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 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.
,Table of Contents
ATI PN Fundamentals Proctored Exam (V1) ................................................. 2
ATI PN Fundamentals Proctored Exam (V2) .............................................. 52
ATI PN Fundamentals Proctored Exam (V3) .............................................104
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
procedure. While waiting for the procedure to begin, how should the nurse position
their 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
above 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 following 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 risk 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
understanding 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
relaxation and distract from pain, aligning perfectly with imagining a peaceful place
such as the client’s grandfather’s farm. This demonstrates effective use of
visualization, proven in research 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 the client's employer. The employer asks the nurse about the
client's condition. Which 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."
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 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.
,Table of Contents
ATI PN Fundamentals Proctored Exam (V1) ................................................. 2
ATI PN Fundamentals Proctored Exam (V2) .............................................. 52
ATI PN Fundamentals Proctored Exam (V3) .............................................104
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
procedure. While waiting for the procedure to begin, how should the nurse position
their 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
above 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 following 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 risk 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
understanding 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
relaxation and distract from pain, aligning perfectly with imagining a peaceful place
such as the client’s grandfather’s farm. This demonstrates effective use of
visualization, proven in research 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 the client's employer. The employer asks the nurse about the
client's condition. Which 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."
