ATI PN FUNDAMENTALS 2020 EXAM WITH NGN | 100
QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
| BRAND NEW 2025/2026 VERSION
Core Domains
1. Safety and Infection Control – Transmission Precautions, Hand Hygiene, PPE
Use, Client Safety, Restraints, Fall Prevention
2. Basic Care and Comfort – Hygiene, Mobility, Nutrition, Elimination, Pain
Management, Wound Care, Assistive Devices
3. Pharmacological and Parenteral Therapies – Medication Administration, Dosage
Calculation, Adverse Effects, Enteral and Parenteral Nutrition
4. Health Promotion and Maintenance – Developmental Stages, Health Screening,
Immunizations, Aging Process, Client Education
5. Psychosocial Integrity – Therapeutic Communication, Coping Mechanisms, Grief
and Loss, Mental Health, Cultural Considerations
6. Reduction of Risk Potential – Vital Signs, Lab Values, Diagnostic Tests,
Therapeutic Procedures, Unexpected Responses
7. Physiological Adaptation – Fluid/Electrolyte Balance, Acid-Base Balance,
Pathophysiology, Medical Emergencies, Perioperative Care
8. Management of Care – Delegation, Prioritization, Client Rights, Advance
Directives, HIPAA, Interprofessional Collaboration
9. NGN – Clinical Judgment, Bow-Tie Case Studies, Extended Multiple Response,
Unfolding Cases, Prioritization, Quality Improvement
Introduction
This comprehensive practice examination is meticulously designed for practical
nursing students preparing for the ATI PN Fundamentals 2020 Proctored
Examination and Online Practice Assessments. The assessment covers all essential
domains required for successful program completion and NCLEX-PN readiness,
including safety and infection control, basic care and comfort, pharmacological
therapies, health promotion, psychosocial integrity, reduction of risk potential,
,physiological adaptation, and management of care. Through a combination of
multiple-choice questions, Select-All-That-Apply (SATA), ordered-response items,
and Next Generation NCLEX (NGN) style case studies, candidates will demonstrate
their understanding of fundamental nursing concepts, clinical judgment, and
decision-making in diverse patient scenarios. Each question includes a detailed
rationale explaining the correct answer and reinforcing key concepts. The
questions are structured to test not only recall of nursing principles but also the
ability to apply critical thinking to real-world clinical situations. Successful
completion of this examination demonstrates readiness for the official ATI PN
Fundamentals assessment and the NCLEX-PN licensure examination.
1. A nurse is planning to administer medication to a client who has a Clostridium
difficile infection. Which of the following actions should the nurse plan to take
to prevent the transmission of this infection to others?
A. Clean hands with an alcohol-based hand rub immediately after removing gloves
B. Remove the cover gown in the client's room after providing care
C. Place the client in a room with negative-pressure airflow
D. Wear a mask when administering oral medications to the client
B. Remove the cover gown in the client's room after providing care
RATIONALE: The nurse should initiate contact precautions for clients who have
a C. difficile infection. Contact precautions include the removal of the cover gown
and other personal protective equipment inside the client's room to prevent the
spread of infection.
2. A nurse is reinforcing teaching with a client who is scheduled for a bladder
scan. Which of the following instructions should the nurse include in the
teaching?
A. "You will need to sign a consent form before we begin the procedure."
B. "I will place a gel pad directly above your pubic area before I place the probe."
,C. "You will need to hold your urine for 1 hour prior to the procedure."
D. "You will receive a contrast dye through an IV catheter prior to the scan."
B. "I will place a gel pad directly above your pubic area before I place the
probe."
RATIONALE: The nurse should use a gel pad, which promotes ultrasound
transmission and accurate measurement. The correct placement of the ultrasound
device is just above the symphysis pubis.
3. A nurse is checking a client for a pulse deficit after detecting an irregular heart
rate. Which of the following actions should the nurse take?
A. Count the client's radial and apical pulses simultaneously with another nurse
B. Calculate the client's pulse for 30 seconds and multiply by 2
C. Assist the client to a side-lying position
D. Auscultate the area of the client's chest over the Erb's point
A. Count the client's radial and apical pulses simultaneously with another
nurse
RATIONALE: The nurse should have another nurse count the radial pulse as
they count the apical pulse. A pulse deficit occurs when there are differences
between the radial and apical pulse rates.
4. A nurse is preparing to obtain a client's vital signs. Which of the following
actions should the nurse take when washing their hands?
A. Rinse their forearms with running water before applying soap
B. Hold their hands above elbow level while washing and rinsing
C. Generate a lather by rubbing their hands together vigorously for 5 seconds
D. Turn off the faucet with a clean paper towel after drying hands
D. Turn off the faucet with a clean paper towel after drying hands
RATIONALE: If the nurse's hands are wet or the paper towel is wet when they
turn off the faucet, they increase the risk of transferring micro-organisms from the
faucet back to their hands.
, 5. A nurse is reinforcing information with a client who wishes to complete their
advance directives. Which of the following statements should the nurse make?
A. "You must have advance directives in place in order to refuse recommended
treatment."
B. "An attorney is needed in order for you to name a designee in your health care
proxy."
C. "You can decline to have certain medical procedures performed in your living
will."
D. "You cannot change your advance directives once they are completed."
C. "You can decline to have certain medical procedures performed in your
living will."
RATIONALE: A living will allows a client to decline certain medical procedures.
Clients can change their advance directives at any time and do not need an
attorney to complete them.
6. A nurse is reinforcing teaching with a client who is premenopausal. Which of
the following statements by the client indicates an understanding of the
teaching?
A. "I might have headaches due to a decline in my estrogen levels."
B. "I will not have any more menstrual periods."
C. "My risk of osteoporosis will decrease during this time."
D. "I will not experience any mood changes."
A. "I might have headaches due to a decline in my estrogen levels."
RATIONALE: Premenopausal clients may experience headaches due to
fluctuations and decline in estrogen levels. Menstrual periods may continue
during perimenopause, and the risk of osteoporosis increases.
7. A nurse in a provider's office is calculating a client's BMI. Which of the
following pieces of client data should the nurse use as a part of the calculation?
QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
| BRAND NEW 2025/2026 VERSION
Core Domains
1. Safety and Infection Control – Transmission Precautions, Hand Hygiene, PPE
Use, Client Safety, Restraints, Fall Prevention
2. Basic Care and Comfort – Hygiene, Mobility, Nutrition, Elimination, Pain
Management, Wound Care, Assistive Devices
3. Pharmacological and Parenteral Therapies – Medication Administration, Dosage
Calculation, Adverse Effects, Enteral and Parenteral Nutrition
4. Health Promotion and Maintenance – Developmental Stages, Health Screening,
Immunizations, Aging Process, Client Education
5. Psychosocial Integrity – Therapeutic Communication, Coping Mechanisms, Grief
and Loss, Mental Health, Cultural Considerations
6. Reduction of Risk Potential – Vital Signs, Lab Values, Diagnostic Tests,
Therapeutic Procedures, Unexpected Responses
7. Physiological Adaptation – Fluid/Electrolyte Balance, Acid-Base Balance,
Pathophysiology, Medical Emergencies, Perioperative Care
8. Management of Care – Delegation, Prioritization, Client Rights, Advance
Directives, HIPAA, Interprofessional Collaboration
9. NGN – Clinical Judgment, Bow-Tie Case Studies, Extended Multiple Response,
Unfolding Cases, Prioritization, Quality Improvement
Introduction
This comprehensive practice examination is meticulously designed for practical
nursing students preparing for the ATI PN Fundamentals 2020 Proctored
Examination and Online Practice Assessments. The assessment covers all essential
domains required for successful program completion and NCLEX-PN readiness,
including safety and infection control, basic care and comfort, pharmacological
therapies, health promotion, psychosocial integrity, reduction of risk potential,
,physiological adaptation, and management of care. Through a combination of
multiple-choice questions, Select-All-That-Apply (SATA), ordered-response items,
and Next Generation NCLEX (NGN) style case studies, candidates will demonstrate
their understanding of fundamental nursing concepts, clinical judgment, and
decision-making in diverse patient scenarios. Each question includes a detailed
rationale explaining the correct answer and reinforcing key concepts. The
questions are structured to test not only recall of nursing principles but also the
ability to apply critical thinking to real-world clinical situations. Successful
completion of this examination demonstrates readiness for the official ATI PN
Fundamentals assessment and the NCLEX-PN licensure examination.
1. A nurse is planning to administer medication to a client who has a Clostridium
difficile infection. Which of the following actions should the nurse plan to take
to prevent the transmission of this infection to others?
A. Clean hands with an alcohol-based hand rub immediately after removing gloves
B. Remove the cover gown in the client's room after providing care
C. Place the client in a room with negative-pressure airflow
D. Wear a mask when administering oral medications to the client
B. Remove the cover gown in the client's room after providing care
RATIONALE: The nurse should initiate contact precautions for clients who have
a C. difficile infection. Contact precautions include the removal of the cover gown
and other personal protective equipment inside the client's room to prevent the
spread of infection.
2. A nurse is reinforcing teaching with a client who is scheduled for a bladder
scan. Which of the following instructions should the nurse include in the
teaching?
A. "You will need to sign a consent form before we begin the procedure."
B. "I will place a gel pad directly above your pubic area before I place the probe."
,C. "You will need to hold your urine for 1 hour prior to the procedure."
D. "You will receive a contrast dye through an IV catheter prior to the scan."
B. "I will place a gel pad directly above your pubic area before I place the
probe."
RATIONALE: The nurse should use a gel pad, which promotes ultrasound
transmission and accurate measurement. The correct placement of the ultrasound
device is just above the symphysis pubis.
3. A nurse is checking a client for a pulse deficit after detecting an irregular heart
rate. Which of the following actions should the nurse take?
A. Count the client's radial and apical pulses simultaneously with another nurse
B. Calculate the client's pulse for 30 seconds and multiply by 2
C. Assist the client to a side-lying position
D. Auscultate the area of the client's chest over the Erb's point
A. Count the client's radial and apical pulses simultaneously with another
nurse
RATIONALE: The nurse should have another nurse count the radial pulse as
they count the apical pulse. A pulse deficit occurs when there are differences
between the radial and apical pulse rates.
4. A nurse is preparing to obtain a client's vital signs. Which of the following
actions should the nurse take when washing their hands?
A. Rinse their forearms with running water before applying soap
B. Hold their hands above elbow level while washing and rinsing
C. Generate a lather by rubbing their hands together vigorously for 5 seconds
D. Turn off the faucet with a clean paper towel after drying hands
D. Turn off the faucet with a clean paper towel after drying hands
RATIONALE: If the nurse's hands are wet or the paper towel is wet when they
turn off the faucet, they increase the risk of transferring micro-organisms from the
faucet back to their hands.
, 5. A nurse is reinforcing information with a client who wishes to complete their
advance directives. Which of the following statements should the nurse make?
A. "You must have advance directives in place in order to refuse recommended
treatment."
B. "An attorney is needed in order for you to name a designee in your health care
proxy."
C. "You can decline to have certain medical procedures performed in your living
will."
D. "You cannot change your advance directives once they are completed."
C. "You can decline to have certain medical procedures performed in your
living will."
RATIONALE: A living will allows a client to decline certain medical procedures.
Clients can change their advance directives at any time and do not need an
attorney to complete them.
6. A nurse is reinforcing teaching with a client who is premenopausal. Which of
the following statements by the client indicates an understanding of the
teaching?
A. "I might have headaches due to a decline in my estrogen levels."
B. "I will not have any more menstrual periods."
C. "My risk of osteoporosis will decrease during this time."
D. "I will not experience any mood changes."
A. "I might have headaches due to a decline in my estrogen levels."
RATIONALE: Premenopausal clients may experience headaches due to
fluctuations and decline in estrogen levels. Menstrual periods may continue
during perimenopause, and the risk of osteoporosis increases.
7. A nurse in a provider's office is calculating a client's BMI. Which of the
following pieces of client data should the nurse use as a part of the calculation?
