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.
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1. Learning Motivation and Client Education
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Scenario: A nurse is teaching Mr. Evans, who will begin daily low-dose
heparin injections at home. Mr. Evans expresses concern about how this new
task will fit into his daily routine but says, “I really want to understand
everything so I can stay healthy.”
Question: Which of the following factors is most likely to increase
Mr. Evans’s motivation to learn?
A. The nurse’s empathy about Mr. Evans having to self-inject.
B. Mr. Evans’s attempt to seek family approval by agreeing to a teaching
plan.
C. The nurse explaining the importance of the educational content.
D. Mr. Evans’s belief that his needs will be met through education.
Correct Answer: D. Mr. Evans’s belief that his needs will be met through
education.
Rationale:
• Clients are most motivated to learn when they recognize personal benefits
or meaning in the instruction.
• While empathy (Option A) and understanding family approval (Option B)
can help, the internal motivation that stems from believing “this education
will help me meet my needs” is most effective.
, • Simply explaining the need (Option C) does not guarantee motivation
unless the client internalizes personal benefits.
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2. Weber’s Test Technique
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Scenario: A nurse is performing a hearing assessment on Ms. Patel, who
reports difficulty hearing out of her left ear. The nurse decides to conduct a
Weber’s test.
Question: Which of the following actions should the nurse take when
performing a Weber’s test?
A. Whisper a series of words softly into one ear.
B. Place an activated tuning fork in the middle of the client’s forehead.
C. Deliver a series of random, high-pitched sounds near the client’s ear.
D. Hold an activated tuning fork against the client’s mastoid process.
Correct Answer: B. Place an activated tuning fork in the middle of the
client’s forehead.
Rationale:
• In the Weber’s test, the tuning fork is placed on the midline of the skull or
forehead to assess lateralization of sound.
• Whisper test (Option A) is a different screening method.
• Random high-pitched sounds (Option C) are not part of the Weber test.
• Holding the tuning fork against the mastoid process (Option D) refers to the
Rinne test.
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3. Priority Finding in a Client with Left-Sided Weakness
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