FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Exam has 70 FUNDAMENTALS nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
,1. A nurse is admi ng a client who is malnourished. The client states, "My
wedding ring is loose and I'm worried I will lose it if it falls off." Which of the
following is an appropriate response by the nurse?
A. "I will place it in your drawer so it won't get lost."
B. "I can pin it to your hospital gown so you won't lose it."
C. "I will hold onto it un l a family member can take it home."
D. "I can put it in a locked storage unit for you."
Correct Answer: D
Ra&onale:
Placing valuables in a locked storage area protects the client's belongings while
respec ng their property. It's important to ensure safety of personal items
without taking possession away indefinitely or risking loss.
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2. A charge nurse is teaching a group of newly licensed nurses about the use of
restraints. In which of the following clinical situa&ons should the nurse apply
restraints?
A. If the client is pacing in the hallway
B. As a part of a fall preven on program
C. At the request of the client's family
D. When the client poses a threat to self
,Correct Answer: D
Ra&onale:
Restraints are used only when the client is a danger to themselves or others, not
for convenience, fall preven on programs, or at family requests alone. This aligns
with ethical and legal standards to protect client safety.
3. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-
old child who has difficulty swallowing pills. Available is diphenhydramine 12.5
mg/5 ml oral syrup. Which of the following images indicates the correct number
of mL the nurse should administer? (Round answer to the nearest whole
number.)
Dosage Calcula on: 8 mL
*A. 5 mL*
*B. 8 mL*
*C. 10 mL*
*D. 12 mL*
Correct Answer: B
Ra&onale:
To calculate the volume to administer:
, \( \frac{20\, mg \ mes 5\, mL}{12.5\, mg} = 8\, mL \).
The nurse should administer 8 mL of the syrup. This ensures accurate dosing
based on the concentra on available, which is cri cal in pediatric medica on
administra on.
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4. To ensure client safety, a nurse manager is planning to observe a newly
licensed nurse perform a straight catheteriza&on on a client. In which of the
following roles is the nurse manager func&oning?
A. Case manager
B. Client educator
C. Client care provider
D. Client advocate
Correct Answer: D
Ra&onale:
By overseeing and ensuring safe care through direct observa on, the nurse
manager acts as a client advocate, ensuring client rights and safety during
procedures.
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