ATI Fundamentals NGN Practice Test:
Case Scenarios, Multiple Response &
Ordered Response 2026-2027 Practice
Exam with Rationales
Case Study 1: Fall Risk and Safety
A 78-year-old client is admitted after a fall at home. The client
reports dizziness when standing and takes antihypertensive
medication. The client is weak and uses a walker.
1. Which assessment finding requires the nurse's priority attention?
A. Reports occasional constipation
B. Uses reading glasses
C. Reports dizziness when standing
D. Sleeps 6 hr each night
Answer: C. Reports dizziness when standing
Rationale: Orthostatic dizziness increases the client's risk for another
fall and may indicate orthostatic hypotension requiring further
assessment.
2. Which interventions should the nurse implement to reduce fall
risk? Select all that apply.
A. Keep the bed in the lowest position.
B. Place frequently used items within reach.
C. Encourage the client to walk independently.
D. Ensure adequate lighting.
E. Keep the call light accessible.
Answers: A, B, D, E
,Rationale: A low bed, accessible supplies, adequate lighting, and a
reachable call light reduce environmental fall hazards. The client
should receive assistance with ambulation as indicated.
3. The nurse obtains orthostatic vital signs. Which sequence is
appropriate?
A. Sitting, standing, supine
B. Standing, sitting, supine
C. Supine, sitting, standing
D. Supine, standing, sitting
Answer: C. Supine, sitting, standing
Rationale: Orthostatic measurements are commonly obtained after
the client rests supine, followed by sitting and standing
measurements while monitoring symptoms and vital-sign changes.
4. Which action should the nurse take first when assisting this client
to ambulate?
A. Ask the client to stand quickly.
B. Have the client sit at the bedside before standing.
C. Place the walker several feet away.
D. Ask the client to close their eyes.
Answer: B. Have the client sit at the bedside before standing.
Rationale: Sitting at the bedside allows the nurse to assess tolerance
to position changes and helps reduce the risk of orthostatic-related
falls.
5. Place the actions in the correct order for assisting the client from
bed to standing.
1. Assist the client to sit on the edge of the bed.
2. Apply nonskid footwear.
3. Assess for dizziness.
, 4. Assist the client to stand using the walker.
5. Allow the client to stabilize before ambulating.
Answer: 2 → 1 → 3 → 4 → 5
Rationale: Appropriate footwear and a safe sitting position should be
established before assessing tolerance, standing, and beginning
ambulation.
Case Study 2: Infection Prevention
A client with suspected Clostridioides difficile infection has frequent
watery stools. The client is placed on contact precautions.
6. Which personal protective equipment should the nurse use?
A. Surgical mask only
B. Gown and gloves
C. N95 respirator only
D. Sterile gloves only
Answer: B. Gown and gloves
Rationale: Contact precautions for C. difficile require gown and
gloves when entering the client's environment.
7. Which hand-hygiene method is most appropriate after caring for
this client?
A. Alcohol-based hand sanitizer only
B. Soap and water
C. Antiseptic lotion
D. Sterile water
Answer: B. Soap and water
, Rationale: Soap and water are preferred after caring for clients with
C. difficile because alcohol-based products do not reliably eliminate
spores.
8. Which actions help prevent transmission? Select all that apply.
A. Dedicate equipment to the client when possible.
B. Wear gloves when providing direct care.
C. Use a gown when contamination is anticipated.
D. Place the client on airborne precautions.
E. Clean contaminated surfaces appropriately.
Answers: A, B, C, E
Rationale: Dedicated equipment, appropriate PPE, and
environmental cleaning reduce contact transmission. Airborne
precautions are not indicated for C. difficile.
9. Which finding indicates that infection-control teaching has been
effective?
A. “I will use alcohol gel after every bowel movement.”
B. “I should wash my hands with soap and water.”
C. “I can share my bathroom with everyone.”
D. “I do not need gloves when cleaning stool.”
Answer: B. “I should wash my hands with soap and water.”
Rationale: Soap-and-water hand hygiene is an important measure for
reducing transmission of C. difficile spores.
10. Which item should the nurse remove first when leaving the
room?
A. Gloves
B. Eye protection
C. Mask
D. Shoe covers
Answer: A. Gloves
Case Scenarios, Multiple Response &
Ordered Response 2026-2027 Practice
Exam with Rationales
Case Study 1: Fall Risk and Safety
A 78-year-old client is admitted after a fall at home. The client
reports dizziness when standing and takes antihypertensive
medication. The client is weak and uses a walker.
1. Which assessment finding requires the nurse's priority attention?
A. Reports occasional constipation
B. Uses reading glasses
C. Reports dizziness when standing
D. Sleeps 6 hr each night
Answer: C. Reports dizziness when standing
Rationale: Orthostatic dizziness increases the client's risk for another
fall and may indicate orthostatic hypotension requiring further
assessment.
2. Which interventions should the nurse implement to reduce fall
risk? Select all that apply.
A. Keep the bed in the lowest position.
B. Place frequently used items within reach.
C. Encourage the client to walk independently.
D. Ensure adequate lighting.
E. Keep the call light accessible.
Answers: A, B, D, E
,Rationale: A low bed, accessible supplies, adequate lighting, and a
reachable call light reduce environmental fall hazards. The client
should receive assistance with ambulation as indicated.
3. The nurse obtains orthostatic vital signs. Which sequence is
appropriate?
A. Sitting, standing, supine
B. Standing, sitting, supine
C. Supine, sitting, standing
D. Supine, standing, sitting
Answer: C. Supine, sitting, standing
Rationale: Orthostatic measurements are commonly obtained after
the client rests supine, followed by sitting and standing
measurements while monitoring symptoms and vital-sign changes.
4. Which action should the nurse take first when assisting this client
to ambulate?
A. Ask the client to stand quickly.
B. Have the client sit at the bedside before standing.
C. Place the walker several feet away.
D. Ask the client to close their eyes.
Answer: B. Have the client sit at the bedside before standing.
Rationale: Sitting at the bedside allows the nurse to assess tolerance
to position changes and helps reduce the risk of orthostatic-related
falls.
5. Place the actions in the correct order for assisting the client from
bed to standing.
1. Assist the client to sit on the edge of the bed.
2. Apply nonskid footwear.
3. Assess for dizziness.
, 4. Assist the client to stand using the walker.
5. Allow the client to stabilize before ambulating.
Answer: 2 → 1 → 3 → 4 → 5
Rationale: Appropriate footwear and a safe sitting position should be
established before assessing tolerance, standing, and beginning
ambulation.
Case Study 2: Infection Prevention
A client with suspected Clostridioides difficile infection has frequent
watery stools. The client is placed on contact precautions.
6. Which personal protective equipment should the nurse use?
A. Surgical mask only
B. Gown and gloves
C. N95 respirator only
D. Sterile gloves only
Answer: B. Gown and gloves
Rationale: Contact precautions for C. difficile require gown and
gloves when entering the client's environment.
7. Which hand-hygiene method is most appropriate after caring for
this client?
A. Alcohol-based hand sanitizer only
B. Soap and water
C. Antiseptic lotion
D. Sterile water
Answer: B. Soap and water
, Rationale: Soap and water are preferred after caring for clients with
C. difficile because alcohol-based products do not reliably eliminate
spores.
8. Which actions help prevent transmission? Select all that apply.
A. Dedicate equipment to the client when possible.
B. Wear gloves when providing direct care.
C. Use a gown when contamination is anticipated.
D. Place the client on airborne precautions.
E. Clean contaminated surfaces appropriately.
Answers: A, B, C, E
Rationale: Dedicated equipment, appropriate PPE, and
environmental cleaning reduce contact transmission. Airborne
precautions are not indicated for C. difficile.
9. Which finding indicates that infection-control teaching has been
effective?
A. “I will use alcohol gel after every bowel movement.”
B. “I should wash my hands with soap and water.”
C. “I can share my bathroom with everyone.”
D. “I do not need gloves when cleaning stool.”
Answer: B. “I should wash my hands with soap and water.”
Rationale: Soap-and-water hand hygiene is an important measure for
reducing transmission of C. difficile spores.
10. Which item should the nurse remove first when leaving the
room?
A. Gloves
B. Eye protection
C. Mask
D. Shoe covers
Answer: A. Gloves
