ATI RN FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE STUDIES)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
passing score Guarantee
70 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN)
and Case studies questions
Expert-Verified Explanations & Solutions
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Q1. (NGN/Case Study: Chemotherapy Client)
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A nurse is caring for a female client who is receiving chemotherapy for breast
cancer. Her laboratory results for Week 2 indicate:
• Hematocrit: 37%
• Hemoglobin: 12 g/dL
• WBC count: 6,000/mm³
• Platelet count: 100,000/mm³
• Potassium: 3.6 mEq/L
Which laboratory value places the client at greatest risk for bleeding?
A. Hemoglobin of 12 g/dL
B. Potassium of 3.6 mEq/L
C. Hematocrit of 37%
D. Platelet count of 100,000/mm³
Answer: D
Expert-Verified Explanation:
• A platelet count of 100,000/mm³ is below the normal range (150,000 to
400,000/mm³), indicating thrombocytopenia and an increased risk of
bleeding.
,• Other values, although slightly lower than previous, remain within or near
normal limits.
• Platelets are essential to clot formation, so their significant drop is critical.
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Q2.
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A nurse is caring for a client who asks about the purpose of advance
directives. Which of the following statements by the nurse is best?
A. “They allow you to choose a guardian for your children.”
B. “They provide a financial plan for estate distribution.”
C. “They indicate the form of treatment a client is willing to accept in the event
of a serious illness.”
D. “They ensure that the hospital does not resuscitate you under any
circumstance.”
Answer: C
Expert-Verified Explanation:
• Advance directives guide healthcare decisions when a client cannot speak
for themselves.
• While they can include DNR orders, the main purpose is outlining a client’s
healthcare wishes.
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Q3.
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A nurse is caring for a client who has recently started using a behind-the-ear
hearing aid. Which of the following statements by the client indicates correct
understanding of its use?
A. “I will wear my hearing aid while swimming to hear pool instructions.”
B. “I will leave it on while washing my hair so I don’t miss anything.”
C. “I will be sure to remove my hearing aid before taking a shower.”
D. “I’ll turn the volume to the highest setting to compensate for background
noise.”
Answer: C
Expert-Verified Explanation:
• Hearing aids are not waterproof; removing them prevents water damage.
• Excessive volume can cause feedback and further hearing damage.
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Q4.
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A nurse is evaluating a client’s use of a cane. Which action indicates correct
use?
,A. The client moves the cane on the weaker side of the body first.
B. The client holds the cane on the stronger side of the body.
C. The client advances the cane simultaneously with the stronger leg.
D. The client uses the cane to bear weight on both legs equally.
Answer: B
Expert-Verified Explanation:
• Proper technique: hold the cane on the stronger (unaDected) side and move
it forward along with the aDected (weaker) leg.
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Q5.
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A nurse is caring for a group of clients. Which of the following infection control
actions should the nurse take to prevent the spread of infection?
A. Place a client who has tuberculosis in a positive-pressure airflow room.
B. Place a client who has tuberculosis in a room with negative-pressure
airflow.
C. Allow a client with tuberculosis to remain in a semiprivate room with the
door open.
D. Wear gloves only when administering medications to a client with an
infection.
,Answer: B
Expert-Verified Explanation:
• Tuberculosis requires airborne precautions in a negative-pressure airflow
room to prevent contaminated air from escaping to adjacent areas.
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Q6.
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A nurse is administering an otic medication to an older adult client. Which of
the following actions ensures that the medication reaches the inner ear?
A. Pull the pinna up and back, then tilt the client’s head forward.
B. Press gently on the tragus of the client’s ear after instillation.
C. Insert cotton into the ear canal for 5 minutes.
D. Place the dropper at a 90° angle directly into the ear canal.
Answer: B
Expert-Verified Explanation:
• Gently pressing the tragus of the ear aids in distributing the medication into
the ear canal.
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Q7. (NGN: Focused Assessment)
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A nurse is assessing an older adult client’s risk for falls. Which of the following
vision assessments should the nurse use to identify this client’s safety needs?
A. Snellen chart for visual acuity
B. Assessment of pupil clarity, visual fields, and visual acuity
C. Intraocular pressure testing for glaucoma
D. Color blindness testing
Answer: B
Expert-Verified Explanation:
• Older adults often need assessment for pupil clarity (cataracts), visual field
deficits, and overall visual acuity to reduce fall risk.
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Q8.
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A nurse is caring for a client who has decreased mobility. Which action should
the nurse take to decrease the risk of plantar flexion contractures?
A. Place a pillow directly under the knees at all times.
B. Instruct the client to flex and extend the feet every 4 hours.
C. Apply an ankle-foot orthotic device to the client’s feet.
D. Encourage the client to remain in high-Fowler’s position as tolerated.
, Answer: C
Expert-Verified Explanation:
• Ankle-foot orthotics (boots or splints) help maintain dorsiflexion, preventing
plantar flexion contractures.
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Q9.
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A nurse in a clinic is caring for a middle adult client with an average risk for
colon cancer who asks, “What does routine screening for colon cancer
involve?” Which of the following responses is correct?
A. “You should have a barium enema done every year.”
B. “You should have a fecal occult blood test every year.”
C. “You should have a colonoscopy only if you have symptoms.”
D. “You should only have a screening if a family member had colon cancer.”
Answer: B
Expert-Verified Explanation:
• Adults with average risk typically need an annual fecal occult blood test plus
a colonoscopy at recommended intervals, often every 10 years starting
around age 45–50.
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE STUDIES)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
passing score Guarantee
70 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN)
and Case studies questions
Expert-Verified Explanations & Solutions
,────────────────────────────────────────────────────────
Q1. (NGN/Case Study: Chemotherapy Client)
────────────────────────────────────────────────────────
A nurse is caring for a female client who is receiving chemotherapy for breast
cancer. Her laboratory results for Week 2 indicate:
• Hematocrit: 37%
• Hemoglobin: 12 g/dL
• WBC count: 6,000/mm³
• Platelet count: 100,000/mm³
• Potassium: 3.6 mEq/L
Which laboratory value places the client at greatest risk for bleeding?
A. Hemoglobin of 12 g/dL
B. Potassium of 3.6 mEq/L
C. Hematocrit of 37%
D. Platelet count of 100,000/mm³
Answer: D
Expert-Verified Explanation:
• A platelet count of 100,000/mm³ is below the normal range (150,000 to
400,000/mm³), indicating thrombocytopenia and an increased risk of
bleeding.
,• Other values, although slightly lower than previous, remain within or near
normal limits.
• Platelets are essential to clot formation, so their significant drop is critical.
────────────────────────────────────────────────────────
Q2.
────────────────────────────────────────────────────────
A nurse is caring for a client who asks about the purpose of advance
directives. Which of the following statements by the nurse is best?
A. “They allow you to choose a guardian for your children.”
B. “They provide a financial plan for estate distribution.”
C. “They indicate the form of treatment a client is willing to accept in the event
of a serious illness.”
D. “They ensure that the hospital does not resuscitate you under any
circumstance.”
Answer: C
Expert-Verified Explanation:
• Advance directives guide healthcare decisions when a client cannot speak
for themselves.
• While they can include DNR orders, the main purpose is outlining a client’s
healthcare wishes.
,────────────────────────────────────────────────────────
Q3.
────────────────────────────────────────────────────────
A nurse is caring for a client who has recently started using a behind-the-ear
hearing aid. Which of the following statements by the client indicates correct
understanding of its use?
A. “I will wear my hearing aid while swimming to hear pool instructions.”
B. “I will leave it on while washing my hair so I don’t miss anything.”
C. “I will be sure to remove my hearing aid before taking a shower.”
D. “I’ll turn the volume to the highest setting to compensate for background
noise.”
Answer: C
Expert-Verified Explanation:
• Hearing aids are not waterproof; removing them prevents water damage.
• Excessive volume can cause feedback and further hearing damage.
────────────────────────────────────────────────────────
Q4.
────────────────────────────────────────────────────────
A nurse is evaluating a client’s use of a cane. Which action indicates correct
use?
,A. The client moves the cane on the weaker side of the body first.
B. The client holds the cane on the stronger side of the body.
C. The client advances the cane simultaneously with the stronger leg.
D. The client uses the cane to bear weight on both legs equally.
Answer: B
Expert-Verified Explanation:
• Proper technique: hold the cane on the stronger (unaDected) side and move
it forward along with the aDected (weaker) leg.
────────────────────────────────────────────────────────
Q5.
────────────────────────────────────────────────────────
A nurse is caring for a group of clients. Which of the following infection control
actions should the nurse take to prevent the spread of infection?
A. Place a client who has tuberculosis in a positive-pressure airflow room.
B. Place a client who has tuberculosis in a room with negative-pressure
airflow.
C. Allow a client with tuberculosis to remain in a semiprivate room with the
door open.
D. Wear gloves only when administering medications to a client with an
infection.
,Answer: B
Expert-Verified Explanation:
• Tuberculosis requires airborne precautions in a negative-pressure airflow
room to prevent contaminated air from escaping to adjacent areas.
────────────────────────────────────────────────────────
Q6.
────────────────────────────────────────────────────────
A nurse is administering an otic medication to an older adult client. Which of
the following actions ensures that the medication reaches the inner ear?
A. Pull the pinna up and back, then tilt the client’s head forward.
B. Press gently on the tragus of the client’s ear after instillation.
C. Insert cotton into the ear canal for 5 minutes.
D. Place the dropper at a 90° angle directly into the ear canal.
Answer: B
Expert-Verified Explanation:
• Gently pressing the tragus of the ear aids in distributing the medication into
the ear canal.
────────────────────────────────────────────────────────
Q7. (NGN: Focused Assessment)
,────────────────────────────────────────────────────────
A nurse is assessing an older adult client’s risk for falls. Which of the following
vision assessments should the nurse use to identify this client’s safety needs?
A. Snellen chart for visual acuity
B. Assessment of pupil clarity, visual fields, and visual acuity
C. Intraocular pressure testing for glaucoma
D. Color blindness testing
Answer: B
Expert-Verified Explanation:
• Older adults often need assessment for pupil clarity (cataracts), visual field
deficits, and overall visual acuity to reduce fall risk.
────────────────────────────────────────────────────────
Q8.
────────────────────────────────────────────────────────
A nurse is caring for a client who has decreased mobility. Which action should
the nurse take to decrease the risk of plantar flexion contractures?
A. Place a pillow directly under the knees at all times.
B. Instruct the client to flex and extend the feet every 4 hours.
C. Apply an ankle-foot orthotic device to the client’s feet.
D. Encourage the client to remain in high-Fowler’s position as tolerated.
, Answer: C
Expert-Verified Explanation:
• Ankle-foot orthotics (boots or splints) help maintain dorsiflexion, preventing
plantar flexion contractures.
────────────────────────────────────────────────────────
Q9.
────────────────────────────────────────────────────────
A nurse in a clinic is caring for a middle adult client with an average risk for
colon cancer who asks, “What does routine screening for colon cancer
involve?” Which of the following responses is correct?
A. “You should have a barium enema done every year.”
B. “You should have a fecal occult blood test every year.”
C. “You should have a colonoscopy only if you have symptoms.”
D. “You should only have a screening if a family member had colon cancer.”
Answer: B
Expert-Verified Explanation:
• Adults with average risk typically need an annual fecal occult blood test plus
a colonoscopy at recommended intervals, often every 10 years starting
around age 45–50.
