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ATI RN FUNDAMENTALS PROCTORED ACTUAL WITH NGN
FORMAT 200 QUESTIONS AND CORRECT ANSWERS 2025-
2026 |GRADED A+
An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the
following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - ANSWER: D. Replacing the cartridge
and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the following elements
should she identify when presenting the 5 rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - ANSWER: B, C, E
A and D are rights of medication administration
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed & is
already receiving oxygen therapy via nasal cannula. Which of the following interventions is the
nurse's priority?
A. Increase the oxygen flow
B. Assist the client to Fowler's position
C. Promote removal of pulmonary secretions
D. Obtain a specimen for arterial blood gases - ANSWER: B
Fowler's facilitates better breathing
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed & is
already receiving oxygen therapy via nasal cannula. Which of the following interventions is the
nurse's priority?
A. Increase the oxygen flow
B. Assist the client to Fowler's position
C. Promote removal of pulmonary secretions
D. Obtain a specimen for arterial blood gases - ANSWER: B
Fowler's facilitates better breathing
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A nurse is preparing to preform endotracheal suctioning for a client. Which of the following are
appropriate guidelines for the nurse to follow? Select all.
A. Apply suction while withdrawing the catheter
B. Perform suctioning on a routine basis, Q2-3 hours
C. Maintain medical asepsis during suctioning
D. Use a new catheter for each suctioning attempt
E. Limit suctioning to 2-3 attempts - ANSWER: A, D, E
B-Suctioning is not w/out risk so it should be done as needed, not routinely.
C-endotracheal suctioning requires surgical asepsis
A nurse is preparing to preform endotracheal suctioning for a client. Which of the following are
appropriate guidelines for the nurse to follow? Select all.
A. Apply suction while withdrawing the catheter
B. Perform suctioning on a routine basis, Q2-3 hours
C. Maintain medical asepsis during suctioning
D. Use a new catheter for each suctioning attempt
E. Limit suctioning to 2-3 attempts - ANSWER: A, D, E
B-Suctioning is not w/out risk so it should be done as needed, not routinely.
C-endotracheal suctioning requires surgical asepsis
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the
nurse take each time he provides tracheostomy care? Select all.
A. Apply the oxygen source loosely if the SPO2 decreases during the procedure
B. Use surgical asepsis to remove & clean the inner cannula
C. Clean the outer surfaces in a circular motion from the stoma site onward
D. Replace the tracheostomy ties w/new ties
E. Cut a slit in gauze squares to place beneath the tube holder. - ANSWER: A, B, C
D-only replace ties if soiled or wet
E-use a commercially prepared gauze w/slit not one nurse makes
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the
nurse take each time he provides tracheostomy care? Select all.
A. Apply the oxygen source loosely if the SPO2 decreases during the procedure
B. Use surgical asepsis to remove & clean the inner cannula
C. Clean the outer surfaces in a circular motion from the stoma site onward
D. Replace the tracheostomy ties w/new ties
E. Cut a slit in gauze squares to place beneath the tube holder. - ANSWER: A, B, C
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D-only replace ties if soiled or wet
E-use a commercially prepared gauze w/slit not one nurse makes
A provider is discharging a client with a prescription from home oxygen therapy via nasal
cannula. Client & family teaching by the nurse should include which of the following? Select all.
A. Apply petroleum jelly around the inside of the nares
B. Remove the nasal cannula during mealtimes
C. Check the position of the cannula often
D. Report any nasal stuffiness, nausea, or fatigue
E. Post "no smoking" signs in a prominent location - ANSWER: C, D, E
A provider is discharging a client with a prescription from home oxygen therapy via nasal
cannula. Client & family teaching by the nurse should include which of the following? Select all.
A. Apply petroleum jelly around the inside of the nares
B. Remove the nasal cannula during mealtimes
C. Check the position of the cannula often
D. Report any nasal stuffiness, nausea, or fatigue
E. Post "no smoking" signs in a prominent location - ANSWER: C, D, E
A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent
feedings. When the nurse pours water into the syringe after the formula drains from the syringe,
the client asks the nurse why the water is necessary. Which of the following is an appropriate
response by the nurse?
A. "Water helps clear the tube so it doesn't get clogged."
B. "Flushing helps make sure the tube stays in place."
C. "This will help you get enough fluids."
D. "Adding water makes the formula less concentrated." - ANSWER: A
this action clears the excess formula preventing any clumps/clogging
A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent
feedings. When the nurse pours water into the syringe after the formula drains from the syringe,
the client asks the nurse why the water is necessary. Which of the following is an appropriate
response by the nurse?
A. "Water helps clear the tube so it doesn't get clogged."
B. "Flushing helps make sure the tube stays in place."
C. "This will help you get enough fluids."
D. "Adding water makes the formula less concentrated." - ANSWER: A
this action clears the excess formula preventing any clumps/clogging
A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. Which
of the following is the nurse's highest assessment priority before performing this procedure?
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A. Check how long the feeding container has been opened
B. Verify the placement of the NG tube
C. Confirm that the client doesn't have diarrhea
D. Make sure the client is alert & oriented - ANSWER: B
the greatest risk is aspiration so verifying the placement of the tube is most important
A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. Which
of the following is the nurse's highest assessment priority before performing this procedure?
A. Check how long the feeding container has been opened
B. Verify the placement of the NG tube
C. Confirm that the client doesn't have diarrhea
D. Make sure the client is alert & oriented - ANSWER: B
the greatest risk is aspiration so verifying the placement of the tube is most important
A nurse is caring for a client who is receiving continuous enteral feedings. Which of the
following nursing interventions is the highest priority when the nurse suspects aspiration of the
feeding?
A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest xray
D. Initiate oxygen therapy - ANSWER: B. Stop the feeding
A nurse is caring for a client who is receiving continuous enteral feedings. Which of the
following nursing interventions is the highest priority when the nurse suspects aspiration of the
feeding?
A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest xray
D. Initiate oxygen therapy - ANSWER: B. Stop the feeding
A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via NG
tube. Which of the following is an appropriate nursing action prior to administering the tube
feeding? Select all.
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
D. Warm the formula to body temp.
E. Discard any residual gastric contents. - ANSWER: A, B, C
D-the formula should be room temp not body
E-unless the volume of the contents is more than 250 mL, the nurse should return the residual
content to the client's stomach
ATI RN FUNDAMENTALS PROCTORED ACTUAL WITH NGN
FORMAT 200 QUESTIONS AND CORRECT ANSWERS 2025-
2026 |GRADED A+
An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the
following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - ANSWER: D. Replacing the cartridge
and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the following elements
should she identify when presenting the 5 rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - ANSWER: B, C, E
A and D are rights of medication administration
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed & is
already receiving oxygen therapy via nasal cannula. Which of the following interventions is the
nurse's priority?
A. Increase the oxygen flow
B. Assist the client to Fowler's position
C. Promote removal of pulmonary secretions
D. Obtain a specimen for arterial blood gases - ANSWER: B
Fowler's facilitates better breathing
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed & is
already receiving oxygen therapy via nasal cannula. Which of the following interventions is the
nurse's priority?
A. Increase the oxygen flow
B. Assist the client to Fowler's position
C. Promote removal of pulmonary secretions
D. Obtain a specimen for arterial blood gases - ANSWER: B
Fowler's facilitates better breathing
,2|Page
A nurse is preparing to preform endotracheal suctioning for a client. Which of the following are
appropriate guidelines for the nurse to follow? Select all.
A. Apply suction while withdrawing the catheter
B. Perform suctioning on a routine basis, Q2-3 hours
C. Maintain medical asepsis during suctioning
D. Use a new catheter for each suctioning attempt
E. Limit suctioning to 2-3 attempts - ANSWER: A, D, E
B-Suctioning is not w/out risk so it should be done as needed, not routinely.
C-endotracheal suctioning requires surgical asepsis
A nurse is preparing to preform endotracheal suctioning for a client. Which of the following are
appropriate guidelines for the nurse to follow? Select all.
A. Apply suction while withdrawing the catheter
B. Perform suctioning on a routine basis, Q2-3 hours
C. Maintain medical asepsis during suctioning
D. Use a new catheter for each suctioning attempt
E. Limit suctioning to 2-3 attempts - ANSWER: A, D, E
B-Suctioning is not w/out risk so it should be done as needed, not routinely.
C-endotracheal suctioning requires surgical asepsis
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the
nurse take each time he provides tracheostomy care? Select all.
A. Apply the oxygen source loosely if the SPO2 decreases during the procedure
B. Use surgical asepsis to remove & clean the inner cannula
C. Clean the outer surfaces in a circular motion from the stoma site onward
D. Replace the tracheostomy ties w/new ties
E. Cut a slit in gauze squares to place beneath the tube holder. - ANSWER: A, B, C
D-only replace ties if soiled or wet
E-use a commercially prepared gauze w/slit not one nurse makes
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the
nurse take each time he provides tracheostomy care? Select all.
A. Apply the oxygen source loosely if the SPO2 decreases during the procedure
B. Use surgical asepsis to remove & clean the inner cannula
C. Clean the outer surfaces in a circular motion from the stoma site onward
D. Replace the tracheostomy ties w/new ties
E. Cut a slit in gauze squares to place beneath the tube holder. - ANSWER: A, B, C
,3|Page
D-only replace ties if soiled or wet
E-use a commercially prepared gauze w/slit not one nurse makes
A provider is discharging a client with a prescription from home oxygen therapy via nasal
cannula. Client & family teaching by the nurse should include which of the following? Select all.
A. Apply petroleum jelly around the inside of the nares
B. Remove the nasal cannula during mealtimes
C. Check the position of the cannula often
D. Report any nasal stuffiness, nausea, or fatigue
E. Post "no smoking" signs in a prominent location - ANSWER: C, D, E
A provider is discharging a client with a prescription from home oxygen therapy via nasal
cannula. Client & family teaching by the nurse should include which of the following? Select all.
A. Apply petroleum jelly around the inside of the nares
B. Remove the nasal cannula during mealtimes
C. Check the position of the cannula often
D. Report any nasal stuffiness, nausea, or fatigue
E. Post "no smoking" signs in a prominent location - ANSWER: C, D, E
A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent
feedings. When the nurse pours water into the syringe after the formula drains from the syringe,
the client asks the nurse why the water is necessary. Which of the following is an appropriate
response by the nurse?
A. "Water helps clear the tube so it doesn't get clogged."
B. "Flushing helps make sure the tube stays in place."
C. "This will help you get enough fluids."
D. "Adding water makes the formula less concentrated." - ANSWER: A
this action clears the excess formula preventing any clumps/clogging
A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent
feedings. When the nurse pours water into the syringe after the formula drains from the syringe,
the client asks the nurse why the water is necessary. Which of the following is an appropriate
response by the nurse?
A. "Water helps clear the tube so it doesn't get clogged."
B. "Flushing helps make sure the tube stays in place."
C. "This will help you get enough fluids."
D. "Adding water makes the formula less concentrated." - ANSWER: A
this action clears the excess formula preventing any clumps/clogging
A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. Which
of the following is the nurse's highest assessment priority before performing this procedure?
, 4|Page
A. Check how long the feeding container has been opened
B. Verify the placement of the NG tube
C. Confirm that the client doesn't have diarrhea
D. Make sure the client is alert & oriented - ANSWER: B
the greatest risk is aspiration so verifying the placement of the tube is most important
A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. Which
of the following is the nurse's highest assessment priority before performing this procedure?
A. Check how long the feeding container has been opened
B. Verify the placement of the NG tube
C. Confirm that the client doesn't have diarrhea
D. Make sure the client is alert & oriented - ANSWER: B
the greatest risk is aspiration so verifying the placement of the tube is most important
A nurse is caring for a client who is receiving continuous enteral feedings. Which of the
following nursing interventions is the highest priority when the nurse suspects aspiration of the
feeding?
A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest xray
D. Initiate oxygen therapy - ANSWER: B. Stop the feeding
A nurse is caring for a client who is receiving continuous enteral feedings. Which of the
following nursing interventions is the highest priority when the nurse suspects aspiration of the
feeding?
A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest xray
D. Initiate oxygen therapy - ANSWER: B. Stop the feeding
A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via NG
tube. Which of the following is an appropriate nursing action prior to administering the tube
feeding? Select all.
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
D. Warm the formula to body temp.
E. Discard any residual gastric contents. - ANSWER: A, B, C
D-the formula should be room temp not body
E-unless the volume of the contents is more than 250 mL, the nurse should return the residual
content to the client's stomach
