ATI RN FUNDAMENTALS PROCTORED EXAM 2025/2026
(NGN-Style Questions, Case Studies, Prioritization, and
Simulation – Full 130 Questions with Answers &
Rationales)PDF
Q1. A nurse is caring for a client with COPD. Which intervention is most
appropriate to promote effective breathing?
A) Encourage shallow breathing
B) Position the client in high-Fowler’s position
C) Limit fluid intake
D) Administer oxygen at 10 L/min via non-rebreather
Rationale: High-Fowler’s facilitates lung expansion. Oxygen must be
titrated to prescribed rates.
Q2. Which of the following are expected findings in a client with hypokalemia?
(Select all that apply)
A) Muscle weakness
B) Bradycardia
C) Hyporeflexia
D) Hyperactive bowel sounds
E) Flattened T waves on ECG
Rationale: Low potassium affects neuromuscular and cardiac function.
Q3. A client reports pain 8/10. Which action should the nurse take first?
A) Assess the characteristics and location of the pain
B) Administer the prescribed opioid
C) Document the pain score
D) Notify the provider
Rationale: Assessment guides appropriate intervention.
Q4. A nurse is teaching a client about proper hand hygiene. Which statement
indicates understanding?
A) “I will use hand sanitizer after removing gloves only.”
, B) “I should wash my hands with soap and water for at least 20 seconds
before and after client care.”
C) “Rubbing hands together for 5 seconds is sufficient.”
D) “Hand hygiene is only necessary when my hands look dirty.”
Rationale: Proper handwashing prevents healthcare-associated infections.
Q5. The nurse is administering a new medication. What is the first step in the
rights of medication administration?
A) Verify the client’s identity
B) Assess the client’s vital signs
C) Review the medication label
D) Prepare the medication
Rationale: Confirming identity prevents medication errors.
Q6. A nurse is caring for a client post-surgery. Which intervention reduces risk of
deep vein thrombosis (DVT)?
A) Encourage early ambulation
B) Limit fluid intake
C) Restrict leg movement
D) Administer PRN analgesics only
Rationale: Movement prevents venous stasis.
Q7. A nurse is caring for a client with a Foley catheter. Which action is correct to
prevent infection?
A) Keep the drainage bag below the bladder level
B) Disconnect tubing for repositioning
C) Empty the bag every 12 hours regardless of volume
D) Clean the catheter daily with alcohol
Rationale: Proper positioning and aseptic care prevent CAUTI.
Q8. Which vital sign change indicates early shock?
A) Tachycardia with hypotension possible later
B) Bradycardia with hypotension
C) Hypertension with bradypnea
D) Bradycardia with hyperthermia
Rationale: Compensatory mechanisms elevate heart rate first.
, Q9. A client has a blood glucose of 65 mg/dL and is symptomatic. What is the
first nursing action?
A) Provide 15 g of fast-acting carbohydrate orally
B) Administer insulin
C) Call the provider immediately
D) Obtain a hemoglobin A1C
Rationale: Hypoglycemia requires immediate treatment to prevent
complications.
Q10. A nurse is preparing to administer a subcutaneous injection. Which site is
appropriate?
A) Abdomen, 2 inches from umbilicus
B) Ventral forearm
C) Upper back
D) Dorsal hand
Rationale: Abdomen allows rapid absorption and is safe.
Case Study Questions
Case 1: Mr. Johnson, 68, postoperative day 1 following hip replacement. History
of hypertension and diabetes. Vital signs: BP 88/56 mmHg, HR 110 bpm, RR 24,
Temp 99°F, O₂ sat 92% on 2 L/min NC.
Q11. Which intervention is priority?
A) Assess for signs of bleeding and hypovolemia
B) Administer antipyretic
C) Elevate the foot of the bed
D) Encourage ambulation
Rationale: Hypotension with tachycardia post-op may indicate bleeding;
priority assessment is essential.
Q12. Labs: Hgb 8.2 g/dL, Hct 25%. Which action should the nurse anticipate?
A) Administer IV antibiotics
B) Prepare for possible blood transfusion
C) Increase oral intake
(NGN-Style Questions, Case Studies, Prioritization, and
Simulation – Full 130 Questions with Answers &
Rationales)PDF
Q1. A nurse is caring for a client with COPD. Which intervention is most
appropriate to promote effective breathing?
A) Encourage shallow breathing
B) Position the client in high-Fowler’s position
C) Limit fluid intake
D) Administer oxygen at 10 L/min via non-rebreather
Rationale: High-Fowler’s facilitates lung expansion. Oxygen must be
titrated to prescribed rates.
Q2. Which of the following are expected findings in a client with hypokalemia?
(Select all that apply)
A) Muscle weakness
B) Bradycardia
C) Hyporeflexia
D) Hyperactive bowel sounds
E) Flattened T waves on ECG
Rationale: Low potassium affects neuromuscular and cardiac function.
Q3. A client reports pain 8/10. Which action should the nurse take first?
A) Assess the characteristics and location of the pain
B) Administer the prescribed opioid
C) Document the pain score
D) Notify the provider
Rationale: Assessment guides appropriate intervention.
Q4. A nurse is teaching a client about proper hand hygiene. Which statement
indicates understanding?
A) “I will use hand sanitizer after removing gloves only.”
, B) “I should wash my hands with soap and water for at least 20 seconds
before and after client care.”
C) “Rubbing hands together for 5 seconds is sufficient.”
D) “Hand hygiene is only necessary when my hands look dirty.”
Rationale: Proper handwashing prevents healthcare-associated infections.
Q5. The nurse is administering a new medication. What is the first step in the
rights of medication administration?
A) Verify the client’s identity
B) Assess the client’s vital signs
C) Review the medication label
D) Prepare the medication
Rationale: Confirming identity prevents medication errors.
Q6. A nurse is caring for a client post-surgery. Which intervention reduces risk of
deep vein thrombosis (DVT)?
A) Encourage early ambulation
B) Limit fluid intake
C) Restrict leg movement
D) Administer PRN analgesics only
Rationale: Movement prevents venous stasis.
Q7. A nurse is caring for a client with a Foley catheter. Which action is correct to
prevent infection?
A) Keep the drainage bag below the bladder level
B) Disconnect tubing for repositioning
C) Empty the bag every 12 hours regardless of volume
D) Clean the catheter daily with alcohol
Rationale: Proper positioning and aseptic care prevent CAUTI.
Q8. Which vital sign change indicates early shock?
A) Tachycardia with hypotension possible later
B) Bradycardia with hypotension
C) Hypertension with bradypnea
D) Bradycardia with hyperthermia
Rationale: Compensatory mechanisms elevate heart rate first.
, Q9. A client has a blood glucose of 65 mg/dL and is symptomatic. What is the
first nursing action?
A) Provide 15 g of fast-acting carbohydrate orally
B) Administer insulin
C) Call the provider immediately
D) Obtain a hemoglobin A1C
Rationale: Hypoglycemia requires immediate treatment to prevent
complications.
Q10. A nurse is preparing to administer a subcutaneous injection. Which site is
appropriate?
A) Abdomen, 2 inches from umbilicus
B) Ventral forearm
C) Upper back
D) Dorsal hand
Rationale: Abdomen allows rapid absorption and is safe.
Case Study Questions
Case 1: Mr. Johnson, 68, postoperative day 1 following hip replacement. History
of hypertension and diabetes. Vital signs: BP 88/56 mmHg, HR 110 bpm, RR 24,
Temp 99°F, O₂ sat 92% on 2 L/min NC.
Q11. Which intervention is priority?
A) Assess for signs of bleeding and hypovolemia
B) Administer antipyretic
C) Elevate the foot of the bed
D) Encourage ambulation
Rationale: Hypotension with tachycardia post-op may indicate bleeding;
priority assessment is essential.
Q12. Labs: Hgb 8.2 g/dL, Hct 25%. Which action should the nurse anticipate?
A) Administer IV antibiotics
B) Prepare for possible blood transfusion
C) Increase oral intake
