ATI RN Fundamentals
Proctored Exam
UPDATED CONTENT
NGN Style Qs & Case Scenarios
Verified Rationales | 100% Guarantee Pass
A comprehensive 180-item examination aligned with the 2026-2027 ATI RN Fundamentals
proctored exam blueprint. The exam assesses entry-level RN competence across eight
content domains with Next Generation NCLEX (NGN) case scenarios, the NCJMM clinical
judgment framework, prioritization and delegation scenarios, medication calculations, and
verified rationales with embedded test-taking strategies.
Total Questions 180
Sections 8
Cognitive Levels Recall 30% / Application 50% / Analysis 20%
Question Style Scenario-Based 80% / Direct Recall 20%
Question Format Multiple Choice (4 options) + NGN Cases
Aligned Standard ATI RN Fundamentals 2026-2027 Blueprint
Special Features NGN Cases | NCJMM | Verified Rationales | Strategy Tips
Section Domain Items
Section 1 Management of Care Q1-Q28
Section 2 Safety and Infection Control Q29-Q56
Section 3 Health Promotion and Maintenance Q57-Q80
,ATI RN Fundamentals Proctored Exam | NGN Style Qs & Case Scenarios
2026/2027 Updated | Verified | 100% Pass
Section 4 Psychosocial Integrity Q81-Q104
Section 5 Basic Care and Comfort Q105-Q132
Section 6 Pharmacological and Parenteral Therapies Q133-Q156
Section 7 Reduction of Risk Potential Q157-Q170
Section 8 Physiological Adaptation Q171-Q180
ATI RN Fundamentals Proctored Exam - 2026/2027 Updated - NGN Style - Verified Rationales - 100% Guarantee Pass
ATI RN Fundamentals Proctored Exam - 2026/2027 Updated - NGN Style - Verified Rationales Page 2
,ATI RN Fundamentals Proctored Exam | NGN Style Qs & Case Scenarios
2026/2027 Updated | Verified | 100% Pass
SECTION 1: Management of Care
Advocacy, Delegation, Ethics, Legal Issues, & Continuity of Care | Range: Q1-Q28 | Cognitive Levels:
Recall 30% | Application 50% | Analysis 20% | Style: Scenario-Based 80% | Direct Recall 20%
Competency: Advocacy
Q1: A patient with stage IV colon cancer privately tells the nurse that he does not want to
undergo another round of chemotherapy, but his family is insisting he continue treatment.
Which action by the nurse BEST demonstrates patient advocacy?
A. Tell the family the patient has the right to make his own decisions
B. Facilitate a family meeting with the provider and social worker to clarify the patient's
wishes and treatment options, supporting the patient's autonomy [CORRECT]
C. Encourage the patient to comply with his family's wishes
D. Refuse to discuss the issue because it is the provider's role
Correct Answer: B
Rationale: Advocacy means supporting the patient's right to make autonomous decisions. The nurse
facilitates communication among the patient, family, and provider to clarify values, ensure informed
consent, and protect patient autonomy. ATI test-taking tip: choose options that empower the patient and
promote communication, not those that impose decisions or defer responsibility.
Competency: Delegation to UAP - Bathing
Q2: Which of the following tasks can the RN safely delegate to Unlicensed Assistive Personnel
(UAP)?
A. Teaching a newly diagnosed diabetic patient about foot care
B. Ambulating a stable postoperative patient day 2 from appendectomy [CORRECT]
C. Assessing a patient's surgical incision for signs of infection
D. Administering oral acetaminophen for a mild headache
Correct Answer: B
Rationale: Per the Five Rights of Delegation (Right Task, Right Circumstance, Right Person, Right
Direction/Communication, Right Supervision/Evaluation), UAP may perform ADLs, ambulation of stable
patients, vital signs on stable patients, and basic hygiene. Teaching, assessment, medication
administration, and unstable patient care require RN scope. UAP cannot assess the incision (requires
clinical judgment).
ATI RN Fundamentals Proctored Exam - 2026/2027 Updated - NGN Style - Verified Rationales Page 3
, ATI RN Fundamentals Proctored Exam | NGN Style Qs & Case Scenarios
2026/2027 Updated | Verified | 100% Pass
Competency: Delegation to LPN
Q3: The RN is caring for four patients on a medical-surgical unit. Which patient should the
RN assign to the LPN/LVN?
A. A newly admitted patient with chest pain requiring frequent reassessment
B. A patient who is 3 days postoperative from hip replacement with a stable wound and
predictable care needs [CORRECT]
C. A patient with new-onset confusion requiring neuro checks every hour
D. A patient receiving IV heparin for the first time with an activated PTT
Correct Answer: B
Rationale: Per the Five Rights of Delegation, the LPN/LVN may care for stable patients with predictable
outcomes and well-established care plans. Newly admitted, deteriorating, or unstable patients requiring
complex assessment and IV titration of high-alert drugs require the RN's clinical judgment. The 3-day
postoperative hip replacement patient with stable needs is appropriate for LPN assignment.
Competency: Five Rights of Delegation
Q4: Which of the following is NOT one of the Five Rights of Delegation?
A. Right task
B. Right circumstances
C. Right patient [CORRECT]
D. Right supervision/evaluation
Correct Answer: C
Rationale: The Five Rights of Delegation (ANA/NCSBN) are: (1) Right Task, (2) Right Circumstances, (3)
Right Person, (4) Right Direction/Communication, (5) Right Supervision/Evaluation. 'Right patient' is part of
the Six Rights of Medication Administration, not delegation. Test-taking tip: differentiate the 'Rights'
frameworks (Six Rights of Med Admin vs. Five Rights of Delegation).
Competency: Ethics - Autonomy
Q5: A patient with severe COPD refuses a chest X-ray ordered by the provider despite
explanations. The nurse respects the patient's decision after ensuring understanding. Which
ethical principle is BEST demonstrated?
A. Beneficence
B. Autonomy - respecting the patient's right to self-determination [CORRECT]
C. Justice
D. Nonmaleficence
Correct Answer: B
Rationale: Autonomy respects the patient's right to make informed decisions about their care, including
refusal of treatment. Beneficence = acting in the patient's best interest; nonmaleficence = avoiding harm;
justice = fair distribution of resources. ATI tip: refusal of treatment after informed consent discussions
respects autonomy; the nurse documents the discussion, the patient's understanding, and the refusal.
ATI RN Fundamentals Proctored Exam - 2026/2027 Updated - NGN Style - Verified Rationales Page 4
Proctored Exam
UPDATED CONTENT
NGN Style Qs & Case Scenarios
Verified Rationales | 100% Guarantee Pass
A comprehensive 180-item examination aligned with the 2026-2027 ATI RN Fundamentals
proctored exam blueprint. The exam assesses entry-level RN competence across eight
content domains with Next Generation NCLEX (NGN) case scenarios, the NCJMM clinical
judgment framework, prioritization and delegation scenarios, medication calculations, and
verified rationales with embedded test-taking strategies.
Total Questions 180
Sections 8
Cognitive Levels Recall 30% / Application 50% / Analysis 20%
Question Style Scenario-Based 80% / Direct Recall 20%
Question Format Multiple Choice (4 options) + NGN Cases
Aligned Standard ATI RN Fundamentals 2026-2027 Blueprint
Special Features NGN Cases | NCJMM | Verified Rationales | Strategy Tips
Section Domain Items
Section 1 Management of Care Q1-Q28
Section 2 Safety and Infection Control Q29-Q56
Section 3 Health Promotion and Maintenance Q57-Q80
,ATI RN Fundamentals Proctored Exam | NGN Style Qs & Case Scenarios
2026/2027 Updated | Verified | 100% Pass
Section 4 Psychosocial Integrity Q81-Q104
Section 5 Basic Care and Comfort Q105-Q132
Section 6 Pharmacological and Parenteral Therapies Q133-Q156
Section 7 Reduction of Risk Potential Q157-Q170
Section 8 Physiological Adaptation Q171-Q180
ATI RN Fundamentals Proctored Exam - 2026/2027 Updated - NGN Style - Verified Rationales - 100% Guarantee Pass
ATI RN Fundamentals Proctored Exam - 2026/2027 Updated - NGN Style - Verified Rationales Page 2
,ATI RN Fundamentals Proctored Exam | NGN Style Qs & Case Scenarios
2026/2027 Updated | Verified | 100% Pass
SECTION 1: Management of Care
Advocacy, Delegation, Ethics, Legal Issues, & Continuity of Care | Range: Q1-Q28 | Cognitive Levels:
Recall 30% | Application 50% | Analysis 20% | Style: Scenario-Based 80% | Direct Recall 20%
Competency: Advocacy
Q1: A patient with stage IV colon cancer privately tells the nurse that he does not want to
undergo another round of chemotherapy, but his family is insisting he continue treatment.
Which action by the nurse BEST demonstrates patient advocacy?
A. Tell the family the patient has the right to make his own decisions
B. Facilitate a family meeting with the provider and social worker to clarify the patient's
wishes and treatment options, supporting the patient's autonomy [CORRECT]
C. Encourage the patient to comply with his family's wishes
D. Refuse to discuss the issue because it is the provider's role
Correct Answer: B
Rationale: Advocacy means supporting the patient's right to make autonomous decisions. The nurse
facilitates communication among the patient, family, and provider to clarify values, ensure informed
consent, and protect patient autonomy. ATI test-taking tip: choose options that empower the patient and
promote communication, not those that impose decisions or defer responsibility.
Competency: Delegation to UAP - Bathing
Q2: Which of the following tasks can the RN safely delegate to Unlicensed Assistive Personnel
(UAP)?
A. Teaching a newly diagnosed diabetic patient about foot care
B. Ambulating a stable postoperative patient day 2 from appendectomy [CORRECT]
C. Assessing a patient's surgical incision for signs of infection
D. Administering oral acetaminophen for a mild headache
Correct Answer: B
Rationale: Per the Five Rights of Delegation (Right Task, Right Circumstance, Right Person, Right
Direction/Communication, Right Supervision/Evaluation), UAP may perform ADLs, ambulation of stable
patients, vital signs on stable patients, and basic hygiene. Teaching, assessment, medication
administration, and unstable patient care require RN scope. UAP cannot assess the incision (requires
clinical judgment).
ATI RN Fundamentals Proctored Exam - 2026/2027 Updated - NGN Style - Verified Rationales Page 3
, ATI RN Fundamentals Proctored Exam | NGN Style Qs & Case Scenarios
2026/2027 Updated | Verified | 100% Pass
Competency: Delegation to LPN
Q3: The RN is caring for four patients on a medical-surgical unit. Which patient should the
RN assign to the LPN/LVN?
A. A newly admitted patient with chest pain requiring frequent reassessment
B. A patient who is 3 days postoperative from hip replacement with a stable wound and
predictable care needs [CORRECT]
C. A patient with new-onset confusion requiring neuro checks every hour
D. A patient receiving IV heparin for the first time with an activated PTT
Correct Answer: B
Rationale: Per the Five Rights of Delegation, the LPN/LVN may care for stable patients with predictable
outcomes and well-established care plans. Newly admitted, deteriorating, or unstable patients requiring
complex assessment and IV titration of high-alert drugs require the RN's clinical judgment. The 3-day
postoperative hip replacement patient with stable needs is appropriate for LPN assignment.
Competency: Five Rights of Delegation
Q4: Which of the following is NOT one of the Five Rights of Delegation?
A. Right task
B. Right circumstances
C. Right patient [CORRECT]
D. Right supervision/evaluation
Correct Answer: C
Rationale: The Five Rights of Delegation (ANA/NCSBN) are: (1) Right Task, (2) Right Circumstances, (3)
Right Person, (4) Right Direction/Communication, (5) Right Supervision/Evaluation. 'Right patient' is part of
the Six Rights of Medication Administration, not delegation. Test-taking tip: differentiate the 'Rights'
frameworks (Six Rights of Med Admin vs. Five Rights of Delegation).
Competency: Ethics - Autonomy
Q5: A patient with severe COPD refuses a chest X-ray ordered by the provider despite
explanations. The nurse respects the patient's decision after ensuring understanding. Which
ethical principle is BEST demonstrated?
A. Beneficence
B. Autonomy - respecting the patient's right to self-determination [CORRECT]
C. Justice
D. Nonmaleficence
Correct Answer: B
Rationale: Autonomy respects the patient's right to make informed decisions about their care, including
refusal of treatment. Beneficence = acting in the patient's best interest; nonmaleficence = avoiding harm;
justice = fair distribution of resources. ATI tip: refusal of treatment after informed consent discussions
respects autonomy; the nurse documents the discussion, the patient's understanding, and the refusal.
ATI RN Fundamentals Proctored Exam - 2026/2027 Updated - NGN Style - Verified Rationales Page 4
