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.
,━━━━━━━
1. (Duplicate Scenario for Practice)
A nurse is caring for a post-operative client who needs a high-protein diet to promote
wound healing. The client’s religious practice prohibits consumption of certain meats
during specific days. Which of the following nursing actions is most appropriate?
A. Encourage the client to eat meat to speed recovery.
B. Advise the client to skip the meat and eat the rest of the meal.
C. Suggest high-protein enteral feedings be ordered.
D. Ask the dietitian to recommend alternative protein choices.
Answer: D. Ask the dietitian to recommend alternative protein choices.
Expert-Verified Explanation:
• Collaboration with the dietitian respects the client’s beliefs while still promoting
nutritional needs.
• This client-centered approach helps ensure optimal protein intake from acceptable
food sources.
2. (Mini Case Study)
,A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. During assessment, the nurse inspects the stoma and notes the following
findings:
• Location: mid-abdominal
• Color: purple
• Small amount of bleeding present
• Protrusion above the skin level
Which of the following findings should the nurse report immediately to the provider?
A. A purple-colored stoma
B. Protrusion of the stoma
C. A small amount of bleeding from the stoma
D. Intestinal gas noted in the pouch
Answer: A. A purple-colored stoma
Expert-Verified Explanation:
• A purple or dusky-colored stoma can indicate compromised blood flow (ischemia or
necrosis).
• Prompt notification of the provider is crucial to prevent further complications.
, ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
3. A nurse is reinforcing teaching with a client about correct self-administration of
ophthalmic drops. Which of the following instructions should the nurse include?
A. “Look to the side when instilling the drops into your eye.”
B. “Place the eyedrops directly on the center of your eyeball.”
C. “Cleanse your eye from the inner canthus to the outer canthus first.”
D. “Press gently on your tear duct after administering the drops.”
Answer: C. “Cleanse your eye from the inner canthus to the outer canthus first.”
Expert-Verified Explanation:
• Cleaning from the inner to outer canthus reduces the risk of introducing
microorganisms into the lacrimal duct.
• This method also prevents cross-contamination.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
4. (NGN-Style: Initial Step in Teaching)
A nurse is reinforcing teaching about carbohydrate counting with a client newly
diagnosed with diabetes mellitus. Which of the following actions should the nurse take
first?