ACTUAL EXAM PRACTICE QUESTIONS AND 100%
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Core Domains:
Basic Nursing Care, Infection Control, Client Safety, Pharmacology Basics, Fluid
and Electrolytes, Legal and Ethical Responsibilities, Vital Signs, and Health
Promotion.
The purpose of this NGN ATI PN Fundamentals Proctored Exam is to evaluate the
entry-level practical nursing student's grasp of essential clinical concepts. This
assessment focuses on the core competencies required to provide safe, ethical, and
effective patient care in diverse healthcare settings. The exam utilizes a blend of
foundational multiple-choice questions and complex, scenario-based items
designed to test clinical judgment and professional decision-making. By
emphasizing practical application over rote memorization, this testbank ensures
candidates are prepared for the rigors of real-world nursing practice and
regulatory compliance standards.
SECTION 1: QUESTIONS
A nurse is caring for a client who is post-operative and reports difficulty breathing.
Which of the following actions should the nurse take first?
A. Document the finding in the electronic health record.
,B. Administer the prescribed PRN pain medication.
🔴 C. Elevate the head of the client’s bed to a high-Fowler's position.
D. Contact the physical therapist to assist with ambulation.
🔵 Explanation: According to the ABC (Airway, Breathing, Circulation) priority
framework, the nurse should first intervene to improve the client's respiratory
status by repositioning.
A nurse is preparing to perform hand hygiene. Which of the following actions is
correct when using an alcohol-based hand rub?
A. Rinse hands with warm water before application.
🔴 B. Rub hands together until the solution has completely dried.
C. Use a paper towel to dry the hands after application.
D. Apply the rub only to the palms of the hands.
🔵 Explanation: To be effective, alcohol-based hand rubs must be rubbed over all
surfaces of the hands and fingers until the liquid has evaporated.
Which of the following legal documents designates an individual to make
healthcare decisions for a client who is no longer able to speak for themselves?
A. A Living Will
🔴 B. Durable Power of Attorney for Healthcare
C. Informed Consent Form
D. A HIPAA Privacy Rule waiver
🔵 Explanation: A Durable Power of Attorney for Healthcare (Healthcare Proxy)
specifically designates a surrogate decision-maker for medical issues.
,A nurse is monitoring a client’s IV site and notes redness, warmth, and a palpable
cord along the vein. The nurse should identify these as manifestations of which of
the following?
A. Infiltration
B. Extravasation
🔴 C. Phlebities
D. Hematoma
🔵 Explanation: Redness, warmth, and a palpable cord are classic signs of
phlebitis, which is inflammation of the vein.
A nurse is teaching a client about a low-sodium diet. Which of the following food
choices by the client indicates an understanding of the teaching?
A. Canned chicken noodle soup
🔴 B. Fresh orange slices
C. Deli turkey breast slices
D. Processed American cheese
🔵 Explanation: Fresh fruits are naturally low in sodium compared to processed,
canned, or deli meats and cheeses.
A nurse is assisting with the admission of an older adult client. Which of the
following is the priority action to prevent falls?
🔴 B. Complete a standardized fall risk assessment.
A. Keep all four side rails in the upright position.
C. Place the client's bed in the highest position.
D. Administer a sedative to ensure the client stays in bed.
🔵 Explanation: Assessment is the first step of the nursing process; identifying
specific risks allows for tailored safety interventions.
, A nurse is preparing to administer an intramuscular (IM) injection to an adult
client. Which of the following needle lengths is most appropriate for the
ventrogluteal site?
A. 1/2 inch
B. 5/8 inch
🔴 C. 1 1/2 inches
D. 3 inches
🔵 Explanation: A 1 1/2 inch needle is standard for IM injections in the
ventrogluteal site of an average-sized adult to ensure the medication reaches the
muscle.
A nurse is caring for a client who has a prescription for wrist restraints. Which of
the following actions should the nurse take?
A. Secure the restraints to the side rails of the bed.
B. Ensure the restraint is tight enough that no fingers can fit underneath.
🔴 C. Remove the restraints and check skin integrity every 2 hours.
D. Tie the restraints using a square knot.
🔵 Explanation: Regular assessment of skin and circulation is mandatory;
restraints must be removed periodically for range-of-motion and skin checks.
A nurse is collecting data from a client who is dehydrated. Which of the following
findings should the nurse expect?
🔴 A. Tachycardia
B. Bradycardia
C. Increased skin turgor
D. Hypertension