ATI RN Fundamentals Proctored Exam
2026: 100 Practice Questions with NGN-
Style Rationales
## Question 1
A nurse is admitting a client who is malnourished. The client states,
"My wedding ring is loose and I'm worried I will lose it if it falls off."
Which of the following is an appropriate response by the nurse?
**A.** "I will place it in your drawer so it won't get lost."
**B.** "I can pin it to your hospital gown so you won't lose it."
**C.** "I will hold onto it until a family member can take it home."
**D.** "I can put it in a locked storage unit for you."
**Correct Answer: D**
**Rationale:** Placing valuables in a locked storage area protects the
client's belongings while respecting their property. This is the safest
and most appropriate response to ensure personal items are secure
without risking loss. Options A, B, and C do not provide adequate
security for the client's valuables .
---
## Question 2
,A nurse is caring for a client who has diarrhea due to shigella. Which
of the following precautions should the nurse implement for this
client?
**A.** Airborne precautions
**B.** Droplet precautions
**C.** Contact precautions
**D.** Protective environment precautions
**Correct Answer: C**
**Rationale:** Shigella is transmitted via the fecal-oral route, often
through contaminated hands or surfaces. Contact precautions (using
gloves and gowns) help prevent transmission. Airborne and droplet
precautions are not indicated for shigella .
---
## Question 3
A nurse enters the room of a client who has a seizure disorder. The
client is sitting in a chair and begins to experience a seizure. Which of
the following actions should the nurse take first?
**A.** Loosen the client's clothing
**B.** Help the client lie on the floor
**C.** Turn the client onto their side
,**D.** Move items in the room away from the client
**Correct Answer: B**
**Rationale:** Preventing injury from falling is the priority. Helping
the client safely to the floor reduces the risk of trauma. Once supine,
the nurse can turn the client to their side to maintain the airway .
---
## Question 4
A nurse is caring for a client with a diagnosis of terminal cancer.
Which of the following statements by the client should indicate to
the nurse that the client is ready to hear information regarding
palliative care?
**A.** "I want you to tell me about measures available to keep me
comfortable."
**B.** "I don't want to talk about my illness anymore."
**C.** "Can you promise me I will be cured?"
**D.** "I want to focus only on treatments that can cure me."
**Correct Answer: A**
**Rationale:** This statement indicates the client is open to
discussing comfort and quality of life measures, which aligns with
, palliative care goals. Denial or hope for cure suggests the client is not
yet ready for this discussion .
---
## Question 5
A nurse on a medical-surgical unit has received change-of-shift report
and will care for four clients. Which of the following client needs may
the nurse assign to assistive personnel (AP)?
**A.** Feeding a client who was admitted 24 hours ago with
aspiration pneumonia
**B.** Reinforcing teaching with a client who is learning to walk
using a quad cane
**C.** Reapplying a condom catheter for a client who has urinary
incontinence
**D.** Applying a sterile dressing to a pressure ulcer
**Correct Answer: C**
**Rationale:** The application of a condom catheter is a
noninvasive, routine procedure that may be delegated to AP. Feeding
a client with aspiration pneumonia requires assessment of
swallowing ability and should not be delegated. Teaching and sterile
dressing changes require licensed nursing judgment .
---
2026: 100 Practice Questions with NGN-
Style Rationales
## Question 1
A nurse is admitting a client who is malnourished. The client states,
"My wedding ring is loose and I'm worried I will lose it if it falls off."
Which of the following is an appropriate response by the nurse?
**A.** "I will place it in your drawer so it won't get lost."
**B.** "I can pin it to your hospital gown so you won't lose it."
**C.** "I will hold onto it until a family member can take it home."
**D.** "I can put it in a locked storage unit for you."
**Correct Answer: D**
**Rationale:** Placing valuables in a locked storage area protects the
client's belongings while respecting their property. This is the safest
and most appropriate response to ensure personal items are secure
without risking loss. Options A, B, and C do not provide adequate
security for the client's valuables .
---
## Question 2
,A nurse is caring for a client who has diarrhea due to shigella. Which
of the following precautions should the nurse implement for this
client?
**A.** Airborne precautions
**B.** Droplet precautions
**C.** Contact precautions
**D.** Protective environment precautions
**Correct Answer: C**
**Rationale:** Shigella is transmitted via the fecal-oral route, often
through contaminated hands or surfaces. Contact precautions (using
gloves and gowns) help prevent transmission. Airborne and droplet
precautions are not indicated for shigella .
---
## Question 3
A nurse enters the room of a client who has a seizure disorder. The
client is sitting in a chair and begins to experience a seizure. Which of
the following actions should the nurse take first?
**A.** Loosen the client's clothing
**B.** Help the client lie on the floor
**C.** Turn the client onto their side
,**D.** Move items in the room away from the client
**Correct Answer: B**
**Rationale:** Preventing injury from falling is the priority. Helping
the client safely to the floor reduces the risk of trauma. Once supine,
the nurse can turn the client to their side to maintain the airway .
---
## Question 4
A nurse is caring for a client with a diagnosis of terminal cancer.
Which of the following statements by the client should indicate to
the nurse that the client is ready to hear information regarding
palliative care?
**A.** "I want you to tell me about measures available to keep me
comfortable."
**B.** "I don't want to talk about my illness anymore."
**C.** "Can you promise me I will be cured?"
**D.** "I want to focus only on treatments that can cure me."
**Correct Answer: A**
**Rationale:** This statement indicates the client is open to
discussing comfort and quality of life measures, which aligns with
, palliative care goals. Denial or hope for cure suggests the client is not
yet ready for this discussion .
---
## Question 5
A nurse on a medical-surgical unit has received change-of-shift report
and will care for four clients. Which of the following client needs may
the nurse assign to assistive personnel (AP)?
**A.** Feeding a client who was admitted 24 hours ago with
aspiration pneumonia
**B.** Reinforcing teaching with a client who is learning to walk
using a quad cane
**C.** Reapplying a condom catheter for a client who has urinary
incontinence
**D.** Applying a sterile dressing to a pressure ulcer
**Correct Answer: C**
**Rationale:** The application of a condom catheter is a
noninvasive, routine procedure that may be delegated to AP. Feeding
a client with aspiration pneumonia requires assessment of
swallowing ability and should not be delegated. Teaching and sterile
dressing changes require licensed nursing judgment .
---
