ATI RN FUNDAMENTALS – PROCTORED ACTUAL
2026 /2027 EXAM (NGN-STYLE QUESTIONS & CASE
STUDIES) | FULL 150 QUESTIONS WITH ANSWERS|
INSTANT DOWNLOAND PDF
Q1. Ms. Johnson, 68, admitted for community-acquired pneumonia. Vital signs: T
101.8°F, HR 110, RR 28, BP 130/78, O₂ 89% on room air. History: COPD.
Priority intervention:
A) Administer prescribed oxygen and monitor saturation
B) Encourage ambulation
C) Provide oral fluids
D) Notify family
Rationale: Hypoxia is the most urgent problem; airway and oxygenation are
priority.
Q2. Which interventions support airway clearance? (Select all)
A) Encourage coughing and deep breathing
B) Administer prescribed bronchodilators and antibiotics
C) Restrict fluids unnecessarily
D) Monitor oxygen saturation frequently
E) Allow client to lie flat
Rationale: Proper positioning, medication, and monitoring improve
oxygenation.
Q3. Ms. Johnson’s oxygen saturation drops to 85% despite oxygen. Next priority
action:
A) Notify the provider immediately
B) Reassure the client
C) Wait and reassess in 30 minutes
D) Encourage coughing only
Rationale: Persistent hypoxia requires immediate provider notification and
intervention.
Q4. Place the steps for administering subcutaneous insulin in correct order:
, 1. Perform hand hygiene
2. Verify client and check MAR
3. Select injection site and clean
4. Inject insulin at 90°
5. Dispose of needle and document
Correct Order: 1 → 2 → 3 → 4 → 5
Q5. A client with hypoglycemia (glucose 52 mg/dL) is lethargic. Priority
intervention:
A) Administer IV dextrose as prescribed
B) Provide oral carbohydrate
C) Document and reassess in 30 min
D) Notify family
Rationale: IV dextrose rapidly corrects severe hypoglycemia when client is
unable to swallow safely.
Multiple-Choice & Multiple-Select Questions
Q6. Which interventions help prevent falls in older adults? (Select all)
A) Keep bed in lowest position
B) Ensure call light within reach
C) Provide non-slip footwear
D) Encourage prolonged unsupervised ambulation
E) Leave clutter in walkways
Rationale: Environmental modifications and mobility precautions reduce
fall risk.
Q7. A client with a Foley catheter shows cloudy urine and reports burning. Which
interventions are correct? (Select all)
A) Maintain closed drainage system
B) Assess urine characteristics
C) Notify provider for potential infection
D) Irrigate catheter routinely without order
E) Leave catheter in place regardless of symptoms
Rationale: Early detection and intervention prevent CAUTI.
,Q8. A nurse is preparing to administer IV antibiotics. Which actions are correct?
(Select all)
A) Verify provider order and MAR
B) Assess for allergies
C) Use aseptic technique when preparing and administering
D) Administer rapidly without monitoring
E) Document administration and patient response
Rationale: Safety checks prevent adverse reactions and infection.
Q9. A client reports persistent nausea post-chemotherapy. Appropriate
interventions: (Select all)
A) Administer prescribed antiemetic
B) Encourage small, frequent meals
C) Monitor hydration status
D) Restrict all fluids
E) Ignore dietary preferences
Rationale: Proper management reduces nausea and maintains hydration.
Q10. Which are early signs of infection in post-operative clients? (Select all)
A) Low-grade fever
B) Redness at incision site
C) Mild tenderness
D) Purulent drainage (late sign)
E) Severe hypotension (late sign)
Rationale: Early detection allows timely intervention.
Case-Based NGN Scenario
Case 2: Mr. Allen, 72, post-stroke with left-sided weakness and dysphagia.
Q11. Priority nursing intervention:
A) Assess swallowing ability before offering food or fluids
B) Encourage ambulation immediately
C) Provide unrestricted diet
, D) Administer medications without monitoring
Rationale: Preventing aspiration is critical in stroke patients.
Q12. Interventions to reduce aspiration risk: (Select all)
A) Sit upright during meals
B) Provide thickened liquids if prescribed
C) Feed slowly and supervise
D) Allow lying flat
E) Ignore coughing
Rationale: Proper positioning and supervision prevent aspiration.
Q13. Interventions to maintain mobility and prevent complications: (Select all)
A) Assist with passive and active range-of-motion exercises
B) Reposition frequently in bed
C) Encourage safe ambulation with assistance
D) Restrict movement entirely
E) Limit physiotherapy
Rationale: Mobility prevents contractures, skin breakdown, and other
complications.
Q14. Place the steps for NG tube insertion in correct order:
1. Verify provider order
2. Perform hand hygiene
3. Measure and mark tube
4. Lubricate tip and insert
5. Confirm placement (aspiration or X-ray)
6. Secure tube and document
Correct Order: 1 → 2 → 3 → 4 → 5 → 6
Q15. Ms. Allen, 50, with COPD, becomes restless. Priority intervention:
A) Assess oxygen saturation and provide supplemental oxygen
B) Encourage fluids only
C) Provide diet teaching
D) Notify family
Rationale: Hypoxia can cause restlessness; airway and oxygenation are
priority.
2026 /2027 EXAM (NGN-STYLE QUESTIONS & CASE
STUDIES) | FULL 150 QUESTIONS WITH ANSWERS|
INSTANT DOWNLOAND PDF
Q1. Ms. Johnson, 68, admitted for community-acquired pneumonia. Vital signs: T
101.8°F, HR 110, RR 28, BP 130/78, O₂ 89% on room air. History: COPD.
Priority intervention:
A) Administer prescribed oxygen and monitor saturation
B) Encourage ambulation
C) Provide oral fluids
D) Notify family
Rationale: Hypoxia is the most urgent problem; airway and oxygenation are
priority.
Q2. Which interventions support airway clearance? (Select all)
A) Encourage coughing and deep breathing
B) Administer prescribed bronchodilators and antibiotics
C) Restrict fluids unnecessarily
D) Monitor oxygen saturation frequently
E) Allow client to lie flat
Rationale: Proper positioning, medication, and monitoring improve
oxygenation.
Q3. Ms. Johnson’s oxygen saturation drops to 85% despite oxygen. Next priority
action:
A) Notify the provider immediately
B) Reassure the client
C) Wait and reassess in 30 minutes
D) Encourage coughing only
Rationale: Persistent hypoxia requires immediate provider notification and
intervention.
Q4. Place the steps for administering subcutaneous insulin in correct order:
, 1. Perform hand hygiene
2. Verify client and check MAR
3. Select injection site and clean
4. Inject insulin at 90°
5. Dispose of needle and document
Correct Order: 1 → 2 → 3 → 4 → 5
Q5. A client with hypoglycemia (glucose 52 mg/dL) is lethargic. Priority
intervention:
A) Administer IV dextrose as prescribed
B) Provide oral carbohydrate
C) Document and reassess in 30 min
D) Notify family
Rationale: IV dextrose rapidly corrects severe hypoglycemia when client is
unable to swallow safely.
Multiple-Choice & Multiple-Select Questions
Q6. Which interventions help prevent falls in older adults? (Select all)
A) Keep bed in lowest position
B) Ensure call light within reach
C) Provide non-slip footwear
D) Encourage prolonged unsupervised ambulation
E) Leave clutter in walkways
Rationale: Environmental modifications and mobility precautions reduce
fall risk.
Q7. A client with a Foley catheter shows cloudy urine and reports burning. Which
interventions are correct? (Select all)
A) Maintain closed drainage system
B) Assess urine characteristics
C) Notify provider for potential infection
D) Irrigate catheter routinely without order
E) Leave catheter in place regardless of symptoms
Rationale: Early detection and intervention prevent CAUTI.
,Q8. A nurse is preparing to administer IV antibiotics. Which actions are correct?
(Select all)
A) Verify provider order and MAR
B) Assess for allergies
C) Use aseptic technique when preparing and administering
D) Administer rapidly without monitoring
E) Document administration and patient response
Rationale: Safety checks prevent adverse reactions and infection.
Q9. A client reports persistent nausea post-chemotherapy. Appropriate
interventions: (Select all)
A) Administer prescribed antiemetic
B) Encourage small, frequent meals
C) Monitor hydration status
D) Restrict all fluids
E) Ignore dietary preferences
Rationale: Proper management reduces nausea and maintains hydration.
Q10. Which are early signs of infection in post-operative clients? (Select all)
A) Low-grade fever
B) Redness at incision site
C) Mild tenderness
D) Purulent drainage (late sign)
E) Severe hypotension (late sign)
Rationale: Early detection allows timely intervention.
Case-Based NGN Scenario
Case 2: Mr. Allen, 72, post-stroke with left-sided weakness and dysphagia.
Q11. Priority nursing intervention:
A) Assess swallowing ability before offering food or fluids
B) Encourage ambulation immediately
C) Provide unrestricted diet
, D) Administer medications without monitoring
Rationale: Preventing aspiration is critical in stroke patients.
Q12. Interventions to reduce aspiration risk: (Select all)
A) Sit upright during meals
B) Provide thickened liquids if prescribed
C) Feed slowly and supervise
D) Allow lying flat
E) Ignore coughing
Rationale: Proper positioning and supervision prevent aspiration.
Q13. Interventions to maintain mobility and prevent complications: (Select all)
A) Assist with passive and active range-of-motion exercises
B) Reposition frequently in bed
C) Encourage safe ambulation with assistance
D) Restrict movement entirely
E) Limit physiotherapy
Rationale: Mobility prevents contractures, skin breakdown, and other
complications.
Q14. Place the steps for NG tube insertion in correct order:
1. Verify provider order
2. Perform hand hygiene
3. Measure and mark tube
4. Lubricate tip and insert
5. Confirm placement (aspiration or X-ray)
6. Secure tube and document
Correct Order: 1 → 2 → 3 → 4 → 5 → 6
Q15. Ms. Allen, 50, with COPD, becomes restless. Priority intervention:
A) Assess oxygen saturation and provide supplemental oxygen
B) Encourage fluids only
C) Provide diet teaching
D) Notify family
Rationale: Hypoxia can cause restlessness; airway and oxygenation are
priority.
