2026 ATI RN Fundamentals – Proctored 2026
Actual Exam (3 Versions) | Verified Questions &
Answers | NGN-Style
Q001:
Type: NGN - Extended Multiple Response
Scenario Context: Ms. Alvarez, 68 y, day 2 post–open cholecystectomy, PCA
hydromorphone, wants to get up to the chair.
Question: Which assessments indicate the nurse should withhold ambulation at this
time? Select ALL that.
Options:
A. Orthostatic BP drop 24 mmHg SBP
B. Pain 4/10
C. 90 mL dark-red output in Jackson-Pratt bulb last 8 h
D. Patient states “I feel dizzy.”
E. Oxygen saturation 93 % on 2 L nasal cannula
F. Patient uses incentive spirometer 10×/h
(Correct: A, C, D)
Rationale:
, ● Answer: A, C, D
● Why (2026 Standard): A SBP drop ≥20 mmHg signals orthostatic intolerance;
dark-red drain output >50 mL/8 h suggests possible hemorrhage; self-reported
dizziness is a safety red-flag.
● Errors: B—4/10 pain is acceptable for activity; E—93 % is adequate for short
ambulation with O₂; F—good spirometry use is encouraged, not a
contraindication.
Q002:
Type: NGN - Matrix
Scenario Context: Same patient, now cleared for first ambulation.
Question: Match nursing action to rationale for safe ambulation.
Matrix:
Row 1: Apply non-skid footwear
Row 2: Dangle patient 2 min
Row 3: Encourage deep breaths while walking
Column A: Prevent orthostatic hypotension
Column B: Reduce fall risk
Column C: Minimize post-op atelectasis
(Correct: Row1-B, Row2-A, Row3-C)
Rationale:
● Answer: As above
, ● Why (2026 Standard): Non-skid footwear directly lowers fall risk; dangling allows
cardiovascular adjustment; walking deep breathing counters anesthesia-related
lung collapse.
● Errors: Any other pairing misaligns intervention with physiologic effect.
Q003:
Type: Traditional
Scenario Context: New admit, NPO for OR in 6 h.
Question: Priority when obtaining pre-op vital signs?
Options:
A. Compare with baseline
B. Document within 5 min
C. Report temperature 37.2 °C
D. Retake if HR 110
(Correct: A)
Rationale:
● Answer: A
● Why (2026 Standard): Trend analysis drives clinical decision; isolated values
require context.
● Errors: B—timing flexible; C—37.2 °C is afebrile; D—tachycardia may be valid
stress response.
Q004:
Type: NGN - Bowtie
Scenario Context: 5-day-old infant, circumsion site yellow exudate, mother worried.
, Question: Complete the bowtie: Left—Risk factors; Center—Nurse’s first action;
Right—Potential complication.
Options (Left): A. Ammonia diaper dermatitis, B. Normal healing, C. Infection, D.
Dehydration
Options (Center): 1. Apply petroleum gauze, 2. Culture site, 3. Teach normal findings, 4.
Offer oral glucose
Options (Right): i. Sepsis, ii. Bleeding, iii. Adhesions, iv. Parental anxiety
(Correct: Left-C, Center-2, Right-i)
Rationale:
● Answer: C-2-i
● Why (2026 Standard): Yellow exudate after 24 h is infection flag; culture guides
antibiotics; untreated can progress to sepsis in neonate.
● Errors: Other left options miss infectious cue; other centers delay treatment;
other rights are less acute.
Q005:
Type: NGN - Drag-and-Drop (Sequence)
Scenario Context: Adult requiring intermittent NG feeding.
Question: Place steps in order to verify tube placement before feeding.
Drag items:
1. Aspirate fluid
2. Measure pH
3. Check mark on tube
4. Ask patient to speak
Actual Exam (3 Versions) | Verified Questions &
Answers | NGN-Style
Q001:
Type: NGN - Extended Multiple Response
Scenario Context: Ms. Alvarez, 68 y, day 2 post–open cholecystectomy, PCA
hydromorphone, wants to get up to the chair.
Question: Which assessments indicate the nurse should withhold ambulation at this
time? Select ALL that.
Options:
A. Orthostatic BP drop 24 mmHg SBP
B. Pain 4/10
C. 90 mL dark-red output in Jackson-Pratt bulb last 8 h
D. Patient states “I feel dizzy.”
E. Oxygen saturation 93 % on 2 L nasal cannula
F. Patient uses incentive spirometer 10×/h
(Correct: A, C, D)
Rationale:
, ● Answer: A, C, D
● Why (2026 Standard): A SBP drop ≥20 mmHg signals orthostatic intolerance;
dark-red drain output >50 mL/8 h suggests possible hemorrhage; self-reported
dizziness is a safety red-flag.
● Errors: B—4/10 pain is acceptable for activity; E—93 % is adequate for short
ambulation with O₂; F—good spirometry use is encouraged, not a
contraindication.
Q002:
Type: NGN - Matrix
Scenario Context: Same patient, now cleared for first ambulation.
Question: Match nursing action to rationale for safe ambulation.
Matrix:
Row 1: Apply non-skid footwear
Row 2: Dangle patient 2 min
Row 3: Encourage deep breaths while walking
Column A: Prevent orthostatic hypotension
Column B: Reduce fall risk
Column C: Minimize post-op atelectasis
(Correct: Row1-B, Row2-A, Row3-C)
Rationale:
● Answer: As above
, ● Why (2026 Standard): Non-skid footwear directly lowers fall risk; dangling allows
cardiovascular adjustment; walking deep breathing counters anesthesia-related
lung collapse.
● Errors: Any other pairing misaligns intervention with physiologic effect.
Q003:
Type: Traditional
Scenario Context: New admit, NPO for OR in 6 h.
Question: Priority when obtaining pre-op vital signs?
Options:
A. Compare with baseline
B. Document within 5 min
C. Report temperature 37.2 °C
D. Retake if HR 110
(Correct: A)
Rationale:
● Answer: A
● Why (2026 Standard): Trend analysis drives clinical decision; isolated values
require context.
● Errors: B—timing flexible; C—37.2 °C is afebrile; D—tachycardia may be valid
stress response.
Q004:
Type: NGN - Bowtie
Scenario Context: 5-day-old infant, circumsion site yellow exudate, mother worried.
, Question: Complete the bowtie: Left—Risk factors; Center—Nurse’s first action;
Right—Potential complication.
Options (Left): A. Ammonia diaper dermatitis, B. Normal healing, C. Infection, D.
Dehydration
Options (Center): 1. Apply petroleum gauze, 2. Culture site, 3. Teach normal findings, 4.
Offer oral glucose
Options (Right): i. Sepsis, ii. Bleeding, iii. Adhesions, iv. Parental anxiety
(Correct: Left-C, Center-2, Right-i)
Rationale:
● Answer: C-2-i
● Why (2026 Standard): Yellow exudate after 24 h is infection flag; culture guides
antibiotics; untreated can progress to sepsis in neonate.
● Errors: Other left options miss infectious cue; other centers delay treatment;
other rights are less acute.
Q005:
Type: NGN - Drag-and-Drop (Sequence)
Scenario Context: Adult requiring intermittent NG feeding.
Question: Place steps in order to verify tube placement before feeding.
Drag items:
1. Aspirate fluid
2. Measure pH
3. Check mark on tube
4. Ask patient to speak
