ATI RN Fundamentals
Proctored Exam with NGN
70 Verified Screenshot Questions & Correct Answers
Comprehensive Practice Resource
Including NGN Question Types: Multiple Choice, Multiple Select, Cloze, and More
Section Topic Questions
1 Safety and Infection Control 1 - 10
2 Health Promotion and Maintenance 11 - 20
3 Psychosocial Integrity 21 - 30
4 Basic Care and Comfort 31 - 40
5 Pharmacology and Medication Administration 41 - 50
6 Reduction of Risk Potential 51 - 60
7 Management of Care 61 - 70
Each question includes the correct answer and a detailed rationale explaining the clinical reasoning.
,Section 1: Safety and Infection Control
Question 1 [NGN-MC]
A nurse is preparing to administer a medication to a client. Which of the following actions should the nurse take
first?
A. Check the expiration date on the medication
B. Verify the client's identity using two identifiers
C. Review the provider's prescription
D. Assess the client for allergies
Correct Answer: B
Rationale: Verifying the client's identity using two identifiers is the first step in the medication administration process to
ensure the right client receives the right medication. This is a fundamental safety principle from the Joint Commission's
National Patient Safety Goals.
Question 2
A nurse is caring for a client who has a latex allergy. Which of the following items should the nurse avoid using
when caring for this client?
A. Vinyl gloves
B. Silk adhesive tape
C. Blood pressure cuff with latex tubing
D. Silicone catheter
Correct Answer: C
Rationale: A blood pressure cuff with latex tubing contains latex and should be avoided for clients with latex allergy.
Vinyl gloves, silk tape, and silicone catheters are latex-free alternatives. The nurse must ensure all equipment that contacts
the client is latex-free.
Question 3 [NGN-MS]
A nurse is implementing fall prevention strategies for an older adult client. Which of the following actions
should the nurse take? (Select all that apply.)
A. Place the client in a room near the nurses' station
B. Keep the client's bed in the lowest position
C. Ensure the client's call light is within reach
D. Use all side rails in the raised position
E. Provide nonskid footwear for the client
Correct Answer: A, B, C, E
Rationale: Fall prevention strategies include placing the client near the nurses' station for close monitoring, keeping the
bed in the lowest position to minimize fall distance, ensuring the call light is accessible, and providing nonskid footwear.
Using all side rails raised is considered a restraint and may increase injury risk if the client attempts to climb over them.
Question 4 [NGN-MC]
A nurse is performing hand hygiene after providing care to a client who has Clostridium difficile. Which of the
following hand hygiene methods should the nurse use?
A. Alcohol-based hand rub
B. Soap and water
, C. Antiseptic hand wipes
D. Chlorhexidine gluconate
Correct Answer: B
Rationale: Soap and water is the recommended hand hygiene method after caring for a client with C. difficile because
alcohol-based hand rubs do not effectively eliminate C. difficile spores. The mechanical friction of handwashing with soap
and water is necessary to physically remove the spores from the hands.
Question 5
A nurse is caring for a client who requires droplet precautions. Which of the following pieces of personal
protective equipment should the nurse wear when entering the client's room?
A. N95 respirator
B. Gown and gloves
C. Surgical mask
D. Face shield and gown
Correct Answer: C
Rationale: Droplet precautions require a surgical mask when within 3 feet of the client. An N95 respirator is required for
airborne precautions, not droplet. Gowns and gloves are used for contact precautions. A face shield may be used if
splashing is anticipated but is not the primary PPE for droplet precautions.
Question 6 [NGN-MC]
A nurse discovers a fire in a client's trash can. Which of the following actions should the nurse take first?
A. Activate the fire alarm
B. Attempt to extinguish the fire
C. Remove the client from the area
D. Close the door to contain the fire
Correct Answer: C
Rationale: According to the RACE protocol (Rescue, Activate, Contain, Evacuate/Extinguish), the first action is to rescue
the client by removing them from the area of danger. After ensuring client safety, the nurse should then activate the alarm,
contain the fire, and finally attempt to extinguish or evacuate.
Question 7 [NGN-MS]
A nurse is preparing to dispose of a needle after administering an injection. Which of the following actions
should the nurse take? (Select all that apply.)
A. Recap the needle before disposal
B. Use a needleless system if available
C. Place the needle in a puncture-proof container
D. Break the needle before disposal
E. Engage the safety device on the needle
Correct Answer: B, C, E
Rationale: Needle safety practices include using needleless systems when available, disposing of needles in
puncture-proof sharps containers, and engaging safety devices on needles. Recapping needles and breaking needles are
unsafe practices that increase the risk of needlestick injuries.
Question 8
Proctored Exam with NGN
70 Verified Screenshot Questions & Correct Answers
Comprehensive Practice Resource
Including NGN Question Types: Multiple Choice, Multiple Select, Cloze, and More
Section Topic Questions
1 Safety and Infection Control 1 - 10
2 Health Promotion and Maintenance 11 - 20
3 Psychosocial Integrity 21 - 30
4 Basic Care and Comfort 31 - 40
5 Pharmacology and Medication Administration 41 - 50
6 Reduction of Risk Potential 51 - 60
7 Management of Care 61 - 70
Each question includes the correct answer and a detailed rationale explaining the clinical reasoning.
,Section 1: Safety and Infection Control
Question 1 [NGN-MC]
A nurse is preparing to administer a medication to a client. Which of the following actions should the nurse take
first?
A. Check the expiration date on the medication
B. Verify the client's identity using two identifiers
C. Review the provider's prescription
D. Assess the client for allergies
Correct Answer: B
Rationale: Verifying the client's identity using two identifiers is the first step in the medication administration process to
ensure the right client receives the right medication. This is a fundamental safety principle from the Joint Commission's
National Patient Safety Goals.
Question 2
A nurse is caring for a client who has a latex allergy. Which of the following items should the nurse avoid using
when caring for this client?
A. Vinyl gloves
B. Silk adhesive tape
C. Blood pressure cuff with latex tubing
D. Silicone catheter
Correct Answer: C
Rationale: A blood pressure cuff with latex tubing contains latex and should be avoided for clients with latex allergy.
Vinyl gloves, silk tape, and silicone catheters are latex-free alternatives. The nurse must ensure all equipment that contacts
the client is latex-free.
Question 3 [NGN-MS]
A nurse is implementing fall prevention strategies for an older adult client. Which of the following actions
should the nurse take? (Select all that apply.)
A. Place the client in a room near the nurses' station
B. Keep the client's bed in the lowest position
C. Ensure the client's call light is within reach
D. Use all side rails in the raised position
E. Provide nonskid footwear for the client
Correct Answer: A, B, C, E
Rationale: Fall prevention strategies include placing the client near the nurses' station for close monitoring, keeping the
bed in the lowest position to minimize fall distance, ensuring the call light is accessible, and providing nonskid footwear.
Using all side rails raised is considered a restraint and may increase injury risk if the client attempts to climb over them.
Question 4 [NGN-MC]
A nurse is performing hand hygiene after providing care to a client who has Clostridium difficile. Which of the
following hand hygiene methods should the nurse use?
A. Alcohol-based hand rub
B. Soap and water
, C. Antiseptic hand wipes
D. Chlorhexidine gluconate
Correct Answer: B
Rationale: Soap and water is the recommended hand hygiene method after caring for a client with C. difficile because
alcohol-based hand rubs do not effectively eliminate C. difficile spores. The mechanical friction of handwashing with soap
and water is necessary to physically remove the spores from the hands.
Question 5
A nurse is caring for a client who requires droplet precautions. Which of the following pieces of personal
protective equipment should the nurse wear when entering the client's room?
A. N95 respirator
B. Gown and gloves
C. Surgical mask
D. Face shield and gown
Correct Answer: C
Rationale: Droplet precautions require a surgical mask when within 3 feet of the client. An N95 respirator is required for
airborne precautions, not droplet. Gowns and gloves are used for contact precautions. A face shield may be used if
splashing is anticipated but is not the primary PPE for droplet precautions.
Question 6 [NGN-MC]
A nurse discovers a fire in a client's trash can. Which of the following actions should the nurse take first?
A. Activate the fire alarm
B. Attempt to extinguish the fire
C. Remove the client from the area
D. Close the door to contain the fire
Correct Answer: C
Rationale: According to the RACE protocol (Rescue, Activate, Contain, Evacuate/Extinguish), the first action is to rescue
the client by removing them from the area of danger. After ensuring client safety, the nurse should then activate the alarm,
contain the fire, and finally attempt to extinguish or evacuate.
Question 7 [NGN-MS]
A nurse is preparing to dispose of a needle after administering an injection. Which of the following actions
should the nurse take? (Select all that apply.)
A. Recap the needle before disposal
B. Use a needleless system if available
C. Place the needle in a puncture-proof container
D. Break the needle before disposal
E. Engage the safety device on the needle
Correct Answer: B, C, E
Rationale: Needle safety practices include using needleless systems when available, disposing of needles in
puncture-proof sharps containers, and engaging safety devices on needles. Recapping needles and breaking needles are
unsafe practices that increase the risk of needlestick injuries.
Question 8
