NGN ATI Fundamentals CMS Proctored Exam Practice Questions and Answers 2026
NGN ATI FUNDAMENTALS CMS
Proctored Exam Practice Questions and
Answers with Rationale 2026 exam
Question 1
A nurse enters a client’s room and discovers flames in a trash can near the bedside. Which action
should the nurse take first?
A. Activate the fire alarm
B. Attempt to extinguish the fire
C. Remove the client from the room
D. Close the door to the room
✅ Answer: C. Remove the client from the room
Rationale:
Use the RACE protocol:
Rescue
Alarm
Contain
Extinguish
The priority is immediate client safety.
Question 2
A nurse is caring for a client receiving continuous enteral feedings through an NG tube. Which
finding requires immediate intervention?
A. Gastric residual of 80 mL
B. HOB elevated 30°
C. New onset crackles in lungs
D. Formula at room temperature
✅ Answer: C. New onset crackles in lungs
Rationale:
Crackles may indicate aspiration, a life-threatening complication of tube feeding.
, NGN ATI Fundamentals CMS Proctored Exam Practice Questions and Answers 2026
Question 3
A nurse is delegating care to an assistive personnel (AP). Which task is appropriate?
A. Assess pain after medication administration
B. Teach a client to use an incentive spirometer
C. Obtain routine vital signs for a stable client
D. Evaluate effectiveness of restraints
✅ Answer: C. Obtain routine vital signs for a stable client
Rationale:
AP can perform routine, non-assessment tasks on stable clients.
Question 4
A client suddenly becomes short of breath after surgery. Which action should the nurse take
first?
A. Obtain a prescription for oxygen
B. Raise the head of the bed
C. Notify the provider
D. Prepare for chest x-ray
✅ Answer: B. Raise the head of the bed
Rationale:
Airway and breathing are the priority under ABCs.
Question 5
A nurse is caring for a client with suspected tuberculosis. Which PPE is required?
A. Surgical mask
B. Sterile gloves
C. N95 respirator
D. Face shield only
✅ Answer: C. N95 respirator
, NGN ATI Fundamentals CMS Proctored Exam Practice Questions and Answers 2026
Rationale:
TB requires airborne precautions.
Question 6
A nurse notes redness over a client’s coccyx. Which action should the nurse take?
A. Massage the area
B. Apply heat
C. Reposition the client every 2 hr
D. Use donut-shaped cushion
✅ Answer: C. Reposition the client every 2 hr
Rationale:
Frequent repositioning prevents pressure injury progression.
Question 7
A client says, “I’m scared I might die after surgery.” Which response by the nurse is therapeutic?
A. “You shouldn’t think negatively.”
B. “Everything will be fine.”
C. “Tell me more about your concerns.”
D. “The surgeon is excellent.”
✅ Answer: C. “Tell me more about your concerns.”
Rationale:
Encourages expression of feelings using therapeutic communication.
Question 8
A nurse is preparing to administer insulin. Which action is most important?
A. Warm insulin to room temperature
B. Verify blood glucose level
C. Shake the vial vigorously
D. Massage injection site afterward
NGN ATI FUNDAMENTALS CMS
Proctored Exam Practice Questions and
Answers with Rationale 2026 exam
Question 1
A nurse enters a client’s room and discovers flames in a trash can near the bedside. Which action
should the nurse take first?
A. Activate the fire alarm
B. Attempt to extinguish the fire
C. Remove the client from the room
D. Close the door to the room
✅ Answer: C. Remove the client from the room
Rationale:
Use the RACE protocol:
Rescue
Alarm
Contain
Extinguish
The priority is immediate client safety.
Question 2
A nurse is caring for a client receiving continuous enteral feedings through an NG tube. Which
finding requires immediate intervention?
A. Gastric residual of 80 mL
B. HOB elevated 30°
C. New onset crackles in lungs
D. Formula at room temperature
✅ Answer: C. New onset crackles in lungs
Rationale:
Crackles may indicate aspiration, a life-threatening complication of tube feeding.
, NGN ATI Fundamentals CMS Proctored Exam Practice Questions and Answers 2026
Question 3
A nurse is delegating care to an assistive personnel (AP). Which task is appropriate?
A. Assess pain after medication administration
B. Teach a client to use an incentive spirometer
C. Obtain routine vital signs for a stable client
D. Evaluate effectiveness of restraints
✅ Answer: C. Obtain routine vital signs for a stable client
Rationale:
AP can perform routine, non-assessment tasks on stable clients.
Question 4
A client suddenly becomes short of breath after surgery. Which action should the nurse take
first?
A. Obtain a prescription for oxygen
B. Raise the head of the bed
C. Notify the provider
D. Prepare for chest x-ray
✅ Answer: B. Raise the head of the bed
Rationale:
Airway and breathing are the priority under ABCs.
Question 5
A nurse is caring for a client with suspected tuberculosis. Which PPE is required?
A. Surgical mask
B. Sterile gloves
C. N95 respirator
D. Face shield only
✅ Answer: C. N95 respirator
, NGN ATI Fundamentals CMS Proctored Exam Practice Questions and Answers 2026
Rationale:
TB requires airborne precautions.
Question 6
A nurse notes redness over a client’s coccyx. Which action should the nurse take?
A. Massage the area
B. Apply heat
C. Reposition the client every 2 hr
D. Use donut-shaped cushion
✅ Answer: C. Reposition the client every 2 hr
Rationale:
Frequent repositioning prevents pressure injury progression.
Question 7
A client says, “I’m scared I might die after surgery.” Which response by the nurse is therapeutic?
A. “You shouldn’t think negatively.”
B. “Everything will be fine.”
C. “Tell me more about your concerns.”
D. “The surgeon is excellent.”
✅ Answer: C. “Tell me more about your concerns.”
Rationale:
Encourages expression of feelings using therapeutic communication.
Question 8
A nurse is preparing to administer insulin. Which action is most important?
A. Warm insulin to room temperature
B. Verify blood glucose level
C. Shake the vial vigorously
D. Massage injection site afterward
