ATI RN Fundamentals Proctored Exam with NGN - 2026 Latest Update 70 Questions | A+ Graded
ATI RN FUNDAMENTALS PROCTORED ACTUAL EXAM
WITH NGN 70 QUESTIONS AND ANSWERS
Latest Update 2026 | All Questions Correctly Answered | A+ Graded
SECTION 1: Safe, Effective Care Environment
(Management of Care, Client Rights, Advocacy, Delegation, and Legal/Ethical Issues)
Q1: A nurse manager is preparing the client care assignment for the day shift. Which client should the nurse assign to a
licensed practical nurse (LPN)?
A. A client who is 12 hours postoperative following a total knee replacement and requires pain assessment
B. A client who was admitted with diabetic ketoacidosis and has an IV insulin drip running
C. A client who is 1 day post-myocardial infarction and is receiving a heparin infusion
D. A client who has a new diagnosis of heart failure and requires reinforcement of discharge teaching about fluid
restriction **[CORRECT]**
Correct Answer: D
Rationale: The RN should assign the client who requires reinforcement of previously initiated discharge teaching to an LPN, as
LPNs can reinforce teaching under RN supervision. Option A is incorrect because a client 12 hours postoperative requires
comprehensive pain assessment beyond the LPN scope. Option B is incorrect because a client with diabetic ketoacidosis on an IV
insulin drip requires continuous monitoring and titration, which is an RN responsibility. Option C is incorrect because a client 1 day
post-MI on a heparin infusion requires ongoing critical assessment within the RN scope.
Q2: A nurse is caring for a client who refuses a blood transfusion based on religious beliefs. Which action should the nurse
take first?
A. Notify the healthcare provider immediately
B. Document the client's refusal in the medical record
C. Ensure the client is informed of the consequences of refusing treatment **[CORRECT]**
D. Ask the client to sign an against-medical-advice (AMA) form
Correct Answer: C
Rationale: The nurse's first action is to ensure the client understands the consequences of refusing treatment, supporting the ethical
principle of informed consent and autonomy. Option A should occur after ensuring the client is fully informed. Option B
(documentation) should follow the interaction. Option D (signature) should occur only after the client has been fully informed of
risks.
Q3: A nurse is reviewing the medical record of a client who has an advance directive. Which statement indicates an
understanding of the document?
A. This document allows my family to make decisions for me when I am unable to communicate.
B. This document specifies the treatments I want or do not want if I become unable to make decisions.
**[CORRECT]**
C. This document is only valid when I am terminally ill with less than six months to live.
D. This document can only be changed by my healthcare provider.
Correct Answer: B
Rationale: An advance directive allows a competent adult to specify treatment preferences in the event they lose decision-making
capacity. Option A describes a durable power of attorney for healthcare. Option C is incorrect because advance directives are not
limited to terminal illness. Option D is incorrect because clients can change their advance directive at any time while competent.
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,ATI RN Fundamentals Proctored Exam with NGN - 2026 Latest Update 70 Questions | A+ Graded
Q4: A nurse is providing care to four clients. Which action should the nurse delegate to an unlicensed assistive personnel
(UAP)?
A. Measuring the output from a client's indwelling urinary catheter **[CORRECT]**
B. Assessing a client's incision following surgery
C. Teaching a client how to use an incentive spirometer
D. Evaluating a client's response to pain medication
Correct Answer: A
Rationale: Measuring urine output from an indwelling catheter is a routine, non-judgment task safely delegated to a UAP. Option
B requires clinical assessment skills within the RN scope. Option C (teaching) is an RN responsibility. Option D (evaluation)
requires nursing judgment within the RN scope of practice.
Q5: A nurse is caring for a client who reports pain at a level of 6 on a 0-to-10 scale. The nurse administers the prescribed
analgesic. Which method is most appropriate to evaluate the medication's effectiveness?
A. Ask the client to rate their pain 30 minutes after administering the medication **[CORRECT]**
B. Observe the client's facial expression for signs of relief
C. Check the client's vital signs for changes in heart rate and blood pressure
D. Review the client's medical record for previous pain scores
Correct Answer: A
Rationale: The gold standard for evaluating pain medication effectiveness is the client's self-report using the same numerical scale
after allowing adequate time for medication onset. Option B provides supplemental information only. Option C is unreliable
because vital sign changes are not consistent indicators of pain intensity. Option D reflects historical data, not current medication
response.
Q6: A charge nurse is making assignments. Which client should be assigned to a nurse who has been on the unit for 3
months?
A. A client who is receiving continuous EEG monitoring for seizure activity
B. A client who is being discharged home with a new ostomy
C. A client who is 2 days post-appendectomy and is preparing for discharge **[CORRECT]**
D. A client who was just admitted with a suspected pulmonary embolism
Correct Answer: C
Rationale: A client 2 days post-appendectomy preparing for discharge is stable and requires routine care appropriate for a newer
nurse. Option A requires specialized neurological monitoring skills. Option B requires advanced discharge teaching skills for a
complex new ostomy. Option D involves an unstable client requiring comprehensive critical assessment.
Q7: A nurse is preparing to transfer a client from the bed to a wheelchair. Which action demonstrates proper body
mechanics?
A. Place the wheelchair at a 90-degree angle to the bed on the client's stronger side
B. Keep the knees straight and bend at the waist when lifting the client
C. Position the wheelchair at a 45-degree angle to the bed and lock the brakes **[CORRECT]**
D. Twist at the waist while transferring the client to the wheelchair
Correct Answer: C
Rationale: The wheelchair should be at 45 degrees with brakes locked to facilitate the pivot transfer and ensure safety. Option A
makes the pivot more difficult. Option B increases the risk of back injury; the nurse should bend at the knees and hips. Option D is
a leading cause of back injury in nurses.
Q8: A nurse receives a telephone order from a healthcare provider. Which action should the nurse take first?
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, ATI RN Fundamentals Proctored Exam with NGN - 2026 Latest Update 70 Questions | A+ Graded
A. Read back the order to the provider for verification **[CORRECT]**
B. Document the order in the client's medical record
C. Implement the order immediately to prevent delay in treatment
D. Ask another nurse to witness the telephone order
Correct Answer: A
Rationale: The nurse should first read back the complete order for verification, ensuring accuracy before documenting or
implementing. Option B (documentation) occurs after verification. Option C could lead to errors if the order was misunderstood.
Option D may be facility policy but is secondary to verifying accuracy.
Q9: A nurse is caring for a client scheduled for surgery. The client states, "I am not sure I want to have this surgery." Which
response is most appropriate?
A. You should discuss your concerns with your surgeon before making a decision.
B. The surgery is necessary to treat your condition, so you should not cancel it.
C. I understand your concerns, but your doctor knows what is best for you.
D. Can you tell me more about what is making you feel uncertain about the surgery? **[CORRECT]**
Correct Answer: D
Rationale: An open-ended therapeutic communication technique is the most appropriate initial response because it encourages the
client to express concerns. Option A is appropriate but should follow exploration of feelings. Option B is directive and disregards
autonomy. Option C dismisses the client's feelings.
Q10: A nurse is reviewing a client's medical record and notes a do-not-resuscitate (DNR) order. Which action is
appropriate?
A. Remove the DNR order during a code situation if the family objects
B. Ensure the DNR order is clearly documented and accessible in the client's record **[CORRECT]**
C. Ask the client to reconsider the DNR order
D. Limit care provided to the client since a DNR order is in place
Correct Answer: B
Rationale: The nurse should ensure the DNR order is clearly documented and accessible. Option A is incorrect because a DNR
cannot be unilaterally removed. Option C is inappropriate because the nurse should not challenge a competent client's decision.
Option D is incorrect because DNR applies only to resuscitation; all other care continues.
Q11: A nurse is caring for a client who is experiencing an acute asthma attack. Which is the priority nursing action?
A. Administer the prescribed bronchodilator medication **[CORRECT]**
B. Obtain a complete health history from the client
C. Document the client's respiratory rate and oxygen saturation
D. Ask the client about previous asthma attacks
Correct Answer: A
Rationale: Using the ABC priority-setting framework, the nurse should first administer the prescribed bronchodilator to open the
airway and improve breathing. Option B is not the priority during acute respiratory distress. Option C (documentation) never takes
priority over a life-saving intervention. Option D can be addressed after stabilization.
Q12: A nurse is using SBAR to report a change in a client's condition. Which statement represents the R (Recommendation)
component?
A. The client's blood pressure is 88/56 mmHg, down from 120/80 mmHg.
B. The client reports feeling dizzy and has had two episodes of near-syncope.
C. I think the client may be experiencing internal bleeding and needs an urgent assessment. **[CORRECT]**
Page 3
ATI RN FUNDAMENTALS PROCTORED ACTUAL EXAM
WITH NGN 70 QUESTIONS AND ANSWERS
Latest Update 2026 | All Questions Correctly Answered | A+ Graded
SECTION 1: Safe, Effective Care Environment
(Management of Care, Client Rights, Advocacy, Delegation, and Legal/Ethical Issues)
Q1: A nurse manager is preparing the client care assignment for the day shift. Which client should the nurse assign to a
licensed practical nurse (LPN)?
A. A client who is 12 hours postoperative following a total knee replacement and requires pain assessment
B. A client who was admitted with diabetic ketoacidosis and has an IV insulin drip running
C. A client who is 1 day post-myocardial infarction and is receiving a heparin infusion
D. A client who has a new diagnosis of heart failure and requires reinforcement of discharge teaching about fluid
restriction **[CORRECT]**
Correct Answer: D
Rationale: The RN should assign the client who requires reinforcement of previously initiated discharge teaching to an LPN, as
LPNs can reinforce teaching under RN supervision. Option A is incorrect because a client 12 hours postoperative requires
comprehensive pain assessment beyond the LPN scope. Option B is incorrect because a client with diabetic ketoacidosis on an IV
insulin drip requires continuous monitoring and titration, which is an RN responsibility. Option C is incorrect because a client 1 day
post-MI on a heparin infusion requires ongoing critical assessment within the RN scope.
Q2: A nurse is caring for a client who refuses a blood transfusion based on religious beliefs. Which action should the nurse
take first?
A. Notify the healthcare provider immediately
B. Document the client's refusal in the medical record
C. Ensure the client is informed of the consequences of refusing treatment **[CORRECT]**
D. Ask the client to sign an against-medical-advice (AMA) form
Correct Answer: C
Rationale: The nurse's first action is to ensure the client understands the consequences of refusing treatment, supporting the ethical
principle of informed consent and autonomy. Option A should occur after ensuring the client is fully informed. Option B
(documentation) should follow the interaction. Option D (signature) should occur only after the client has been fully informed of
risks.
Q3: A nurse is reviewing the medical record of a client who has an advance directive. Which statement indicates an
understanding of the document?
A. This document allows my family to make decisions for me when I am unable to communicate.
B. This document specifies the treatments I want or do not want if I become unable to make decisions.
**[CORRECT]**
C. This document is only valid when I am terminally ill with less than six months to live.
D. This document can only be changed by my healthcare provider.
Correct Answer: B
Rationale: An advance directive allows a competent adult to specify treatment preferences in the event they lose decision-making
capacity. Option A describes a durable power of attorney for healthcare. Option C is incorrect because advance directives are not
limited to terminal illness. Option D is incorrect because clients can change their advance directive at any time while competent.
Page 1
,ATI RN Fundamentals Proctored Exam with NGN - 2026 Latest Update 70 Questions | A+ Graded
Q4: A nurse is providing care to four clients. Which action should the nurse delegate to an unlicensed assistive personnel
(UAP)?
A. Measuring the output from a client's indwelling urinary catheter **[CORRECT]**
B. Assessing a client's incision following surgery
C. Teaching a client how to use an incentive spirometer
D. Evaluating a client's response to pain medication
Correct Answer: A
Rationale: Measuring urine output from an indwelling catheter is a routine, non-judgment task safely delegated to a UAP. Option
B requires clinical assessment skills within the RN scope. Option C (teaching) is an RN responsibility. Option D (evaluation)
requires nursing judgment within the RN scope of practice.
Q5: A nurse is caring for a client who reports pain at a level of 6 on a 0-to-10 scale. The nurse administers the prescribed
analgesic. Which method is most appropriate to evaluate the medication's effectiveness?
A. Ask the client to rate their pain 30 minutes after administering the medication **[CORRECT]**
B. Observe the client's facial expression for signs of relief
C. Check the client's vital signs for changes in heart rate and blood pressure
D. Review the client's medical record for previous pain scores
Correct Answer: A
Rationale: The gold standard for evaluating pain medication effectiveness is the client's self-report using the same numerical scale
after allowing adequate time for medication onset. Option B provides supplemental information only. Option C is unreliable
because vital sign changes are not consistent indicators of pain intensity. Option D reflects historical data, not current medication
response.
Q6: A charge nurse is making assignments. Which client should be assigned to a nurse who has been on the unit for 3
months?
A. A client who is receiving continuous EEG monitoring for seizure activity
B. A client who is being discharged home with a new ostomy
C. A client who is 2 days post-appendectomy and is preparing for discharge **[CORRECT]**
D. A client who was just admitted with a suspected pulmonary embolism
Correct Answer: C
Rationale: A client 2 days post-appendectomy preparing for discharge is stable and requires routine care appropriate for a newer
nurse. Option A requires specialized neurological monitoring skills. Option B requires advanced discharge teaching skills for a
complex new ostomy. Option D involves an unstable client requiring comprehensive critical assessment.
Q7: A nurse is preparing to transfer a client from the bed to a wheelchair. Which action demonstrates proper body
mechanics?
A. Place the wheelchair at a 90-degree angle to the bed on the client's stronger side
B. Keep the knees straight and bend at the waist when lifting the client
C. Position the wheelchair at a 45-degree angle to the bed and lock the brakes **[CORRECT]**
D. Twist at the waist while transferring the client to the wheelchair
Correct Answer: C
Rationale: The wheelchair should be at 45 degrees with brakes locked to facilitate the pivot transfer and ensure safety. Option A
makes the pivot more difficult. Option B increases the risk of back injury; the nurse should bend at the knees and hips. Option D is
a leading cause of back injury in nurses.
Q8: A nurse receives a telephone order from a healthcare provider. Which action should the nurse take first?
Page 2
, ATI RN Fundamentals Proctored Exam with NGN - 2026 Latest Update 70 Questions | A+ Graded
A. Read back the order to the provider for verification **[CORRECT]**
B. Document the order in the client's medical record
C. Implement the order immediately to prevent delay in treatment
D. Ask another nurse to witness the telephone order
Correct Answer: A
Rationale: The nurse should first read back the complete order for verification, ensuring accuracy before documenting or
implementing. Option B (documentation) occurs after verification. Option C could lead to errors if the order was misunderstood.
Option D may be facility policy but is secondary to verifying accuracy.
Q9: A nurse is caring for a client scheduled for surgery. The client states, "I am not sure I want to have this surgery." Which
response is most appropriate?
A. You should discuss your concerns with your surgeon before making a decision.
B. The surgery is necessary to treat your condition, so you should not cancel it.
C. I understand your concerns, but your doctor knows what is best for you.
D. Can you tell me more about what is making you feel uncertain about the surgery? **[CORRECT]**
Correct Answer: D
Rationale: An open-ended therapeutic communication technique is the most appropriate initial response because it encourages the
client to express concerns. Option A is appropriate but should follow exploration of feelings. Option B is directive and disregards
autonomy. Option C dismisses the client's feelings.
Q10: A nurse is reviewing a client's medical record and notes a do-not-resuscitate (DNR) order. Which action is
appropriate?
A. Remove the DNR order during a code situation if the family objects
B. Ensure the DNR order is clearly documented and accessible in the client's record **[CORRECT]**
C. Ask the client to reconsider the DNR order
D. Limit care provided to the client since a DNR order is in place
Correct Answer: B
Rationale: The nurse should ensure the DNR order is clearly documented and accessible. Option A is incorrect because a DNR
cannot be unilaterally removed. Option C is inappropriate because the nurse should not challenge a competent client's decision.
Option D is incorrect because DNR applies only to resuscitation; all other care continues.
Q11: A nurse is caring for a client who is experiencing an acute asthma attack. Which is the priority nursing action?
A. Administer the prescribed bronchodilator medication **[CORRECT]**
B. Obtain a complete health history from the client
C. Document the client's respiratory rate and oxygen saturation
D. Ask the client about previous asthma attacks
Correct Answer: A
Rationale: Using the ABC priority-setting framework, the nurse should first administer the prescribed bronchodilator to open the
airway and improve breathing. Option B is not the priority during acute respiratory distress. Option C (documentation) never takes
priority over a life-saving intervention. Option D can be addressed after stabilization.
Q12: A nurse is using SBAR to report a change in a client's condition. Which statement represents the R (Recommendation)
component?
A. The client's blood pressure is 88/56 mmHg, down from 120/80 mmHg.
B. The client reports feeling dizzy and has had two episodes of near-syncope.
C. I think the client may be experiencing internal bleeding and needs an urgent assessment. **[CORRECT]**
Page 3
