NGN ATI RN FUNDAMENTALS PROCTORED EXAM / ACTUAL ATI RN
FUNDAMENTALS PROCTORED 2026 WITH NGN EXAM LEVEL 3
ACCURATE EXAM
1. A nurse receives report on four clients at the beginning of the shift. One
client is 2 hr postoperative following abdominal surgery and has a
respiratory rate of 8/min after receiving IV morphine; another has a chronic
pressure injury requiring a scheduled dressing change; another is awaiting
discharge teaching; and the fourth reports mild nausea after breakfast.
Which client should the nurse assess first based on airway, breathing,
circulation, and immediate safety priorities?
A. The client with the chronic pressure injury
B. The client awaiting discharge teaching
C. The client with a respiratory rate of 8/min after IV morphine
D. The client reporting mild nausea
Answer: C
2. A nurse is preparing to administer several medications to an older adult
client who has newly transferred from another facility. The medication
administration record lists a medication that is not included on the transfer
medication list, and the client cannot remember whether it was
discontinued. Which action should the nurse take before administering the
medication?
A. Clarify the medication order with the prescribing provider or pharmacist
B. Administer the medication because it appears on the current MAR
C. Ask the family member to determine whether the medication is needed
D. Omit the medication permanently from the client's treatment plan
Answer: A
3. A nurse is caring for a client who has suspected pulmonary tuberculosis and
is awaiting diagnostic results. The client must leave the negative-pressure
room for a radiographic procedure. Which intervention is most appropriate
before transporting the client?
A. Place the client in a private room with the door open
1
, B. Have the client wear a surgical mask during transport
C. Have the transporter wear only sterile gloves
D. Place the client on droplet precautions during transport
Answer: A
4. A nurse is preparing a sterile field for insertion of a urinary catheter. During
preparation, the nurse's sterile glove accidentally touches the outside edge
of the sterile drape. The nurse recognizes that the glove may now be
contaminated. Which action should the nurse take?
A. Continue because the edge of the drape is considered sterile
B. Clean the glove with antiseptic solution
C. Replace the contaminated glove with a new sterile glove
D. Cover the contaminated glove with a second pair of sterile gloves
Answer: D
5. A nurse is caring for an older adult client who became confused after
receiving an unfamiliar medication and is attempting to climb out of bed
without assistance. The client has an unsteady gait and repeatedly forgets
to use the call light. Which intervention should the nurse implement first to
reduce immediate injury risk?
A. Place the client in a low bed and activate the bed alarm
B. Apply bilateral wrist restraints
C. Keep all four side rails raised
D. Administer a sedative medication
Answer: A
6. A client receiving a continuous IV infusion reports burning and discomfort at
the insertion site. The nurse observes swelling, coolness, and pallor around
the catheter site, and the infusion pump indicates that the prescribed fluid
is still running. Which action should the nurse take first?
A. Increase the infusion rate
B. Apply a warm compress and continue the infusion
C. Flush the catheter forcefully
2
, D. Stop the infusion and assess the IV site for infiltration
Answer: D
7. A nurse is teaching a client how to use a walker after lower-extremity
weakness has developed. The client asks how to move the walker and legs
while walking. Which instruction should the nurse provide?
A. Move the stronger leg first and then lift the walker
B. Move the walker forward, then advance the weaker leg followed by the
stronger leg
C. Keep the walker behind the body while stepping forward
D. Move both legs together before advancing the walker
Answer: D
8. A client tells the nurse, “I am terrified because the surgeon said I might
need another operation, and I don't know what will happen to me.” The
client is visibly anxious and tearful. Which response by the nurse best
demonstrates therapeutic communication?
A. “Try not to think about the surgery until the doctor makes a decision.”
B. “You should stay positive because everything will probably be fine.”
C. “Tell me more about what concerns you most about possibly having
another operation.”
D. “Many other clients have had another operation and recovered.”
Answer: C
9. A nurse is caring for a client who has frequent watery stools and is
diagnosed with Clostridioides difficile infection. The client requires
assistance with hygiene after each bowel movement. Which infection-
control practice should the nurse use?
A. Use contact precautions and wash hands with soap and water after care
B. Use airborne precautions and wear an N95 respirator
C. Use only a surgical mask and alcohol-based hand sanitizer
D. Place the client on protective isolation
Answer: A
3
, 10. A client receiving oxygen therapy asks why the nurse has placed a sign
indicating that smoking is prohibited in the room. The client states that
smoking would only be dangerous if the oxygen were delivered at a high
flow rate. Which response by the nurse is most appropriate?
A. “Smoking is prohibited only when the oxygen flow exceeds 6 L/min.”
B. “Oxygen supports combustion, so cigarettes and open flames are unsafe
even with low-flow oxygen.”
C. “The oxygen can become toxic if you smoke while receiving it.”
D. “Smoking is permitted if you turn the oxygen off temporarily.”
Answer: D
11. A nurse is caring for a postoperative client who has shallow respirations
because of incisional discomfort. The client's oxygen saturation has
decreased from 97% to 93% while breathing room air. Which intervention
should the nurse encourage to improve ventilation and prevent
postoperative pulmonary complications?
A. Restrict oral fluids
B. Remain in bed with the head flat
C. Use an incentive spirometer regularly while awake
D. Avoid coughing to prevent disruption of the incision
Answer: C
12. A client with hypertension is receiving dietary teaching before discharge.
The client reports eating canned soups, processed meats, salty snacks, and
frozen meals most days of the week. Which dietary change should the nurse
emphasize?
A. Increase foods containing added sodium
B. Choose fresh foods and limit processed foods high in sodium
C. Replace vegetables with high-sodium preserved foods
D. Add table salt to meals only after tasting them
Answer: A
13. A client with a newly created colostomy tells the nurse, “I am afraid to look
at the stoma because it doesn't look normal.” The nurse observes a moist,
4
FUNDAMENTALS PROCTORED 2026 WITH NGN EXAM LEVEL 3
ACCURATE EXAM
1. A nurse receives report on four clients at the beginning of the shift. One
client is 2 hr postoperative following abdominal surgery and has a
respiratory rate of 8/min after receiving IV morphine; another has a chronic
pressure injury requiring a scheduled dressing change; another is awaiting
discharge teaching; and the fourth reports mild nausea after breakfast.
Which client should the nurse assess first based on airway, breathing,
circulation, and immediate safety priorities?
A. The client with the chronic pressure injury
B. The client awaiting discharge teaching
C. The client with a respiratory rate of 8/min after IV morphine
D. The client reporting mild nausea
Answer: C
2. A nurse is preparing to administer several medications to an older adult
client who has newly transferred from another facility. The medication
administration record lists a medication that is not included on the transfer
medication list, and the client cannot remember whether it was
discontinued. Which action should the nurse take before administering the
medication?
A. Clarify the medication order with the prescribing provider or pharmacist
B. Administer the medication because it appears on the current MAR
C. Ask the family member to determine whether the medication is needed
D. Omit the medication permanently from the client's treatment plan
Answer: A
3. A nurse is caring for a client who has suspected pulmonary tuberculosis and
is awaiting diagnostic results. The client must leave the negative-pressure
room for a radiographic procedure. Which intervention is most appropriate
before transporting the client?
A. Place the client in a private room with the door open
1
, B. Have the client wear a surgical mask during transport
C. Have the transporter wear only sterile gloves
D. Place the client on droplet precautions during transport
Answer: A
4. A nurse is preparing a sterile field for insertion of a urinary catheter. During
preparation, the nurse's sterile glove accidentally touches the outside edge
of the sterile drape. The nurse recognizes that the glove may now be
contaminated. Which action should the nurse take?
A. Continue because the edge of the drape is considered sterile
B. Clean the glove with antiseptic solution
C. Replace the contaminated glove with a new sterile glove
D. Cover the contaminated glove with a second pair of sterile gloves
Answer: D
5. A nurse is caring for an older adult client who became confused after
receiving an unfamiliar medication and is attempting to climb out of bed
without assistance. The client has an unsteady gait and repeatedly forgets
to use the call light. Which intervention should the nurse implement first to
reduce immediate injury risk?
A. Place the client in a low bed and activate the bed alarm
B. Apply bilateral wrist restraints
C. Keep all four side rails raised
D. Administer a sedative medication
Answer: A
6. A client receiving a continuous IV infusion reports burning and discomfort at
the insertion site. The nurse observes swelling, coolness, and pallor around
the catheter site, and the infusion pump indicates that the prescribed fluid
is still running. Which action should the nurse take first?
A. Increase the infusion rate
B. Apply a warm compress and continue the infusion
C. Flush the catheter forcefully
2
, D. Stop the infusion and assess the IV site for infiltration
Answer: D
7. A nurse is teaching a client how to use a walker after lower-extremity
weakness has developed. The client asks how to move the walker and legs
while walking. Which instruction should the nurse provide?
A. Move the stronger leg first and then lift the walker
B. Move the walker forward, then advance the weaker leg followed by the
stronger leg
C. Keep the walker behind the body while stepping forward
D. Move both legs together before advancing the walker
Answer: D
8. A client tells the nurse, “I am terrified because the surgeon said I might
need another operation, and I don't know what will happen to me.” The
client is visibly anxious and tearful. Which response by the nurse best
demonstrates therapeutic communication?
A. “Try not to think about the surgery until the doctor makes a decision.”
B. “You should stay positive because everything will probably be fine.”
C. “Tell me more about what concerns you most about possibly having
another operation.”
D. “Many other clients have had another operation and recovered.”
Answer: C
9. A nurse is caring for a client who has frequent watery stools and is
diagnosed with Clostridioides difficile infection. The client requires
assistance with hygiene after each bowel movement. Which infection-
control practice should the nurse use?
A. Use contact precautions and wash hands with soap and water after care
B. Use airborne precautions and wear an N95 respirator
C. Use only a surgical mask and alcohol-based hand sanitizer
D. Place the client on protective isolation
Answer: A
3
, 10. A client receiving oxygen therapy asks why the nurse has placed a sign
indicating that smoking is prohibited in the room. The client states that
smoking would only be dangerous if the oxygen were delivered at a high
flow rate. Which response by the nurse is most appropriate?
A. “Smoking is prohibited only when the oxygen flow exceeds 6 L/min.”
B. “Oxygen supports combustion, so cigarettes and open flames are unsafe
even with low-flow oxygen.”
C. “The oxygen can become toxic if you smoke while receiving it.”
D. “Smoking is permitted if you turn the oxygen off temporarily.”
Answer: D
11. A nurse is caring for a postoperative client who has shallow respirations
because of incisional discomfort. The client's oxygen saturation has
decreased from 97% to 93% while breathing room air. Which intervention
should the nurse encourage to improve ventilation and prevent
postoperative pulmonary complications?
A. Restrict oral fluids
B. Remain in bed with the head flat
C. Use an incentive spirometer regularly while awake
D. Avoid coughing to prevent disruption of the incision
Answer: C
12. A client with hypertension is receiving dietary teaching before discharge.
The client reports eating canned soups, processed meats, salty snacks, and
frozen meals most days of the week. Which dietary change should the nurse
emphasize?
A. Increase foods containing added sodium
B. Choose fresh foods and limit processed foods high in sodium
C. Replace vegetables with high-sodium preserved foods
D. Add table salt to meals only after tasting them
Answer: A
13. A client with a newly created colostomy tells the nurse, “I am afraid to look
at the stoma because it doesn't look normal.” The nurse observes a moist,
4
