ATI RN
FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
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.
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1) NGN-STYLE QUESTION
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Q1. A nurse is administering 1 L of 0.9% sodium chloride IV solution to a postoperative
client with fluid volume deficit. Which of the following changes should the nurse
identify as an indication that the treatment was successful?
A. An increase in hematocrit
B. An increase in respiratory rate
C. A decrease in heart rate
D. A decrease in capillary refill time
Correct Answer: C. A decrease in heart rate
Expert-Verified Explanation:
• When a client is hypovolemic, the body compensates by increasing heart rate to
maintain cardiac output.
• As isotonic fluids restore volume, the heart rate gradually returns to normal.
• Hematocrit and respiratory rate would not typically increase if rehydration is
succeeding; capillary refill might improve, but the most direct indicator among these is
the decreased heart rate.
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2) NGN-STYLE QUESTION
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Q2. A nurse is caring for a client who is scheduled to be transferred to a long-term
care facility. The client’s family questions the nurse about the reason for the transfer.
Which of the following responses made by the nurse is appropriate?
A. “The transfer of your family member is being done because the provider knows
what’s best.”
B. “Would you like it if we discussed the transfer with your family member?”
C. “Why are you so concerned about this transfer?”
D. “I know how you feel. My parent had to be transferred to a long-term care
facility.”
Correct Answer: B. “Would you like it if we discussed the transfer with your family
member?”
Expert-Verified Explanation:
• Therapeutic communication involves open-ended questions and exploring concerns
with both client and family, respecting privacy and autonomy.
, • Statements like “The provider knows best” or “Why…” can shut down
conversation; sharing personal stories redirects focus from the client’s situation.
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3) NGN-STYLE QUESTION
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Q3. A nurse is reviewing the laboratory results of a female client who has
hypovolemia. Which of the following laboratory results would be a priority for the
nurse to report to the provider?
A. BUN 21 mg/dL (10–20 mg/dL)
B. Creatinine 1.4 mg/dL (0.5–1.1 mg/dL)
C. Sodium 132 mEq/L (136–145 mEq/L)
D. Potassium 5.8 mEq/L (3.5–5 mEq/L)
Correct Answer: D. Potassium 5.8 mEq/L (3.5–5 mEq/L)
Expert-Verified Explanation:
• Hyperkalemia (5.8 mEq/L) is acutely dangerous, risking life-threatening arrhythmias.
• Mild elevations in BUN, creatinine, and slight hyponatremia can accompany
hypovolemia, but elevated potassium demands urgent attention.
FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
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.
,────────────────────────────────────────
1) NGN-STYLE QUESTION
────────────────────────────────────────
Q1. A nurse is administering 1 L of 0.9% sodium chloride IV solution to a postoperative
client with fluid volume deficit. Which of the following changes should the nurse
identify as an indication that the treatment was successful?
A. An increase in hematocrit
B. An increase in respiratory rate
C. A decrease in heart rate
D. A decrease in capillary refill time
Correct Answer: C. A decrease in heart rate
Expert-Verified Explanation:
• When a client is hypovolemic, the body compensates by increasing heart rate to
maintain cardiac output.
• As isotonic fluids restore volume, the heart rate gradually returns to normal.
• Hematocrit and respiratory rate would not typically increase if rehydration is
succeeding; capillary refill might improve, but the most direct indicator among these is
the decreased heart rate.
,────────────────────────────────────────
2) NGN-STYLE QUESTION
────────────────────────────────────────
Q2. A nurse is caring for a client who is scheduled to be transferred to a long-term
care facility. The client’s family questions the nurse about the reason for the transfer.
Which of the following responses made by the nurse is appropriate?
A. “The transfer of your family member is being done because the provider knows
what’s best.”
B. “Would you like it if we discussed the transfer with your family member?”
C. “Why are you so concerned about this transfer?”
D. “I know how you feel. My parent had to be transferred to a long-term care
facility.”
Correct Answer: B. “Would you like it if we discussed the transfer with your family
member?”
Expert-Verified Explanation:
• Therapeutic communication involves open-ended questions and exploring concerns
with both client and family, respecting privacy and autonomy.
, • Statements like “The provider knows best” or “Why…” can shut down
conversation; sharing personal stories redirects focus from the client’s situation.
────────────────────────────────────────
3) NGN-STYLE QUESTION
────────────────────────────────────────
Q3. A nurse is reviewing the laboratory results of a female client who has
hypovolemia. Which of the following laboratory results would be a priority for the
nurse to report to the provider?
A. BUN 21 mg/dL (10–20 mg/dL)
B. Creatinine 1.4 mg/dL (0.5–1.1 mg/dL)
C. Sodium 132 mEq/L (136–145 mEq/L)
D. Potassium 5.8 mEq/L (3.5–5 mEq/L)
Correct Answer: D. Potassium 5.8 mEq/L (3.5–5 mEq/L)
Expert-Verified Explanation:
• Hyperkalemia (5.8 mEq/L) is acutely dangerous, risking life-threatening arrhythmias.
• Mild elevations in BUN, creatinine, and slight hyponatremia can accompany
hypovolemia, but elevated potassium demands urgent attention.
