ATI RN FUNDAMENTALS PROCTORED EXAM Comprehensive Test Bank | 300 Questions with
Verified Answers & Detailed Rationales All Core Domains Covered | Latest 2026 Edition | NGN-
Style Included | A+ Graded
TABLE OF CONTENTS
| Domain | Topic Area | Questions |
|-------|-----------|-----------|
| 1 | Safe & Effective Care Environment – Management of Care | 1–45 |
| 2 | Safe & Effective Care Environment – Safety & Infection Control | 46–80 |
| 3 | Health Promotion & Maintenance | 81–120 |
| 4 | Psychosocial Integrity | 121–155 |
| 5 | Physiological Integrity – Basic Care & Comfort | 156–190 |
| 6 | Physiological Integrity – Pharmacological & Parenteral Therapies | 191–225 |
| 7 | Physiological Integrity – Reduction of Risk Potential | 226–260 |
| 8 | Physiological Integrity – Physiological Adaptation | 261–300 |
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EXAM OVERVIEW
| Feature | Details |
|---------|---------|
| Total Questions in This Bank | 300 |
| Actual Exam Format | 60–75 multiple-choice questions (proctored) |
| Question Styles | Multiple choice, Select All That Apply (SATA), NGN case studies |
| Time Allotment | 70–90 minutes (varies by program) |
| Passing Score | Varies by nursing program (typically 65–75%) |
,Key Content Areas
| Category | Approximate Weight |
|----------|-------------------|
| Safe & Effective Care Environment | ~35% |
| Health Promotion & Maintenance | ~15% |
| Psychosocial Integrity | ~10% |
| Physiological Integrity | ~40% |
---
DOMAIN 1: SAFE & EFFECTIVE CARE ENVIRONMENT – MANAGEMENT OF CARE
Questions 1–45
---
Question 1
A nurse on a medical-surgical unit has received change-of-shift report and will care for four
clients. Which client should the nurse assess first?
A) A client who is 2 days post-operative with a temperature of 100.2°F (37.9°C)
B) A client with a new tracheostomy who has thick secretions and is coughing
C) A client with diabetes who has a blood glucose of 140 mg/dL
D) A client with a hip fracture who is requesting pain medication
,Correct Answer: B
Rationale: The client with a new tracheostomy and thick secretions is at risk for airway
obstruction. Airway is always the priority. The nurse should assess this client first to ensure the
airway is patent and suction if needed. The other clients require attention but are not
immediately life-threatening.
---
Question 2
Which of the following tasks can a nurse delegate to an assistive personnel (AP)?
A) Administering a PRN enema
B) Changing the dressing for a client with a stage 3 pressure injury
C) Providing oral care to a client
D) Assessing a client's pain level
Correct Answer: C
Rationale: Providing oral care is a routine hygiene task that falls within the scope of practice for
an AP. Administering an enema, changing sterile dressings, and performing assessments cannot
be delegated to an AP. The nurse must perform or supervise these tasks.
---
Question 3
, A nurse is planning care for a client who has a new diagnosis of diabetes mellitus. Which of the
following actions should the nurse include in the plan of care?
A) Instruct the client to check blood glucose before each meal
B) Teach the client to administer insulin intramuscularly
C) Encourage the client to avoid all carbohydrates
D) Schedule the client for a follow-up visit in 6 months
Correct Answer: A
Rationale: Blood glucose monitoring before meals is essential for managing diabetes. Insulin is
administered subcutaneously, not intramuscularly. Carbohydrates should be managed, not
entirely avoided. Follow-up should be sooner than 6 months for a new diagnosis.
---
Question 4
A nurse is preparing to discharge a client who has a new colostomy. Which of the following
statements by the client indicates a need for further teaching?
A) "I will change the pouch when it is one-third to one-half full."
B) "I will clean the skin around the stoma with mild soap and water."
C) "I will eat foods that are low in fiber to prevent blockage."
D) "I can resume normal activities, including swimming."
Correct Answer: C
Verified Answers & Detailed Rationales All Core Domains Covered | Latest 2026 Edition | NGN-
Style Included | A+ Graded
TABLE OF CONTENTS
| Domain | Topic Area | Questions |
|-------|-----------|-----------|
| 1 | Safe & Effective Care Environment – Management of Care | 1–45 |
| 2 | Safe & Effective Care Environment – Safety & Infection Control | 46–80 |
| 3 | Health Promotion & Maintenance | 81–120 |
| 4 | Psychosocial Integrity | 121–155 |
| 5 | Physiological Integrity – Basic Care & Comfort | 156–190 |
| 6 | Physiological Integrity – Pharmacological & Parenteral Therapies | 191–225 |
| 7 | Physiological Integrity – Reduction of Risk Potential | 226–260 |
| 8 | Physiological Integrity – Physiological Adaptation | 261–300 |
---
EXAM OVERVIEW
| Feature | Details |
|---------|---------|
| Total Questions in This Bank | 300 |
| Actual Exam Format | 60–75 multiple-choice questions (proctored) |
| Question Styles | Multiple choice, Select All That Apply (SATA), NGN case studies |
| Time Allotment | 70–90 minutes (varies by program) |
| Passing Score | Varies by nursing program (typically 65–75%) |
,Key Content Areas
| Category | Approximate Weight |
|----------|-------------------|
| Safe & Effective Care Environment | ~35% |
| Health Promotion & Maintenance | ~15% |
| Psychosocial Integrity | ~10% |
| Physiological Integrity | ~40% |
---
DOMAIN 1: SAFE & EFFECTIVE CARE ENVIRONMENT – MANAGEMENT OF CARE
Questions 1–45
---
Question 1
A nurse on a medical-surgical unit has received change-of-shift report and will care for four
clients. Which client should the nurse assess first?
A) A client who is 2 days post-operative with a temperature of 100.2°F (37.9°C)
B) A client with a new tracheostomy who has thick secretions and is coughing
C) A client with diabetes who has a blood glucose of 140 mg/dL
D) A client with a hip fracture who is requesting pain medication
,Correct Answer: B
Rationale: The client with a new tracheostomy and thick secretions is at risk for airway
obstruction. Airway is always the priority. The nurse should assess this client first to ensure the
airway is patent and suction if needed. The other clients require attention but are not
immediately life-threatening.
---
Question 2
Which of the following tasks can a nurse delegate to an assistive personnel (AP)?
A) Administering a PRN enema
B) Changing the dressing for a client with a stage 3 pressure injury
C) Providing oral care to a client
D) Assessing a client's pain level
Correct Answer: C
Rationale: Providing oral care is a routine hygiene task that falls within the scope of practice for
an AP. Administering an enema, changing sterile dressings, and performing assessments cannot
be delegated to an AP. The nurse must perform or supervise these tasks.
---
Question 3
, A nurse is planning care for a client who has a new diagnosis of diabetes mellitus. Which of the
following actions should the nurse include in the plan of care?
A) Instruct the client to check blood glucose before each meal
B) Teach the client to administer insulin intramuscularly
C) Encourage the client to avoid all carbohydrates
D) Schedule the client for a follow-up visit in 6 months
Correct Answer: A
Rationale: Blood glucose monitoring before meals is essential for managing diabetes. Insulin is
administered subcutaneously, not intramuscularly. Carbohydrates should be managed, not
entirely avoided. Follow-up should be sooner than 6 months for a new diagnosis.
---
Question 4
A nurse is preparing to discharge a client who has a new colostomy. Which of the following
statements by the client indicates a need for further teaching?
A) "I will change the pouch when it is one-third to one-half full."
B) "I will clean the skin around the stoma with mild soap and water."
C) "I will eat foods that are low in fiber to prevent blockage."
D) "I can resume normal activities, including swimming."
Correct Answer: C
