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Actual ATI PN Fundamentals 2023 New 2026 Proctored
Exam with NGN | All Questions and 100% Verified
Answers to Pass PN ATI Fundamentals Proctored
Assessment Today
ACTUAL EXAM (200 QUESTIONS)
SAFE, EFFECTIVE CARE ENVIRONMENT (1–30)
1. A nurse is preparing to administer a blood transfusion to a client. Which
action is most important to prevent a transfusion reaction?
• A) Warm the blood product to room temperature before transfusion.
• B) Verify the client’s identity and blood compatibility with another
licensed nurse.
• C) Administer diphenhydramine (Benadryl) 30 minutes before the transfusion.
• D) Start the transfusion with a 24-gauge IV catheter.
Answer: B
Rationale: The most critical step to prevent a hemolytic transfusion reaction is
verifying the client’s identity and blood compatibility. Two licensed nurses must check
the blood product against the client’s identification and the physician’s order.
2. A nurse is caring for a client who is on contact precautions for
methicillin-resistant Staphylococcus aureus (MRSA). Which action by the
nurse demonstrates correct understanding of infection control?
• A) Wear a surgical mask when entering the client’s room.
• B) Place the client in a negative-pressure room.
• C) Wear gloves and a gown when providing direct care.
• D) Keep the client’s door closed at all times.
Answer: C
Rationale: Contact precautions require the use of gloves and a gown when entering the
room and providing care. A surgical mask is not required for MRSA unless there is risk
of splash or spray. Negative-pressure rooms are for airborne precautions.
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3. A charge nurse is making client assignments for the shift. Which client
should be assigned to the most experienced nurse?
• A) A client with diabetes mellitus requiring insulin administration.
• B) A client with pneumonia who is stable on oral antibiotics.
• C) A client with a new tracheostomy who is unstable.
• D) A client with a urinary tract infection requiring IV antibiotics.
Answer: C
Rationale: The most unstable client (new tracheostomy, potential airway issues)
should be assigned to the most experienced nurse. Stable clients can be assigned to less
experienced staff.
4. Which client should the charge nurse assign to an LPN/LVN?
• A) A new admission with chest pain.
• B) A client with stable diabetes needing insulin.
• C) A confused client at risk for falls.
• D) A client requiring IV push morphine.
Answer: B
Rationale: LPNs can care for stable clients and administer insulin but cannot perform
initial assessments, care for unstable patients, or administer IV push medications.
5. A nurse is delegating a task to a nursing assistant. Which task is
appropriate to delegate?
• A) Administering IV medications.
• B) Assessing a new patient.
• C) Taking vital signs of stable patients.
• D) Developing a care plan.
Answer: C
Rationale: Stable, routine tasks such as taking vital signs can be delegated to
unlicensed assistive personnel (UAP). Assessment, care planning, and IV medication
administration require an RN.
6. A nurse assigns collection of a sputum specimen to an unlicensed
assistive personnel. Before delegating this task to the UAP, which action is
most important for the nurse to implement?
• A) Ensure the UAP has time to collect the specimen.
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• B) Determine if the UAP has received training to collect sputum
specimen.
• C) Ask the UAP if they are willing to perform the task.
• D) Provide the UAP with the necessary equipment.
Answer: B
Rationale: Before delegating any task, the nurse must ensure that the UAP is
competent and has received appropriate training to perform the task safely.
7. A nurse is preparing to administer a tuberculin skin test (PPD). Which
injection method is correct?
• A) Subcutaneous.
• B) Intradermal.
• C) Intramuscular.
• D) Intravenous.
Answer: B
Rationale: PPD is given intradermally (just under the epidermis) to form a wheal.
8. A nurse is caring for a client who has a new prescription for a soft wrist
restraint. Which action should the nurse take?
• A) Tie the restraint to the side rail of the bed.
• B) Ensure that two fingers can fit between the restraint and the
client’s wrist.
• C) Release the restraint every 4 hours to check skin integrity.
• D) Apply the restraint so that the client is able to remove it easily.
Answer: B
Rationale: The restraint should be applied snugly but not tight; the ability to slip two
fingers between the restraint and the wrist indicates proper fit.
9. A nurse is caring for a client who has a do-not-resuscitate (DNR) order.
The client’s family member demands that CPR be performed if the client’s
heart stops. What should the nurse do?
• A) Perform CPR as the family member requests.
• B) Follow the DNR order and explain it to the family member.
• C) Call the ethics committee.
• D) Transfer the client to another unit.
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Answer: B
Rationale: The DNR order is a legal document that must be followed. The nurse
should explain the order to the family member and offer support.
10. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client’s condition is deteriorating. What should the
nurse do?
• A) Administer the blood transfusion without consent.
• B) Respect the client’s decision and notify the healthcare provider.
• C) Contact the hospital attorney.
• D) Persuade the client to accept the transfusion.
Answer: B
Rationale: Competent adults have the right to refuse treatment, even if it may lead to
death. The nurse must respect the client’s decision and notify the provider.
11. A nurse discovers that a colleague has been diverting controlled
substances. What is the nurse’s legal obligation?
• A) Confront the colleague privately.
• B) Report the colleague to the nurse manager or Board of Nursing.
• C) Ignore the situation to avoid conflict.
• D) Cover for the colleague.
Answer: B
Rationale: Drug diversion is illegal and dangerous. The nurse has a legal and ethical
obligation to report the colleague to the appropriate authority.
12. A nurse is caring for a client who is being discharged. The client asks for
a copy of their medical records. What should the nurse do?
• A) Provide the records immediately.
• B) Direct the client to the medical records department.
• C) Refuse the request.
• D) Ask the client to come back tomorrow.
Answer: B
Rationale: Clients have the right to access their medical records, but the nurse should
direct them to the appropriate department.
13. A nurse is caring for a client who has a living will that states no artificial
nutrition. The family requests a feeding tube. What should the nurse do?
Actual ATI PN Fundamentals 2023 New 2026 Proctored
Exam with NGN | All Questions and 100% Verified
Answers to Pass PN ATI Fundamentals Proctored
Assessment Today
ACTUAL EXAM (200 QUESTIONS)
SAFE, EFFECTIVE CARE ENVIRONMENT (1–30)
1. A nurse is preparing to administer a blood transfusion to a client. Which
action is most important to prevent a transfusion reaction?
• A) Warm the blood product to room temperature before transfusion.
• B) Verify the client’s identity and blood compatibility with another
licensed nurse.
• C) Administer diphenhydramine (Benadryl) 30 minutes before the transfusion.
• D) Start the transfusion with a 24-gauge IV catheter.
Answer: B
Rationale: The most critical step to prevent a hemolytic transfusion reaction is
verifying the client’s identity and blood compatibility. Two licensed nurses must check
the blood product against the client’s identification and the physician’s order.
2. A nurse is caring for a client who is on contact precautions for
methicillin-resistant Staphylococcus aureus (MRSA). Which action by the
nurse demonstrates correct understanding of infection control?
• A) Wear a surgical mask when entering the client’s room.
• B) Place the client in a negative-pressure room.
• C) Wear gloves and a gown when providing direct care.
• D) Keep the client’s door closed at all times.
Answer: C
Rationale: Contact precautions require the use of gloves and a gown when entering the
room and providing care. A surgical mask is not required for MRSA unless there is risk
of splash or spray. Negative-pressure rooms are for airborne precautions.
,2
3. A charge nurse is making client assignments for the shift. Which client
should be assigned to the most experienced nurse?
• A) A client with diabetes mellitus requiring insulin administration.
• B) A client with pneumonia who is stable on oral antibiotics.
• C) A client with a new tracheostomy who is unstable.
• D) A client with a urinary tract infection requiring IV antibiotics.
Answer: C
Rationale: The most unstable client (new tracheostomy, potential airway issues)
should be assigned to the most experienced nurse. Stable clients can be assigned to less
experienced staff.
4. Which client should the charge nurse assign to an LPN/LVN?
• A) A new admission with chest pain.
• B) A client with stable diabetes needing insulin.
• C) A confused client at risk for falls.
• D) A client requiring IV push morphine.
Answer: B
Rationale: LPNs can care for stable clients and administer insulin but cannot perform
initial assessments, care for unstable patients, or administer IV push medications.
5. A nurse is delegating a task to a nursing assistant. Which task is
appropriate to delegate?
• A) Administering IV medications.
• B) Assessing a new patient.
• C) Taking vital signs of stable patients.
• D) Developing a care plan.
Answer: C
Rationale: Stable, routine tasks such as taking vital signs can be delegated to
unlicensed assistive personnel (UAP). Assessment, care planning, and IV medication
administration require an RN.
6. A nurse assigns collection of a sputum specimen to an unlicensed
assistive personnel. Before delegating this task to the UAP, which action is
most important for the nurse to implement?
• A) Ensure the UAP has time to collect the specimen.
,3
• B) Determine if the UAP has received training to collect sputum
specimen.
• C) Ask the UAP if they are willing to perform the task.
• D) Provide the UAP with the necessary equipment.
Answer: B
Rationale: Before delegating any task, the nurse must ensure that the UAP is
competent and has received appropriate training to perform the task safely.
7. A nurse is preparing to administer a tuberculin skin test (PPD). Which
injection method is correct?
• A) Subcutaneous.
• B) Intradermal.
• C) Intramuscular.
• D) Intravenous.
Answer: B
Rationale: PPD is given intradermally (just under the epidermis) to form a wheal.
8. A nurse is caring for a client who has a new prescription for a soft wrist
restraint. Which action should the nurse take?
• A) Tie the restraint to the side rail of the bed.
• B) Ensure that two fingers can fit between the restraint and the
client’s wrist.
• C) Release the restraint every 4 hours to check skin integrity.
• D) Apply the restraint so that the client is able to remove it easily.
Answer: B
Rationale: The restraint should be applied snugly but not tight; the ability to slip two
fingers between the restraint and the wrist indicates proper fit.
9. A nurse is caring for a client who has a do-not-resuscitate (DNR) order.
The client’s family member demands that CPR be performed if the client’s
heart stops. What should the nurse do?
• A) Perform CPR as the family member requests.
• B) Follow the DNR order and explain it to the family member.
• C) Call the ethics committee.
• D) Transfer the client to another unit.
, 4
Answer: B
Rationale: The DNR order is a legal document that must be followed. The nurse
should explain the order to the family member and offer support.
10. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client’s condition is deteriorating. What should the
nurse do?
• A) Administer the blood transfusion without consent.
• B) Respect the client’s decision and notify the healthcare provider.
• C) Contact the hospital attorney.
• D) Persuade the client to accept the transfusion.
Answer: B
Rationale: Competent adults have the right to refuse treatment, even if it may lead to
death. The nurse must respect the client’s decision and notify the provider.
11. A nurse discovers that a colleague has been diverting controlled
substances. What is the nurse’s legal obligation?
• A) Confront the colleague privately.
• B) Report the colleague to the nurse manager or Board of Nursing.
• C) Ignore the situation to avoid conflict.
• D) Cover for the colleague.
Answer: B
Rationale: Drug diversion is illegal and dangerous. The nurse has a legal and ethical
obligation to report the colleague to the appropriate authority.
12. A nurse is caring for a client who is being discharged. The client asks for
a copy of their medical records. What should the nurse do?
• A) Provide the records immediately.
• B) Direct the client to the medical records department.
• C) Refuse the request.
• D) Ask the client to come back tomorrow.
Answer: B
Rationale: Clients have the right to access their medical records, but the nurse should
direct them to the appropriate department.
13. A nurse is caring for a client who has a living will that states no artificial
nutrition. The family requests a feeding tube. What should the nurse do?
