ATI Fundamentals for Nursing Proctored Exam Review
2026/2027
70 Practice Questions with Correct Answers and Rationales
NGN-Integrated | Elsevier ATI Content Mastery Series Alignment
Safe and Effective Care Environment | Health Promotion | NCLEX-RN Readiness
, ATI Fundamentals for Nursing Proctored Exam Review 2026/2027
Introduction
This comprehensive review document contains 70 practice questions aligned with the ATI
Fundamentals for Nursing Proctored Exam content outline. Each question is designed to
mirror the rigor and style of the actual exam, integrating Next Generation NCLEX (NGN)
item types and clinical judgment scenarios based on the NCSBN Clinical Judgment
Measurement Model (CJMM). The questions span all major content domains: nursing process
and safety, basic care and vital signs, medication administration and documentation,
communication and legal/ethical foundations, and health promotion with interprofessional
collaboration. Rationales are provided for every correct answer to reinforce understanding and
promote clinical reasoning. Use this resource alongside your ATI textbook and practice
assessments for optimal exam preparation.
Guideline Summary: Question Distribution by Domain
Domain Question Range % Weight Key Topics
Part I Q1 – Q22 ~31% Nursing Process, Safety,
Infection Control
Part II Q23 – Q37 ~20% Basic Care, Comfort, Vital
Signs
Part III Q38 – Q50 ~17% Medication Administration,
Documentation
Part IV Q51 – Q58 ~11% Communication, Legal,
Ethical Foundations
Part V Q59 – Q70 ~17% Health Promotion, IPC,
NGN Strategies
Part I: Nursing Process, Safety & Infection Control
(Q1–Q22)
1. Which step of the nursing process involves collecting subjective and objective data to
establish a patient database?
A) Diagnosis
Page 2
, ATI Fundamentals for Nursing Proctored Exam Review 2026/2027
B) Assessment
C) Planning
D) Implementation
Correct: B
Rationale: Assessment is the first step of the nursing process (ADPIE) and involves systematic
collection of subjective data (patient-reported symptoms, feelings) and objective data (vital
signs, lab results, physical findings). Diagnosis follows assessment.
2. The nurse identifies that a patient is at risk for falls. Which step of the nursing process
does this represent?
A) Assessment
B) Nursing diagnosis
C) Implementation
D) Evaluation
Correct: B
Rationale: Identifying a human response, risk, or actual problem based on assessment data
constitutes the nursing diagnosis step. "Risk for falls" is a nursing diagnosis derived from
assessed risk factors. Planning interventions follows the diagnosis.
3. Which of the following is an example of objective data obtained during assessment?
A) The patient reports feeling anxious
B) Blood pressure 142/90 mmHg
C) The patient states they have pain rated 6/10
D) The patient feels warm to touch (your perception)
Correct: B
Rationale: Objective data are measurable, observable, and verifiable by multiple clinicians.
Blood pressure is a quantifiable measurement. Patient-reported pain, anxiety, and feelings are
subjective data. The nurse's perception of warmth is subjective observation unless a
temperature is measured.
Page 3
, ATI Fundamentals for Nursing Proctored Exam Review 2026/2027
4. During the evaluation step of the nursing process, the nurse determines that the
patient's pain has decreased from 7/10 to 3/10 after administering analgesic. What
should the nurse do next?
A) Discontinue the care plan entirely
B) Continue the current plan as it is effective, and reassess at the next scheduled
interval
C) Change the diagnosis to "chronic pain"
D) Administer additional pain medication
Correct: B
Rationale: When evaluation shows the patient outcome is met (pain decreased), the nurse
continues the effective plan of care. Discontinuation may be premature; reassessment is
ongoing. Changing the diagnosis is unnecessary if goals are being met.
5. In the NCSBN Clinical Judgment Measurement Model (CJMM), which cognitive
process involves recognizing cues and analyzing their significance?
A) Generate Solutions
B) Recognize Cues and Analyze Cues
C) Take Action
D) Evaluate Outcomes
Correct: B
Rationale: The CJMM begins with Recognize Cues (identifying relevant assessment findings)
and Analyze Cues (determining their clinical significance). These precede Prioritize
Hypotheses, Generate Solutions, Take Actions, and Evaluate Outcomes.
6. Which type of precaution requires the use of a gown, gloves, and N95 respirator for
healthcare workers?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions
Correct: C
Page 4
2026/2027
70 Practice Questions with Correct Answers and Rationales
NGN-Integrated | Elsevier ATI Content Mastery Series Alignment
Safe and Effective Care Environment | Health Promotion | NCLEX-RN Readiness
, ATI Fundamentals for Nursing Proctored Exam Review 2026/2027
Introduction
This comprehensive review document contains 70 practice questions aligned with the ATI
Fundamentals for Nursing Proctored Exam content outline. Each question is designed to
mirror the rigor and style of the actual exam, integrating Next Generation NCLEX (NGN)
item types and clinical judgment scenarios based on the NCSBN Clinical Judgment
Measurement Model (CJMM). The questions span all major content domains: nursing process
and safety, basic care and vital signs, medication administration and documentation,
communication and legal/ethical foundations, and health promotion with interprofessional
collaboration. Rationales are provided for every correct answer to reinforce understanding and
promote clinical reasoning. Use this resource alongside your ATI textbook and practice
assessments for optimal exam preparation.
Guideline Summary: Question Distribution by Domain
Domain Question Range % Weight Key Topics
Part I Q1 – Q22 ~31% Nursing Process, Safety,
Infection Control
Part II Q23 – Q37 ~20% Basic Care, Comfort, Vital
Signs
Part III Q38 – Q50 ~17% Medication Administration,
Documentation
Part IV Q51 – Q58 ~11% Communication, Legal,
Ethical Foundations
Part V Q59 – Q70 ~17% Health Promotion, IPC,
NGN Strategies
Part I: Nursing Process, Safety & Infection Control
(Q1–Q22)
1. Which step of the nursing process involves collecting subjective and objective data to
establish a patient database?
A) Diagnosis
Page 2
, ATI Fundamentals for Nursing Proctored Exam Review 2026/2027
B) Assessment
C) Planning
D) Implementation
Correct: B
Rationale: Assessment is the first step of the nursing process (ADPIE) and involves systematic
collection of subjective data (patient-reported symptoms, feelings) and objective data (vital
signs, lab results, physical findings). Diagnosis follows assessment.
2. The nurse identifies that a patient is at risk for falls. Which step of the nursing process
does this represent?
A) Assessment
B) Nursing diagnosis
C) Implementation
D) Evaluation
Correct: B
Rationale: Identifying a human response, risk, or actual problem based on assessment data
constitutes the nursing diagnosis step. "Risk for falls" is a nursing diagnosis derived from
assessed risk factors. Planning interventions follows the diagnosis.
3. Which of the following is an example of objective data obtained during assessment?
A) The patient reports feeling anxious
B) Blood pressure 142/90 mmHg
C) The patient states they have pain rated 6/10
D) The patient feels warm to touch (your perception)
Correct: B
Rationale: Objective data are measurable, observable, and verifiable by multiple clinicians.
Blood pressure is a quantifiable measurement. Patient-reported pain, anxiety, and feelings are
subjective data. The nurse's perception of warmth is subjective observation unless a
temperature is measured.
Page 3
, ATI Fundamentals for Nursing Proctored Exam Review 2026/2027
4. During the evaluation step of the nursing process, the nurse determines that the
patient's pain has decreased from 7/10 to 3/10 after administering analgesic. What
should the nurse do next?
A) Discontinue the care plan entirely
B) Continue the current plan as it is effective, and reassess at the next scheduled
interval
C) Change the diagnosis to "chronic pain"
D) Administer additional pain medication
Correct: B
Rationale: When evaluation shows the patient outcome is met (pain decreased), the nurse
continues the effective plan of care. Discontinuation may be premature; reassessment is
ongoing. Changing the diagnosis is unnecessary if goals are being met.
5. In the NCSBN Clinical Judgment Measurement Model (CJMM), which cognitive
process involves recognizing cues and analyzing their significance?
A) Generate Solutions
B) Recognize Cues and Analyze Cues
C) Take Action
D) Evaluate Outcomes
Correct: B
Rationale: The CJMM begins with Recognize Cues (identifying relevant assessment findings)
and Analyze Cues (determining their clinical significance). These precede Prioritize
Hypotheses, Generate Solutions, Take Actions, and Evaluate Outcomes.
6. Which type of precaution requires the use of a gown, gloves, and N95 respirator for
healthcare workers?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions
Correct: C
Page 4
