1
NGN Fundamentals Proctored Exam Retake
Actual Exam 2026/2027 | Complete Exam-
Style Questions | 100% Verified – Detailed
Rationales – Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q10
Section 2 | Health Promotion and Maintenance | Q11 – Q20
Section 3 | Psychosocial Integrity | Q21 – Q30
Section 4 | Physiological Integrity: Basic Care and Comfort | Q31 – Q40
Section 5 | Physiological Integrity: Pharmacology and Reduction of Risk | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A charge nurse on a medical-surgical unit is making shift assignments. The team consists of one
RN, one LPN, and one assistive personnel (AP). Which client should the charge nurse assign to
the LPN?
A. A client who was just admitted with a new diagnosis of Guillain-Barré syndrome and requires
a neurological assessment every hour.
B. A client who is 2 days post-op following a hip replacement and needs assistance with
ambulation and pain medication administration.
C. A client receiving a blood transfusion who reports itching and shortness of breath.
,2
D. A client with diabetes who has a blood glucose of 320 mg/dL and an order for sliding scale
insulin. ✓ CORRECT
Correct Answer: B
Rationale: LPN scope of practice typically includes stable clients with predictable outcomes,
such as post-operative clients needing standard ambulation and oral or IV medication
administration. Assigning the newly admitted client with an unstable neurological condition or
the client with a potential transfusion reaction requires the RN's scope of critical thinking and
assessment.
Question 2 of 50
While collecting a sterile urine specimen from a female client with an indwelling urinary
catheter, the nurse notices the drainage tubing clamp is closed. The client reports feeling a dull
ache in the suprapubic area. What action should the nurse take first?
A. Assess the catheter for kinks and open the clamp immediately.
B. Withdraw the catheter slightly to relieve pressure on the bladder neck.
C. Administer a PRN analgesic for the client’s discomfort.
D. Document the finding and continue to collect the specimen. ✓ CORRECT
Correct Answer: A
Rationale: Closing the drainage clamp creates a risk of urinary retention and bladder distension,
so the priority intervention is to unclamp the tube to relieve pressure. Withdrawing the catheter is
unnecessary and could cause trauma, while medication or documentation delays relieving the
client's distress.
Question 3 of 50
A nurse is preparing to insert a nasogastric tube for a client who has a bowel obstruction. To
verify the correct placement of the tube before feeding, the nurse should prioritize which
method?
, 3
A. Aspirating gastric contents and testing the pH.
B. Obtaining a chest x-ray to confirm tube placement.
C. Auscultating the epigastrium while injecting air.
D. Placing the free end of the tube under water to check for bubbling. ✓ CORRECT
Correct Answer: B
Rationale: Radiographic verification via x-ray is the gold standard and most reliable method to
confirm NG tube placement before initiating feedings or medication. While pH testing is a
standard bedside check, x-ray is the definitive safety measure, especially for initial placement.
Question 4 of 50
During a fire drill on the medical unit, the nurse identifies a fire in the storage room. Which
action should the nurse take first?
A. Extinguish the fire using the nearest fire extinguisher.
B. Activate the fire alarm system to alert others.
C. Move clients in the immediate area to a safe location.
D. Close all doors and windows to contain the fire. ✓ CORRECT
Correct Answer: C
Rationale: The RACE protocol prioritizes rescuing those in immediate danger first, ensuring
client safety before addressing the alarm or confining the fire. Moving clients to safety takes
precedence over activating alarms or extinguishing the fire when individuals are directly
threatened.
Question 5 of 50
NGN Fundamentals Proctored Exam Retake
Actual Exam 2026/2027 | Complete Exam-
Style Questions | 100% Verified – Detailed
Rationales – Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q10
Section 2 | Health Promotion and Maintenance | Q11 – Q20
Section 3 | Psychosocial Integrity | Q21 – Q30
Section 4 | Physiological Integrity: Basic Care and Comfort | Q31 – Q40
Section 5 | Physiological Integrity: Pharmacology and Reduction of Risk | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A charge nurse on a medical-surgical unit is making shift assignments. The team consists of one
RN, one LPN, and one assistive personnel (AP). Which client should the charge nurse assign to
the LPN?
A. A client who was just admitted with a new diagnosis of Guillain-Barré syndrome and requires
a neurological assessment every hour.
B. A client who is 2 days post-op following a hip replacement and needs assistance with
ambulation and pain medication administration.
C. A client receiving a blood transfusion who reports itching and shortness of breath.
,2
D. A client with diabetes who has a blood glucose of 320 mg/dL and an order for sliding scale
insulin. ✓ CORRECT
Correct Answer: B
Rationale: LPN scope of practice typically includes stable clients with predictable outcomes,
such as post-operative clients needing standard ambulation and oral or IV medication
administration. Assigning the newly admitted client with an unstable neurological condition or
the client with a potential transfusion reaction requires the RN's scope of critical thinking and
assessment.
Question 2 of 50
While collecting a sterile urine specimen from a female client with an indwelling urinary
catheter, the nurse notices the drainage tubing clamp is closed. The client reports feeling a dull
ache in the suprapubic area. What action should the nurse take first?
A. Assess the catheter for kinks and open the clamp immediately.
B. Withdraw the catheter slightly to relieve pressure on the bladder neck.
C. Administer a PRN analgesic for the client’s discomfort.
D. Document the finding and continue to collect the specimen. ✓ CORRECT
Correct Answer: A
Rationale: Closing the drainage clamp creates a risk of urinary retention and bladder distension,
so the priority intervention is to unclamp the tube to relieve pressure. Withdrawing the catheter is
unnecessary and could cause trauma, while medication or documentation delays relieving the
client's distress.
Question 3 of 50
A nurse is preparing to insert a nasogastric tube for a client who has a bowel obstruction. To
verify the correct placement of the tube before feeding, the nurse should prioritize which
method?
, 3
A. Aspirating gastric contents and testing the pH.
B. Obtaining a chest x-ray to confirm tube placement.
C. Auscultating the epigastrium while injecting air.
D. Placing the free end of the tube under water to check for bubbling. ✓ CORRECT
Correct Answer: B
Rationale: Radiographic verification via x-ray is the gold standard and most reliable method to
confirm NG tube placement before initiating feedings or medication. While pH testing is a
standard bedside check, x-ray is the definitive safety measure, especially for initial placement.
Question 4 of 50
During a fire drill on the medical unit, the nurse identifies a fire in the storage room. Which
action should the nurse take first?
A. Extinguish the fire using the nearest fire extinguisher.
B. Activate the fire alarm system to alert others.
C. Move clients in the immediate area to a safe location.
D. Close all doors and windows to contain the fire. ✓ CORRECT
Correct Answer: C
Rationale: The RACE protocol prioritizes rescuing those in immediate danger first, ensuring
client safety before addressing the alarm or confining the fire. Moving clients to safety takes
precedence over activating alarms or extinguishing the fire when individuals are directly
threatened.
Question 5 of 50
