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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QUESTION 1 (NGN-Style: Delegation – Scope of Practice)
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Scenario: A nurse on a long-term care unit is assigning tasks for the day. Several
clients require routine or specialized care, and the nurse must decide which tasks are
appropriate to delegate to assistive personnel (AP).
Vital Signs (Client with stable condition):
• Temperature: 98.4°F (36.9°C)
• Pulse: 78/min
• Respirations: 16/min
• Blood Pressure: 118/72 mmHg
Question: Which of the following tasks should the nurse delegate to the AP?
A. Change the dressing for a client who has a stage 3 pressure injury.
B. Determine a client’s response to a newly prescribed diuretic.
C. Compare bilateral radial pulses for a client who is postoperative.
D. Provide postmortem care for a deceased client.
Answer: D. Provide postmortem care for a deceased client.
,Expert-Verified Explanation:
• Providing postmortem care is within the AP’s scope because it is a standardized
procedure and does not require ongoing assessment.
• Tasks requiring judgment, assessment, medication evaluation, or sterile technique
(e.g., complex dressings, evaluating response to medications) must remain with
licensed nurses.
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QUESTION 2 (NGN-Style: Herbal Supplements – Client Education)
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Scenario: A nurse is completing a health assessment for a client who uses herbal
supplements to manage minor ailments. The client asks for verification about the
appropriate use of these supplements.
Vital Signs:
• Temperature: 98.3°F (36.8°C)
• Pulse: 76/min
• Respirations: 16/min
• Blood Pressure: 116/74 mmHg
, Question: Which of the following client statements indicates correct understanding of
herbal supplement use?
A. “I take ginkgo biloba every time I have a headache.”
B. “I take echinacea to help control my high cholesterol.”
C. “I use ginger when I get car sick.”
D. “I use garlic for my menopausal hot flashes.”
Answer: C. “I use ginger when I get car sick.”
Expert-Verified Explanation:
• Ginger is commonly used to alleviate nausea and motion sickness.
• Ginkgo biloba is frequently used to aid memory or circulation, echinacea for immune
support, and garlic to support cardiovascular health (e.g., mild antihypertensive
effects), not specifically menopausal symptoms.
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QUESTION 3 (NGN-Style: Infection Control – Influenza Precautions)
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