FUNDAMENTALS
PROCTORED
EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Exam has 70 FUNDAMENTALS nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
, Some questions feature brief “scenario” elements and rationales.
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ATI RN RETAKE FUNDAMENTALS EXAMS
1. (Duplicate Scenario for Practice)
A nurse is caring for a post-operative client who needs a high-protein diet to promote wound
healing. The client’s religious practice prohibits consumption of certain meats during specific days.
Which of the following nursing actions is most appropriate?
A. Encourage the client to eat meat to speed recovery.
B. Advise the client to skip the meat and eat the rest of the meal.
C. Suggest high-protein enteral feedings be ordered.
D. Ask the dietitian to recommend alternative protein choices.
Answer: D. Ask the dietitian to recommend alternative protein choices.
Expert-Verified Explanation:
• Collaboration with the dietitian respects the client’s beliefs while still promoting nutritional needs.
• This client-centered approach helps ensure optimal protein intake from acceptable food sources.
2. (Mini Case Study)
A nurse is collecting data from a client who is 2 days postoperative following a colostomy. During
assessment, the nurse inspects the stoma and notes the following findings:
• Location: mid-abdominal
• Color: purple
• Small amount of bleeding present
• Protrusion above the skin level
,Which of the following findings should the nurse report immediately to the provider?
A. A purple-colored stoma
B. Protrusion of the stoma
C. A small amount of bleeding from the stoma
D. Intestinal gas noted in the pouch
Answer: A. A purple-colored stoma
Expert-Verified Explanation:
• A purple or dusky-colored stoma can indicate compromised blood flow (ischemia or necrosis).
• Prompt notification of the provider is crucial to prevent further complications.
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3. A nurse is reinforcing teaching with a client about correct self-administration of ophthalmic
drops. Which of the following instructions should the nurse include?
A. “Look to the side when instilling the drops into your eye.”
B. “Place the eyedrops directly on the center of your eyeball.”
C. “Cleanse your eye from the inner canthus to the outer canthus first.”
D. “Press gently on your tear duct after administering the drops.”
Answer: C. “Cleanse your eye from the inner canthus to the outer canthus first.”
Expert-Verified Explanation:
• Cleaning from the inner to outer canthus reduces the risk of introducing microorganisms into the lacrimal
duct.
• This method also prevents cross-contamination.
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4. (NGN-Style: Initial Step in Teaching)
A nurse is reinforcing teaching about carbohydrate counting with a client newly diagnosed with
diabetes mellitus. Which of the following actions should the nurse take first?
A. Use pictures of different food groups to help the client plan a daily menu.
B. Ask the client what they already know about meal planning.
C. Provide a brochure with sample menus for breakfast, lunch, and dinner.
D. Involve the family in the discussion of the client’s meal plan.
Answer: B. Ask the client what they already know about meal planning.
Expert-Verified Explanation:
• Assessing the client’s current knowledge level is the first step to provide individualized and effective
teaching.
• It helps the nurse identify omissions or misconceptions and tailor the instruction accordingly.
5. (NGN-Style Clinical Judgment)
A nurse is assisting with the care of a client who is about to start intravenous (IV) therapy. The
client states, “I have so many allergies, I’m worried about the materials used.” Which of the
following allergies should the nurse immediately report to the charge nurse prior to initiating IV
therapy?
A. Eggs
B. Latex
C. Seafood
D. Bee stings