FUNDAMENTALS
PROCTORED
EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIO”)
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.
,1. LEGAL ISSUES AND NEGLIGENCE
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Question 1 (Single Select)
A nurse is collaborating with a risk management team about
potential legal issues involving client care. Which of the following
situations should the nurse identify as an example of negligence?
A. A nurse begins a blood transfusion without obtaining consent from the
client.
B. An assistive personnel prevents a client from leaving the facility against
medical advice.
C. A nurse administers a medication without verifying the client’s identity.
D. An assistive personnel discusses client care in the facility cafeteria with
visitors present.
Correct Answer: A
Rationale:
• Negligence occurs when a healthcare provider does not meet the expected
standard of care, resulting in harm.
• Administering a blood transfusion without obtaining informed consent
breaches the professional standard of care and can be classified as
negligence.
• Preventing a client from leaving without clarifying clinical necessity could
be false imprisonment (not negligence).
• Administering a medication without first identifying the client could be
malpractice (also a type of negligence), but initiating a blood transfusion
without consent involves a clear violation of clients’ rights and standards.
, • Discussing confidential client information in a public place is a breach of
confidentiality, not negligence.
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2. PASSIVE RANGE-OF-MOTION (ROM) EXERCISES
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Question 2 (Single Select)
A nurse is teaching a client who has decreased mobility about
passive range-of-motion exercises. Which of the following
statements by the nurse is appropriate?
A. “I will move your joints to the point of mild pain.”
B. “I will move your joints quickly.”
C. “I will repeat these movements 3 to 5 times.”
D. “These movements will be performed once per day.”
Correct Answer: C
Rationale:
• Passive ROM exercises should be repeated 3 to 5 times per joint to
maintain joint flexibility.
• Moving the joints to the point of pain is contraindicated; joint movement
should stop before painful discomfort.
• Movements should be slow and controlled, not quick or abrupt.
• Ideally, ROM exercises are performed more than once per day, depending
on the client’s tolerance and plan of care.
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3. IMMOBILITY BEST PRACTICE
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Question 3 (Single Select)