FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Exam has 70 FUNDAMENTALS nursing questions
multiple-choice format (A, B, C, D) with correct
answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
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Q1. (NGN/Case Study: Chemotherapy Client)
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A nurse is caring for a female client who is receiving chemotherapy for breast cancer.
Her laboratory results for Week 2 indicate:
• Hematocrit: 37%
• Hemoglobin: 12 g/dL
• WBC count: 6,000/mm³
• Platelet count: 100,000/mm³
• Potassium: 3.6 mEq/L
Which laboratory value places the client at greatest risk for bleeding?
A. Hemoglobin of 12 g/dL
B. Potassium of 3.6 mEq/L
C. Hematocrit of 37%
D. Platelet count of 100,000/mm³
Answer: D
,Expert-Verified Explanation:
• A platelet count of 100,000/mm³ is below the normal range (150,000 to 400,000/mm
³), indicating thrombocytopenia and an increased risk of bleeding.
• Other values, although slightly lower than previous, remain within or near normal
limits.
• Platelets are essential to clot formation, so their significant drop is critical.
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Q2.
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A nurse is caring for a client who asks about the purpose of advance directives. Which
of the following statements by the nurse is best?
A. “They allow you to choose a guardian for your children.”
B. “They provide a financial plan for estate distribution.”
C. “They indicate the form of treatment a client is willing to accept in the event of a
serious illness.”
D. “They ensure that the hospital does not resuscitate you under any circumstance.”
Answer: C
, Expert-Verified Explanation:
• Advance directives guide healthcare decisions when a client cannot speak for
themselves.
• While they can include DNR orders, the main purpose is outlining a client’s
healthcare wishes.
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Q3.
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A nurse is caring for a client who has recently started using a behind-the-ear hearing
aid. Which of the following statements by the client indicates correct understanding of
its use?
A. “I will wear my hearing aid while swimming to hear pool instructions.”
B. “I will leave it on while washing my hair so I don’t miss anything.”
C. “I will be sure to remove my hearing aid before taking a shower.”
D. “I’ll turn the volume to the highest setting to compensate for background
noise.”