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,ATI RN Fundamentals 2023-2025 Proctored Exam with NGN 70 Questions $ Answers # 2025 RN ATI Fundamentals Nursing Proctored Exam with NGN 70 Questions and Answer
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Below>>>>> Not>>>> Part>>>> of>>> the>>>>
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1. A 70-year-old patient with chronic obstructive pulmonary disease (COPD) presents to the
emergency department with severe dyspnea, wheezing, and a productive cough. Vital
signs reveal BP 142/88 mmHg, HR 128 bpm, RR 34/min, and SpO₂ 83% on room air.
Which nursing intervention should be implemented first?
A. Administer prescribed short-acting bronchodilator via nebulizer immediately.
B. Encourage the patient to perform pursed-lip breathing exercises.
C. Place the patient in a supine position with legs elevated.
D. Teach the patient about long-term inhaled corticosteroid therapy.
,ATI RN Fundamentals 2023-2025 Proctored Exam with NGN 70 Questions $ Answers # 2025 RN ATI Fundamentals Nursing Proctored Exam with NGN 70 Questions and Answer
beacons.ai/legitnursingexams
Answer: A. Administer prescribed short-acting bronchodilator via nebulizer immediately.
Rationale: The patient is experiencing an acute COPD exacerbation with hypoxemia and
increased work of breathing. Immediate administration of a bronchodilator relaxes bronchial
smooth muscles, improves airflow, and enhances oxygenation. Pursed-lip breathing and patient
education are supportive but do not address the acute airway obstruction. Supine positioning may
worsen dyspnea. Prompt intervention stabilizes respiratory status, prevents respiratory failure,
and improves patient comfort, making it the priority action.
2. A patient receiving chemotherapy develops fever of 39.6°C, hypotension of 90/56
mmHg, and tachycardia of 120 bpm. Laboratory results indicate WBC count of 0.6
×10³/μL. Which nursing intervention should be implemented first?
A. Administer prescribed antipyretics and encourage oral fluids.
B. Place the patient in isolation and administer broad-spectrum antibiotics immediately.
C. Encourage ambulation to prevent complications.
D. Schedule a follow-up WBC count for the next day.
Answer: B. Place the patient in isolation and administer broad-spectrum antibiotics immediately.
Rationale: The patient exhibits neutropenic fever, a medical emergency due to
immunosuppression. Immediate isolation prevents infection transmission, and rapid
administration of broad-spectrum antibiotics addresses the high risk of sepsis and organ failure.
Supportive measures such as antipyretics or ambulation are insufficient. Delayed testing does not
mitigate the immediate life-threatening risk. Prompt intervention is critical to reduce morbidity
and mortality in immunocompromised patients.
3. A patient with type 1 diabetes mellitus presents with confusion, diaphoresis, tremors, and
a blood glucose level of 34 mg/dL. Which nursing intervention should be implemented
first?
A. Administer oral hypoglycemic medications.
B. Provide 15 grams of fast-acting carbohydrate orally if the patient is alert.
, ATI RN Fundamentals 2023-2025 Proctored Exam with NGN 70 Questions $ Answers # 2025 RN ATI Fundamentals Nursing Proctored Exam with NGN 70 Questions and Answer
beacons.ai/legitnursingexams
C. Encourage the patient to perform physical activity.
D. Schedule a fasting glucose test for the following day.
Answer: B. Provide 15 grams of fast-acting carbohydrate orally if the patient is alert.
Rationale: The patient exhibits hypoglycemia, a life-threatening emergency. Immediate
administration of fast-acting carbohydrates raises blood glucose rapidly, reversing symptoms and
preventing progression to seizures, unconsciousness, or coma. Oral hypoglycemic medications or
physical activity would worsen hypoglycemia, and delayed testing does not address the acute
risk. Prompt intervention stabilizes the patient and prevents serious complications.
4. A patient with acute myocardial infarction reports severe chest pain, diaphoresis, and
shortness of breath. Vital signs are BP 86/54 mmHg, HR 122 bpm, and SpO₂ 89% on
room air. Which nursing intervention should the nurse implement first?
A. Administer prescribed sublingual nitroglycerin immediately.
B. Place the patient on continuous cardiac monitoring and administer supplemental oxygen.
C. Prepare the patient for discharge with pain medication.
D. Encourage the patient to ambulate to improve circulation.
Answer: B. Place the patient on continuous cardiac monitoring and administer supplemental
oxygen.
Rationale: The patient exhibits hemodynamic instability and hypoxemia related to acute
myocardial infarction. Continuous cardiac monitoring allows immediate detection of
arrhythmias, and supplemental oxygen improves tissue oxygenation. Nitroglycerin
administration may worsen hypotension and should be given cautiously. Discharge and
ambulation are inappropriate in this critical stage. Early monitoring and oxygen therapy stabilize
the patient and allow safe administration of additional interventions to reduce cardiac workload
and improve outcomes.
,ATI RN Fundamentals 2023-2025 Proctored Exam with NGN 70 Questions $ Answers # 2025 RN ATI Fundamentals Nursing Proctored Exam with NGN 70 Questions and Answer
beacons.ai/legitnursingexams
Below>>>>> Not>>>> Part>>>> of>>> the>>>>
Screenshots>>>IGNORE>>
1. A 70-year-old patient with chronic obstructive pulmonary disease (COPD) presents to the
emergency department with severe dyspnea, wheezing, and a productive cough. Vital
signs reveal BP 142/88 mmHg, HR 128 bpm, RR 34/min, and SpO₂ 83% on room air.
Which nursing intervention should be implemented first?
A. Administer prescribed short-acting bronchodilator via nebulizer immediately.
B. Encourage the patient to perform pursed-lip breathing exercises.
C. Place the patient in a supine position with legs elevated.
D. Teach the patient about long-term inhaled corticosteroid therapy.
,ATI RN Fundamentals 2023-2025 Proctored Exam with NGN 70 Questions $ Answers # 2025 RN ATI Fundamentals Nursing Proctored Exam with NGN 70 Questions and Answer
beacons.ai/legitnursingexams
Answer: A. Administer prescribed short-acting bronchodilator via nebulizer immediately.
Rationale: The patient is experiencing an acute COPD exacerbation with hypoxemia and
increased work of breathing. Immediate administration of a bronchodilator relaxes bronchial
smooth muscles, improves airflow, and enhances oxygenation. Pursed-lip breathing and patient
education are supportive but do not address the acute airway obstruction. Supine positioning may
worsen dyspnea. Prompt intervention stabilizes respiratory status, prevents respiratory failure,
and improves patient comfort, making it the priority action.
2. A patient receiving chemotherapy develops fever of 39.6°C, hypotension of 90/56
mmHg, and tachycardia of 120 bpm. Laboratory results indicate WBC count of 0.6
×10³/μL. Which nursing intervention should be implemented first?
A. Administer prescribed antipyretics and encourage oral fluids.
B. Place the patient in isolation and administer broad-spectrum antibiotics immediately.
C. Encourage ambulation to prevent complications.
D. Schedule a follow-up WBC count for the next day.
Answer: B. Place the patient in isolation and administer broad-spectrum antibiotics immediately.
Rationale: The patient exhibits neutropenic fever, a medical emergency due to
immunosuppression. Immediate isolation prevents infection transmission, and rapid
administration of broad-spectrum antibiotics addresses the high risk of sepsis and organ failure.
Supportive measures such as antipyretics or ambulation are insufficient. Delayed testing does not
mitigate the immediate life-threatening risk. Prompt intervention is critical to reduce morbidity
and mortality in immunocompromised patients.
3. A patient with type 1 diabetes mellitus presents with confusion, diaphoresis, tremors, and
a blood glucose level of 34 mg/dL. Which nursing intervention should be implemented
first?
A. Administer oral hypoglycemic medications.
B. Provide 15 grams of fast-acting carbohydrate orally if the patient is alert.
, ATI RN Fundamentals 2023-2025 Proctored Exam with NGN 70 Questions $ Answers # 2025 RN ATI Fundamentals Nursing Proctored Exam with NGN 70 Questions and Answer
beacons.ai/legitnursingexams
C. Encourage the patient to perform physical activity.
D. Schedule a fasting glucose test for the following day.
Answer: B. Provide 15 grams of fast-acting carbohydrate orally if the patient is alert.
Rationale: The patient exhibits hypoglycemia, a life-threatening emergency. Immediate
administration of fast-acting carbohydrates raises blood glucose rapidly, reversing symptoms and
preventing progression to seizures, unconsciousness, or coma. Oral hypoglycemic medications or
physical activity would worsen hypoglycemia, and delayed testing does not address the acute
risk. Prompt intervention stabilizes the patient and prevents serious complications.
4. A patient with acute myocardial infarction reports severe chest pain, diaphoresis, and
shortness of breath. Vital signs are BP 86/54 mmHg, HR 122 bpm, and SpO₂ 89% on
room air. Which nursing intervention should the nurse implement first?
A. Administer prescribed sublingual nitroglycerin immediately.
B. Place the patient on continuous cardiac monitoring and administer supplemental oxygen.
C. Prepare the patient for discharge with pain medication.
D. Encourage the patient to ambulate to improve circulation.
Answer: B. Place the patient on continuous cardiac monitoring and administer supplemental
oxygen.
Rationale: The patient exhibits hemodynamic instability and hypoxemia related to acute
myocardial infarction. Continuous cardiac monitoring allows immediate detection of
arrhythmias, and supplemental oxygen improves tissue oxygenation. Nitroglycerin
administration may worsen hypotension and should be given cautiously. Discharge and
ambulation are inappropriate in this critical stage. Early monitoring and oxygen therapy stabilize
the patient and allow safe administration of additional interventions to reduce cardiac workload
and improve outcomes.
