ATI Fundamentals | NGN Standalone Case Scenarios Practice Pack
2026/2027 Questions |Answers |Rationales
1. A nurse is preparing to enter the room of a client who has a prescription for
airborne precautions. Which of the following personal protective equipment
(PPE) should the nurse put on first?
A. Gloves
B. N95 respirator
C. Gown
D. Goggles
Answer: B
Rationale: According to the CDC for airborne precautions, a fitted N95 or higher-level
respirator is required before entering the room to prevent inhalation of small particles.
2. A nurse is assessing a client’s radial pulse and notes that the rhythm is
irregular. Which of the following actions should the nurse take next?
A. Document the finding as normal.
B. Notify the provider immediately.
C. Measure the apical pulse for 1 full minute.
D. Reassess the radial pulse in 15 minutes.
Answer: C
Rationale: When a peripheral pulse is irregular, the nurse should assess the apical pulse
for a full 60 seconds to obtain an accurate heart rate and rhythm.
,3. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take?
A. Keep all four side rails up at all times.
B. Provide the client with non-skid footwear.
C. Place the bedside table far away from the bed.
D. Keep the bed in the highest position.
Answer: B
Rationale: Non-skid footwear provides better traction and reduces the risk of slipping.
Keeping four rails up is considered a restraint.
4. A nurse is preparing to administer an intramuscular injection to an adult
client. Which of the following sites is the safest and preferred site for this
injection?
A. Dorsogluteal
B. Deltoid
C. Ventrogluteal
D. Vastus lateralis
Answer: C
Rationale: The ventrogluteal site is the preferred site for IM injections in adults because it
lacks major nerves and blood vessels.
5. A nurse is caring for a client who has a stage 2 pressure injury. Which of the
following findings should the nurse expect?
A. Non-blanchable erythema of intact skin
B. Partial-thickness skin loss with a visible basement membrane
C. Full-thickness skin loss with visible adipose tissue
D. Full-thickness skin loss with exposed bone
Answer: B
, Rationale: A stage 2 pressure injury involves partial-thickness loss of the dermis,
appearing as a shallow open ulcer or a blister.
6. A nurse is educating a client about the use of a cane. Which of the following
instructions should the nurse include?
A. Hold the cane on the weaker side of the body.
B. Move the stronger leg forward first.
C. Hold the cane on the stronger side of the body.
D. Keep the elbow straight when holding the cane.
Answer: C
Rationale: A cane should be held on the unaffected (stronger) side to provide maximum
support and improve balance.
7. When performing an abdominal assessment, in which order should the nurse
perform the steps?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Palpation, Percussion, Auscultation, Inspection
Answer: B
Rationale: For the abdomen, auscultation is done before percussion and palpation to avoid
altering bowel sounds.
8. A nurse is caring for a client who is post-operative and reports difficulty
breathing. Which of the following actions should the nurse take first?
A. Administer oxygen via nasal cannula.
B. Notify the surgeon.
C. Elevate the head of the bed.
D. Encourage the use of an incentive spirometer.
Answer: C
2026/2027 Questions |Answers |Rationales
1. A nurse is preparing to enter the room of a client who has a prescription for
airborne precautions. Which of the following personal protective equipment
(PPE) should the nurse put on first?
A. Gloves
B. N95 respirator
C. Gown
D. Goggles
Answer: B
Rationale: According to the CDC for airborne precautions, a fitted N95 or higher-level
respirator is required before entering the room to prevent inhalation of small particles.
2. A nurse is assessing a client’s radial pulse and notes that the rhythm is
irregular. Which of the following actions should the nurse take next?
A. Document the finding as normal.
B. Notify the provider immediately.
C. Measure the apical pulse for 1 full minute.
D. Reassess the radial pulse in 15 minutes.
Answer: C
Rationale: When a peripheral pulse is irregular, the nurse should assess the apical pulse
for a full 60 seconds to obtain an accurate heart rate and rhythm.
,3. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take?
A. Keep all four side rails up at all times.
B. Provide the client with non-skid footwear.
C. Place the bedside table far away from the bed.
D. Keep the bed in the highest position.
Answer: B
Rationale: Non-skid footwear provides better traction and reduces the risk of slipping.
Keeping four rails up is considered a restraint.
4. A nurse is preparing to administer an intramuscular injection to an adult
client. Which of the following sites is the safest and preferred site for this
injection?
A. Dorsogluteal
B. Deltoid
C. Ventrogluteal
D. Vastus lateralis
Answer: C
Rationale: The ventrogluteal site is the preferred site for IM injections in adults because it
lacks major nerves and blood vessels.
5. A nurse is caring for a client who has a stage 2 pressure injury. Which of the
following findings should the nurse expect?
A. Non-blanchable erythema of intact skin
B. Partial-thickness skin loss with a visible basement membrane
C. Full-thickness skin loss with visible adipose tissue
D. Full-thickness skin loss with exposed bone
Answer: B
, Rationale: A stage 2 pressure injury involves partial-thickness loss of the dermis,
appearing as a shallow open ulcer or a blister.
6. A nurse is educating a client about the use of a cane. Which of the following
instructions should the nurse include?
A. Hold the cane on the weaker side of the body.
B. Move the stronger leg forward first.
C. Hold the cane on the stronger side of the body.
D. Keep the elbow straight when holding the cane.
Answer: C
Rationale: A cane should be held on the unaffected (stronger) side to provide maximum
support and improve balance.
7. When performing an abdominal assessment, in which order should the nurse
perform the steps?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Palpation, Percussion, Auscultation, Inspection
Answer: B
Rationale: For the abdomen, auscultation is done before percussion and palpation to avoid
altering bowel sounds.
8. A nurse is caring for a client who is post-operative and reports difficulty
breathing. Which of the following actions should the nurse take first?
A. Administer oxygen via nasal cannula.
B. Notify the surgeon.
C. Elevate the head of the bed.
D. Encourage the use of an incentive spirometer.
Answer: C
