ATI PN FUNDAMENTALS PROCTORED EXAM
NGN STYLE Q & CASE “SCENARIOS”
(3 VERSION EXAM) LATEST 2026 UPDATE
THIS EXAM CONTAINS:
➢ ATI PN FUNDAMENTALS PROCTORED EXAM
➢ ACTUAL QS & ANS TO PASS THE EXAM
➢ EACH EXAM HAS 70 FUNDAMENTALS NURSING QUIZ
➢ MULTIPLE-CHOICE FORMAT
➢ STRUCTURED RATIONALES
➢ NEXT GENERATION NCLEX(NGN)-STYLE
➢
➢
,Question 1
A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain.
Which of the following statements by the client indicates an understanding of this technique?
A. "I think about my grandfather's farm to reduce pain."
B. "I listen to my favorite music to take my mind off the pain."
C. "I use focused breathing to control my pain."
D. "I learn to notice the sensation of muscle tension."
Correct Ans >> : A
Rationale >> : Guided imagery uses visualization of calming or pleasant scenes to manage pain. Music
(B) is distraction, (C) is focused breathing, and (D) is biofeedback.
Question 2
A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself
as the client’s employer. The employer asks the nurse about the client’s condition. Which of the
following is an appropriate response by the nurse?
A. "The client’s condition is stable right now."
B. "I will tell him you called."
C. "I cannot confirm or deny that we have a client by that name."
D. "He is here in the hospital, but I cannot tell you anything else."
Correct Ans >> : C
Rationale >> : HIPAA regulations prevent disclosing any information without consent. The safest
response is not confirming or denying the patient’s presence.
Question 3
A nurse is wearing sterile gloves in preparation for assisting with a client’s sterile procedure. While
waiting for the procedure to begin, how should the nurse position their hands?
A. Place one hand over the other against the gown covering the upper body.
B. Keep their arms at the sides of their body with their hands relaxed.
C. Interlock their fingers and hold their hands away from their body above their waist.
D. Rest hands on the overbed table until needed.
Correct Ans >> : C
Rationale >> : Hands must remain above the waist and in front of the body to maintain sterility.
Interlocking fingers helps avoid contamination.
,Question 4
A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the
following actions should the nurse take?
A. Apply suction while inserting the catheter.
B. Apply intermittent suction for up to 30 seconds.
C. Preoxygenate the client prior to suctioning.
D. Instruct the client to swallow during catheter insertion.
Correct Ans >> : C
Rationale >> : Preoxygenation prevents hypoxemia. Suction should be applied only on withdrawal
and limited to 10–15 seconds.
Question 5
A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care
unit. Which of the following actions should the nurse include in the plan?
A. Restrict the number of visitors for clients.
B. Turn on loud music in client care areas.
C. Offer the clients many choices regarding care.
D. Assign different nurses to provide care for clients each day.
Correct Ans >> : A
Rationale >> : Restricting visitors reduces overstimulation. Loud noise increases stress, too many choices
overwhelm clients, and frequent staff changes reduce continuity of care.
.
Question 6
A nurse is collecting data from a client who is 2 days postoperative following the placement of a
colostomy. Which of the following findings should the nurse report to the provider?
A. The stoma is draining a small amount of liquid stool.
B. The stoma protrudes slightly from the abdomen.
C. The stoma appears dark in color.
D. The stoma bleeds lightly when touched.
Correct Ans>> : C
Rationale >> : A stoma should appear moist and pink to red. A dark or dusky color indicates impaired
circulation and possible necrosis, which requires immediate provider notification.
Question 7
A nurse is reinforcing teaching with an older adult client about the aging process. The nurse should
, instruct the client that which of the following physiological changes are part of the aging process?
(Select all that apply.)
A. Increased peripheral circulation
B. Increased constipation
C. Decreased muscle mass
D. Decreased cough reflex
Correct Ans>> s: B, C, D
Rationale >> : Aging is associated with slower GI motility (leading to constipation), decreased muscle
mass, and reduced cough reflex, increasing aspiration risk. Peripheral circulation actually decreases
with age, not increases.
Question 8
A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As
the nurse is preparing to administer a methadone IM injection, the client tells the nurse, "I am afraid
of needles." Which of the following actions should the nurse take?
A. Remind the client that they must receive the medication as prescribed.
B. Tell the client not to worry because the pain will be temporary.
C. Request a change in the medication route to PO.
D. Offer to distract the client during the injection.
Correct Ans>> : C
Rationale >> : Methadone can be given orally, which is less invasive and more acceptable to the client.
Respecting the client’s concerns while ensuring safe medication administration supports adherence to
treatment.
Question 9
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should
the nurse take when the client reports hearing a whistling sound from the hearing aid?
A. Clean the hearing aid with isopropyl alcohol.
B. Turn the hearing aid off for 5 minutes.
C. Soak the hearing aid in warm water.
D. Decrease the volume on the hearing aid.
Correct Ans>> : D
Rationale >> : A whistling sound usually indicates feedback from the device, often due to the volume
being too high or improper fit. Lowering the volume helps reduce feedback.
NGN STYLE Q & CASE “SCENARIOS”
(3 VERSION EXAM) LATEST 2026 UPDATE
THIS EXAM CONTAINS:
➢ ATI PN FUNDAMENTALS PROCTORED EXAM
➢ ACTUAL QS & ANS TO PASS THE EXAM
➢ EACH EXAM HAS 70 FUNDAMENTALS NURSING QUIZ
➢ MULTIPLE-CHOICE FORMAT
➢ STRUCTURED RATIONALES
➢ NEXT GENERATION NCLEX(NGN)-STYLE
➢
➢
,Question 1
A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain.
Which of the following statements by the client indicates an understanding of this technique?
A. "I think about my grandfather's farm to reduce pain."
B. "I listen to my favorite music to take my mind off the pain."
C. "I use focused breathing to control my pain."
D. "I learn to notice the sensation of muscle tension."
Correct Ans >> : A
Rationale >> : Guided imagery uses visualization of calming or pleasant scenes to manage pain. Music
(B) is distraction, (C) is focused breathing, and (D) is biofeedback.
Question 2
A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself
as the client’s employer. The employer asks the nurse about the client’s condition. Which of the
following is an appropriate response by the nurse?
A. "The client’s condition is stable right now."
B. "I will tell him you called."
C. "I cannot confirm or deny that we have a client by that name."
D. "He is here in the hospital, but I cannot tell you anything else."
Correct Ans >> : C
Rationale >> : HIPAA regulations prevent disclosing any information without consent. The safest
response is not confirming or denying the patient’s presence.
Question 3
A nurse is wearing sterile gloves in preparation for assisting with a client’s sterile procedure. While
waiting for the procedure to begin, how should the nurse position their hands?
A. Place one hand over the other against the gown covering the upper body.
B. Keep their arms at the sides of their body with their hands relaxed.
C. Interlock their fingers and hold their hands away from their body above their waist.
D. Rest hands on the overbed table until needed.
Correct Ans >> : C
Rationale >> : Hands must remain above the waist and in front of the body to maintain sterility.
Interlocking fingers helps avoid contamination.
,Question 4
A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the
following actions should the nurse take?
A. Apply suction while inserting the catheter.
B. Apply intermittent suction for up to 30 seconds.
C. Preoxygenate the client prior to suctioning.
D. Instruct the client to swallow during catheter insertion.
Correct Ans >> : C
Rationale >> : Preoxygenation prevents hypoxemia. Suction should be applied only on withdrawal
and limited to 10–15 seconds.
Question 5
A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care
unit. Which of the following actions should the nurse include in the plan?
A. Restrict the number of visitors for clients.
B. Turn on loud music in client care areas.
C. Offer the clients many choices regarding care.
D. Assign different nurses to provide care for clients each day.
Correct Ans >> : A
Rationale >> : Restricting visitors reduces overstimulation. Loud noise increases stress, too many choices
overwhelm clients, and frequent staff changes reduce continuity of care.
.
Question 6
A nurse is collecting data from a client who is 2 days postoperative following the placement of a
colostomy. Which of the following findings should the nurse report to the provider?
A. The stoma is draining a small amount of liquid stool.
B. The stoma protrudes slightly from the abdomen.
C. The stoma appears dark in color.
D. The stoma bleeds lightly when touched.
Correct Ans>> : C
Rationale >> : A stoma should appear moist and pink to red. A dark or dusky color indicates impaired
circulation and possible necrosis, which requires immediate provider notification.
Question 7
A nurse is reinforcing teaching with an older adult client about the aging process. The nurse should
, instruct the client that which of the following physiological changes are part of the aging process?
(Select all that apply.)
A. Increased peripheral circulation
B. Increased constipation
C. Decreased muscle mass
D. Decreased cough reflex
Correct Ans>> s: B, C, D
Rationale >> : Aging is associated with slower GI motility (leading to constipation), decreased muscle
mass, and reduced cough reflex, increasing aspiration risk. Peripheral circulation actually decreases
with age, not increases.
Question 8
A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As
the nurse is preparing to administer a methadone IM injection, the client tells the nurse, "I am afraid
of needles." Which of the following actions should the nurse take?
A. Remind the client that they must receive the medication as prescribed.
B. Tell the client not to worry because the pain will be temporary.
C. Request a change in the medication route to PO.
D. Offer to distract the client during the injection.
Correct Ans>> : C
Rationale >> : Methadone can be given orally, which is less invasive and more acceptable to the client.
Respecting the client’s concerns while ensuring safe medication administration supports adherence to
treatment.
Question 9
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should
the nurse take when the client reports hearing a whistling sound from the hearing aid?
A. Clean the hearing aid with isopropyl alcohol.
B. Turn the hearing aid off for 5 minutes.
C. Soak the hearing aid in warm water.
D. Decrease the volume on the hearing aid.
Correct Ans>> : D
Rationale >> : A whistling sound usually indicates feedback from the device, often due to the volume
being too high or improper fit. Lowering the volume helps reduce feedback.
