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NEXT GENERATION NCLEX RN ATI
Fundamentals of Nursing Proctored Exam 2025–
2026 (Verified 200 NGN Questions & Answers
with Detailed Rationales – 100% Pass
Guaranteed)
Question 1
A nurse is caring for a client who has heart failure and is receiving furosemide. Which of the
following findings should the nurse report to the provider?
A. Weight loss of 1 kg in 2 days
B. Blood pressure 110/70 mmHg
C. Potassium level 2.9 mEq/L
D. Urine output of 1,200 mL/day
Correct Answer: C. Potassium level 2.9 mEq/L
Rationale: Furosemide is a loop diuretic that can cause potassium loss. A potassium level below
3.5 mEq/L is considered hypokalemia and may increase the risk of dysrhythmias. This finding
should be reported immediately.
Question 2
A nurse is reinforcing teaching with a client about how to use a cane. Which of the following
instructions should the nurse include?
A. Hold the cane on the weak side
B. Move the cane and stronger leg together
C. Move the cane 15 inches ahead with each step
D. Keep the cane at waist level
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Correct Answer: B. Move the cane and stronger leg together
Rationale: The cane should be held on the stronger side and moved with the weaker leg to
provide support during ambulation.
Question 3
A nurse is caring for a client who is receiving oxygen therapy via nasal cannula. Which of the
following interventions should the nurse implement?
A. Set oxygen flow rate between 6-10 L/min
B. Secure the tubing tightly behind the ears
C. Use humidification if the flow rate is greater than 4 L/min
D. Reposition the cannula every 8 hours
Correct Answer: C. Use humidification if the flow rate is greater than 4 L/min
Rationale: Oxygen dries the mucous membranes. Humidification helps prevent mucosal drying
and should be used with flow rates above 4 L/min.
Question 4
A nurse is preparing to administer a tuberculin skin test. Which of the following routes should
the nurse use?
A. Intradermal
B. Subcutaneous
C. Intramuscular
D. Intravenous
Correct Answer: A. Intradermal
Rationale: A tuberculin skin test (Mantoux test) is administered intradermally, typically on the
forearm, using a small gauge needle.
Question 5
A nurse is caring for a client with dysphagia. Which of the following actions should the nurse
take?
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A. Encourage the client to drink through a straw
B. Tilt the client’s head back during swallowing
C. Offer thin liquids with meals
D. Place the client in high-Fowler’s position during meals
Correct Answer: D. Place the client in high-Fowler’s position during meals
Rationale: Sitting upright helps prevent aspiration in clients with swallowing difficulties.
Question 6
A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of
the following statements by the client indicates understanding?
A. “I will soak my feet in warm water every night.”
B. “I’ll walk barefoot when I’m home.”
C. “I will inspect my feet every day.”
D. “I’ll use a heating pad to warm my feet in winter.”
Correct Answer: C. “I will inspect my feet every day.”
Rationale: Daily foot inspection is essential for clients with diabetes to identify injuries early
and prevent complications like infections or ulcers.
Question 7
A nurse is caring for a client who is postoperative and has a prescription for clear liquids. Which
of the following items should the nurse offer the client?
A. Coffee with cream
B. Grape juice
C. Gelatin
D. Ice cream
Correct Answer: C. Gelatin
Rationale: Clear liquids include any liquid that you can see through at room temperature.
Gelatin is an example of a clear liquid. Coffee with cream, grape juice, and ice cream do not
meet the criteria for clear liquids.
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Question 8
A nurse is caring for a client who is at risk for falls. Which of the following actions should the
nurse take?
A. Keep the side rails up on both sides of the bed
B. Place the call light within the client's reach
C. Place the client in a room far from the nurses' station
D. Keep the bed in the high position
Correct Answer: B. Place the call light within the client's reach
Rationale: Keeping the call light within easy reach ensures the client can request assistance,
reducing the risk of falls.
Question 9
A nurse is reinforcing teaching to a client about collecting a stool specimen for occult blood.
Which of the following instructions should the nurse include?
A. “Avoid red meat for 3 days before the test.”
B. “Collect the sample from only one part of the stool.”
C. “Use laxatives before collecting the specimen.”
D. “Store the sample at room temperature.”
Correct Answer: A. “Avoid red meat for 3 days before the test.”
Rationale: Red meat can cause false-positive results on fecal occult blood tests due to the
presence of peroxidase activity in animal hemoglobin.
Question 10
A nurse is performing a sterile dressing change. Which of the following actions breaks sterile
technique?
A. Holding sterile forceps above waist level
B. Touching the outer 1-inch border of the sterile field
C. Reaching over the sterile field to grab supplies
D. Placing sterile supplies on the sterile field
Correct Answer: C. Reaching over the sterile field to grab supplies
NEXT GENERATION NCLEX RN ATI
Fundamentals of Nursing Proctored Exam 2025–
2026 (Verified 200 NGN Questions & Answers
with Detailed Rationales – 100% Pass
Guaranteed)
Question 1
A nurse is caring for a client who has heart failure and is receiving furosemide. Which of the
following findings should the nurse report to the provider?
A. Weight loss of 1 kg in 2 days
B. Blood pressure 110/70 mmHg
C. Potassium level 2.9 mEq/L
D. Urine output of 1,200 mL/day
Correct Answer: C. Potassium level 2.9 mEq/L
Rationale: Furosemide is a loop diuretic that can cause potassium loss. A potassium level below
3.5 mEq/L is considered hypokalemia and may increase the risk of dysrhythmias. This finding
should be reported immediately.
Question 2
A nurse is reinforcing teaching with a client about how to use a cane. Which of the following
instructions should the nurse include?
A. Hold the cane on the weak side
B. Move the cane and stronger leg together
C. Move the cane 15 inches ahead with each step
D. Keep the cane at waist level
,2
Correct Answer: B. Move the cane and stronger leg together
Rationale: The cane should be held on the stronger side and moved with the weaker leg to
provide support during ambulation.
Question 3
A nurse is caring for a client who is receiving oxygen therapy via nasal cannula. Which of the
following interventions should the nurse implement?
A. Set oxygen flow rate between 6-10 L/min
B. Secure the tubing tightly behind the ears
C. Use humidification if the flow rate is greater than 4 L/min
D. Reposition the cannula every 8 hours
Correct Answer: C. Use humidification if the flow rate is greater than 4 L/min
Rationale: Oxygen dries the mucous membranes. Humidification helps prevent mucosal drying
and should be used with flow rates above 4 L/min.
Question 4
A nurse is preparing to administer a tuberculin skin test. Which of the following routes should
the nurse use?
A. Intradermal
B. Subcutaneous
C. Intramuscular
D. Intravenous
Correct Answer: A. Intradermal
Rationale: A tuberculin skin test (Mantoux test) is administered intradermally, typically on the
forearm, using a small gauge needle.
Question 5
A nurse is caring for a client with dysphagia. Which of the following actions should the nurse
take?
,3
A. Encourage the client to drink through a straw
B. Tilt the client’s head back during swallowing
C. Offer thin liquids with meals
D. Place the client in high-Fowler’s position during meals
Correct Answer: D. Place the client in high-Fowler’s position during meals
Rationale: Sitting upright helps prevent aspiration in clients with swallowing difficulties.
Question 6
A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of
the following statements by the client indicates understanding?
A. “I will soak my feet in warm water every night.”
B. “I’ll walk barefoot when I’m home.”
C. “I will inspect my feet every day.”
D. “I’ll use a heating pad to warm my feet in winter.”
Correct Answer: C. “I will inspect my feet every day.”
Rationale: Daily foot inspection is essential for clients with diabetes to identify injuries early
and prevent complications like infections or ulcers.
Question 7
A nurse is caring for a client who is postoperative and has a prescription for clear liquids. Which
of the following items should the nurse offer the client?
A. Coffee with cream
B. Grape juice
C. Gelatin
D. Ice cream
Correct Answer: C. Gelatin
Rationale: Clear liquids include any liquid that you can see through at room temperature.
Gelatin is an example of a clear liquid. Coffee with cream, grape juice, and ice cream do not
meet the criteria for clear liquids.
, 4
Question 8
A nurse is caring for a client who is at risk for falls. Which of the following actions should the
nurse take?
A. Keep the side rails up on both sides of the bed
B. Place the call light within the client's reach
C. Place the client in a room far from the nurses' station
D. Keep the bed in the high position
Correct Answer: B. Place the call light within the client's reach
Rationale: Keeping the call light within easy reach ensures the client can request assistance,
reducing the risk of falls.
Question 9
A nurse is reinforcing teaching to a client about collecting a stool specimen for occult blood.
Which of the following instructions should the nurse include?
A. “Avoid red meat for 3 days before the test.”
B. “Collect the sample from only one part of the stool.”
C. “Use laxatives before collecting the specimen.”
D. “Store the sample at room temperature.”
Correct Answer: A. “Avoid red meat for 3 days before the test.”
Rationale: Red meat can cause false-positive results on fecal occult blood tests due to the
presence of peroxidase activity in animal hemoglobin.
Question 10
A nurse is performing a sterile dressing change. Which of the following actions breaks sterile
technique?
A. Holding sterile forceps above waist level
B. Touching the outer 1-inch border of the sterile field
C. Reaching over the sterile field to grab supplies
D. Placing sterile supplies on the sterile field
Correct Answer: C. Reaching over the sterile field to grab supplies
