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\questi
ons\
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.
,Table\of\Contents
ATI\PN\Fundamentals\Proctored\Exam\(V1) ....................................... 2
ATI\PN\Fundamentals\Proctored\Exam\(V2) ..................................... 38
ATI\PN\Fundamentals\Proctored\Exam\(V3) ..................................... 75
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\p
rocedure.\While\waiting\for\the\procedure\to\begin,\how\should\the\nurse\position\t
heir\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\abov
e\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\\
,A\nurse\in\a\long-
term\care\facility\is\caring\for\a\client\who\has\a\tracheostomy.\Which\of\the\followi
ng\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\ri
sk\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\understa
nding\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\relaxati
on\and\distract\from\pain,\aligning\perfectly\with\imagining\a\peaceful\place\such\as\the\cli
ent’s\grandfather’s\farm.\This\demonstrates\effective\use\of\visualization,\proven\in\resea
rch\to\modulate\pain\pathways.
---
, 4.\Client\Privacy\and\Confidentiality\(HIPAA)\\
A\nurse\on\a\medical-
surgical\unit\receives\a\telephone\call\from\an\individual\who\identifies\himself\as\t
he\client's\employer.\The\employer\asks\the\nurse\about\the\client's\condition.\Whi
ch\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)\prohi
bits\divulging\any\patient\information\without\consent.\This\response\protects\confidentiali
ty\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.
---
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\questi
ons\
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.
,Table\of\Contents
ATI\PN\Fundamentals\Proctored\Exam\(V1) ....................................... 2
ATI\PN\Fundamentals\Proctored\Exam\(V2) ..................................... 38
ATI\PN\Fundamentals\Proctored\Exam\(V3) ..................................... 75
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\p
rocedure.\While\waiting\for\the\procedure\to\begin,\how\should\the\nurse\position\t
heir\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\abov
e\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\\
,A\nurse\in\a\long-
term\care\facility\is\caring\for\a\client\who\has\a\tracheostomy.\Which\of\the\followi
ng\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\ri
sk\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\understa
nding\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\relaxati
on\and\distract\from\pain,\aligning\perfectly\with\imagining\a\peaceful\place\such\as\the\cli
ent’s\grandfather’s\farm.\This\demonstrates\effective\use\of\visualization,\proven\in\resea
rch\to\modulate\pain\pathways.
---
, 4.\Client\Privacy\and\Confidentiality\(HIPAA)\\
A\nurse\on\a\medical-
surgical\unit\receives\a\telephone\call\from\an\individual\who\identifies\himself\as\t
he\client's\employer.\The\employer\asks\the\nurse\about\the\client's\condition.\Whi
ch\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)\prohi
bits\divulging\any\patient\information\without\consent.\This\response\protects\confidentiali
ty\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.
---
