ATI PN
FUNDAMENTALS PROCTORED (VERSION
1, 2, 3 EXAMS)
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Each 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.
https://www.stuvia.com/user/LUCIDWISE
,Table of Contents
ATI PN Fundamentals Proctored Exam (V1) ......................................... 2
ATI PN Fundamentals Proctored Exam (V2) ....................................... 36
ATI PN Fundamentals Proctored Exam (V3) ....................................... 72
ATI PN Fundamentals Proctored Exam (V1)
1. Maintaining Sterility in Procedures
A nurse is wearing sterile gloves in preparation for assisting with a client's sterile
procedure. While waiting for the procedure to begin, how should the nurse position
their hands?
A. Place one hand over the other against the part of the gown covering the upper body.
B. Keep their arms at the sides of their body with their hands in a relaxed position.
C. Interlock their fingers and hold their hands away from their body above their waist.
Correct Answer: C. Interlock their fingers and hold their hands away from their body
above their waist.
Expert Rationale: Holding hands above the waist and away from the body helps
maintain sterility, as areas below the waist or close to the body are considered
contaminated.
---
2. Suctioning a Tracheostomy
https://www.stuvia.com/user/LUCIDWISE
,A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which
of the following actions should the nurse take?
A. Apply suction while inserting the catheter.
B. Apply intermittent suction for up to 30 seconds.
C. Preoxygenate the client prior to suctioning.
D. Instruct the client to swallow during catheter insertion.
Correct Answer: C. Preoxygenate the client prior to suctioning.
Expert Rationale: Preoxygenation prevents hypoxemia during suctioning—an evidence-
based practice that is especially critical for clients with tracheostomies who are at
higher risk of desaturation.
3. Guided Imagery for Chronic Pain Management
A nurse is reinforcing teaching with a client about using guided imagery to manage
chronic pain. Which of the following statements by the client indicates an
understanding of this technique?
A. "I think about my grandfather's farm to reduce pain."
B. "I listen to my favorite music to take my mind off the pain."
C. "I use focused breathing to control my pain."
D. "I learn to notice the sensation of muscle tension."
Correct Answer: A. "I think about my grandfather's farm to reduce pain."
Expert Rationale: Guided imagery involves creating mental images that promote
relaxation and distract from pain, aligning perfectly with imagining a peaceful place
such as the client’s grandfather’s farm. This demonstrates effective use of visualization,
proven in research to modulate pain pathways.
---
4. Client Privacy and Confidentiality (HIPAA)
https://www.stuvia.com/user/LUCIDWISE
, A nurse on a medical-surgical unit receives a telephone call from an individual who
identifies himself as the client's employer. The employer asks the nurse about the client's
condition. Which of the following is an appropriate response by the nurse?
A. "The client's condition is stable right now."
B. "I will tell him you called."
C. "I cannot confirm or deny that we have a client by that name."
D. "He is here in the hospital, but I cannot tell you anything else."
Correct Answer: C. "I cannot confirm or deny that we have a client by that name."
Expert Rationale: The Health Insurance Portability and Accountability Act (HIPAA)
prohibits divulging any patient information without consent. This response protects
confidentiality and adheres to legal and ethical standards.
---
5. Environmental Stress Reduction in Acute Care
A nurse is assisting in creating a plan to reduce environmental stressors for clients in an
acute care unit. Which of the following actions should the nurse include?
A. Restrict the number of visitors for clients.
B. Turn on loud music in client care areas.
C. Offer the clients many choices regarding care.
D. Assign different nurses to provide care for clients each day.
Correct Answer: A. Restrict the number of visitors for clients.
Expert Rationale: Limiting visitors reduces noise and interruptions, which contributes to
a calmer environment and supports patient healing.
---
6. Assessment of a New Colostomy (Postoperative)
https://www.stuvia.com/user/LUCIDWISE
FUNDAMENTALS PROCTORED (VERSION
1, 2, 3 EXAMS)
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Each 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.
https://www.stuvia.com/user/LUCIDWISE
,Table of Contents
ATI PN Fundamentals Proctored Exam (V1) ......................................... 2
ATI PN Fundamentals Proctored Exam (V2) ....................................... 36
ATI PN Fundamentals Proctored Exam (V3) ....................................... 72
ATI PN Fundamentals Proctored Exam (V1)
1. Maintaining Sterility in Procedures
A nurse is wearing sterile gloves in preparation for assisting with a client's sterile
procedure. While waiting for the procedure to begin, how should the nurse position
their hands?
A. Place one hand over the other against the part of the gown covering the upper body.
B. Keep their arms at the sides of their body with their hands in a relaxed position.
C. Interlock their fingers and hold their hands away from their body above their waist.
Correct Answer: C. Interlock their fingers and hold their hands away from their body
above their waist.
Expert Rationale: Holding hands above the waist and away from the body helps
maintain sterility, as areas below the waist or close to the body are considered
contaminated.
---
2. Suctioning a Tracheostomy
https://www.stuvia.com/user/LUCIDWISE
,A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which
of the following actions should the nurse take?
A. Apply suction while inserting the catheter.
B. Apply intermittent suction for up to 30 seconds.
C. Preoxygenate the client prior to suctioning.
D. Instruct the client to swallow during catheter insertion.
Correct Answer: C. Preoxygenate the client prior to suctioning.
Expert Rationale: Preoxygenation prevents hypoxemia during suctioning—an evidence-
based practice that is especially critical for clients with tracheostomies who are at
higher risk of desaturation.
3. Guided Imagery for Chronic Pain Management
A nurse is reinforcing teaching with a client about using guided imagery to manage
chronic pain. Which of the following statements by the client indicates an
understanding of this technique?
A. "I think about my grandfather's farm to reduce pain."
B. "I listen to my favorite music to take my mind off the pain."
C. "I use focused breathing to control my pain."
D. "I learn to notice the sensation of muscle tension."
Correct Answer: A. "I think about my grandfather's farm to reduce pain."
Expert Rationale: Guided imagery involves creating mental images that promote
relaxation and distract from pain, aligning perfectly with imagining a peaceful place
such as the client’s grandfather’s farm. This demonstrates effective use of visualization,
proven in research to modulate pain pathways.
---
4. Client Privacy and Confidentiality (HIPAA)
https://www.stuvia.com/user/LUCIDWISE
, A nurse on a medical-surgical unit receives a telephone call from an individual who
identifies himself as the client's employer. The employer asks the nurse about the client's
condition. Which of the following is an appropriate response by the nurse?
A. "The client's condition is stable right now."
B. "I will tell him you called."
C. "I cannot confirm or deny that we have a client by that name."
D. "He is here in the hospital, but I cannot tell you anything else."
Correct Answer: C. "I cannot confirm or deny that we have a client by that name."
Expert Rationale: The Health Insurance Portability and Accountability Act (HIPAA)
prohibits divulging any patient information without consent. This response protects
confidentiality and adheres to legal and ethical standards.
---
5. Environmental Stress Reduction in Acute Care
A nurse is assisting in creating a plan to reduce environmental stressors for clients in an
acute care unit. Which of the following actions should the nurse include?
A. Restrict the number of visitors for clients.
B. Turn on loud music in client care areas.
C. Offer the clients many choices regarding care.
D. Assign different nurses to provide care for clients each day.
Correct Answer: A. Restrict the number of visitors for clients.
Expert Rationale: Limiting visitors reduces noise and interruptions, which contributes to
a calmer environment and supports patient healing.
---
6. Assessment of a New Colostomy (Postoperative)
https://www.stuvia.com/user/LUCIDWISE
