Excel in the ATI RN Fundamentals Proctored Exam 2025 with this cutting-edge study guide, expertly designed to ensure guaranteed nursing success for students. This comprehensive resource offers a thorough exploration of foundational nursing concepts, including patient safety, infection control, health assessment, basic care and comfort, and nursing ethics. It features 100 meticulously crafted practice questions that align with the exam’s format, each accompanied by detailed rationales to deepen understanding and sharpen critical thinking skills. The guide also includes proven test-taking strategies to optimize preparation, enhance time management, and master NCLEX-style questions. Fully aligned with the 2025 ATI Fundamentals content outline, this study guide incorporates the latest evidence-based practices to provide robust exam readiness. Ideal for nursing students striving for excellence in their fundamentals coursework and proctored exams, this resource is an essential tool for academic achievement and professional preparedness.
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1. Post-Operative Wound Dehiscence (Evisceration)
Question:
A client who had abdominal surgery 24 hours ago reports a pulling sensation and pain in his
surgical incision. The nurse checks the client’s surgical wound and finds it separated with
viscera protruding. Which of the following interventions should the nurse perform? Select
all that apply.
A. Cover the area with saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abdomen
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine with his hips and knees bent
E. Offer the client a warm beverage, such as herbal tea
Correct Answers: A, D
Rationale:
• A: Moist sterile dressings prevent the exposed organs from drying out and reduce
infection risk.
• D: Flexing the hips and knees reduces abdominal muscle tension and pressure on
the wound.
• B/C/E: These are inappropriate—pressure and compression can worsen the
situation, and warm tea doesn’t address the emergent nature.
2. Delegation: RN to LPN – PCA Pump
Question:
An RN is assigning care tasks to an LPN. Which of the following tasks should the LPN
question?
A. Assisting a client who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen
C. Providing nasopharyngeal suctioning for a client with pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
Rationale:
Replacing PCA cartridges is a high-risk intervention requiring RN-level critical thinking and
responsibility. The other tasks fall within an LPN’s scope.
3. Delegation to AP: Reapplying a Condom Catheter
Question:
A nurse receives a shift report and is determining which tasks to assign to assistive
personnel (AP). Which task is appropriate to delegate?
A. Feeding a client admitted 24 hours ago with aspiration pneumonia
B. Reinforcing cane-walking technique with a client using a quad cane
C. Reapplying a condom catheter for a client with urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Rationale:
Application of a condom catheter is noninvasive and routine, suitable for AP. Options A, B,
and D require clinical judgment, teaching, or sterile technique.
Question:
A client who had abdominal surgery 24 hours ago reports a pulling sensation and pain in his
surgical incision. The nurse checks the client’s surgical wound and finds it separated with
viscera protruding. Which of the following interventions should the nurse perform? Select
all that apply.
A. Cover the area with saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abdomen
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine with his hips and knees bent
E. Offer the client a warm beverage, such as herbal tea
Correct Answers: A, D
Rationale:
• A: Moist sterile dressings prevent the exposed organs from drying out and reduce
infection risk.
• D: Flexing the hips and knees reduces abdominal muscle tension and pressure on
the wound.
• B/C/E: These are inappropriate—pressure and compression can worsen the
situation, and warm tea doesn’t address the emergent nature.
2. Delegation: RN to LPN – PCA Pump
Question:
An RN is assigning care tasks to an LPN. Which of the following tasks should the LPN
question?
A. Assisting a client who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen
C. Providing nasopharyngeal suctioning for a client with pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
Rationale:
Replacing PCA cartridges is a high-risk intervention requiring RN-level critical thinking and
responsibility. The other tasks fall within an LPN’s scope.
3. Delegation to AP: Reapplying a Condom Catheter
Question:
A nurse receives a shift report and is determining which tasks to assign to assistive
personnel (AP). Which task is appropriate to delegate?
A. Feeding a client admitted 24 hours ago with aspiration pneumonia
B. Reinforcing cane-walking technique with a client using a quad cane
C. Reapplying a condom catheter for a client with urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Rationale:
Application of a condom catheter is noninvasive and routine, suitable for AP. Options A, B,
and D require clinical judgment, teaching, or sterile technique.
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