ATI RN Fundamentals – Proctored 2026
Exam (3 Versions) | Verified Questions &
Answers | NGN-Style
Q001:
Type: NGN - Extended Multiple Response
Scenario Context: Mr. Delgado, 72 y, day 1 right hemicolectomy, morphine PCA, wants
to dangle.
Question: Which findings require the nurse to delay dangling? Select ALL.
Options:
A. SBP drop 22 mmHg from baseline
B. Patient pain 5/10
C. 180 mL serosanguinous in Jackson-Pratt 8 h
D. Reports “I feel light-headed.”
E. O₂ sat 92 % on 2 L NC
F. HR 110 sinus rhythm
(Correct: A, C, D)
Rationale:
, ● Answer: A, C, D
● Why (2026 Standard): Orthostatic drop ≥20 mmHg, drain output >100 mL/h risk
hypovolemia, dizziness signals presyncope.
● Errors: B—5/10 acceptable; E—92 % adequate; F—tachycardia alone not delay if
stable.
Q002:
Type: NGN - Matrix
Scenario Context: Same patient cleared to ambulate.
Question: Match action to rationale for safe first ambulation.
Matrix:
Row 1: Apply non-skid socks
Row 2: Dangle 2 min
Row 3: Encourage slow deep breaths while walking
Row 4: Use rolling IV pole
Columns: A. Prevent fall, B. Reduce orthostatic drop, C. Minimize atelectasis, D.
Maintain line patency
(Correct: Row1-A, Row2-B, Row3-C, Row4-D)
Rationale:
● Answer: As above
● Why (2026 Standard): Standardized safety bundle reduces post-op complications.
● Errors: Any cross-linkage misaligns intervention with physiologic goal.
Q003:
,Type: Traditional
Scenario Context: New admit NPO midnight for OR.
Question: Priority when obtaining pre-op vitals?
Options:
A. Compare with baseline
B. Record within 3 min
C. Report temp 37.1 °C
D. Recheck if BP 140/86
(Correct: A)
Rationale:
● Answer: A
● Why (2026 Standard): Trend recognition guides anesthesia plan.
● Errors: B—timing flexible; C—afebrile; D—isolated mild HTN not critical.
Q004:
Type: NGN - Bowtie
Scenario Context: 6-day-old infant, circumcision site yellow drainage, mother anxious.
Left: Interpretation; Center: Action; Right: Risk.
Left: A. Normal healing, B. Infection, C. Ammonia burn, D. Dehiscence
Center: 1. Culture site, 2. Apply petroleum gauze, 3. Teach normal, 4. Give
acetaminophen
, Right: i. Sepsis, ii. Bleeding, iii. Adhesions, iv. Pain
(Correct: B-1-i)
Rationale:
● Answer: B-1-i
● Why (2026 Standard): Yellow exudate after 24 h suggests bacterial colonization;
culture guides therapy; neonates progress to sepsis rapidly.
● Errors: Others delay treatment or misidentify.
Q005:
Type: NGN - Drag-and-Drop (Sequence)
Scenario Context: Nurse preparing intermittent NG feeding.
Question: Place steps to verify placement before feeding.
Drag items: Aspirate fluid, Measure pH, Check external mark, Ask patient to speak,
Flush 30 mL
(Correct Sequence: Ask to speak → Check mark → Aspirate → pH → Flush)
Rationale:
● Answer: Sequence above
● Why (2026 Standard): Speaking rules out tracheal placement first; pH ≤5.5 best
bedside indicator.
● Errors: Flushing before confirmation risks pulmonary aspiration.
Q006:
Type: Traditional
Scenario Context: Patient on warfarin, INR 5.2.
Exam (3 Versions) | Verified Questions &
Answers | NGN-Style
Q001:
Type: NGN - Extended Multiple Response
Scenario Context: Mr. Delgado, 72 y, day 1 right hemicolectomy, morphine PCA, wants
to dangle.
Question: Which findings require the nurse to delay dangling? Select ALL.
Options:
A. SBP drop 22 mmHg from baseline
B. Patient pain 5/10
C. 180 mL serosanguinous in Jackson-Pratt 8 h
D. Reports “I feel light-headed.”
E. O₂ sat 92 % on 2 L NC
F. HR 110 sinus rhythm
(Correct: A, C, D)
Rationale:
, ● Answer: A, C, D
● Why (2026 Standard): Orthostatic drop ≥20 mmHg, drain output >100 mL/h risk
hypovolemia, dizziness signals presyncope.
● Errors: B—5/10 acceptable; E—92 % adequate; F—tachycardia alone not delay if
stable.
Q002:
Type: NGN - Matrix
Scenario Context: Same patient cleared to ambulate.
Question: Match action to rationale for safe first ambulation.
Matrix:
Row 1: Apply non-skid socks
Row 2: Dangle 2 min
Row 3: Encourage slow deep breaths while walking
Row 4: Use rolling IV pole
Columns: A. Prevent fall, B. Reduce orthostatic drop, C. Minimize atelectasis, D.
Maintain line patency
(Correct: Row1-A, Row2-B, Row3-C, Row4-D)
Rationale:
● Answer: As above
● Why (2026 Standard): Standardized safety bundle reduces post-op complications.
● Errors: Any cross-linkage misaligns intervention with physiologic goal.
Q003:
,Type: Traditional
Scenario Context: New admit NPO midnight for OR.
Question: Priority when obtaining pre-op vitals?
Options:
A. Compare with baseline
B. Record within 3 min
C. Report temp 37.1 °C
D. Recheck if BP 140/86
(Correct: A)
Rationale:
● Answer: A
● Why (2026 Standard): Trend recognition guides anesthesia plan.
● Errors: B—timing flexible; C—afebrile; D—isolated mild HTN not critical.
Q004:
Type: NGN - Bowtie
Scenario Context: 6-day-old infant, circumcision site yellow drainage, mother anxious.
Left: Interpretation; Center: Action; Right: Risk.
Left: A. Normal healing, B. Infection, C. Ammonia burn, D. Dehiscence
Center: 1. Culture site, 2. Apply petroleum gauze, 3. Teach normal, 4. Give
acetaminophen
, Right: i. Sepsis, ii. Bleeding, iii. Adhesions, iv. Pain
(Correct: B-1-i)
Rationale:
● Answer: B-1-i
● Why (2026 Standard): Yellow exudate after 24 h suggests bacterial colonization;
culture guides therapy; neonates progress to sepsis rapidly.
● Errors: Others delay treatment or misidentify.
Q005:
Type: NGN - Drag-and-Drop (Sequence)
Scenario Context: Nurse preparing intermittent NG feeding.
Question: Place steps to verify placement before feeding.
Drag items: Aspirate fluid, Measure pH, Check external mark, Ask patient to speak,
Flush 30 mL
(Correct Sequence: Ask to speak → Check mark → Aspirate → pH → Flush)
Rationale:
● Answer: Sequence above
● Why (2026 Standard): Speaking rules out tracheal placement first; pH ≤5.5 best
bedside indicator.
● Errors: Flushing before confirmation risks pulmonary aspiration.
Q006:
Type: Traditional
Scenario Context: Patient on warfarin, INR 5.2.
