ATI PN Fundamentals 2026 Proctored
Exam Comprising NGN And All
Questions and Answers: 150 Advanced
Multiple-Choice Questions with Correct
Answers and Detailed Rationales for
Practical Nursing Students
Table of Contents
Question
Section Topic
Numbers
1 Safety & Infection Control 1–20
2 Basic Nursing Care & Comfort 21–35
3 Mobility & Immobility 36–50
4 Nutrition & Hydration 51–65
5 Elimination 66–78
6 Oxygenation & Respiratory Care 79–90
7 Vital Signs & Health Assessment 91–103
8 Medication Administration 104–118
, Question
Section Topic
Numbers
Therapeutic Communication & Patient
9 119–130
Education
10 Documentation & Legal/Ethical Issues 131–140
Psychosocial Support & Cultural
11 141–148
Competence
12 Mixed Practice & NGN-Style Questions 149–150
Section 1: Safety & Infection Control (Questions 1–20)
🟢 Question 1. A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of
the following actions should the nurse take to maintain sterile technique?
A. Cleanse the perineal area with a circular motion from the outside inward
B. Apply sterile gloves before opening the sterile kit
C. Open the sterile kit before applying sterile gloves
D. Use sterile water to lubricate the catheter
🔴🔴 Correct Answer: C — Open the sterile kit before applying sterile gloves.
Rationale: The nurse should open the sterile kit and arrange supplies before applying sterile gloves to
prevent contamination of the sterile field. Cleansing should proceed from the inside outward (not
outside inward). Sterile gloves are applied after the kit is opened, and sterile lubricant (not sterile water)
should be used for catheter lubrication .
🟢 Question 2. A nurse is caring for a client who has been placed on contact precautions. Which of the
following actions should the nurse take?
A. Wear a mask when entering the client's room
B. Place the client in a room with positive air pressure
C. Don gloves and a gown before entering the client's room
D. Restrict all visitors from entering the client's room
🔴🔴 Correct Answer: C — Don gloves and a gown before entering the client's room.
Rationale: Contact precautions require the nurse to wear gloves and a gown upon entering the room to
prevent transmission of organisms spread by direct or indirect contact. A mask is not routinely required
,unless droplet/airborne precautions are also in place. Positive air pressure is used for protective/reverse
isolation, not contact precautions .
🟢 Question 3. A nurse is reinforcing teaching about hand hygiene with a group of newly licensed nurses.
Which of the following statements indicates an understanding of the teaching?
A. "I should use an alcohol-based hand rub after caring for a client with C. difficile."
B. "Hand washing with soap and water is required after caring for a client with C. difficile."
C. "Alcohol-based hand rub is more effective than soap and water for all infections."
D. "I only need to wash my hands before and after patient contact."
🔴🔴 Correct Answer: B — "Hand washing with soap and water is required after caring for a client with C.
difficile."
Rationale: Clostridium difficile produces spores that are not killed by alcohol-based hand rubs. Soap and
water must be used because the friction of washing physically removes the spores from the hands .
🟢 Question 4. A nurse is preparing to perform a sterile dressing change. Which of the following actions
by the nurse indicates a break in sterile technique?
A. Opening the sterile package away from the body
B. Placing sterile items 2.5 cm (1 inch) from the edge of the sterile field
C. Reaching over the sterile field to place an item
D. Keeping sterile gloves above waist level
🔴🔴 Correct Answer: C — Reaching over the sterile field to place an item.
Rationale: Reaching over a sterile field contaminates it because the unsterile sleeve or arm passes over
sterile items. Sterile items must be handed to or placed around—never across—the sterile field .
🟢 Question 5. A client with tuberculosis is admitted to the unit. Which type of precautions should the
nurse initiate?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions
🔴🔴 Correct Answer: C — Airborne precautions.
Rationale: Tuberculosis is transmitted via airborne particles, requiring a negative-pressure room and an
N95 respirator .
, 🟢 Question 6. A licensed practical nurse (LPN) is preparing to administer medication to a client. Which of
the following is the most important action to ensure client safety?
A. Verify the medication order with the charge nurse
B. Check the client's identification using two identifiers
C. Review the client's allergy history
D. Assess the client's vital signs before administration
🔴🔴 Correct Answer: B — Check the client's identification using two identifiers.
Rationale: The most important action to ensure client safety during medication administration is to
check the client's identification using two identifiers (e.g., name and date of birth). This standard safety
protocol prevents medication errors by ensuring the right client receives the right medication .
🟢 Question 7. A nurse is caring for a client who is at risk for falls. Which of the following actions should
the nurse take to prevent falls?
A. Keep all four bed rails up at all times
B. Place the bed in the lowest position with the wheels locked
C. Restrain the client to prevent ambulation
D. Keep the client's room dark to promote sleep
🔴🔴 Correct Answer: B — Place the bed in the lowest position with the wheels locked.
Rationale: Placing the bed in the lowest position with the wheels locked reduces the risk of injury if the
client attempts to get out of bed unassisted. Restraints should be avoided unless absolutely necessary,
and keeping the room dark increases fall risk .
🟢 Question 8. A nurse notices a colleague does not perform hand hygiene before entering a client's
room. Which of the following actions should the nurse take first?
A. Report the colleague to the unit manager immediately
B. Remind the colleague about hand hygiene in a private manner
C. Ignore the behavior to avoid conflict
D. Document the incident in the client's chart
🔴🔴 Correct Answer: B — Remind the colleague about hand hygiene in a private manner.
Rationale: The nurse should first address the issue directly with the colleague in a professional and
private manner. If the behavior continues, it should be escalated to the manager .
🟢 Question 9. A nurse is preparing to enter the room of a client who has MRSA. Which of the following
actions is the priority?
Exam Comprising NGN And All
Questions and Answers: 150 Advanced
Multiple-Choice Questions with Correct
Answers and Detailed Rationales for
Practical Nursing Students
Table of Contents
Question
Section Topic
Numbers
1 Safety & Infection Control 1–20
2 Basic Nursing Care & Comfort 21–35
3 Mobility & Immobility 36–50
4 Nutrition & Hydration 51–65
5 Elimination 66–78
6 Oxygenation & Respiratory Care 79–90
7 Vital Signs & Health Assessment 91–103
8 Medication Administration 104–118
, Question
Section Topic
Numbers
Therapeutic Communication & Patient
9 119–130
Education
10 Documentation & Legal/Ethical Issues 131–140
Psychosocial Support & Cultural
11 141–148
Competence
12 Mixed Practice & NGN-Style Questions 149–150
Section 1: Safety & Infection Control (Questions 1–20)
🟢 Question 1. A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of
the following actions should the nurse take to maintain sterile technique?
A. Cleanse the perineal area with a circular motion from the outside inward
B. Apply sterile gloves before opening the sterile kit
C. Open the sterile kit before applying sterile gloves
D. Use sterile water to lubricate the catheter
🔴🔴 Correct Answer: C — Open the sterile kit before applying sterile gloves.
Rationale: The nurse should open the sterile kit and arrange supplies before applying sterile gloves to
prevent contamination of the sterile field. Cleansing should proceed from the inside outward (not
outside inward). Sterile gloves are applied after the kit is opened, and sterile lubricant (not sterile water)
should be used for catheter lubrication .
🟢 Question 2. A nurse is caring for a client who has been placed on contact precautions. Which of the
following actions should the nurse take?
A. Wear a mask when entering the client's room
B. Place the client in a room with positive air pressure
C. Don gloves and a gown before entering the client's room
D. Restrict all visitors from entering the client's room
🔴🔴 Correct Answer: C — Don gloves and a gown before entering the client's room.
Rationale: Contact precautions require the nurse to wear gloves and a gown upon entering the room to
prevent transmission of organisms spread by direct or indirect contact. A mask is not routinely required
,unless droplet/airborne precautions are also in place. Positive air pressure is used for protective/reverse
isolation, not contact precautions .
🟢 Question 3. A nurse is reinforcing teaching about hand hygiene with a group of newly licensed nurses.
Which of the following statements indicates an understanding of the teaching?
A. "I should use an alcohol-based hand rub after caring for a client with C. difficile."
B. "Hand washing with soap and water is required after caring for a client with C. difficile."
C. "Alcohol-based hand rub is more effective than soap and water for all infections."
D. "I only need to wash my hands before and after patient contact."
🔴🔴 Correct Answer: B — "Hand washing with soap and water is required after caring for a client with C.
difficile."
Rationale: Clostridium difficile produces spores that are not killed by alcohol-based hand rubs. Soap and
water must be used because the friction of washing physically removes the spores from the hands .
🟢 Question 4. A nurse is preparing to perform a sterile dressing change. Which of the following actions
by the nurse indicates a break in sterile technique?
A. Opening the sterile package away from the body
B. Placing sterile items 2.5 cm (1 inch) from the edge of the sterile field
C. Reaching over the sterile field to place an item
D. Keeping sterile gloves above waist level
🔴🔴 Correct Answer: C — Reaching over the sterile field to place an item.
Rationale: Reaching over a sterile field contaminates it because the unsterile sleeve or arm passes over
sterile items. Sterile items must be handed to or placed around—never across—the sterile field .
🟢 Question 5. A client with tuberculosis is admitted to the unit. Which type of precautions should the
nurse initiate?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions
🔴🔴 Correct Answer: C — Airborne precautions.
Rationale: Tuberculosis is transmitted via airborne particles, requiring a negative-pressure room and an
N95 respirator .
, 🟢 Question 6. A licensed practical nurse (LPN) is preparing to administer medication to a client. Which of
the following is the most important action to ensure client safety?
A. Verify the medication order with the charge nurse
B. Check the client's identification using two identifiers
C. Review the client's allergy history
D. Assess the client's vital signs before administration
🔴🔴 Correct Answer: B — Check the client's identification using two identifiers.
Rationale: The most important action to ensure client safety during medication administration is to
check the client's identification using two identifiers (e.g., name and date of birth). This standard safety
protocol prevents medication errors by ensuring the right client receives the right medication .
🟢 Question 7. A nurse is caring for a client who is at risk for falls. Which of the following actions should
the nurse take to prevent falls?
A. Keep all four bed rails up at all times
B. Place the bed in the lowest position with the wheels locked
C. Restrain the client to prevent ambulation
D. Keep the client's room dark to promote sleep
🔴🔴 Correct Answer: B — Place the bed in the lowest position with the wheels locked.
Rationale: Placing the bed in the lowest position with the wheels locked reduces the risk of injury if the
client attempts to get out of bed unassisted. Restraints should be avoided unless absolutely necessary,
and keeping the room dark increases fall risk .
🟢 Question 8. A nurse notices a colleague does not perform hand hygiene before entering a client's
room. Which of the following actions should the nurse take first?
A. Report the colleague to the unit manager immediately
B. Remind the colleague about hand hygiene in a private manner
C. Ignore the behavior to avoid conflict
D. Document the incident in the client's chart
🔴🔴 Correct Answer: B — Remind the colleague about hand hygiene in a private manner.
Rationale: The nurse should first address the issue directly with the colleague in a professional and
private manner. If the behavior continues, it should be escalated to the manager .
🟢 Question 9. A nurse is preparing to enter the room of a client who has MRSA. Which of the following
actions is the priority?
