ATI RN FUNDAMENTALS PROCTORED EXAM (NGN-Style Questions & Case Scenario) Actual Qs & Ans to Pass the Exam

ATI RN FUNDAMENTALS
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)

Actual Qs & Ans to Pass the Exam



This ATI test contains:
\ \ \ \



 passing\score\Guarantee
 70\Questions\with\Answers
 Format\Set\of\Multiple-choice
 questions\with\incorporating\Next\Generation\NCLEX\(NGN)\a
nd\Case\Scenario
 Expert-Verified\Explanations\&\Solutions

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1.\(NGN-Style:\Prioritization)
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CASE\SCENARIO:
A\nurse\in\a\medical-
surgical\unit\receives\shift\report\on\four\clients\who\have\abnormal\findings:
•\Client\A:\Newly\diagnosed\rheumatoid\arthritis\with\an\elevated\C-
reactive\protein\(CRP)\\
•\Client\B:\Hyperlipidemia\with\a\total\cholesterol\of\280\mg/dL\\
•\Client\C:\One\day\postoperative\with\oxygen\saturation\of\88%\\
•\Client\D:\Heart\failure\with\serum\potassium\of\3.1\mEq/L\\


QUESTION:
Using\the\airway,\breathing,\circulation\(ABC)\approach,\which\client\should\the\nurse\ass
ess\first?


A.\Client\A,\who\has\an\elevated\CRP\\
B.\Client\B,\who\has\high\cholesterol\\
C.\Client\C,\who\is\postoperative\and\has\an\O₂\saturation\of\88%\\
D.\Client\D,\who\has\heart\failure\and\hypokalemia\\


CORRECT\ANSWER:\\
C.\Client\C,\who\is\postoperative\and\has\an\O₂\saturation\of\88%.\\


EXPERT\EXPLANATION/RATIONALE:
•\An\oxygen\saturation\below\90-
95%\commonly\indicates\hypoxia\and\is\the\most\acute\concern\based\on\ABCs\(Airway\a
nd\Breathing).\\

,•\While\hypokalemia\(Client\D)\is\also\a\serious\finding,\it\is\addressed\after\ensuring\a\sta
ble\airway\and\breathing.\Elevated\CRP\(Client\A)\and\high\cholesterol\(Client\B)\pose\lon
ger-term\risks\but\are\not\as\immediately\life-threatening.


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2.\(NGN-Style:\Recognizing\Cues)
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CASE\SCENARIO:
A\nurse\is\caring\for\a\client\who\has\chronic\obstructive\pulmonary\disease\(COPD).\The\
nurse\reviews\the\client’s\most\recent\vital\signs\and\assessment\data:
•\Temperature:\101.4\°F\(38.6\°C)\\
•\Blood\Pressure:\122/76\mm\Hg\\
•\Heart\Rate:\90/min\\
•\Respirations:\24/min\\
•\Oxygen\Saturation:\88%\on\room\air\\


QUESTION:
Which\of\the\following\findings\requires\immediate\follow-up\by\the\nurse?


A.\Blood\pressure\of\122/76\mm\Hg\\
B.\Heart\rate\of\90/min\\
C.\Temperature\of\101.4\°F\(38.6\°C)\\
D.\Oxygen\saturation\of\88%\\


CORRECT\ANSWER:\\
D.\Oxygen\saturation\of\88%.\\


EXPERT\EXPLANATION/RATIONALE:

, •\COPD\clients\often\have\lower-than-
normal\oxygen\saturations,\but\88%\is\still\clinically\significant\and\indicates\hypoxia\requi
ring\prompt\nursing\intervention\(e.g.,\apply\prescribed\low-
flow\oxygen,\reassess\respiratory\status).\\
•\A\low-
grade\fever\(101.4\°F)\is\also\concerning\for\infection,\but\airway/breathing\problems\take\
priority\(ABCs).


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3.\(NGN-Style:\Priority\Action)
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CASE\SCENARIO:
A\client\comes\to\the\emergency\department\reporting\diffuse\abdominal\pain\and\constip
ation\for\several\days.\An\abdominal\x-ray\suggests\possible\fecal\impaction.\


QUESTION:
Which\of\the\following\interventions\is\the\nurse’s\priority\before\implementing\other\prescr
ibed\actions?


A.\Perform\a\cleansing\enema\as\prescribed.\\
B.\Place\the\client\in\a\left\side-lying\position\with\right\knee\flexed.\\
C.\Auscultate\bowel\sounds\in\each\quadrant.\\
D.\Prepare\the\client\for\manual\digital\removal\of\stool.\\


CORRECT\ANSWER:\\
C.\Auscultate\bowel\sounds\in\each\quadrant.\\


EXPERT\EXPLANATION/RATIONALE: