Next Generation NCLEX (NGN) Practice for PN
Fundamentals
New 2026 Proctored Exam with NGN
All Questions and 100% Verified Answers to Pass PN ATI
Fundamentals Proctored Assessment
Section 1: Traditional Multiple-Choice (Questions 1–120)
1. A PN is reinforcing teaching about hand hygiene. Which statement by a client
indicates understanding?
A) “I should wash my hands for at least 10 seconds.”
B) “I can use hand sanitizer if my hands are visibly dirty.”
C) “I should rub my hands until the sanitizer is completely dry.”
D) “Soap and water are less effective than alcohol-based rubs.”
Correct Answer: C
Rationale: Hand sanitizer must be rubbed until dry (≈20 seconds). Hand washing
requires ≥20 seconds (A incorrect). Sanitizer is not for visible soil (B incorrect).
Soap/water is equally or more effective in some situations (D incorrect).
2. A client with a nasogastric (NG) tube attached to low intermittent suction reports
nausea. What should the PN do first?
A) Irrigate the NG tube with 30 mL sterile water.
B) Check the tube for placement and patency.
C) Reposition the client to the left side.
D) Increase the suction pressure.
Correct Answer: B
Rationale: First verify tube placement/patency (kinking or displacement causes
nausea). Irrigation may follow but is not first. Increasing suction risks mucosal injury.
,3. A PN is reinforcing discharge instructions for a client prescribed warfarin. Which
statement requires immediate follow-up?
A) “I will eat more leafy green vegetables.”
B) “I will use an electric razor to shave.”
C) “I will avoid drinking alcohol.”
D) “I will report any bruising to my provider.”
Correct Answer: A
Rationale: Leafy greens are high in vitamin K, which antagonizes warfarin’s effect. B, C,
and D are correct actions.
4. A client’s pulse oximetry reading is 89% on room air. What should the PN do first?
A) Apply oxygen at 2 L/min via nasal cannula.
B) Notify the RN immediately.
C) Check the client’s respiratory rate and effort.
D) Reposition the probe to a different finger.
Correct Answer: C
Rationale: First assess the client (respiratory rate, work of breathing) to confirm
accuracy and severity before intervening.
5. A PN is preparing to measure blood pressure using a manual cuff. Which action is
correct?
A) Wrap the cuff snugly with the bladder centered over the brachial artery.
B) Place the client’s arm above the level of the heart.
C) Deflate the cuff at 5–10 mm Hg per second.
D) Use the palpatory method to estimate diastolic pressure.
Correct Answer: A
Rationale: Cuff bladder center must be over brachial artery. Arm at heart level (not
above). Deflate at 2–3 mm Hg per second (C too fast). Palpatory gives systolic only.
6. A client reports pain 8/10 after abdominal surgery. Which nonpharmacologic
intervention can the PN implement independently?
A) Administer morphine sulfate 2 mg IV.
B) Reposition the client with pillows.
,C) Call the provider for a pain consult.
D) Apply a heating pad to the incision.
Correct Answer: B
Rationale: Repositioning is an independent nursing action. A requires an order. C is not
independent. D requires order for heat on fresh incision.
7. A PN is reinforcing teaching about a low-sodium diet for hypertension. Which food
choice indicates understanding?
A) Canned vegetable soup
B) Grilled chicken breast with herbs
C) Dill pickle spears
D) Processed cheese slice
Correct Answer: B
Rationale: Fresh grilled chicken with herbs is low sodium. Canned soup, pickles,
processed cheese are high sodium.
8. A client with an indwelling urinary catheter has no output in 2 hours. What should the
PN do first?
A) Irrigate the catheter with sterile saline.
B) Check for kinks in the drainage tubing.
C) Replace the catheter.
D) Increase the client’s fluid intake.
Correct Answer: B
Rationale: First check for mechanical obstruction (kinks, tubing compressed). Irrigation
is not first-line. Replacement is not initial action.
9. A PN observes a small fire in a wastebasket in a client’s room. What action should the
PN take first?
A) Activate the fire alarm.
B) Evacuate the client.
C) Attempt to extinguish the fire.
D) Close the client’s door.
, Correct Answer: B
Rationale: RACE: Rescue first (evacuate client), then Alarm, Contain, Extinguish.
10. A client is receiving a blood transfusion. Fifteen minutes after start, the client
reports chills and low back pain. What is the priority action?
A) Slow the transfusion rate.
B) Stop the transfusion.
C) Administer acetaminophen.
D) Flush the IV line with normal saline.
Correct Answer: B
Rationale: Chills and back pain suggest acute hemolytic reaction. Stop transfusion
immediately, keep line open with saline, notify RN/provider.
11. A PN is reinforcing use of a cane. The client should hold the cane on which side?
A) Opposite the weak leg
B) Same side as the weak leg
C) On either side, whichever is comfortable
D) Behind the body
Correct Answer: A
Rationale: Cane is held on the strong side, opposite the weak leg, to reduce load on the
weak side.
12. A client with diabetes has a blood glucose of 48 mg/dL and is conscious. What
should the PN administer first?
A) 4 oz orange juice
B) 1 unit glucagon IM
C) ½ cup diet soda
D) 15 g carbohydrate as glucose tablets
Correct Answer: A
Rationale: Conscious hypoglycemia – give 15 g rapid-acting carbohydrate (4 oz juice or
glucose tabs). Glucagon is for unconscious. Diet soda has no sugar.
13. A PN is measuring a client’s radial pulse. Which action is correct?
A) Use the thumb to palpate the pulse.
Fundamentals
New 2026 Proctored Exam with NGN
All Questions and 100% Verified Answers to Pass PN ATI
Fundamentals Proctored Assessment
Section 1: Traditional Multiple-Choice (Questions 1–120)
1. A PN is reinforcing teaching about hand hygiene. Which statement by a client
indicates understanding?
A) “I should wash my hands for at least 10 seconds.”
B) “I can use hand sanitizer if my hands are visibly dirty.”
C) “I should rub my hands until the sanitizer is completely dry.”
D) “Soap and water are less effective than alcohol-based rubs.”
Correct Answer: C
Rationale: Hand sanitizer must be rubbed until dry (≈20 seconds). Hand washing
requires ≥20 seconds (A incorrect). Sanitizer is not for visible soil (B incorrect).
Soap/water is equally or more effective in some situations (D incorrect).
2. A client with a nasogastric (NG) tube attached to low intermittent suction reports
nausea. What should the PN do first?
A) Irrigate the NG tube with 30 mL sterile water.
B) Check the tube for placement and patency.
C) Reposition the client to the left side.
D) Increase the suction pressure.
Correct Answer: B
Rationale: First verify tube placement/patency (kinking or displacement causes
nausea). Irrigation may follow but is not first. Increasing suction risks mucosal injury.
,3. A PN is reinforcing discharge instructions for a client prescribed warfarin. Which
statement requires immediate follow-up?
A) “I will eat more leafy green vegetables.”
B) “I will use an electric razor to shave.”
C) “I will avoid drinking alcohol.”
D) “I will report any bruising to my provider.”
Correct Answer: A
Rationale: Leafy greens are high in vitamin K, which antagonizes warfarin’s effect. B, C,
and D are correct actions.
4. A client’s pulse oximetry reading is 89% on room air. What should the PN do first?
A) Apply oxygen at 2 L/min via nasal cannula.
B) Notify the RN immediately.
C) Check the client’s respiratory rate and effort.
D) Reposition the probe to a different finger.
Correct Answer: C
Rationale: First assess the client (respiratory rate, work of breathing) to confirm
accuracy and severity before intervening.
5. A PN is preparing to measure blood pressure using a manual cuff. Which action is
correct?
A) Wrap the cuff snugly with the bladder centered over the brachial artery.
B) Place the client’s arm above the level of the heart.
C) Deflate the cuff at 5–10 mm Hg per second.
D) Use the palpatory method to estimate diastolic pressure.
Correct Answer: A
Rationale: Cuff bladder center must be over brachial artery. Arm at heart level (not
above). Deflate at 2–3 mm Hg per second (C too fast). Palpatory gives systolic only.
6. A client reports pain 8/10 after abdominal surgery. Which nonpharmacologic
intervention can the PN implement independently?
A) Administer morphine sulfate 2 mg IV.
B) Reposition the client with pillows.
,C) Call the provider for a pain consult.
D) Apply a heating pad to the incision.
Correct Answer: B
Rationale: Repositioning is an independent nursing action. A requires an order. C is not
independent. D requires order for heat on fresh incision.
7. A PN is reinforcing teaching about a low-sodium diet for hypertension. Which food
choice indicates understanding?
A) Canned vegetable soup
B) Grilled chicken breast with herbs
C) Dill pickle spears
D) Processed cheese slice
Correct Answer: B
Rationale: Fresh grilled chicken with herbs is low sodium. Canned soup, pickles,
processed cheese are high sodium.
8. A client with an indwelling urinary catheter has no output in 2 hours. What should the
PN do first?
A) Irrigate the catheter with sterile saline.
B) Check for kinks in the drainage tubing.
C) Replace the catheter.
D) Increase the client’s fluid intake.
Correct Answer: B
Rationale: First check for mechanical obstruction (kinks, tubing compressed). Irrigation
is not first-line. Replacement is not initial action.
9. A PN observes a small fire in a wastebasket in a client’s room. What action should the
PN take first?
A) Activate the fire alarm.
B) Evacuate the client.
C) Attempt to extinguish the fire.
D) Close the client’s door.
, Correct Answer: B
Rationale: RACE: Rescue first (evacuate client), then Alarm, Contain, Extinguish.
10. A client is receiving a blood transfusion. Fifteen minutes after start, the client
reports chills and low back pain. What is the priority action?
A) Slow the transfusion rate.
B) Stop the transfusion.
C) Administer acetaminophen.
D) Flush the IV line with normal saline.
Correct Answer: B
Rationale: Chills and back pain suggest acute hemolytic reaction. Stop transfusion
immediately, keep line open with saline, notify RN/provider.
11. A PN is reinforcing use of a cane. The client should hold the cane on which side?
A) Opposite the weak leg
B) Same side as the weak leg
C) On either side, whichever is comfortable
D) Behind the body
Correct Answer: A
Rationale: Cane is held on the strong side, opposite the weak leg, to reduce load on the
weak side.
12. A client with diabetes has a blood glucose of 48 mg/dL and is conscious. What
should the PN administer first?
A) 4 oz orange juice
B) 1 unit glucagon IM
C) ½ cup diet soda
D) 15 g carbohydrate as glucose tablets
Correct Answer: A
Rationale: Conscious hypoglycemia – give 15 g rapid-acting carbohydrate (4 oz juice or
glucose tabs). Glucagon is for unconscious. Diet soda has no sugar.
13. A PN is measuring a client’s radial pulse. Which action is correct?
A) Use the thumb to palpate the pulse.
