ATI RN Fundamentals – Proctored actual
Exam (3 Versions) | 2026 Verified Questions &
Answers | NGN-Style
Q001: Type: NGN - Extended Multiple Response
Scenario Context: 82-year-old male, Mr. Delgado, POD #2 left total knee replacement, on
enoxaparin, history of atrial fibrillation, reports sudden calf pain and swelling.
Question: Which findings require immediate escalation to reduce risk for pulmonary
embolism? (Select all that apply.)
Options:
A. Unilateral calf erythema
B. Homans’ sign positive
C. SpO₂ 93 % on room air
D. Sudden onset pleuritic chest pain
E. INR 1.1
,(Correct: A, B, D)
Rationale:
● Answer: A, B, D
● Why (2026 Standard): Erythema, Homans’ sign, and pleuritic pain suggest deep
vein thrombosis or PE; immediate D-dimer and imaging indicated.
● Errors: C is mild hypoxemia without context; E reflects expected low INR on
LMWH.
Q002: Type: NGN - Matrix
Scenario Context: Continue Mr. Delgado; 1400 assessment.
Question: Identify which actions are appropriate for suspected DVT. (Check “Action” or
“Defer” for each.)
Matrix:
┌──────────────────────────────┬────────┬────────┐
│ Intervention │ Action │ Defer │
├──────────────────────────────┼────────┼────────┤
│ Elevate affected leg │ ☐ │ ☐ │
│ Massage calf vigorously │ ☐ │ ☐ │
,│ Apply warm compress │ ☐ │ ☐ │
│ Obtain vascular US order │ ☐ │ ☐ │
└──────────────────────────────┴────────┴────────┘
(Correct: Action elevate, warm compress, obtain US; Defer massage)
Rationale:
● Answer: Massage may dislodge clot; elevation and warm compress relieve
swelling; US diagnostic.
● Errors: Massage increases PE risk.
Q003: Type: Traditional
Scenario Context: 4-day-old neonate, exclusive formula feeding, parents ask about stool
color.
Question: Which color indicates normal basic care & comfort?
Options:
A. Black tarry
B. Pale white
C. Yellow seedy
, D. Bright green
(Correct: C)
Rationale:
● Answer: C
● Why (2026 Standard): Yellow seedy stool typical for formula-fed neonate.
● Errors: A is meconium (day 1-2); B suggests obstruction; D often iron or
foremilk/hindmilk imbalance in breastfed.
Q004: Type: NGN - Bowtie
Scenario Context: 29-year-old female, postpartum day 1, receiving ketorolac 30 mg IV
q6h, breastfeeding.
Question: Complete bowtie to ensure medication safety.
Left risk factors:
1. Infant sedation noted
2. Maternal platelets 95 k
3. Pain score 3/10
4. Last dose 5 h ago
Center action:
☐
Right outcomes:
A. Hold next dose
B. Give on schedule
C. Notify provider
(Draw line: 1 → Center → A; 2 → Center → C; 3 → Center → B)
Exam (3 Versions) | 2026 Verified Questions &
Answers | NGN-Style
Q001: Type: NGN - Extended Multiple Response
Scenario Context: 82-year-old male, Mr. Delgado, POD #2 left total knee replacement, on
enoxaparin, history of atrial fibrillation, reports sudden calf pain and swelling.
Question: Which findings require immediate escalation to reduce risk for pulmonary
embolism? (Select all that apply.)
Options:
A. Unilateral calf erythema
B. Homans’ sign positive
C. SpO₂ 93 % on room air
D. Sudden onset pleuritic chest pain
E. INR 1.1
,(Correct: A, B, D)
Rationale:
● Answer: A, B, D
● Why (2026 Standard): Erythema, Homans’ sign, and pleuritic pain suggest deep
vein thrombosis or PE; immediate D-dimer and imaging indicated.
● Errors: C is mild hypoxemia without context; E reflects expected low INR on
LMWH.
Q002: Type: NGN - Matrix
Scenario Context: Continue Mr. Delgado; 1400 assessment.
Question: Identify which actions are appropriate for suspected DVT. (Check “Action” or
“Defer” for each.)
Matrix:
┌──────────────────────────────┬────────┬────────┐
│ Intervention │ Action │ Defer │
├──────────────────────────────┼────────┼────────┤
│ Elevate affected leg │ ☐ │ ☐ │
│ Massage calf vigorously │ ☐ │ ☐ │
,│ Apply warm compress │ ☐ │ ☐ │
│ Obtain vascular US order │ ☐ │ ☐ │
└──────────────────────────────┴────────┴────────┘
(Correct: Action elevate, warm compress, obtain US; Defer massage)
Rationale:
● Answer: Massage may dislodge clot; elevation and warm compress relieve
swelling; US diagnostic.
● Errors: Massage increases PE risk.
Q003: Type: Traditional
Scenario Context: 4-day-old neonate, exclusive formula feeding, parents ask about stool
color.
Question: Which color indicates normal basic care & comfort?
Options:
A. Black tarry
B. Pale white
C. Yellow seedy
, D. Bright green
(Correct: C)
Rationale:
● Answer: C
● Why (2026 Standard): Yellow seedy stool typical for formula-fed neonate.
● Errors: A is meconium (day 1-2); B suggests obstruction; D often iron or
foremilk/hindmilk imbalance in breastfed.
Q004: Type: NGN - Bowtie
Scenario Context: 29-year-old female, postpartum day 1, receiving ketorolac 30 mg IV
q6h, breastfeeding.
Question: Complete bowtie to ensure medication safety.
Left risk factors:
1. Infant sedation noted
2. Maternal platelets 95 k
3. Pain score 3/10
4. Last dose 5 h ago
Center action:
☐
Right outcomes:
A. Hold next dose
B. Give on schedule
C. Notify provider
(Draw line: 1 → Center → A; 2 → Center → C; 3 → Center → B)
