ATI RN Fundamentals Proctored Exam 2026 — Complete Study Guide with NGN Questions

The ATI RN Fundamentals Proctored Exam is a key assessment in nursing programs. Here is the complete 2026 study guide with real exam questions and NGN format practice. ## Key ATI Fundamentals Topics **Delegation — Most Tested** Q: Can an RN delegate tracheostomy care to an LPN for a client with pneumonia? A: Yes — tracheostomy care is within LPN scope of practice. Q: A nurse has 4 clients. Which task can be assigned to an AP? A: Reapplying a condom catheter — noninvasive routine procedure appropriate for AP delegation. **The 5 Rights of Delegation** 1. Right task 2. Right circumstances 3. Right person 4. Right direction/communication 5. Right supervision/evaluation Note: NOT right client or right time — those are rights of medication administration! **Priority Setting** Q: Which client should be seen first? - Always use ABC framework — Airway, Breathing, Circulation - Actual problems before potential problems - Unstable before stable clients - New symptoms before chronic symptoms **Infection Control** - Standard precautions for all clients - Contact precautions: C-diff, MRSA, wound infections - Droplet precautions: influenza, meningitis, pertussis - Airborne precautions: TB, measles, varicella **Wound Care** - Clean wounds: healing by primary intention - Infected wounds: healing by secondary intention - Stage 1 pressure injury: intact skin, non-blanchable redness - Stage 2: partial thickness loss, shallow open ulcer - Stage 3: full thickness loss, subcutaneous tissue visible - Stage 4: full thickness loss, bone/tendon/muscle exposed ## NGN Format Practice Questions **Bow-tie question example:** A nurse is caring for a postoperative client. VS: BP 88/60, HR 118, RR 22, O2 sat 94%. - Most likely condition: Hypovolemic shock - Priority action: Increase IV fluid rate and notify provider - Parameters to monitor: BP, HR, urine output, mental status ## Lab Values for ATI Fundamentals - Hemoglobin: Male 14-18, Female 12-16 g/dL - Hematocrit: Male 42-52%, Female 37-47% - WBC: 5,000-10,000/mm3 - Platelets: 150,000-400,000/mm3 - PT/INR: 11-12.5 seconds / 0.8-1.1 Browse ATI Fundamentals verified exam questions on Studyrift — pass on your first attempt! 📚