ATI RN FUNDAMENTALS PROCTORED EXAM 2026
EXAM AND RETAKE GUIDE COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
1. If a nurse fails to report a scheduled bone scan during a change-of-shift
report, what potential impact could this have on patient care?
The patient’s medication schedule will be unaffected.
The patient may not receive timely preparation for the procedure.
The patient will be informed about the procedure by the physician.
The patient will automatically be prepared without nurse intervention.
2. If a nurse fails to witness a client's signature on the consent form before
surgery, what potential legal implication could arise?
The nurse may be praised for their role in the surgical process.
The nurse may be held liable for not ensuring informed consent was
obtained.
The nurse will not face any consequences as consent is the surgeon's
responsibility.
The nurse will be required to explain the procedure to the client.
3. If a patient undergoing neurosurgery has not completed their advance
directives, what should the nurse do to ensure the patient's wishes are
respected?
Proceed with surgery without any directives.
Discuss the importance of advance directives with the patient and
encourage them to complete the forms.
Assume the family will make decisions on behalf of the patient.
, Inform the patient that advance directives are not necessary.
4. The registered nurse (RN) has made client assignments for the licensed
practical nurse (LPN). Which assignment should the LPN question as being
beyond the scope of the LPN?
The LPN is assigned to reinforce discharge teaching about dressing
changes and medications to a 35-year-old man.
The LPN is assigned to care for a client with diabetes mellitus who will
need to have instructions reinforced on how to self-administer insulin.
The LPN is assigned to care for a 75-year-old woman, hospitalized for
dehydration, who is being discharged home today with no
medications.
The LPN is assigned to care for a woman with newly diagnosed
leukemia who will be receiving her initial dose of chemotherapy.
5. Who is the most appropriate staff member to assign for the care of a client
post-thoracic surgery awaiting transfer from the PACU?
RN
AP
LPN
Charge nurse
6. Describe why administering a sedative to a competent adult without consent
could be classified as false imprisonment.
It breaches confidentiality by revealing the client's mental state.
It is considered negligence because the nurse failed to provide
adequate care.
It is classified as assault due to the use of medication against the
client's will.
, Administering a sedative without consent restricts the client's
freedom to make decisions about their own care, which constitutes
false imprisonment.
7. A nurse is caring for a competent adult client who tells the nurse that he is
thinking about leaving the hospital against medical advice. The nurse believes
that this is not in the client's best interest, so she prepares to administer a PRN
sedative medication the client has not requested along with his usual
medication. Which of the following types of tort is the nurse about to
commit?
Breach of Confidentiality
False Imprisonment
Negligence
Assault
8. If an older adult client is struggling with social isolation and inadequate
nutrition, which intervention would best support their needs?
Referral to a registered dietitian for meal planning
Referral to an occupational therapist for home modifications
Referral to a social worker for community resources
Referral to a physical therapist for mobility exercises
9. Why is it important to document objective data in a client's record rather than
subjective opinions?
Objective data is less important than subjective impressions.
Documenting objective data ensures accuracy and reliability in the
client's medical record.
Subjective opinions provide a clearer picture of the client's condition.
, Documentation should always include personal feelings about the
client.
10. Which of the following pieces of information is essential for the AP to know
when ambulating a client who had knee arthroplasty?
The client ate 50% of his breakfast this morning
The roommate is up independently
The client is allergic to codeine
The client uses a front-wheeled walker when ambulating
11. Which of the following information should the nurse include in a change-of-
shift report?
Bone scan scheduled for today
Medication routine from medication administration record (MAR)
Blood pressure from the previous day
Input and output for the shift
12. RN Manager is assigning care of a pt who is being admitted from PACU
following Thoracic Surg. The RN Manager should assign the pt to which of
the following staff?
CN
UAP
RN
LPN
13. A nurse on a med-surg unit has received change-of-shift and will care for 4
clients. Which need of the client may the nurse assign to an AP?
Feeding a client who has aspiration pneumonia
EXAM AND RETAKE GUIDE COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
1. If a nurse fails to report a scheduled bone scan during a change-of-shift
report, what potential impact could this have on patient care?
The patient’s medication schedule will be unaffected.
The patient may not receive timely preparation for the procedure.
The patient will be informed about the procedure by the physician.
The patient will automatically be prepared without nurse intervention.
2. If a nurse fails to witness a client's signature on the consent form before
surgery, what potential legal implication could arise?
The nurse may be praised for their role in the surgical process.
The nurse may be held liable for not ensuring informed consent was
obtained.
The nurse will not face any consequences as consent is the surgeon's
responsibility.
The nurse will be required to explain the procedure to the client.
3. If a patient undergoing neurosurgery has not completed their advance
directives, what should the nurse do to ensure the patient's wishes are
respected?
Proceed with surgery without any directives.
Discuss the importance of advance directives with the patient and
encourage them to complete the forms.
Assume the family will make decisions on behalf of the patient.
, Inform the patient that advance directives are not necessary.
4. The registered nurse (RN) has made client assignments for the licensed
practical nurse (LPN). Which assignment should the LPN question as being
beyond the scope of the LPN?
The LPN is assigned to reinforce discharge teaching about dressing
changes and medications to a 35-year-old man.
The LPN is assigned to care for a client with diabetes mellitus who will
need to have instructions reinforced on how to self-administer insulin.
The LPN is assigned to care for a 75-year-old woman, hospitalized for
dehydration, who is being discharged home today with no
medications.
The LPN is assigned to care for a woman with newly diagnosed
leukemia who will be receiving her initial dose of chemotherapy.
5. Who is the most appropriate staff member to assign for the care of a client
post-thoracic surgery awaiting transfer from the PACU?
RN
AP
LPN
Charge nurse
6. Describe why administering a sedative to a competent adult without consent
could be classified as false imprisonment.
It breaches confidentiality by revealing the client's mental state.
It is considered negligence because the nurse failed to provide
adequate care.
It is classified as assault due to the use of medication against the
client's will.
, Administering a sedative without consent restricts the client's
freedom to make decisions about their own care, which constitutes
false imprisonment.
7. A nurse is caring for a competent adult client who tells the nurse that he is
thinking about leaving the hospital against medical advice. The nurse believes
that this is not in the client's best interest, so she prepares to administer a PRN
sedative medication the client has not requested along with his usual
medication. Which of the following types of tort is the nurse about to
commit?
Breach of Confidentiality
False Imprisonment
Negligence
Assault
8. If an older adult client is struggling with social isolation and inadequate
nutrition, which intervention would best support their needs?
Referral to a registered dietitian for meal planning
Referral to an occupational therapist for home modifications
Referral to a social worker for community resources
Referral to a physical therapist for mobility exercises
9. Why is it important to document objective data in a client's record rather than
subjective opinions?
Objective data is less important than subjective impressions.
Documenting objective data ensures accuracy and reliability in the
client's medical record.
Subjective opinions provide a clearer picture of the client's condition.
, Documentation should always include personal feelings about the
client.
10. Which of the following pieces of information is essential for the AP to know
when ambulating a client who had knee arthroplasty?
The client ate 50% of his breakfast this morning
The roommate is up independently
The client is allergic to codeine
The client uses a front-wheeled walker when ambulating
11. Which of the following information should the nurse include in a change-of-
shift report?
Bone scan scheduled for today
Medication routine from medication administration record (MAR)
Blood pressure from the previous day
Input and output for the shift
12. RN Manager is assigning care of a pt who is being admitted from PACU
following Thoracic Surg. The RN Manager should assign the pt to which of
the following staff?
CN
UAP
RN
LPN
13. A nurse on a med-surg unit has received change-of-shift and will care for 4
clients. Which need of the client may the nurse assign to an AP?
Feeding a client who has aspiration pneumonia
