ATI PN
FUNDAMENTALS PROCTORED
RETAKE Qs BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
300+ FUNDAMENTALS Retake 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.
,### 1. The practical nurse (PN) is changing a postoperative dressing for a
client with a horizontal lower abdominal incision. What method should the PN
use to remove the tape from the dressing?
- A. Pull the tape quickly in an upward direction.
- B. Pull the tape toward the wound while stabilizing the skin.
- C. Tear the tape away from the wound.
- D. Soak the tape before removal.
Answer: B. Pull the tape toward the wound while stabilizing the skin.
Expert Rationale: Removing tape toward the wound while supporting the skin
minimizes trauma, reduces pain, and prevents stress on the incision line.
---
### 2. The practical nurse (PN) is administering scheduled morning
medications to a client who states, "I haven't seen that pill before. Are you
sure it's correct?" Which action should the PN take?
- A. Advise the client the medication is prescribed and administer it.
- B. Withhold the medication and recheck the prescription.
- C. Ignore the concern and continue administration.
- D. Tell the client not to worry about medication changes.
Answer: B. Withhold the medication and recheck the prescription.
Expert Rationale: The PN must prioritize client safety and autonomy. Rechecking
the medication prevents medication errors and upholds the client’s right to be
informed.
---
### 3. An older client who is admitted to the hospital with dehydration and
electrolyte imbalance is confused and incontinent of urine. Which action
,provides the best strategy for the practical nurse (PN) to implement for the
client’s incontinence?
- A. Apply absorbent briefs at all times.
- B. Institute a scheduled toileting program.
- C. Restrict fluid intake.
- D. Insert an indwelling urinary catheter.
Answer: B. Institute a scheduled toileting program.
Expert Rationale: A scheduled toileting program promotes continence, reduces
skin breakdown, and maintains client dignity in confused elderly clients.
### 4. Which action should the practical nurse (PN) follow when applying an
elasticized bandage to a client's leg?
- A. Secure the bandage tightly around the leg.
- B. Overlap turns of the bandage equally.
- C. Apply the bandage in a spiral with broad gaps.
- D. Leave a space between the bandage and the skin.
Answer: B. Overlap turns of the bandage equally.
Expert Rationale: Overlapping each turn of the bandage equally ensures uniform
pressure distribution and prevents circulatory compromise. Equal overlapping
also stabilizes the bandage, reduces irritation, and enhances therapeutic
effectiveness.
---
### 5. A client who has a pressure-relieving mattress overlay is mobilized to
a chair and imprints of the client's buttocks, heels, and scapula are evident on
the mattress overlay. What action should the practical nurse implement?
- A. Document the findings as expected.
- B. Reposition the client more frequently.
, - C. Remove the mattress overlay.
- D. Place additional pillows on the overlay.
Answer: B. Reposition the client more frequently.
Expert Rationale: Imprints suggest prolonged pressure; frequent repositioning is
necessary to prevent pressure injuries, promote circulation, and maintain skin
integrity.
---
### 6. The practical nurse (PN) obtains an elevated blood pressure reading
for an older male client who is alert. When the PN offers the client his
morning blood pressure medication, he refuses to take it. What action should
the PN take?
- A. Insist that the client take the medication.
- B. Document the refusal and notify the healthcare provider.
- C. Mix the medication with food to encourage ingestion.
- D. Discard the medication without further action.
Answer: B. Document the refusal and notify the healthcare provider.
Expert Rationale: PNs must respect the client's right to refuse medication,
document the event, and notify the provider to evaluate further risks or
interventions.
---
### 7. A client with gastroenteritis, nausea, and vomiting is currently on
"Nothing by mouth" (NPO) status. The healthcare provider prescribes oral
intake to be advanced as tolerated. Which fluid should the practical nurse
offer first?
- A. Orange juice
- B. Ice chips or sips of water
FUNDAMENTALS PROCTORED
RETAKE Qs BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
300+ FUNDAMENTALS Retake 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.
,### 1. The practical nurse (PN) is changing a postoperative dressing for a
client with a horizontal lower abdominal incision. What method should the PN
use to remove the tape from the dressing?
- A. Pull the tape quickly in an upward direction.
- B. Pull the tape toward the wound while stabilizing the skin.
- C. Tear the tape away from the wound.
- D. Soak the tape before removal.
Answer: B. Pull the tape toward the wound while stabilizing the skin.
Expert Rationale: Removing tape toward the wound while supporting the skin
minimizes trauma, reduces pain, and prevents stress on the incision line.
---
### 2. The practical nurse (PN) is administering scheduled morning
medications to a client who states, "I haven't seen that pill before. Are you
sure it's correct?" Which action should the PN take?
- A. Advise the client the medication is prescribed and administer it.
- B. Withhold the medication and recheck the prescription.
- C. Ignore the concern and continue administration.
- D. Tell the client not to worry about medication changes.
Answer: B. Withhold the medication and recheck the prescription.
Expert Rationale: The PN must prioritize client safety and autonomy. Rechecking
the medication prevents medication errors and upholds the client’s right to be
informed.
---
### 3. An older client who is admitted to the hospital with dehydration and
electrolyte imbalance is confused and incontinent of urine. Which action
,provides the best strategy for the practical nurse (PN) to implement for the
client’s incontinence?
- A. Apply absorbent briefs at all times.
- B. Institute a scheduled toileting program.
- C. Restrict fluid intake.
- D. Insert an indwelling urinary catheter.
Answer: B. Institute a scheduled toileting program.
Expert Rationale: A scheduled toileting program promotes continence, reduces
skin breakdown, and maintains client dignity in confused elderly clients.
### 4. Which action should the practical nurse (PN) follow when applying an
elasticized bandage to a client's leg?
- A. Secure the bandage tightly around the leg.
- B. Overlap turns of the bandage equally.
- C. Apply the bandage in a spiral with broad gaps.
- D. Leave a space between the bandage and the skin.
Answer: B. Overlap turns of the bandage equally.
Expert Rationale: Overlapping each turn of the bandage equally ensures uniform
pressure distribution and prevents circulatory compromise. Equal overlapping
also stabilizes the bandage, reduces irritation, and enhances therapeutic
effectiveness.
---
### 5. A client who has a pressure-relieving mattress overlay is mobilized to
a chair and imprints of the client's buttocks, heels, and scapula are evident on
the mattress overlay. What action should the practical nurse implement?
- A. Document the findings as expected.
- B. Reposition the client more frequently.
, - C. Remove the mattress overlay.
- D. Place additional pillows on the overlay.
Answer: B. Reposition the client more frequently.
Expert Rationale: Imprints suggest prolonged pressure; frequent repositioning is
necessary to prevent pressure injuries, promote circulation, and maintain skin
integrity.
---
### 6. The practical nurse (PN) obtains an elevated blood pressure reading
for an older male client who is alert. When the PN offers the client his
morning blood pressure medication, he refuses to take it. What action should
the PN take?
- A. Insist that the client take the medication.
- B. Document the refusal and notify the healthcare provider.
- C. Mix the medication with food to encourage ingestion.
- D. Discard the medication without further action.
Answer: B. Document the refusal and notify the healthcare provider.
Expert Rationale: PNs must respect the client's right to refuse medication,
document the event, and notify the provider to evaluate further risks or
interventions.
---
### 7. A client with gastroenteritis, nausea, and vomiting is currently on
"Nothing by mouth" (NPO) status. The healthcare provider prescribes oral
intake to be advanced as tolerated. Which fluid should the practical nurse
offer first?
- A. Orange juice
- B. Ice chips or sips of water
