ATI RN Fundamentals Proctored Exam 2025 with
NGN (70 Questions and Answers) Exam for RN
nursing students: Pass with a Level 3 and move
on—No Retakes, Guaranteed!
Section 1: Nursing Foundations & Health Care Delivery (Questions 1–20)
1. A nurse is preparing to perform a comprehensive health history on a newly admitted client.
Which of the following actions should the nurse take first?
A. Ask the client about current medications
B. Introduce oneself and explain the purpose of the interview
C. Obtain the client's vital signs
D. Review the client's medical record
Correct Answer: B
Rationale: Establishing rapport and explaining the purpose of the interview is the first step
of the nursing process (assessment) and builds trust. Vital signs and medication review are
important but come after the introduction. Reviewing the chart is done before entering the
room but does not replace the therapeutic introduction.
2. A nurse is using the nursing process to care for a client with heart failure. Which of the
following steps should occur immediately after data collection?
A. Planning
B. Implementation
C. Analysis/Diagnosis
D. Evaluation
Correct Answer: C
Rationale: The nursing process is ADPIE: Assessment, Diagnosis (analysis), Planning,
Implementation, Evaluation. After collecting data, the nurse analyzes and clusters it to
formulate nursing diagnoses.
,3. Which of the following are components of a complete nursing assessment? (Select All That
Apply)
A. Physical examination
B. Health history
C. Client's financial status
D. Review of systems
E. Functional assessment
F. Provider's billing codes
Correct Answers: A, B, D, E
Rationale: A complete nursing assessment includes physical exam, health history, review of
systems, and functional assessment. Financial status and billing codes are not components of a
nursing assessment; financial concerns may be addressed socially but are not part of the formal
assessment.
4. A nurse is caring for a client who practices Islam. The client is hospitalized during Ramadan.
Which action should the nurse take?
A. Encourage the client to eat during the day to maintain strength
B. Ask the client whether they wish to fast and how to support their religious practice
C. Restrict family visits during prayer times
D. Document that the client is non-compliant with diet
Correct Answer: B
Rationale: Culturally competent care requires the nurse to ask about the client's
preferences and support religious practices when safe. Forcing or discouraging fasting is
inappropriate. Family presence during prayer is often desired, not restricted.
5. A nurse is delegating tasks to assistive personnel (AP). Which task is appropriate to delegate?
A. Administering oral medications
B. Performing an initial admission assessment
C. Measuring and recording intake and output
D. Teaching a client about a new diet
Correct Answer: C
Rationale: Measuring and recording I&O is a routine, stable task within AP scope.
,Medication administration, initial assessments, and teaching require the RN's clinical judgment
and are not delegable.
6. A nurse is teaching a client about health promotion. Which statement by the client indicates
understanding?
A. "I only need to see a doctor when I'm sick."
B. "I should get recommended screenings and immunizations based on my age and risk factors."
C. "Exercise is only important if I have heart disease."
D. "I can skip my annual physical if I feel fine."
Correct Answer: B
Rationale: Health promotion includes age- and risk-appropriate screenings and
immunizations. The other statements reflect illness-focused or avoidance behaviors.
7. A nurse is preparing to discharge a client. Which of the following should be included in
discharge planning? (Select All That Apply)
A. Medication reconciliation
B. Client education on self-care
C. Follow-up appointment scheduling
D. Identification of community resources
E. Nurse's personal opinion on the client's lifestyle
F. Written discharge instructions
Correct Answers: A, B, C, D, F
Rationale: Discharge planning includes medication reconciliation, education, follow-up,
community resources, and written instructions. Personal opinions are not part of professional
discharge planning.
8. A nurse is caring for a client who has just been told they have a terminal illness. The client
states, "I'm going to beat this; the doctors are wrong." Which stage of grief is the client
exhibiting?
A. Anger
B. Bargaining
, C. Denial
D. Depression
Correct Answer: C
Rationale: Denial is the first stage of Kübler-Ross's grief stages. The client rejects the
diagnosis. Anger involves resentment; bargaining involves negotiating for more time; depression
involves sadness and withdrawal.
9. A nurse is prioritizing care for four clients. Which client should the nurse see first?
A. A client requesting pain medication for chronic back pain rated 6/10
B. A client who is 2 days postoperative and needs a dressing change
C. A client with new-onset shortness of breath and oxygen saturation of 88%
D. A client who needs discharge teaching
Correct Answer: C
Rationale: Using ABC (airway, breathing, circulation) prioritization, new-onset dyspnea with
hypoxemia is the most urgent. The other clients have stable or non-urgent needs.
10. A nurse is documenting in a client's medical record. Which of the following entries is
appropriate?
A. "Client is being difficult and uncooperative."
B. "Client refused breakfast; stated, 'I'm not hungry.'"
C. "Client seems like a drug seeker."
D. "Client's family is annoying."
Correct Answer: B
Rationale: Documentation must be objective, factual, and free of judgmental language.
Quoting the client is appropriate. Labels such as "difficult," "drug seeker," and "annoying" are
subjective and unprofessional.
11. A nurse is performing an initial assessment. Which finding requires immediate follow-up?
A. Blood pressure 118/76 mm Hg
B. Heart rate 92/min
C. Respiratory rate 8/min and shallow
D. Temperature 37.2°C (99°F)
NGN (70 Questions and Answers) Exam for RN
nursing students: Pass with a Level 3 and move
on—No Retakes, Guaranteed!
Section 1: Nursing Foundations & Health Care Delivery (Questions 1–20)
1. A nurse is preparing to perform a comprehensive health history on a newly admitted client.
Which of the following actions should the nurse take first?
A. Ask the client about current medications
B. Introduce oneself and explain the purpose of the interview
C. Obtain the client's vital signs
D. Review the client's medical record
Correct Answer: B
Rationale: Establishing rapport and explaining the purpose of the interview is the first step
of the nursing process (assessment) and builds trust. Vital signs and medication review are
important but come after the introduction. Reviewing the chart is done before entering the
room but does not replace the therapeutic introduction.
2. A nurse is using the nursing process to care for a client with heart failure. Which of the
following steps should occur immediately after data collection?
A. Planning
B. Implementation
C. Analysis/Diagnosis
D. Evaluation
Correct Answer: C
Rationale: The nursing process is ADPIE: Assessment, Diagnosis (analysis), Planning,
Implementation, Evaluation. After collecting data, the nurse analyzes and clusters it to
formulate nursing diagnoses.
,3. Which of the following are components of a complete nursing assessment? (Select All That
Apply)
A. Physical examination
B. Health history
C. Client's financial status
D. Review of systems
E. Functional assessment
F. Provider's billing codes
Correct Answers: A, B, D, E
Rationale: A complete nursing assessment includes physical exam, health history, review of
systems, and functional assessment. Financial status and billing codes are not components of a
nursing assessment; financial concerns may be addressed socially but are not part of the formal
assessment.
4. A nurse is caring for a client who practices Islam. The client is hospitalized during Ramadan.
Which action should the nurse take?
A. Encourage the client to eat during the day to maintain strength
B. Ask the client whether they wish to fast and how to support their religious practice
C. Restrict family visits during prayer times
D. Document that the client is non-compliant with diet
Correct Answer: B
Rationale: Culturally competent care requires the nurse to ask about the client's
preferences and support religious practices when safe. Forcing or discouraging fasting is
inappropriate. Family presence during prayer is often desired, not restricted.
5. A nurse is delegating tasks to assistive personnel (AP). Which task is appropriate to delegate?
A. Administering oral medications
B. Performing an initial admission assessment
C. Measuring and recording intake and output
D. Teaching a client about a new diet
Correct Answer: C
Rationale: Measuring and recording I&O is a routine, stable task within AP scope.
,Medication administration, initial assessments, and teaching require the RN's clinical judgment
and are not delegable.
6. A nurse is teaching a client about health promotion. Which statement by the client indicates
understanding?
A. "I only need to see a doctor when I'm sick."
B. "I should get recommended screenings and immunizations based on my age and risk factors."
C. "Exercise is only important if I have heart disease."
D. "I can skip my annual physical if I feel fine."
Correct Answer: B
Rationale: Health promotion includes age- and risk-appropriate screenings and
immunizations. The other statements reflect illness-focused or avoidance behaviors.
7. A nurse is preparing to discharge a client. Which of the following should be included in
discharge planning? (Select All That Apply)
A. Medication reconciliation
B. Client education on self-care
C. Follow-up appointment scheduling
D. Identification of community resources
E. Nurse's personal opinion on the client's lifestyle
F. Written discharge instructions
Correct Answers: A, B, C, D, F
Rationale: Discharge planning includes medication reconciliation, education, follow-up,
community resources, and written instructions. Personal opinions are not part of professional
discharge planning.
8. A nurse is caring for a client who has just been told they have a terminal illness. The client
states, "I'm going to beat this; the doctors are wrong." Which stage of grief is the client
exhibiting?
A. Anger
B. Bargaining
, C. Denial
D. Depression
Correct Answer: C
Rationale: Denial is the first stage of Kübler-Ross's grief stages. The client rejects the
diagnosis. Anger involves resentment; bargaining involves negotiating for more time; depression
involves sadness and withdrawal.
9. A nurse is prioritizing care for four clients. Which client should the nurse see first?
A. A client requesting pain medication for chronic back pain rated 6/10
B. A client who is 2 days postoperative and needs a dressing change
C. A client with new-onset shortness of breath and oxygen saturation of 88%
D. A client who needs discharge teaching
Correct Answer: C
Rationale: Using ABC (airway, breathing, circulation) prioritization, new-onset dyspnea with
hypoxemia is the most urgent. The other clients have stable or non-urgent needs.
10. A nurse is documenting in a client's medical record. Which of the following entries is
appropriate?
A. "Client is being difficult and uncooperative."
B. "Client refused breakfast; stated, 'I'm not hungry.'"
C. "Client seems like a drug seeker."
D. "Client's family is annoying."
Correct Answer: B
Rationale: Documentation must be objective, factual, and free of judgmental language.
Quoting the client is appropriate. Labels such as "difficult," "drug seeker," and "annoying" are
subjective and unprofessional.
11. A nurse is performing an initial assessment. Which finding requires immediate follow-up?
A. Blood pressure 118/76 mm Hg
B. Heart rate 92/min
C. Respiratory rate 8/min and shallow
D. Temperature 37.2°C (99°F)
