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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QUESTION 1 (NGN-Style: Delegation – Scope of Practice)
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Scenario: A nurse on a long-term care unit is assigning tasks for the day. Several clients require routine or
specialized care, and the nurse must decide which tasks are appropriate to delegate to assistive personnel
(AP).
Vital Signs (Client with stable condition):
• Temperature: 98.4°F (36.9°C)
• Pulse: 78/min
• Respirations: 16/min
• Blood Pressure: 118/72 mmHg
Question: Which of the following tasks should the nurse delegate to the AP?
A. Change the dressing for a client who has a stage 3 pressure injury.
B. Determine a client’s response to a newly prescribed diuretic.
C. Compare bilateral radial pulses for a client who is postoperative.
D. Provide postmortem care for a deceased client.
Answer: D. Provide postmortem care for a deceased client.
Expert-Verified Explanation:
• Providing postmortem care is within the AP’s scope because it is a standardized procedure and does not
require ongoing assessment.
• Tasks requiring judgment, assessment, medication evaluation, or sterile technique (e.g., complex
dressings, evaluating response to medications) must remain with licensed nurses.
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QUESTION 2 (NGN-Style: Herbal Supplements – Client Education)
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Scenario: A nurse is completing a health assessment for a client who uses herbal supplements to manage
minor ailments. The client asks for verification about the appropriate use of these supplements.
Vital Signs:
• Temperature: 98.3°F (36.8°C)
• Pulse: 76/min
• Respirations: 16/min
• Blood Pressure: 116/74 mmHg
Question: Which of the following client statements indicates correct understanding of herbal
supplement use?
A. “I take ginkgo biloba every time I have a headache.”
B. “I take echinacea to help control my high cholesterol.”
C. “I use ginger when I get car sick.”
D. “I use garlic for my menopausal hot flashes.”
Answer: C. “I use ginger when I get car sick.”
Expert-Verified Explanation:
• Ginger is commonly used to alleviate nausea and motion sickness.
, • Ginkgo biloba is frequently used to aid memory or circulation, echinacea for immune support, and garlic to
support cardiovascular health (e.g., mild antihypertensive effects), not specifically menopausal symptoms.
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QUESTION 3 (NGN-Style: Infection Control – Influenza Precautions)
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Scenario: A nurse is caring for a client who is hospitalized with influenza. The client is placed on the
appropriate isolation. The nurse must ensure the prevention of disease transmission to staff and visitors.
Vital Signs:
• Temperature: 101.2°F (38.4°C)
• Pulse: 88/min
• Respirations: 18/min
• Blood Pressure: 118/78 mmHg
Question: Which of the following actions should the nurse take to prevent the spread of
infection?
A. Wear a mask when working within 3 ft of the client.
B. Administer metronidazole to prevent secondary infection.
C. Don protective eyewear before each entry into the client’s room.
D. Place the client in a negative-pressure airflow room.
Answer: A. Wear a mask when working within 3 ft of the client.
Expert-Verified Explanation:
• Influenza is typically spread via droplets. Droplet precautions include wearing a mask when within 3 ft of
the client to prevent transmission.
• Negative-pressure airflow rooms are used for airborne illnesses (e.g., tuberculosis).
• Metronidazole is not indicated for viral influenza.
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QUESTION 4 (NGN-Style: Safety – Wrist Restraints)
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Scenario: A nurse obtains a prescription for wrist restraints for a client who repeatedly pulls out his
nasogastric (NG) tube. The client remains confused despite multiple redirection attempts.
Vital Signs:
• Temperature: 98.5°F (36.9°C)
• Pulse: 84/min
• Respirations: 18/min
• Blood Pressure: 120/76 mmHg
Question: Which of the following actions should the nurse take to ensure proper use of
restraints?
A. Secure the restraints to the side rails of the client’s bed.
B. Apply the restraints so that the client’s movement is almost fully restricted.
C. Allow room for two fingers to fit between the client’s skin and the restraints.