NGN ATI Fundamentals Proctored Exam Practice Questions and Answers 2026
NGN ATI FUNDAMENTALS Proctored
Exam Practice Questions and Answers with
Rationale 2026 exam
The ATI Fundamentals Proctored Exam focuses heavily on:
Safety & infection control
Delegation & prioritization
Basic care and comfort
Therapeutic communication
Medication administration
NGN clinical judgment scenarios
1. A nurse is caring for four clients. Which client should the
nurse assess first?
A. Client with constipation requesting a laxative
B. Client with COPD whose oxygen saturation is 88%
C. Client requesting assistance to the bathroom
D. Client asking for discharge instructions
✅ Answer: B. Client with COPD whose oxygen saturation is 88%
Rationale:
Using the ABC priority framework, impaired oxygenation takes priority. Hypoxemia can rapidly
become life-threatening.
2. A nurse is performing hand hygiene. Which action
requires correction?
A. Washing hands for 20 seconds
B. Using alcohol sanitizer on visibly soiled hands
C. Removing jewelry before handwashing
D. Cleaning between fingers
✅ Answer: B. Using alcohol sanitizer on visibly soiled hands
, NGN ATI Fundamentals Proctored Exam Practice Questions and Answers 2026
Rationale:
Soap and water must be used when hands are visibly soiled. Alcohol-based sanitizer is
ineffective against physical debris.
3. A client with diabetes reports dizziness and shakiness.
Blood glucose is 52 mg/dL. Which action should the nurse
take first?
A. Administer insulin
B. Give orange juice
C. Notify the provider
D. Start IV fluids
✅ Answer: B. Give orange juice
Rationale:
A conscious client with hypoglycemia should receive 15 g of fast-acting carbohydrates
immediately.
4. Which statement by a client indicates understanding of
fall prevention teaching?
A. “I will get up slowly from bed.”
B. “I should keep the side rails up at all times.”
C. “I can walk without help if I feel strong.”
D. “I should wear socks without shoes.”
✅ Answer: A. “I will get up slowly from bed.”
Rationale:
Changing positions slowly helps prevent orthostatic hypotension and falls.
5. A nurse is preparing a sterile field. Which action
contaminates the sterile field?
, NGN ATI Fundamentals Proctored Exam Practice Questions and Answers 2026
A. Opening the flap away first
B. Holding items above waist level
C. Reaching over the sterile field
D. Keeping the field dry
✅ Answer: C. Reaching over the sterile field
Rationale:
Reaching over a sterile field introduces microorganisms and contaminates the field.
6. A nurse is caring for a client receiving oxygen by nasal
cannula at 2 L/min. Which finding requires intervention?
A. Humidifier attached
B. Petroleum jelly applied to nares
C. Oxygen tubing secured
D. Client sitting upright
✅ Answer: B. Petroleum jelly applied to nares
Rationale:
Petroleum products are flammable and should not be used with oxygen. Water-soluble lubricants
are recommended.
7. A nurse enters a room and finds a client unresponsive.
What is the nurse’s priority action?
A. Call the provider
B. Check for a pulse
C. Start chest compressions
D. Obtain vital signs
✅ Answer: B. Check for a pulse
Rationale:
The nurse must first assess responsiveness and circulation before initiating CPR.
NGN ATI FUNDAMENTALS Proctored
Exam Practice Questions and Answers with
Rationale 2026 exam
The ATI Fundamentals Proctored Exam focuses heavily on:
Safety & infection control
Delegation & prioritization
Basic care and comfort
Therapeutic communication
Medication administration
NGN clinical judgment scenarios
1. A nurse is caring for four clients. Which client should the
nurse assess first?
A. Client with constipation requesting a laxative
B. Client with COPD whose oxygen saturation is 88%
C. Client requesting assistance to the bathroom
D. Client asking for discharge instructions
✅ Answer: B. Client with COPD whose oxygen saturation is 88%
Rationale:
Using the ABC priority framework, impaired oxygenation takes priority. Hypoxemia can rapidly
become life-threatening.
2. A nurse is performing hand hygiene. Which action
requires correction?
A. Washing hands for 20 seconds
B. Using alcohol sanitizer on visibly soiled hands
C. Removing jewelry before handwashing
D. Cleaning between fingers
✅ Answer: B. Using alcohol sanitizer on visibly soiled hands
, NGN ATI Fundamentals Proctored Exam Practice Questions and Answers 2026
Rationale:
Soap and water must be used when hands are visibly soiled. Alcohol-based sanitizer is
ineffective against physical debris.
3. A client with diabetes reports dizziness and shakiness.
Blood glucose is 52 mg/dL. Which action should the nurse
take first?
A. Administer insulin
B. Give orange juice
C. Notify the provider
D. Start IV fluids
✅ Answer: B. Give orange juice
Rationale:
A conscious client with hypoglycemia should receive 15 g of fast-acting carbohydrates
immediately.
4. Which statement by a client indicates understanding of
fall prevention teaching?
A. “I will get up slowly from bed.”
B. “I should keep the side rails up at all times.”
C. “I can walk without help if I feel strong.”
D. “I should wear socks without shoes.”
✅ Answer: A. “I will get up slowly from bed.”
Rationale:
Changing positions slowly helps prevent orthostatic hypotension and falls.
5. A nurse is preparing a sterile field. Which action
contaminates the sterile field?
, NGN ATI Fundamentals Proctored Exam Practice Questions and Answers 2026
A. Opening the flap away first
B. Holding items above waist level
C. Reaching over the sterile field
D. Keeping the field dry
✅ Answer: C. Reaching over the sterile field
Rationale:
Reaching over a sterile field introduces microorganisms and contaminates the field.
6. A nurse is caring for a client receiving oxygen by nasal
cannula at 2 L/min. Which finding requires intervention?
A. Humidifier attached
B. Petroleum jelly applied to nares
C. Oxygen tubing secured
D. Client sitting upright
✅ Answer: B. Petroleum jelly applied to nares
Rationale:
Petroleum products are flammable and should not be used with oxygen. Water-soluble lubricants
are recommended.
7. A nurse enters a room and finds a client unresponsive.
What is the nurse’s priority action?
A. Call the provider
B. Check for a pulse
C. Start chest compressions
D. Obtain vital signs
✅ Answer: B. Check for a pulse
Rationale:
The nurse must first assess responsiveness and circulation before initiating CPR.
