ATI PN Fundamentals 2023 (New
2026 Version) Proctored Assessment
with NGN –100 Questions and
Answers
1-10: Safety, Infection Control & Basic Care
1. A client with tuberculosis is admitted. 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 (TB) is transmitted via small airborne
particles. Airborne precautions require a negative-pressure room
and an N95 respirator. Contact and droplet precautions are used
for different types of organisms.
2. After receiving change-of-shift report, which client should
the nurse assess first?
A. A client with a cardiac catheterization whose capillary
refill in the great toe is 4 seconds
, B. A client with a nasogastric (NG) tube and crackles in
the lungs
C. A client reporting indigestion and jaw pain
D. A client receiving IV chemotherapy who is ambulatory
Correct Answer: B. A client with a nasogastric (NG) tube and
crackles in the lungs
Rationale: Crackles in the lungs suggest fluid overload, indicating
a potential airway or breathing issue. Airway and breathing take
priority in the ABCs (Airway, Breathing, Circulation). All other
options involve non-urgent findings.
3. A confused client with carbon monoxide poisoning
experiences dizziness. What should the nurse do first?
A. Put all four side rails up on the bed
B. Ask the UAP to place wrist restraints
C. Request the roommate to use the call light
D. Check on the client at regular intervals
Correct Answer: D. Check on the client at regular intervals
Rationale: The nurse must assess the client first to determine the
need for interventions. Using all four side rails is considered a
restraint, and restraints require a prescription. Regular checks and
assessment are the appropriate initial actions.
4. A client has returned from jaw-wiring surgery. How should
the UAP position the client?
A. Side-lying with the head slightly elevated
B. Head elevated on two pillows at all times
, C. In any comfortable position
D. Only repositioned by an RN
Correct Answer: A. Side-lying with the head slightly elevated
Rationale: After jaw wiring, a side-lying position with the head
elevated prevents aspiration if vomiting occurs and maintains a
patent airway. It is safe to delegate proper positioning to UAPs.
5. A nurse is caring for a client who is 2 days postoperative
following a below-the-knee amputation. Which finding is
most important to report to the provider?
A. The client reports phantom limb pain rated as 3 on a
scale of 0 to 10.
B. The client's stump dressing has a small amount of
serosanguineous drainage.
C. The client reports a feeling of warmth and redness at
the incision site.
D. The client's blood pressure is 118/78 mm Hg.
Correct Answer: C. The client reports a feeling of warmth and
redness at the incision site.
Rationale: Warmth and redness at the incision site can be early
signs of infection. This finding is the priority to report to the
provider for further assessment and possible intervention.
6. When administering a cleansing enema, what is the most
appropriate client position?
A. Left Sims' position
B. Supine position
, C. Prone position
D. High Fowler's position
Correct Answer: A. Left Sims' position
Rationale: Positioning the client in the left side-lying (Sims')
position with the right knee flexed uses gravity to facilitate the
flow of enema solution into the sigmoid colon for optimal results.
It also promotes comfort and retention of the solution.
7. A nurse is providing postmortem care. Which action is
correct?
A. Remove all tubes and dressings before family viewing
B. Place the client in a supine position with one small
pillow under the head
C. Apply identification tags to the ankle only
D. Close the client's eyes by pressing firmly for 1-2
seconds
Correct Answer: B. Place the client in a supine position with
one small pillow under the head
Rationale: Positioning the body supine with a small pillow under
the head helps prevent discoloration of the face and dependent
areas due to blood settling. Tubes and dressings are typically left
in place for family viewing; identification tags are placed on both
the ankle and wrist; eyes are closed by pressing gently for 5–10
seconds.
8. A nurse is reinforcing teaching about advance directives
with a client. Which statement is correct?
2026 Version) Proctored Assessment
with NGN –100 Questions and
Answers
1-10: Safety, Infection Control & Basic Care
1. A client with tuberculosis is admitted. 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 (TB) is transmitted via small airborne
particles. Airborne precautions require a negative-pressure room
and an N95 respirator. Contact and droplet precautions are used
for different types of organisms.
2. After receiving change-of-shift report, which client should
the nurse assess first?
A. A client with a cardiac catheterization whose capillary
refill in the great toe is 4 seconds
, B. A client with a nasogastric (NG) tube and crackles in
the lungs
C. A client reporting indigestion and jaw pain
D. A client receiving IV chemotherapy who is ambulatory
Correct Answer: B. A client with a nasogastric (NG) tube and
crackles in the lungs
Rationale: Crackles in the lungs suggest fluid overload, indicating
a potential airway or breathing issue. Airway and breathing take
priority in the ABCs (Airway, Breathing, Circulation). All other
options involve non-urgent findings.
3. A confused client with carbon monoxide poisoning
experiences dizziness. What should the nurse do first?
A. Put all four side rails up on the bed
B. Ask the UAP to place wrist restraints
C. Request the roommate to use the call light
D. Check on the client at regular intervals
Correct Answer: D. Check on the client at regular intervals
Rationale: The nurse must assess the client first to determine the
need for interventions. Using all four side rails is considered a
restraint, and restraints require a prescription. Regular checks and
assessment are the appropriate initial actions.
4. A client has returned from jaw-wiring surgery. How should
the UAP position the client?
A. Side-lying with the head slightly elevated
B. Head elevated on two pillows at all times
, C. In any comfortable position
D. Only repositioned by an RN
Correct Answer: A. Side-lying with the head slightly elevated
Rationale: After jaw wiring, a side-lying position with the head
elevated prevents aspiration if vomiting occurs and maintains a
patent airway. It is safe to delegate proper positioning to UAPs.
5. A nurse is caring for a client who is 2 days postoperative
following a below-the-knee amputation. Which finding is
most important to report to the provider?
A. The client reports phantom limb pain rated as 3 on a
scale of 0 to 10.
B. The client's stump dressing has a small amount of
serosanguineous drainage.
C. The client reports a feeling of warmth and redness at
the incision site.
D. The client's blood pressure is 118/78 mm Hg.
Correct Answer: C. The client reports a feeling of warmth and
redness at the incision site.
Rationale: Warmth and redness at the incision site can be early
signs of infection. This finding is the priority to report to the
provider for further assessment and possible intervention.
6. When administering a cleansing enema, what is the most
appropriate client position?
A. Left Sims' position
B. Supine position
, C. Prone position
D. High Fowler's position
Correct Answer: A. Left Sims' position
Rationale: Positioning the client in the left side-lying (Sims')
position with the right knee flexed uses gravity to facilitate the
flow of enema solution into the sigmoid colon for optimal results.
It also promotes comfort and retention of the solution.
7. A nurse is providing postmortem care. Which action is
correct?
A. Remove all tubes and dressings before family viewing
B. Place the client in a supine position with one small
pillow under the head
C. Apply identification tags to the ankle only
D. Close the client's eyes by pressing firmly for 1-2
seconds
Correct Answer: B. Place the client in a supine position with
one small pillow under the head
Rationale: Positioning the body supine with a small pillow under
the head helps prevent discoloration of the face and dependent
areas due to blood settling. Tubes and dressings are typically left
in place for family viewing; identification tags are placed on both
the ankle and wrist; eyes are closed by pressing gently for 5–10
seconds.
8. A nurse is reinforcing teaching about advance directives
with a client. Which statement is correct?
