ATI RN Fundamentals Proctored Exam – Version 3 (NGN
Style)
1. A nurse is caring for a patient who is postoperative day 1 following abdominal
surgery. The patient reports feeling a “pop” after coughing, and the nurse observes
wound edges separated with visible bowel loops. Which action should the nurse take
first?
A. Apply a dry sterile dressing
B. Place the patient in a supine position
C. Cover the wound with sterile saline-soaked gauze
D. Reapproximate the wound edges with tape
Correct Answer: C
2. A nurse is preparing to administer an enteral feeding through a nasogastric tube.
Which action should the nurse take first?
A. Flush the tube with 30 mL of water
B. Verify tube placement
C. Check gastric residual volume
D. Elevate the head of the bed to 30 degrees
, Correct Answer: B
3. A patient with a history of seizures is placed on seizure precautions. Which item
should be readily available at the bedside?
A. Suction equipment
B. Tongue blade
C. Restraints
D. Oxygen mask
Correct Answer: A
4. A nurse is performing a focused assessment on a patient who reports difficulty
swallowing. Which finding is most concerning?
A. Drooling
B. Gurgling vocalizations
C. Pocketing food in the cheek
D. Coughing after drinking water
Correct Answer: B
, 5. A nurse is calculating a patient’s fluid intake. The patient drank 8 oz of water, 6 oz of
coffee, and 4 oz of broth. How many mL should the nurse document?
A. 360 mL
B. 480 mL
C. 540 mL
D. 600 mL
Correct Answer: C
*Explanation: Total ounces = 8+6+4 = 18 oz. 18 × 30 mL/oz = 540 mL. Coffee and broth
are counted as fluids.*
6. A nurse is providing discharge teaching to a patient with a new prescription for home
oxygen. Which statement by the patient indicates understanding?
A. “I can use wool blankets to keep warm.”
B. “I will post ‘No Smoking’ signs in my home.”
C. “I can store oxygen tanks in the closet.”
D. “I will use petroleum jelly on my lips.”
Correct Answer: B
7. A nurse is assessing a patient’s capillary refill time. Which result is within expected
range?
A. 2 seconds
B. 4 seconds
C. 6 seconds
D. 8 seconds
Style)
1. A nurse is caring for a patient who is postoperative day 1 following abdominal
surgery. The patient reports feeling a “pop” after coughing, and the nurse observes
wound edges separated with visible bowel loops. Which action should the nurse take
first?
A. Apply a dry sterile dressing
B. Place the patient in a supine position
C. Cover the wound with sterile saline-soaked gauze
D. Reapproximate the wound edges with tape
Correct Answer: C
2. A nurse is preparing to administer an enteral feeding through a nasogastric tube.
Which action should the nurse take first?
A. Flush the tube with 30 mL of water
B. Verify tube placement
C. Check gastric residual volume
D. Elevate the head of the bed to 30 degrees
, Correct Answer: B
3. A patient with a history of seizures is placed on seizure precautions. Which item
should be readily available at the bedside?
A. Suction equipment
B. Tongue blade
C. Restraints
D. Oxygen mask
Correct Answer: A
4. A nurse is performing a focused assessment on a patient who reports difficulty
swallowing. Which finding is most concerning?
A. Drooling
B. Gurgling vocalizations
C. Pocketing food in the cheek
D. Coughing after drinking water
Correct Answer: B
, 5. A nurse is calculating a patient’s fluid intake. The patient drank 8 oz of water, 6 oz of
coffee, and 4 oz of broth. How many mL should the nurse document?
A. 360 mL
B. 480 mL
C. 540 mL
D. 600 mL
Correct Answer: C
*Explanation: Total ounces = 8+6+4 = 18 oz. 18 × 30 mL/oz = 540 mL. Coffee and broth
are counted as fluids.*
6. A nurse is providing discharge teaching to a patient with a new prescription for home
oxygen. Which statement by the patient indicates understanding?
A. “I can use wool blankets to keep warm.”
B. “I will post ‘No Smoking’ signs in my home.”
C. “I can store oxygen tanks in the closet.”
D. “I will use petroleum jelly on my lips.”
Correct Answer: B
7. A nurse is assessing a patient’s capillary refill time. Which result is within expected
range?
A. 2 seconds
B. 4 seconds
C. 6 seconds
D. 8 seconds
