ATI RN FUNDAMENTALS 2026 NGN PROCTORED EXAM 70 – PRACTICE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Legal and Ethical Practice
Introduction
This comprehensive assessment is designed to evaluate the foundational knowledge and clinical judgment
required for entry-level nursing practice. The examination focuses on the essential principles of nursing care,
emphasizing patient safety, theoretical frameworks, and the nursing process. Through a combination of traditional
multiple-choice questions and complex scenario-based inquiries, the assessment measures a candidate's ability
to apply critical thinking to real-world clinical situations. Key areas of focus include regulatory compliance, ethical
decision-making, and evidence-based interventions. By simulating the rigor of professional proctored exams, this
,tool ensures learners are prepared to deliver high-quality, holistic care while making sound clinical decisions in
diverse healthcare environments.
SECTION ONE: QUESTIONS 1–100
1. A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse
take to adhere to the principle of beneficence?
A. Allowing the client to refuse the medication.
B. Administering the medication at the scheduled time to maintain therapeutic levels.
C. Ensuring the client has signed a general consent form upon admission.
D. Explaining the side effects of the medication to the client.
🟢 B. Administering the medication at the scheduled time to maintain therapeutic levels.
🔴 RATIONALE: Beneficence is the ethical principle of doing good and acting in the best interest of the client.
Administering medication correctly to achieve a therapeutic effect directly benefits the client's health status.
2. A nurse is caring for a client who is at risk for falls. Which of the following is the priority nursing
intervention?
A. Teach the client how to use the call light.
B. Keep the bed in the lowest position.
C. Place a fall-risk entry sign on the door.
D. Remind the client to wear non-skid footwear.
🟢 B. Keep the bed in the lowest position.
,🔴 RATIONALE: Using the airway-breathing-circulation or safety-and-risk-reduction framework, keeping the bed
in the lowest position is a physical safety measure that minimizes the height of a potential fall, thereby reducing
the risk of injury.
3. A nurse is performing hand hygiene after caring for a client with Clostridium difficile. Which of the following
methods is most effective?
A. Using an alcohol-based hand rub for 15 seconds.
B. Washing hands with non-antimicrobial soap and water.
C. Scrubbing hands with antiseptic soap and warm water.
D. Using a chemical disinfectant wipe on the hands.
🟢 C. Scrubbing hands with antiseptic soap and warm water.
🔴 RATIONALE: Clostridium difficile is a spore-forming bacterium. Alcohol-based rubs are ineffective against
spores. Physical scrubbing with soap and water is required to mechanically remove the spores from the skin.
4. A nurse is reviewing a client's electronic medical record. Which of the following actions by the nurse
violates HIPAA regulations?
A. Discussing the client's laboratory results with the referring provider.
B. Sharing the client’s diagnosis with a nurse from another unit not involved in the care.
C. Accessing the record of a client assigned to the nurse's care.
D. Providing a shift report in a private area of the nursing station.
🟢 B. Sharing the client’s diagnosis with a nurse from another unit not involved in the care.
🔴 RATIONALE: HIPAA requires that personal health information only be shared with individuals directly involved
in the client's care who have a "need to know" to perform their duties.
, 5. A nurse is assessing a client’s radial pulse and notes that it is irregular. Which of the following actions
should the nurse take next?
A. Assess the carotid pulse for 30 seconds.
B. Document the finding and notify the provider.
C. Auscultate the apical pulse for one full minute.
D. Re-assess the radial pulse after the client rests.
🟢 C. Auscultate the apical pulse for one full minute.
🔴 RATIONALE: If a peripheral pulse is irregular, the nurse should assess the apical pulse for 60 seconds to
obtain a more accurate measurement of the heart rate and rhythm.
6. Which of the following is an example of an objective data finding?
A. The client reports feeling nauseated.
B. The client states, "I have a throbbing headache."
C. The client’s blood pressure is 142/88 mmHg.
D. The client describes their pain as a 5 on a scale of 0 to 10.
🟢 C. The client’s blood pressure is 142/88 mmHg.
🔴 RATIONALE: Objective data are observable and measurable findings obtained through observation, physical
examination, and laboratory or diagnostic testing.
7. A nurse is teaching a client about a low-sodium diet. Which of the following statements by the client
indicates an understanding of the teaching?
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Legal and Ethical Practice
Introduction
This comprehensive assessment is designed to evaluate the foundational knowledge and clinical judgment
required for entry-level nursing practice. The examination focuses on the essential principles of nursing care,
emphasizing patient safety, theoretical frameworks, and the nursing process. Through a combination of traditional
multiple-choice questions and complex scenario-based inquiries, the assessment measures a candidate's ability
to apply critical thinking to real-world clinical situations. Key areas of focus include regulatory compliance, ethical
decision-making, and evidence-based interventions. By simulating the rigor of professional proctored exams, this
,tool ensures learners are prepared to deliver high-quality, holistic care while making sound clinical decisions in
diverse healthcare environments.
SECTION ONE: QUESTIONS 1–100
1. A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse
take to adhere to the principle of beneficence?
A. Allowing the client to refuse the medication.
B. Administering the medication at the scheduled time to maintain therapeutic levels.
C. Ensuring the client has signed a general consent form upon admission.
D. Explaining the side effects of the medication to the client.
🟢 B. Administering the medication at the scheduled time to maintain therapeutic levels.
🔴 RATIONALE: Beneficence is the ethical principle of doing good and acting in the best interest of the client.
Administering medication correctly to achieve a therapeutic effect directly benefits the client's health status.
2. A nurse is caring for a client who is at risk for falls. Which of the following is the priority nursing
intervention?
A. Teach the client how to use the call light.
B. Keep the bed in the lowest position.
C. Place a fall-risk entry sign on the door.
D. Remind the client to wear non-skid footwear.
🟢 B. Keep the bed in the lowest position.
,🔴 RATIONALE: Using the airway-breathing-circulation or safety-and-risk-reduction framework, keeping the bed
in the lowest position is a physical safety measure that minimizes the height of a potential fall, thereby reducing
the risk of injury.
3. A nurse is performing hand hygiene after caring for a client with Clostridium difficile. Which of the following
methods is most effective?
A. Using an alcohol-based hand rub for 15 seconds.
B. Washing hands with non-antimicrobial soap and water.
C. Scrubbing hands with antiseptic soap and warm water.
D. Using a chemical disinfectant wipe on the hands.
🟢 C. Scrubbing hands with antiseptic soap and warm water.
🔴 RATIONALE: Clostridium difficile is a spore-forming bacterium. Alcohol-based rubs are ineffective against
spores. Physical scrubbing with soap and water is required to mechanically remove the spores from the skin.
4. A nurse is reviewing a client's electronic medical record. Which of the following actions by the nurse
violates HIPAA regulations?
A. Discussing the client's laboratory results with the referring provider.
B. Sharing the client’s diagnosis with a nurse from another unit not involved in the care.
C. Accessing the record of a client assigned to the nurse's care.
D. Providing a shift report in a private area of the nursing station.
🟢 B. Sharing the client’s diagnosis with a nurse from another unit not involved in the care.
🔴 RATIONALE: HIPAA requires that personal health information only be shared with individuals directly involved
in the client's care who have a "need to know" to perform their duties.
, 5. A nurse is assessing a client’s radial pulse and notes that it is irregular. Which of the following actions
should the nurse take next?
A. Assess the carotid pulse for 30 seconds.
B. Document the finding and notify the provider.
C. Auscultate the apical pulse for one full minute.
D. Re-assess the radial pulse after the client rests.
🟢 C. Auscultate the apical pulse for one full minute.
🔴 RATIONALE: If a peripheral pulse is irregular, the nurse should assess the apical pulse for 60 seconds to
obtain a more accurate measurement of the heart rate and rhythm.
6. Which of the following is an example of an objective data finding?
A. The client reports feeling nauseated.
B. The client states, "I have a throbbing headache."
C. The client’s blood pressure is 142/88 mmHg.
D. The client describes their pain as a 5 on a scale of 0 to 10.
🟢 C. The client’s blood pressure is 142/88 mmHg.
🔴 RATIONALE: Objective data are observable and measurable findings obtained through observation, physical
examination, and laboratory or diagnostic testing.
7. A nurse is teaching a client about a low-sodium diet. Which of the following statements by the client
indicates an understanding of the teaching?
