FUNDAMENTALS
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
,This ATI test contains:
passing score Guarantee
70 Questions with Answers
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
Expert-Verified Explanations & Solutions
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,QUESTION 1
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Case Scenario:
A 52-year-old female client is receiving chemotherapy for breast cancer. Her lab results from Week 1 to
Week 2 are as follows:
• Week 1: Platelets 350,000/mm³
• Week 2: Platelets 100,000/mm³
• Other labs remain within normal limits.
Question:
Based on this information, which intervention should the nurse implement first?
A. Encourage ambulation twice daily.
B. Initiate bleeding precautions.
C. Restrict fluids to 1,000 mL/day.
D. Increase dietary potassium intake.
Answer: B. Initiate bleeding precautions.
Expert Explanation/Rationale:
A platelet count of 100,000/mm³ places the client at increased risk for bleeding. Bleeding precautions (e.g.,
using a soft toothbrush, avoiding IM injections, using electric razors) are essential. While interventions such
as ambulation and adequate nutrition are important for overall health, addressing the imminent risk of
bleeding takes priority.
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QUESTION 2
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Case Scenario:
A nurse is discussing advance directives with a client who wants to understand their purpose if they were to
face a serious illness.
Question:
Which of the following statements best explains the function of advance directives?
A. “They allow family members to revise your medical insurance plan.”
B. “They clarify financial arrangements in case of hospitalization.”
C. “They indicate the form of treatment you are willing to accept if you become seriously ill.”
D. “They ensure the hospital will accept your insurance.”
Answer: C. “They indicate the form of treatment you are willing to accept if you become seriously ill.”
Expert Explanation/Rationale:
Advance directives are legal documents detailing a client’s preferences for medical care if they become
unable to make decisions. They do not address financial or insurance issues; they focus on treatment
choices.
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QUESTION 3
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Case Scenario:
A client has recently started using a behind-the-ear hearing aid. During a follow-up visit, the nurse assesses
the client’s knowledge of proper hearing aid care.