FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
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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1. A nurse in an outpatient clinic is preparing to administer IV therapy to an adult
client who reports having multiple allergies. Which of the following client allergies
should the nurse bring immediately to the charge nurse’s attention before initiating
therapy?
A. Eggs
B. Latex
C. Seafood
D. Bee stings
Correct Answer: B. Latex
Rationale: Latex allergies can pose a significant risk during IV therapy due to the
common use of latex-containing materials (e.g., gloves, IV tubing seals). Identifying
and preventing latex exposure is crucial for client safety.
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,2. A nurse is caring for a postoperative client who has a prescription for a high-
protein diet to support wound healing. The client’s religion prohibits eating meat on
certain days. Which of the following actions should the nurse take?
A. Encourage the client to eat meat on prohibited days to promote healing.
B. Advise the client to avoid only the meat and eat the rest of the tray items.
C. Suggest the client receive high-protein enteral feedings.
D. Ask the dietitian to recommend alternative high-protein food choices.
Correct Answer: D. Ask the dietitian to recommend alternative high-protein food
choices.
Rationale: Respect for religious beliefs while ensuring adequate nutrition is
paramount. A dietitian can provide culturally acceptable, high-protein alternatives to
meat, supporting wound healing within the client’s dietary restrictions.
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3. A nurse is caring for a client who requires a high-protein diet for wound healing;
however, the client’s religious practice prohibits meat consumption on specific days.
Which of the following actions should the nurse take?
A. Encourage the client to eat meat temporarily during recovery.
, B. Advise the client to eat the items on the tray other than meat.
C. Suggest the client receive high-protein enteral feedings.
D. Ask the dietitian to recommend meat-free protein alternatives.
Correct Answer: D. Ask the dietitian to recommend meat-free protein alternatives.
Rationale: Collaborating with a dietitian respects the client’s religious obligations
while ensuring the client’s nutritional needs are met through culturally and spiritually
acceptable foods.
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4. A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following findings should the nurse report to the provider?
A. A purple-colored stoma
B. Protrusion of the stoma
C. A small amount of bleeding from the stoma
D. Presence of intestinal gas in the pouch
Correct Answer: A. A purple-colored stoma
Rationale: A purple or dusky stoma indicates compromised blood flow and possible
ischemia. This finding is an urgent complication requiring provider notification.