ATI FUNDAMENTALS NURSING EXAM
PREP – 150 HARD MODE NGN PRACTICE
QUESTIONS (SAFETY, INFECTION
CONTROL, DELEGATION & CLINICAL
JUDGMENT)
Questions 1–50 (with answers included)
1.
Which client should the nurse assess first?
A. Post-op pain 6/10
B. BP 84/48 and dizzy
C. Mild headache
D. Discharge teaching
Answer: B — signs of shock
2.
A client suddenly develops chest pain and SOB. First action?
A. Document
B. Oxygen
C. Call family
D. Offer fluids
Answer: B — ABCs (oxygen first)
3.
SpO₂ 87% on room air indicates:
A. Normal
B. Hypoxia
C. Infection
D. Anxiety
,Answer: B — oxygenation problem
4.
Blood glucose 52 mg/dL → first action?
A. Give insulin
B. Give glucose
C. Recheck tomorrow
D. Document
Answer: B — treat hypoglycemia immediately
5.
Which client is highest priority?
A. Stable asthma
B. Wheezing + distress
C. Rash
D. Constipation
Answer: B — respiratory distress
6.
Post-op patient suddenly confused and restless. Likely cause?
A. Infection only
B. Hypoxia
C. Hunger
D. Sleep deprivation
Answer: B — early hypoxia sign
7.
HR 140 + BP 80/50 indicates:
A. Stability
B. Shock
C. Comfort
D. Anxiety only
Answer: B — circulatory collapse
,8.
Best fall prevention for confused patient:
A. Restraints
B. Bed alarm
C. Sedation
D. Side rails up
Answer: B — least restrictive safety tool
9.
Which requires immediate action?
A. Constipation
B. Airway obstruction
C. Mild pain
D. Rash
Answer: B — airway first
10.
Priority nursing principle:
A. Comfort
B. ABCs
C. Cost
D. Time
Answer: B — ABC priority rule
11.
K⁺ 6.5 mEq/L → risk?
A. Infection
B. Dysrhythmia
C. Dehydration
D. Fatigue
Answer: B — hyperkalemia causes lethal arrhythmias
12.
Chest pain priority action:
A. Oxygen
, B. Bath
C. Food
D. Rest
Answer: A — oxygen first
13.
RR 8/min indicates:
A. Normal
B. Respiratory failure
C. Anxiety
D. Sleep
Answer: B — hypoventilation
14.
Stroke suspected → first action?
A. Feed client
B. CT scan
C. Walk client
D. Observe only
Answer: B — diagnostic priority
15.
Unresponsive patient → first action?
A. Call family
B. Airway
C. Chart
D. Vital signs later
Answer: B — airway first
16.
Cyanosis indicates:
A. Infection
B. Hypoxia
C. Pain
D. Anxiety
PREP – 150 HARD MODE NGN PRACTICE
QUESTIONS (SAFETY, INFECTION
CONTROL, DELEGATION & CLINICAL
JUDGMENT)
Questions 1–50 (with answers included)
1.
Which client should the nurse assess first?
A. Post-op pain 6/10
B. BP 84/48 and dizzy
C. Mild headache
D. Discharge teaching
Answer: B — signs of shock
2.
A client suddenly develops chest pain and SOB. First action?
A. Document
B. Oxygen
C. Call family
D. Offer fluids
Answer: B — ABCs (oxygen first)
3.
SpO₂ 87% on room air indicates:
A. Normal
B. Hypoxia
C. Infection
D. Anxiety
,Answer: B — oxygenation problem
4.
Blood glucose 52 mg/dL → first action?
A. Give insulin
B. Give glucose
C. Recheck tomorrow
D. Document
Answer: B — treat hypoglycemia immediately
5.
Which client is highest priority?
A. Stable asthma
B. Wheezing + distress
C. Rash
D. Constipation
Answer: B — respiratory distress
6.
Post-op patient suddenly confused and restless. Likely cause?
A. Infection only
B. Hypoxia
C. Hunger
D. Sleep deprivation
Answer: B — early hypoxia sign
7.
HR 140 + BP 80/50 indicates:
A. Stability
B. Shock
C. Comfort
D. Anxiety only
Answer: B — circulatory collapse
,8.
Best fall prevention for confused patient:
A. Restraints
B. Bed alarm
C. Sedation
D. Side rails up
Answer: B — least restrictive safety tool
9.
Which requires immediate action?
A. Constipation
B. Airway obstruction
C. Mild pain
D. Rash
Answer: B — airway first
10.
Priority nursing principle:
A. Comfort
B. ABCs
C. Cost
D. Time
Answer: B — ABC priority rule
11.
K⁺ 6.5 mEq/L → risk?
A. Infection
B. Dysrhythmia
C. Dehydration
D. Fatigue
Answer: B — hyperkalemia causes lethal arrhythmias
12.
Chest pain priority action:
A. Oxygen
, B. Bath
C. Food
D. Rest
Answer: A — oxygen first
13.
RR 8/min indicates:
A. Normal
B. Respiratory failure
C. Anxiety
D. Sleep
Answer: B — hypoventilation
14.
Stroke suspected → first action?
A. Feed client
B. CT scan
C. Walk client
D. Observe only
Answer: B — diagnostic priority
15.
Unresponsive patient → first action?
A. Call family
B. Airway
C. Chart
D. Vital signs later
Answer: B — airway first
16.
Cyanosis indicates:
A. Infection
B. Hypoxia
C. Pain
D. Anxiety
