ATI RN RETAKE
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.
,QUESTION 1 (Medication Calculation, NGN-style Short Scenario)
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Scenario: A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-
year-old child who has difficulty swallowing pills. The pharmacy dispenses
diphenhydramine oral syrup labeled 12.5 mg per 5 mL.
Question: How many mL should the nurse administer? (Round the answer to the
nearest whole number.)
A. 4 mL
B. 6 mL
C. 8 mL
D. 10 mL
Answer: C (8 mL)
Expert-Verified Explanation:
• Dose required: 20 mg.
• Concentration: 12.5 mg in 5 mL.
• Calculation: (20 mg ÷ 12.5 mg) × 5 mL = 8 mL.
• Rounding to the nearest whole number yields 8 mL.
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QUESTION 2 (Therapeutic Communication)
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Scenario: A malnourished client voices concern about a loose wedding ring and fears
it might fall off.
Question: Which of the following is the most appropriate nursing response?
A. “I will place it in your drawer so it won’t get lost.”
B. “I can pin it to your hospital gown so you won’t lose it.”
C. “I will hold onto it until a family member can take it home.”
D. “I can put it in a locked storage unit for you.”
Answer: D
Expert-Verified Explanation:
• Valuables should be kept secure, ideally in a locked facility or hospital safe.
• This ensures the client’s property remains protected, reducing the risk of loss.
• Other options (A, B, C) do not ensure optimal security for valuables.
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QUESTION 3 (Client Safety and Restraints)
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Scenario: A charge nurse is teaching newly licensed nurses about using restraints.
, Question: In which of the following situations is applying restraints appropriate?
A. The client is pacing in the hallway.
B. As part of a fall prevention program.
C. At the request of the client’s family.
D. When the client poses a threat to self.
Answer: D
Expert-Verified Explanation:
• Restraints should only be used when the client poses a risk to self or others and less-
restrictive measures have failed.
• Pacing (A) does not necessarily indicate imminent harm, nor do questions about fall
prevention (B) or family request (C).
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QUESTION 4 (Roles of the Nurse)
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Scenario: A nurse manager is planning to observe a newly licensed nurse perform a
straight catheterization to ensure client safety and proper technique.
Question: In this observation, the nurse manager is acting in which of the following
roles?
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.
,QUESTION 1 (Medication Calculation, NGN-style Short Scenario)
───────────────────────────────────────────────────────
─
Scenario: A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-
year-old child who has difficulty swallowing pills. The pharmacy dispenses
diphenhydramine oral syrup labeled 12.5 mg per 5 mL.
Question: How many mL should the nurse administer? (Round the answer to the
nearest whole number.)
A. 4 mL
B. 6 mL
C. 8 mL
D. 10 mL
Answer: C (8 mL)
Expert-Verified Explanation:
• Dose required: 20 mg.
• Concentration: 12.5 mg in 5 mL.
• Calculation: (20 mg ÷ 12.5 mg) × 5 mL = 8 mL.
• Rounding to the nearest whole number yields 8 mL.
───────────────────────────────────────────────────────
─
QUESTION 2 (Therapeutic Communication)
,───────────────────────────────────────────────────────
─
Scenario: A malnourished client voices concern about a loose wedding ring and fears
it might fall off.
Question: Which of the following is the most appropriate nursing response?
A. “I will place it in your drawer so it won’t get lost.”
B. “I can pin it to your hospital gown so you won’t lose it.”
C. “I will hold onto it until a family member can take it home.”
D. “I can put it in a locked storage unit for you.”
Answer: D
Expert-Verified Explanation:
• Valuables should be kept secure, ideally in a locked facility or hospital safe.
• This ensures the client’s property remains protected, reducing the risk of loss.
• Other options (A, B, C) do not ensure optimal security for valuables.
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─
QUESTION 3 (Client Safety and Restraints)
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─
Scenario: A charge nurse is teaching newly licensed nurses about using restraints.
, Question: In which of the following situations is applying restraints appropriate?
A. The client is pacing in the hallway.
B. As part of a fall prevention program.
C. At the request of the client’s family.
D. When the client poses a threat to self.
Answer: D
Expert-Verified Explanation:
• Restraints should only be used when the client poses a risk to self or others and less-
restrictive measures have failed.
• Pacing (A) does not necessarily indicate imminent harm, nor do questions about fall
prevention (B) or family request (C).
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QUESTION 4 (Roles of the Nurse)
───────────────────────────────────────────────────────
─
Scenario: A nurse manager is planning to observe a newly licensed nurse perform a
straight catheterization to ensure client safety and proper technique.
Question: In this observation, the nurse manager is acting in which of the following
roles?
