ATI Fundamentals
PROCTORED Exam
(NGN-STYLE QUESTIONS & CASE "SCENARIO")
Actual Qs & Ans to Pass the Exam
Version 2
THIS ATI EXAM CONSIST OF
➢ multiple-choice format (A, B, C, D) with Correct Answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief "scenario" elements and rationales
,1. A nurse is assisting with the care of a client who has a prescription for IV
therapy. The client tells the nurse that he has numerous allergies. Which of the
following allergies should the nurse bring to the attention of the charge nurse
prior to the initiation of the therapy?
• Eggs
• Latex (Correct Answer)
• Seafood
• Bee stings
Rationale:
Latex allergies can lead to life-threatening anaphylactic reactions when exposed to
latex-containing IV tubing, gloves, or ports. This must be communicated before
initiating therapy to ensure all materials are latex-free.
2. A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. Encourage the client to eat meat during this time to promote healing
b. Advise the client to eat everything on the tray except the meat
c. Suggest the client receive high-protein enteral feedings
d. Ask the dietitian to recommend alternative food choices for the client
(Correct Answer)
Rationale:
Respecting the client’s cultural and religious dietary restrictions is an ethical and
legal responsibility. The dietitian can provide protein-rich alternatives such as
legumes, dairy, eggs, or soy-based options.
,3. A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following findings should the nurse report to the
provider?
• A purple-colored stoma (Correct Answer)
• Protrusion of the stoma
• A small amount of bleeding from the stoma
• Intestinal gas in the pouch
Rationale:
A healthy stoma should appear moist and pink to red. A purple, dark, or black
color may indicate compromised blood flow and tissue ischemia, requiring urgent
provider notification.
4. A nurse is reinforcing teaching with a client about self-administration of
ophthalmic drops. Which of the following instructions should the nurse include?
• "You will need to look to the side when you put the drops in your eye."
• "You should put the drops directly in the center of your eyeball."
• "You should cleanse your eye from the inner to the outer edge prior to
putting in the drops." (Correct Answer)
• "You should avoid pressing on your tear duct after putting the drops in your
eye."
Rationale:
Cleaning from inner to outer canthus prevents contamination of the lacrimal duct
and avoids transferring microorganisms to the inner eye structures.
5. A nurse is reinforcing teaching about carbohydrate counting with a client who
has a new diagnosis of diabetes mellitus. Which of the following actions should
the nurse take first?
, a. Use pictures of different food groups to help the client plan a daily menu
b. Ask the client what he already knows about meal planning (Correct
Answer)
c. Give the client a brochure with sample menus for all meals
d. Involve the family in the discussion of the client's meal plan
Rationale:
Assessing baseline knowledge is the first step in the teaching process, allowing the
nurse to tailor education to the client’s current understanding.
6. A nurse is assisting with the admission of an adult client to a medical-surgical
unit. Which of the following findings should the nurse identify as an indication
that the client is malnourished?
• Heart rate 89/min
• Pink mucous membranes
• Pale, scaly skin (Correct Answer)
• Body mass index 23
Rationale:
Pale, scaly skin suggests protein, vitamin, and mineral deficiencies, common in
malnutrition.
7. A nurse is reinforcing teaching about advance directives with a client who has
end-stage renal disease. Which of the following client statements indicates an
understanding of the teaching?
a. "I know that I can change my advance directives if I need to in the future."
(Correct Answer)
b. "My health care proxy will make my health care decisions as soon as I have
signed the power of attorney."
PROCTORED Exam
(NGN-STYLE QUESTIONS & CASE "SCENARIO")
Actual Qs & Ans to Pass the Exam
Version 2
THIS ATI EXAM CONSIST OF
➢ multiple-choice format (A, B, C, D) with Correct Answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief "scenario" elements and rationales
,1. A nurse is assisting with the care of a client who has a prescription for IV
therapy. The client tells the nurse that he has numerous allergies. Which of the
following allergies should the nurse bring to the attention of the charge nurse
prior to the initiation of the therapy?
• Eggs
• Latex (Correct Answer)
• Seafood
• Bee stings
Rationale:
Latex allergies can lead to life-threatening anaphylactic reactions when exposed to
latex-containing IV tubing, gloves, or ports. This must be communicated before
initiating therapy to ensure all materials are latex-free.
2. A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. Encourage the client to eat meat during this time to promote healing
b. Advise the client to eat everything on the tray except the meat
c. Suggest the client receive high-protein enteral feedings
d. Ask the dietitian to recommend alternative food choices for the client
(Correct Answer)
Rationale:
Respecting the client’s cultural and religious dietary restrictions is an ethical and
legal responsibility. The dietitian can provide protein-rich alternatives such as
legumes, dairy, eggs, or soy-based options.
,3. A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following findings should the nurse report to the
provider?
• A purple-colored stoma (Correct Answer)
• Protrusion of the stoma
• A small amount of bleeding from the stoma
• Intestinal gas in the pouch
Rationale:
A healthy stoma should appear moist and pink to red. A purple, dark, or black
color may indicate compromised blood flow and tissue ischemia, requiring urgent
provider notification.
4. A nurse is reinforcing teaching with a client about self-administration of
ophthalmic drops. Which of the following instructions should the nurse include?
• "You will need to look to the side when you put the drops in your eye."
• "You should put the drops directly in the center of your eyeball."
• "You should cleanse your eye from the inner to the outer edge prior to
putting in the drops." (Correct Answer)
• "You should avoid pressing on your tear duct after putting the drops in your
eye."
Rationale:
Cleaning from inner to outer canthus prevents contamination of the lacrimal duct
and avoids transferring microorganisms to the inner eye structures.
5. A nurse is reinforcing teaching about carbohydrate counting with a client who
has a new diagnosis of diabetes mellitus. Which of the following actions should
the nurse take first?
, a. Use pictures of different food groups to help the client plan a daily menu
b. Ask the client what he already knows about meal planning (Correct
Answer)
c. Give the client a brochure with sample menus for all meals
d. Involve the family in the discussion of the client's meal plan
Rationale:
Assessing baseline knowledge is the first step in the teaching process, allowing the
nurse to tailor education to the client’s current understanding.
6. A nurse is assisting with the admission of an adult client to a medical-surgical
unit. Which of the following findings should the nurse identify as an indication
that the client is malnourished?
• Heart rate 89/min
• Pink mucous membranes
• Pale, scaly skin (Correct Answer)
• Body mass index 23
Rationale:
Pale, scaly skin suggests protein, vitamin, and mineral deficiencies, common in
malnutrition.
7. A nurse is reinforcing teaching about advance directives with a client who has
end-stage renal disease. Which of the following client statements indicates an
understanding of the teaching?
a. "I know that I can change my advance directives if I need to in the future."
(Correct Answer)
b. "My health care proxy will make my health care decisions as soon as I have
signed the power of attorney."
