nurse is preparing to perform nasal tracheal suctioning for a
client. Which of the following is an appropriate action?
A. Hold the suction catheter with the clean non-dominant hand
B. Apply suctioning for 20 to 30 seconds
C. Place the catheter in a location that is clean and dry for later use
D. Use surgical asepsis when performing the procedure
Correct answer: D. Use surgical asepsis when performing the
procedure
Rationale: Surgical aseptic (sterile) technique is required for all
types of suctioning to prevent introducing pathogens into the
respiratory tract. Suctioning should be limited to 10-15 seconds, and
catheters are single-use only.
7. A nurse is preparing to administer IV fluids to a client. The nurse
notes sparks when plugging in the IV pump. Which of the following
actions should the nurse take FIRST?
A. Label the pump with a defective equipment sticker
B. Unplug the pump
ATI PN FUNDAMENTALS PROCTORED EXAM
COMPREHENSIVE 2026 COMPLETE (125)
CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES.
ATI PN
Prepare for the ATI PN Fundamentals Proctored Exam with focused review
materials covering the nursing process, basic nursing skills, patient-
centered care, safety and infection prevention, vital signs, health
assessment, medication administration, dosage calculations, hygiene
and comfort, mobility, nutrition, elimination, fluid and electrolyte
balance, communication, documentation, legal and ethical principles,
and evidence-based nursing interventions. Designed to build confidence
in performing fundamental nursing procedures, recognizing patient care
priorities, applying safe medication practices, and making sound clinical
decisions. Suitable for practical nursing students and candidates
preparing for the ATI PN Fundamentals Proctored Exam.
MULTIPLE CHOICE.
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1–25)
1. A licensed practical nurse (LPN) is preparing to administer
medication to a client. Which of the following is the MOST important
action to ensure client safety?
, Page 2 of 60
A. Verify the medication order with the charge nurse
B. Check the client's identification using two identifiers
C. Review the client's allergy history
D. Assess the client's vital signs before administration
Correct answer: B. Check the client's identification using two
identifiers
Rationale: The most important action to ensure client safety during
medication administration is to check the client's identification
using two identifiers (e.g., name and date of birth). This is a standard
safety protocol that prevents medication errors by ensuring the right
client receives the right medication.
2. A nurse is caring for a client who is at risk for falls. Which of the
following actions should the nurse take to prevent falls?
A. Keep all four bed rails up at all times
B. Place the bed in the lowest position with the wheels locked
C. Restrain the client to prevent ambulation
D. Keep the client's room dark to promote sleep
Correct answer: B. Place the bed in the lowest position with the
wheels locked
Rationale: Placing the bed in the lowest position with the wheels
locked reduces the risk of injury if the client attempts to get out of
bed unassisted. Restraints should be avoided unless absolutely
necessary, and keeping the room dark increases fall risk.
3. A nurse is preparing to enter a room with a client who has MRSA.
What is the priority action?
, Page 3 of 60
A. Wear a surgical mask
B. Don gloves and gown
C. Apply an N95 respirator
D. Wash hands with alcohol gel
Correct answer: B. Don gloves and gown
Rationale: MRSA requires contact precautions. Gloves and a gown
are required to prevent transmission via direct contact. Contact
precautions are used for infections spread by direct or indirect
contact with the client or the client's environment.
4. A client is on airborne precautions for tuberculosis. What personal
protective equipment (PPE) should the nurse wear when entering the
room?
A. Gloves only
B. N95 respirator
C. Surgical mask
D. Face shield
Correct answer: B. N95 respirator
Rationale: Tuberculosis requires airborne precautions, which
include an N95 respirator. Airborne precautions are required for
infections transmitted by airborne droplet nuclei (e.g., TB, measles,
varicella).
5. A nurse is caring for a client who has a tracheostomy and requires
suctioning. Which of the following actions should the nurse take?
A. Hyperoxygenate the client before suctioning
B. Insert the catheter during exhalation
, Page 4 of 60
C. Apply suction during insertion of the catheter
D. Apply suction for no more than 15 seconds
Correct answer: A. Hyperoxygenate the client before suctioning
Rationale: The nurse should hyperoxygenate the client before
suctioning to prevent hypoxemia. Suction should be applied only
during withdrawal (not insertion), and for no more than 10-15
seconds.
6. A nurse is preparing to perform nasal tracheal suctioning for a
client. Which of the following is an appropriate action?
A. Hold the suction catheter with the clean non-dominant hand
B. Apply suctioning for 20 to 30 seconds
C. Place the catheter in a location that is clean and dry for later use
D. Use surgical asepsis when performing the procedure
Correct answer: D. Use surgical asepsis when performing the
procedure
Rationale: Surgical aseptic (sterile) technique is required for all
types of suctioning to prevent introducing pathogens into the
respiratory tract. Suctioning should be limited to 10-15 seconds, and
catheters are single-use only.
7. A nurse is preparing to administer IV fluids to a client. The nurse
notes sparks when plugging in the IV pump. Which of the following
actions should the nurse take FIRST?
A. Label the pump with a defective equipment sticker
B. Unplug the pump
