ATI RN Fundamentals Exam with Correct
Answers – 2025/2026 Edition
Section 1: Introduction
This document contains verified and 100% correct answers for the ATI RN Fundamentals
Exam, updated for the 2025/2026 academic cycle.
It includes basic nursing principles, infection control, safety, hygiene, communication, and
documentation.
Graded A+ and structured according to NCLEX-RN entry-level practice standards.
Section 2: Exam Questions and Answers
Format: 70 multiple-choice questions with four answer choices (A–D). Correct answers
highlighted. Includes rationales based on NCLEX-RN standards.
Question 1
A nurse is teaching a client about self-administering insulin. What should be included in the
teaching?
A) Inject in the same site each time
B) Rotate injection sites to prevent lipodystrophy
C) Store insulin at room temperature indefinitely
D) Shake the insulin vial vigorously before drawing
Correct Answer: B) Rotate injection sites to prevent lipodystrophy
Rationale: Rotating sites prevents tissue damage and ensures absorption. NCLEX Standard:
Patient Education.
Question 2
A client is on contact precautions for MRSA. What should the nurse wear when entering the
room?
A) Mask only
B) Gown and gloves
C) Face shield and gown
D) Gloves only
Correct Answer: B) Gown and gloves
Rationale: Gown and gloves prevent MRSA transmission. NCLEX Standard: Infection
Control.
Question 3
A client refuses a prescribed medication. What is the nurse’s first action?
A) Administer the medication anyway
B) Document the refusal and notify the provider
C) Convince the client to take it
D) Discard the medication
Correct Answer: B) Document the refusal and notify the provider
Rationale: Respecting client autonomy requires documentation and communication. NCLEX
Standard: Ethics.
, Question 4
A client is at risk for falls. What is the priority nursing intervention?
A) Restrain the client
B) Keep the bed in the lowest position
C) Encourage bed rest
D) Remove all furniture
Correct Answer: B) Keep the bed in the lowest position
Rationale: Low bed position reduces fall risk. NCLEX Standard: Safety.
Question 5
A nurse is performing a pain assessment on a nonverbal client. Which tool is appropriate?
A) Numeric pain scale
B) Wong-Baker FACES scale
C) Verbal descriptor scale
D) FLACC scale
Correct Answer: D) FLACC scale
Rationale: FLACC assesses pain in nonverbal clients using behavior. NCLEX Standard:
Pain Management.
Question 6
A nurse is inserting an NG tube. What confirms correct placement?
A) Aspiration of gastric contents and pH testing
B) Client verbal confirmation
C) Auscultation over the stomach
D) Checking tube length
Correct Answer: A) Aspiration of gastric contents and pH testing
Rationale: pH testing (≤5.5) confirms gastric placement. NCLEX Standard: Enteral Feeding.
Question 7
A client is receiving IV fluids. What should the nurse monitor to prevent fluid overload?
A) Blood glucose
B) Lung sounds and vital signs
C) Skin turgor only
D) Urine specific gravity
Correct Answer: B) Lung sounds and vital signs
Rationale: Crackles and tachycardia indicate fluid overload. NCLEX Standard: Fluid
Management.
Question 8
A nurse is teaching a client about hand hygiene. When should hands be washed?
A) Only after eating
B) Before and after client contact
C) Only before meals
D) Once daily
Correct Answer: B) Before and after client contact
Rationale: Hand hygiene prevents infection transmission. NCLEX Standard: Infection
Control.
Question 9
A nurse is documenting in a client’s chart. Which entry is most appropriate?
Answers – 2025/2026 Edition
Section 1: Introduction
This document contains verified and 100% correct answers for the ATI RN Fundamentals
Exam, updated for the 2025/2026 academic cycle.
It includes basic nursing principles, infection control, safety, hygiene, communication, and
documentation.
Graded A+ and structured according to NCLEX-RN entry-level practice standards.
Section 2: Exam Questions and Answers
Format: 70 multiple-choice questions with four answer choices (A–D). Correct answers
highlighted. Includes rationales based on NCLEX-RN standards.
Question 1
A nurse is teaching a client about self-administering insulin. What should be included in the
teaching?
A) Inject in the same site each time
B) Rotate injection sites to prevent lipodystrophy
C) Store insulin at room temperature indefinitely
D) Shake the insulin vial vigorously before drawing
Correct Answer: B) Rotate injection sites to prevent lipodystrophy
Rationale: Rotating sites prevents tissue damage and ensures absorption. NCLEX Standard:
Patient Education.
Question 2
A client is on contact precautions for MRSA. What should the nurse wear when entering the
room?
A) Mask only
B) Gown and gloves
C) Face shield and gown
D) Gloves only
Correct Answer: B) Gown and gloves
Rationale: Gown and gloves prevent MRSA transmission. NCLEX Standard: Infection
Control.
Question 3
A client refuses a prescribed medication. What is the nurse’s first action?
A) Administer the medication anyway
B) Document the refusal and notify the provider
C) Convince the client to take it
D) Discard the medication
Correct Answer: B) Document the refusal and notify the provider
Rationale: Respecting client autonomy requires documentation and communication. NCLEX
Standard: Ethics.
, Question 4
A client is at risk for falls. What is the priority nursing intervention?
A) Restrain the client
B) Keep the bed in the lowest position
C) Encourage bed rest
D) Remove all furniture
Correct Answer: B) Keep the bed in the lowest position
Rationale: Low bed position reduces fall risk. NCLEX Standard: Safety.
Question 5
A nurse is performing a pain assessment on a nonverbal client. Which tool is appropriate?
A) Numeric pain scale
B) Wong-Baker FACES scale
C) Verbal descriptor scale
D) FLACC scale
Correct Answer: D) FLACC scale
Rationale: FLACC assesses pain in nonverbal clients using behavior. NCLEX Standard:
Pain Management.
Question 6
A nurse is inserting an NG tube. What confirms correct placement?
A) Aspiration of gastric contents and pH testing
B) Client verbal confirmation
C) Auscultation over the stomach
D) Checking tube length
Correct Answer: A) Aspiration of gastric contents and pH testing
Rationale: pH testing (≤5.5) confirms gastric placement. NCLEX Standard: Enteral Feeding.
Question 7
A client is receiving IV fluids. What should the nurse monitor to prevent fluid overload?
A) Blood glucose
B) Lung sounds and vital signs
C) Skin turgor only
D) Urine specific gravity
Correct Answer: B) Lung sounds and vital signs
Rationale: Crackles and tachycardia indicate fluid overload. NCLEX Standard: Fluid
Management.
Question 8
A nurse is teaching a client about hand hygiene. When should hands be washed?
A) Only after eating
B) Before and after client contact
C) Only before meals
D) Once daily
Correct Answer: B) Before and after client contact
Rationale: Hand hygiene prevents infection transmission. NCLEX Standard: Infection
Control.
Question 9
A nurse is documenting in a client’s chart. Which entry is most appropriate?
