,This study document brings together 129 carefully worded exam questions drawn from ATI RN
FUNDAMENTALS PROCTORED EXAM/ 2025 complete exam test questions and verified answers
(MULTIPLE CHOICES) AND RATIONALES GET IT, with the strongest emphasis placed on Apply
the nursing process to prioritize patient-centered care across diverse settings, Demonstrate safe
administration of medications including dosage calculations and rights of administration and
Implement infection control and safety measures based on current guidelines. Every item follows
the wording style and level of reasoning you meet in the real paper, and each one is paired with a
clear rationale so the correct choice is never a guess. Work through the set at your own pace,
mark the questions that slow you down, then come back to them until the reasoning feels
automatic. Learners who revise this way walk into the exam room recognising the pattern behind
the questions instead of meeting them for the first time. Keep going - steady, honest practice is
what turns a difficult paper into a comfortable pass.
Q1 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is preparing to administer a continuous enteral feeding to a patient with a
newly placed nasogastric tube. Which action is essential to reduce the risk of
aspiration?
A. Verify tube placement by auscultating air insufflation over the epigastrium.
B. Elevate the head of the bed to 30-45 degrees during feeding and for 1 hour after. CORRECT
C. Check gastric residual volume every 8 hours and discard the aspirate.
D. Administer the feeding via bolus over 10 minutes to minimize gastric distention.
RATIONALE: Elevating the head of the bed to 30-45 degrees reduces the risk of aspiration by
using gravity to keep gastric contents down. Auscultation is unreliable for verifying tube
placement; pH testing or radiographic confirmation is preferred. Gastric residual checks should
be performed every 4 hours, and aspirate is typically returned to the stomach to avoid electrolyte
loss. Bolus feedings are given slowly, but elevation is the critical aspiration prevention measure.
Page 2
,Q2 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is caring for a patient who has a pressure injury on the sacrum. The
wound bed is covered with thick, yellow slough. Which wound care product is
most appropriate to promote autolytic debridement?
A. Calcium alginate dressing
B. Transparent film dressing
C. Hydrocolloid dressing
D. Hydrogel dressing CORRECT
RATIONALE: Hydrogel dressings donate moisture to rehydrate necrotic tissue and slough,
facilitating autolytic debridement. Calcium alginate is for exudative wounds and has hemostatic
properties, not debridement. Transparent film is for superficial wounds with minimal exudate and
does not provide moisture for slough. Hydrocolloid is for light-to-moderate exudate and also does
not effectively debride thick slough.
Q3 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is reviewing a patient's laboratory results. The patient has a serum
potassium of 5.8 mEq/L. Which assessment finding is most consistent with this
result?
A. Abdominal cramping and diarrhea
B. Muscle weakness and areflexia
C. Hyperactive deep tendon reflexes
D. Tall, peaked T waves on electrocardiogram CORRECT
RATIONALE: Tall, peaked T waves are a classic ECG change in hyperkalemia. Abdominal
cramping and diarrhea are more typical of hypokalemia? Actually, hyperkalemia can cause GI
symptoms but are not the most specific. Muscle weakness and areflexia are also seen in
hyperkalemia, but ECG changes are more diagnostic. Hyperactive reflexes are not typical;
hypokalemia causes decreased reflexes. The most consistent and specific finding is the ECG
change.
Page 3
, Q4 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is preparing to administer a medication that is available as 250 mg/5 mL.
The prescription is for 0.375 g. How many mL should the nurse administer?
(Round to the nearest whole number.)
A. 5 mL
B. 7.5 mL CORRECT
C. 10 mL
D. 15 mL
RATIONALE: Convert 0.375 g to mg: 0.375 g × 1000 = 375 mg. Then use the ratio: 250 mg/5 mL
= 375 mg/X mL. Cross-multiply: 250X = 1875, X = 7.5 mL. Thus, 7.5 mL is correct. Other options
are incorrect due to miscalculation or unit conversion errors.
Q5 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is assessing a patient who has just undergone a lumbar puncture. Which
finding requires immediate action?
A. Complaint of a mild headache when sitting up
B. Clear, colorless fluid leaking from the puncture site CORRECT
C. Temperature of 37.2°C (99.0°F)
D. Blood pressure of 110/70 mm Hg
RATIONALE: Clear, colorless fluid leaking from the puncture site indicates cerebrospinal fluid
(CSF) leakage, which is a serious complication that increases the risk of infection and
low-pressure headaches. A mild positional headache is common after lumbar puncture and is not
immediately dangerous. A low-grade fever may be a sign of infection but is not immediately
alarming. Blood pressure of 110/70 is within normal limits.
Page 4
FUNDAMENTALS PROCTORED EXAM/ 2025 complete exam test questions and verified answers
(MULTIPLE CHOICES) AND RATIONALES GET IT, with the strongest emphasis placed on Apply
the nursing process to prioritize patient-centered care across diverse settings, Demonstrate safe
administration of medications including dosage calculations and rights of administration and
Implement infection control and safety measures based on current guidelines. Every item follows
the wording style and level of reasoning you meet in the real paper, and each one is paired with a
clear rationale so the correct choice is never a guess. Work through the set at your own pace,
mark the questions that slow you down, then come back to them until the reasoning feels
automatic. Learners who revise this way walk into the exam room recognising the pattern behind
the questions instead of meeting them for the first time. Keep going - steady, honest practice is
what turns a difficult paper into a comfortable pass.
Q1 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is preparing to administer a continuous enteral feeding to a patient with a
newly placed nasogastric tube. Which action is essential to reduce the risk of
aspiration?
A. Verify tube placement by auscultating air insufflation over the epigastrium.
B. Elevate the head of the bed to 30-45 degrees during feeding and for 1 hour after. CORRECT
C. Check gastric residual volume every 8 hours and discard the aspirate.
D. Administer the feeding via bolus over 10 minutes to minimize gastric distention.
RATIONALE: Elevating the head of the bed to 30-45 degrees reduces the risk of aspiration by
using gravity to keep gastric contents down. Auscultation is unreliable for verifying tube
placement; pH testing or radiographic confirmation is preferred. Gastric residual checks should
be performed every 4 hours, and aspirate is typically returned to the stomach to avoid electrolyte
loss. Bolus feedings are given slowly, but elevation is the critical aspiration prevention measure.
Page 2
,Q2 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is caring for a patient who has a pressure injury on the sacrum. The
wound bed is covered with thick, yellow slough. Which wound care product is
most appropriate to promote autolytic debridement?
A. Calcium alginate dressing
B. Transparent film dressing
C. Hydrocolloid dressing
D. Hydrogel dressing CORRECT
RATIONALE: Hydrogel dressings donate moisture to rehydrate necrotic tissue and slough,
facilitating autolytic debridement. Calcium alginate is for exudative wounds and has hemostatic
properties, not debridement. Transparent film is for superficial wounds with minimal exudate and
does not provide moisture for slough. Hydrocolloid is for light-to-moderate exudate and also does
not effectively debride thick slough.
Q3 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is reviewing a patient's laboratory results. The patient has a serum
potassium of 5.8 mEq/L. Which assessment finding is most consistent with this
result?
A. Abdominal cramping and diarrhea
B. Muscle weakness and areflexia
C. Hyperactive deep tendon reflexes
D. Tall, peaked T waves on electrocardiogram CORRECT
RATIONALE: Tall, peaked T waves are a classic ECG change in hyperkalemia. Abdominal
cramping and diarrhea are more typical of hypokalemia? Actually, hyperkalemia can cause GI
symptoms but are not the most specific. Muscle weakness and areflexia are also seen in
hyperkalemia, but ECG changes are more diagnostic. Hyperactive reflexes are not typical;
hypokalemia causes decreased reflexes. The most consistent and specific finding is the ECG
change.
Page 3
, Q4 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is preparing to administer a medication that is available as 250 mg/5 mL.
The prescription is for 0.375 g. How many mL should the nurse administer?
(Round to the nearest whole number.)
A. 5 mL
B. 7.5 mL CORRECT
C. 10 mL
D. 15 mL
RATIONALE: Convert 0.375 g to mg: 0.375 g × 1000 = 375 mg. Then use the ratio: 250 mg/5 mL
= 375 mg/X mL. Cross-multiply: 250X = 1875, X = 7.5 mL. Thus, 7.5 mL is correct. Other options
are incorrect due to miscalculation or unit conversion errors.
Q5 APPLY THE NURSING PROCESS TO PRIORITIZE PATIENT-CENTERED CARE ACROSS
DIVERSE SETTINGS
A nurse is assessing a patient who has just undergone a lumbar puncture. Which
finding requires immediate action?
A. Complaint of a mild headache when sitting up
B. Clear, colorless fluid leaking from the puncture site CORRECT
C. Temperature of 37.2°C (99.0°F)
D. Blood pressure of 110/70 mm Hg
RATIONALE: Clear, colorless fluid leaking from the puncture site indicates cerebrospinal fluid
(CSF) leakage, which is a serious complication that increases the risk of infection and
low-pressure headaches. A mild positional headache is common after lumbar puncture and is not
immediately dangerous. A low-grade fever may be a sign of infection but is not immediately
alarming. Blood pressure of 110/70 is within normal limits.
Page 4
