ATI RN Fundamentals Proctored
Exam 2026;NGN-Style Comprehensive
Test Bank | Versions 3 Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
SECTION A: NURSING PROCESS & CLINICAL JUDGMENT (Questions
1-15)
1. By the second postoperative day, a client has not achieved satisfactory pain
relief. Based on this evaluation, what should the nurse do next according to
the nursing process?
A. Document that the pain management goal was not met
B. Reassess the client to determine the reasons for unsatisfactory pain relief
C. Increase the frequency of pain medication administration
D. Notify the provider to request a different pain medication
Correct Answer: B
Rationale: The nursing process is cyclical. When evaluation reveals that outcomes
have not been met, the nurse should reassess the client to identify barriers or new
factors before modifying the care plan .
2. A nursing instructor is reviewing the steps of the nursing process with a
group of nursing students. The students should identify which of the following
data as objective? (Select All That Apply)
A. "My pain is a 7 on a scale of 1 to 10"
B. Respiratory rate of 22/min with even unlabored respirations
C. Skin pink, warm, and dry
,D. Urine output of 300 mL/8 hr
E. The client states, "I feel anxious about my surgery tomorrow"
F. Dressing clean, dry, and intact
Correct Answers: B, C, D, F
Rationale: Objective data are observable and measurable facts gathered through
physical assessment, vital signs, and laboratory values. Subjective data (A, E) are
statements made by the client about their feelings or experiences .
3. A nursing student is reporting to the clinical instructor about care given to a
client. The student states: "The client said his leg pain was back, so I checked
his medical record, and he last received his pain medication 6 hr ago. The
prescription reads every 4 hr PRN for pain, so I decided he needs it. I asked
the unit nurse to observe me preparing and administering it. I checked with
the client 40 min later, and he said his pain was going away." The instructor
should inform the student that she left out which of the following steps of the
nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
E. Evaluation
Correct Answer: A
Rationale: The student failed to perform a pain assessment (location, intensity,
quality, characteristics) before administering the medication. The nursing process
begins with assessment before moving to diagnosis, planning, implementation, and
evaluation .
4. A nurse is preparing information for change-of-shift report. Which of the
following information should the nurse include?
A. The client had a large breakfast this morning
B. The client's family visited for 2 hours yesterday
,C. A bone scan that is scheduled for today
D. The client's room number and bed position
Correct Answer: C
Rationale: Change-of-shift report should include priority information such as
upcoming diagnostic tests, recent changes in condition, pending results, and active
orders. Routine daily activities are not essential to include .
5. A nurse enters a client's room and finds him sitting in his chair. He states, "I
fell in the shower, but I got myself back up into my chair." How should the
nurse document this in the client's chart?
A. "Client fell in the shower but was able to get up independently"
B. "Client found sitting in chair after an unwitnessed fall in the shower"
C. "The client states he fell in the shower and was able to get himself back into his
chair"
D. "Client experienced a fall; no injuries sustained"
Correct Answer: C
Rationale: Documentation should be objective and factual, using the client's exact
words in quotation marks. The nurse should not document assumptions or
interpretations about what occurred .
6. A nurse instructor is reviewing documentation with a group of nursing
students. Which of the following legal guidelines should they follow when
documenting in a client's record? (Select All That Apply)
A. Put the date and time on all entries
B. Document objective data, leave out opinions
C. Use correction fluid to fix errors neatly
D. Use complete sentences with proper grammar
E. Document interventions after they are performed
F. Sign each entry with name and title
Correct Answers: A, B, E, F
, Rationale: Legal documentation requires date/time on all entries, objective data
only, documentation after care is provided, and appropriate signatures. Correction
fluid is never used; errors should be crossed out with a single line, marked "error,"
and initialed .
7. The nurse is using the SBAR communication tool to contact a provider
about a client's change in condition. Place the following statements in the
correct SBAR order.
A. "I am calling about Mr. Sanchez in Room 202 who is receiving morphine via a
PCA pump for pancreatic cancer."
B. "Mr. Sanchez has been difficult to arouse and his mental status has changed
over the past 12 hours since using the pump."
C. "You want me to discontinue the PCA pump until you see him tonight at patient
rounds."
D. "I am Rosa Clark, an RN working on the second floor of South Street Hospital."
E. "Mr. Sanchez was admitted 2 days ago following a diagnosis of pancreatic
cancer."
F. "I think the dosage of morphine in Mr. Sanchez's PCA pump needs to be
lowered."
Correct Order: D → A → E → B → F → C
Rationale: SBAR order is: (S) Situation - identify self and patient; (B)
Background - relevant history; (A) Assessment - current findings and concern; (R)
Recommendation - suggested action and read-back of orders .
8. A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer
subcutaneously. Determine the correct order of steps for this procedure.
A. Inject 5 units of air into the bottle of regular insulin
B. Withdraw the correct dose of NPH insulin from the bottle
C. Inject 10 units of air into the bottle of NPH insulin
D. Withdraw the correct dose of regular insulin from the bottle
Correct Order: C → A → D → B
Exam 2026;NGN-Style Comprehensive
Test Bank | Versions 3 Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
SECTION A: NURSING PROCESS & CLINICAL JUDGMENT (Questions
1-15)
1. By the second postoperative day, a client has not achieved satisfactory pain
relief. Based on this evaluation, what should the nurse do next according to
the nursing process?
A. Document that the pain management goal was not met
B. Reassess the client to determine the reasons for unsatisfactory pain relief
C. Increase the frequency of pain medication administration
D. Notify the provider to request a different pain medication
Correct Answer: B
Rationale: The nursing process is cyclical. When evaluation reveals that outcomes
have not been met, the nurse should reassess the client to identify barriers or new
factors before modifying the care plan .
2. A nursing instructor is reviewing the steps of the nursing process with a
group of nursing students. The students should identify which of the following
data as objective? (Select All That Apply)
A. "My pain is a 7 on a scale of 1 to 10"
B. Respiratory rate of 22/min with even unlabored respirations
C. Skin pink, warm, and dry
,D. Urine output of 300 mL/8 hr
E. The client states, "I feel anxious about my surgery tomorrow"
F. Dressing clean, dry, and intact
Correct Answers: B, C, D, F
Rationale: Objective data are observable and measurable facts gathered through
physical assessment, vital signs, and laboratory values. Subjective data (A, E) are
statements made by the client about their feelings or experiences .
3. A nursing student is reporting to the clinical instructor about care given to a
client. The student states: "The client said his leg pain was back, so I checked
his medical record, and he last received his pain medication 6 hr ago. The
prescription reads every 4 hr PRN for pain, so I decided he needs it. I asked
the unit nurse to observe me preparing and administering it. I checked with
the client 40 min later, and he said his pain was going away." The instructor
should inform the student that she left out which of the following steps of the
nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
E. Evaluation
Correct Answer: A
Rationale: The student failed to perform a pain assessment (location, intensity,
quality, characteristics) before administering the medication. The nursing process
begins with assessment before moving to diagnosis, planning, implementation, and
evaluation .
4. A nurse is preparing information for change-of-shift report. Which of the
following information should the nurse include?
A. The client had a large breakfast this morning
B. The client's family visited for 2 hours yesterday
,C. A bone scan that is scheduled for today
D. The client's room number and bed position
Correct Answer: C
Rationale: Change-of-shift report should include priority information such as
upcoming diagnostic tests, recent changes in condition, pending results, and active
orders. Routine daily activities are not essential to include .
5. A nurse enters a client's room and finds him sitting in his chair. He states, "I
fell in the shower, but I got myself back up into my chair." How should the
nurse document this in the client's chart?
A. "Client fell in the shower but was able to get up independently"
B. "Client found sitting in chair after an unwitnessed fall in the shower"
C. "The client states he fell in the shower and was able to get himself back into his
chair"
D. "Client experienced a fall; no injuries sustained"
Correct Answer: C
Rationale: Documentation should be objective and factual, using the client's exact
words in quotation marks. The nurse should not document assumptions or
interpretations about what occurred .
6. A nurse instructor is reviewing documentation with a group of nursing
students. Which of the following legal guidelines should they follow when
documenting in a client's record? (Select All That Apply)
A. Put the date and time on all entries
B. Document objective data, leave out opinions
C. Use correction fluid to fix errors neatly
D. Use complete sentences with proper grammar
E. Document interventions after they are performed
F. Sign each entry with name and title
Correct Answers: A, B, E, F
, Rationale: Legal documentation requires date/time on all entries, objective data
only, documentation after care is provided, and appropriate signatures. Correction
fluid is never used; errors should be crossed out with a single line, marked "error,"
and initialed .
7. The nurse is using the SBAR communication tool to contact a provider
about a client's change in condition. Place the following statements in the
correct SBAR order.
A. "I am calling about Mr. Sanchez in Room 202 who is receiving morphine via a
PCA pump for pancreatic cancer."
B. "Mr. Sanchez has been difficult to arouse and his mental status has changed
over the past 12 hours since using the pump."
C. "You want me to discontinue the PCA pump until you see him tonight at patient
rounds."
D. "I am Rosa Clark, an RN working on the second floor of South Street Hospital."
E. "Mr. Sanchez was admitted 2 days ago following a diagnosis of pancreatic
cancer."
F. "I think the dosage of morphine in Mr. Sanchez's PCA pump needs to be
lowered."
Correct Order: D → A → E → B → F → C
Rationale: SBAR order is: (S) Situation - identify self and patient; (B)
Background - relevant history; (A) Assessment - current findings and concern; (R)
Recommendation - suggested action and read-back of orders .
8. A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer
subcutaneously. Determine the correct order of steps for this procedure.
A. Inject 5 units of air into the bottle of regular insulin
B. Withdraw the correct dose of NPH insulin from the bottle
C. Inject 10 units of air into the bottle of NPH insulin
D. Withdraw the correct dose of regular insulin from the bottle
Correct Order: C → A → D → B
