ATI Fundamentals Proctored Exam Review 2025: Practice Questions, Rationales, and Expert Tips for RN Nursing Students With 50 Questions

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Prepare for the 2025 ATI Fundamentals Proctored Exam with 50 practice questions, rationales, and expert tips tailored for RN nursing students.
Excel in the ATI Fundamentals Proctored Exam 2025 with this targeted review guide, specifically designed for RN nursing students. This resource includes 50 carefully crafted practice questions that cover foundational nursing concepts such as health promotion, infection control, patient safety, basic care and comfort, and nursing ethics. Each question is accompanied by detailed rationales to clarify key principles and enhance understanding, while expert tips provide practical strategies to improve test-taking skills and confidence. Updated to align with the 2025 ATI Fundamentals content outline, this review incorporates the latest evidence-based practices and nursing standards to ensure comprehensive preparation. Perfect for RN students seeking to solidify their foundational knowledge, this guide is an essential tool for mastering the exam and building a strong base for future nursing success.
Preview
1. Legal Issue – Negligence
Q: A nurse is collaborating with a risk management team about potential legal issues
involving client care. The nurse should identify which of the following situations is an
example of negligence?
A. A nurse administers a medication without first identifying the client
B. An assistive personnel discusses client care in the facility cafeteria with visitors present
C. ✅ A nurse begins a blood transfusion without obtaining consent
D. An assistive personnel prevents a client from leaving the facility
Rationale: Negligence involves failure to take proper care in doing something. Initiating a
blood transfusion without consent is a violation of the patient’s right to autonomy and
informed decision-making, and it constitutes a negligent act.
2. Informed Consent – Language Barrier
Q: A nurse is preparing to obtain informed consent from a client who speaks a different
language. Which of the following actions should the nurse take?
A. Request that an assistive personnel interpret the information for the client
B. Use proper medical terms when giving information to the client
C. ✅ Offer written information in the client’s language
D. Avoid using gestures when speaking to the client
Rationale: Written information in the client’s native language ensures understanding and
informed decision-making. Only qualified interpreters—not untrained staff—should be
used.
3. Insomnia Care
Q: A nurse is planning care for a client who reports insomnia. Which action should the
nurse perform shortly before bedtime?
A. ✅ Provide a late supper
B. Offer a wet washcloth for the client to wash her face
C. Perform range-of-motion exercises
D. Prepare hot cocoa or tea for the client
Rationale: A light snack before bedtime can help promote sleep. Foods containing
tryptophan or carbs (like a light supper) may aid in relaxation.

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