ATI PN FUNDAMENTALS WITH NGN
PROCTORED EXAM | 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES |
BRAND NEW 2025/2026 VERSION
Core Domains
1. Safety and Infection Control – Transmission Precautions, Hand Hygiene, PPE,
Restraints, Seizure Precautions, Fall Prevention, Home Safety
2. Basic Care and Comfort – Hygiene, Mobility, Nutrition, Elimination, Pain
Management, Wound Care, Assistive Devices, Sleep/Rest
3. Pharmacological and Parenteral Therapies – Medication Administration,
Dosage Calculation, Adverse Effects, Enteral/Parenteral Nutrition, IV Therapy
4. Health Promotion and Maintenance – Developmental Stages, Health Screening,
Immunizations, Aging Process, Client Education, Disease Prevention
5. Psychosocial Integrity – Therapeutic Communication, Coping Mechanisms,
Grief and Loss, Mental Health, Cultural Considerations, Spiritual Care,
Abuse/Neglect
6. Reduction of Risk Potential – Vital Signs, Lab Values, Diagnostic Tests,
Therapeutic Procedures, Unexpected Responses, Perioperative Care
7. Physiological Adaptation – Fluid/Electrolyte Balance, Acid-Base Balance,
Pathophysiology, Medical Emergencies, Organ Failure, Shock
8. Management of Care – Delegation, Prioritization, Client Rights, Advance
Directives, HIPAA, Interprofessional Collaboration, Assignment
9. NGN – Clinical Judgment, Bow-Tie Case Studies, Extended Multiple Response
(SATA), Drag and Drop, Cloze (Dropdown), Unfolding Cases
10. NGN – Prioritization, Interprofessional Collaboration, Quality Improvement,
Care Coordination, Health Teaching, Transition of Care
Introduction
This comprehensive practice examination is meticulously designed for practical
nursing students preparing for the ATI PN Fundamentals with NGN Proctored
Examination. 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 with NGN
assessment and the NCLEX-PN licensure examination.
1. A nurse is preparing 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: Contact precautions are required for C. difficile. The cover
gown should be removed inside the client's room to prevent the spread of infection.
Alcohol-based hand rubs are not effective against C. difficile spores; soap and
water must be used.
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: A pulse deficit occurs when there are differences between the
radial and apical pulse rates. Two nurses should count simultaneously—one
assessing the apical pulse and the other the radial pulse.
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?
PROCTORED EXAM | 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES |
BRAND NEW 2025/2026 VERSION
Core Domains
1. Safety and Infection Control – Transmission Precautions, Hand Hygiene, PPE,
Restraints, Seizure Precautions, Fall Prevention, Home Safety
2. Basic Care and Comfort – Hygiene, Mobility, Nutrition, Elimination, Pain
Management, Wound Care, Assistive Devices, Sleep/Rest
3. Pharmacological and Parenteral Therapies – Medication Administration,
Dosage Calculation, Adverse Effects, Enteral/Parenteral Nutrition, IV Therapy
4. Health Promotion and Maintenance – Developmental Stages, Health Screening,
Immunizations, Aging Process, Client Education, Disease Prevention
5. Psychosocial Integrity – Therapeutic Communication, Coping Mechanisms,
Grief and Loss, Mental Health, Cultural Considerations, Spiritual Care,
Abuse/Neglect
6. Reduction of Risk Potential – Vital Signs, Lab Values, Diagnostic Tests,
Therapeutic Procedures, Unexpected Responses, Perioperative Care
7. Physiological Adaptation – Fluid/Electrolyte Balance, Acid-Base Balance,
Pathophysiology, Medical Emergencies, Organ Failure, Shock
8. Management of Care – Delegation, Prioritization, Client Rights, Advance
Directives, HIPAA, Interprofessional Collaboration, Assignment
9. NGN – Clinical Judgment, Bow-Tie Case Studies, Extended Multiple Response
(SATA), Drag and Drop, Cloze (Dropdown), Unfolding Cases
10. NGN – Prioritization, Interprofessional Collaboration, Quality Improvement,
Care Coordination, Health Teaching, Transition of Care
Introduction
This comprehensive practice examination is meticulously designed for practical
nursing students preparing for the ATI PN Fundamentals with NGN Proctored
Examination. 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 with NGN
assessment and the NCLEX-PN licensure examination.
1. A nurse is preparing 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: Contact precautions are required for C. difficile. The cover
gown should be removed inside the client's room to prevent the spread of infection.
Alcohol-based hand rubs are not effective against C. difficile spores; soap and
water must be used.
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: A pulse deficit occurs when there are differences between the
radial and apical pulse rates. Two nurses should count simultaneously—one
assessing the apical pulse and the other the radial pulse.
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?
