ATI PN FUNDAMENTALS 2024 WITH
NGN PRACTICE EXAM QUESTIONS AND
ANSWERS
A nurse observes an assistive personnel (AP) reprimanding a client for not using the
urinal properly. The AP tells him she will put a diaper on him if she does not use the
urinal more carefully next time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False Imprisonment
D. Invasion of Privacy - Answer-A. Assault
Rationale:
By threatening the client, the AP is committing assault. Her threats could make the
client become fearful and apprehensive.
B. INCORRECT: Battery is actual physical contact without the client's consent. Because
the AP has only verbally threatened the client, battery has not occurred.
C. INCORRECT: Unless the AP restrains the client, there is no false imprisonment
involved.
D. INCORRECT: Invasion of privacy most often involves disclosing information about a
client to an unauthorized individual.
A nurse is caring for a competent adult client who tells the nurse that he is thinking
about leaving the hospital against medical advice. The nurse believes that this is not in
the client's best interest, so she prepares to administer a PRN sedative medication the
client has not requested along with his usual medication. Which of the following types of
tort is the nurse about to commit?
A. Assault
B. False Imprisonment
C. Negligence
D. Breach of Confidentiality - Answer-A. INCORRECT: Assault is an action that
threatens harmful contact without the client's consent. The nurse has made no threats in
this situation.
B. False Imprisonment: The nurse gave the medication as a chemical restraint to keep
the client from leaving the facility against medical advice. This is false imprisonment
because the client neither requested nor consented to receiving the sedative.
C. INCORRECT: Negligence is a breach of duty that results in harm to the client. It is
unlikely that the medication the nurse administered without his consent actually harmed
the client.
D. INCORRECT: The nurse has not disclosed any
A nurse in a surgeon's office is providing preoperative teaching for a client who is
scheduled for surgery the following week. The client tells the nurse that he will prepare
,his advance directives before he goes to the hospital. Which of the following statements
made by the client should indicate to the nurse an understanding of advance directives?
a. "I'd rather have my brother make decisions for me, but I know it has to be my wife"
b. "I know they won't go ahead with surgery unless I prepare these forms"
c. "I plan to write that I don't want them to keep me on a breathing machine"
d. "I will get my regular doctor to approve my plan before I hand it in at the hospital" -
Answer-C. "I plan to write that i don't want them to keep me on a breathing machine."
Rationale:
The client has the right to decide and specify which medical procedures he wants when
a life-threatening situation arises.
A nurse is caring for a client who is about to undergo an elective surgical procedure.
The nurse should take which of the following actions regarding informed consent?
(select all that apply.)
a. Makes sure the surgeon obtained the client's consent
b. Witness the client's signature on the consent form
c. Explain the risks and benefits of the procedure.
d. Describe the consequences of choosing not to have the surgery.
e. Tell the client about alternatives to having the surgery. - Answer-A. Make sure the
surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
Rationale:
1. It is the nurse's responsibility to verify that the surgeon obtained the client's consent
and that he understands the information the surgeon gave him.
2. It is the nurse's responsibility to witness the client's signing of the consent form, & to
verify that he is consenting voluntarily & appears to be competent to do so.
3. The nurse also should verify that he understands the information the surgeon gave
him.
When entering a client's room to change a surgical dressing, a nurse notes that the
client is coughing and sneezing. Which of the following actions should the nurse take
when preparing the sterile field? - Answer-C. Place a mask on the client to limit the
spread of micro-organisms into the surgical wound.
Rationale: Placing a mask on the client prevents contamination of the surgical wound
during the dressing change.
A nurse has removed a sterile pack from its outside cover and placed it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first? - Answer-D. The flap farthest from the body
Rationale: The priority goal in setting up a sterile field is to maintain sterility and thus
reduce the risk to the client's safety. Unless the nurse pulls the top flap (the one furthest
from her body) away from her body first, she risks touching part of the inner surface of
the wrap and thus contaminating it.
, A nurse is wearing sterile gloves in preparation for performing sterile procedure. Which
of the following objects can the nurse touch without breaching sterile technique? (Select
all that apply) - Answer-The inner wrapping of an item on the sterile field.
Rationale: The inner wrappings of any objects the nurse dropped onto the sterile field
are sterile. The nurse may touch them with sterile gloves.
D. An irrigation syringe on the sterile field
Rationale: Any objects the nurse dropped onto the sterile field during the setup are
sterile. The nurse may touch the syringe with sterile gloves.
E. One gloved hand with the other gloved hand
Rationale: One sterile gloved hand may touch the other sterile gloved hand because
both are sterile.
A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP).
Which of the following instructions should the nurse include when discussing
handwashing? (Select all that apply) - Answer-Wash the hands with soap and water for
at least 15 seconds.
Rationale: This is the amount of time it takes to remove transient flora from the hands.
For soiled hands, the recommendation is 2 min.
Use a clean paper towel to turn off hand faucets.
Rationale: If the sink does not have foot or knee pedals, the APs should turn off the
water with a clean paper towel and not with their hands.
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion.
Which of the following events should the nurse recognize as contaminating the sterile
field? (Select all that apply) - Answer-The nurse moistens a cotton ball with sterile
normal saline and places it on the sterile field.
Rationale: Fluid permeation of the sterile drape or barrier contaminates the field.
The procedure is delayed 1 hr because the provider receives an emergency call.
Rationale: Prolonged exposure to air contaminates a sterile field
The nurse turns to speak to someone who enters through the door behind the nurse.
Rationale: Turning away from a sterile field contaminates the field because the nurse
cannot see if a piece of clothing or hair made contact with the field.
A nurse is discussing restorative health care with a newly licensed nurse. Which of the
following examples should the nurse include in the teaching? - Answer-1. Home Health
Care
2. Rehab Facilities
3. Skilled Nursing Facilities
Rationale: Restorative health care involves intermediate follow up for care health and
promoting self care.
A nurse is explaining the various types of health care coverage. Which of the following
health care financing mechanisms are federally funded? - Answer-1. Medicare
2. Medicaid.
NGN PRACTICE EXAM QUESTIONS AND
ANSWERS
A nurse observes an assistive personnel (AP) reprimanding a client for not using the
urinal properly. The AP tells him she will put a diaper on him if she does not use the
urinal more carefully next time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False Imprisonment
D. Invasion of Privacy - Answer-A. Assault
Rationale:
By threatening the client, the AP is committing assault. Her threats could make the
client become fearful and apprehensive.
B. INCORRECT: Battery is actual physical contact without the client's consent. Because
the AP has only verbally threatened the client, battery has not occurred.
C. INCORRECT: Unless the AP restrains the client, there is no false imprisonment
involved.
D. INCORRECT: Invasion of privacy most often involves disclosing information about a
client to an unauthorized individual.
A nurse is caring for a competent adult client who tells the nurse that he is thinking
about leaving the hospital against medical advice. The nurse believes that this is not in
the client's best interest, so she prepares to administer a PRN sedative medication the
client has not requested along with his usual medication. Which of the following types of
tort is the nurse about to commit?
A. Assault
B. False Imprisonment
C. Negligence
D. Breach of Confidentiality - Answer-A. INCORRECT: Assault is an action that
threatens harmful contact without the client's consent. The nurse has made no threats in
this situation.
B. False Imprisonment: The nurse gave the medication as a chemical restraint to keep
the client from leaving the facility against medical advice. This is false imprisonment
because the client neither requested nor consented to receiving the sedative.
C. INCORRECT: Negligence is a breach of duty that results in harm to the client. It is
unlikely that the medication the nurse administered without his consent actually harmed
the client.
D. INCORRECT: The nurse has not disclosed any
A nurse in a surgeon's office is providing preoperative teaching for a client who is
scheduled for surgery the following week. The client tells the nurse that he will prepare
,his advance directives before he goes to the hospital. Which of the following statements
made by the client should indicate to the nurse an understanding of advance directives?
a. "I'd rather have my brother make decisions for me, but I know it has to be my wife"
b. "I know they won't go ahead with surgery unless I prepare these forms"
c. "I plan to write that I don't want them to keep me on a breathing machine"
d. "I will get my regular doctor to approve my plan before I hand it in at the hospital" -
Answer-C. "I plan to write that i don't want them to keep me on a breathing machine."
Rationale:
The client has the right to decide and specify which medical procedures he wants when
a life-threatening situation arises.
A nurse is caring for a client who is about to undergo an elective surgical procedure.
The nurse should take which of the following actions regarding informed consent?
(select all that apply.)
a. Makes sure the surgeon obtained the client's consent
b. Witness the client's signature on the consent form
c. Explain the risks and benefits of the procedure.
d. Describe the consequences of choosing not to have the surgery.
e. Tell the client about alternatives to having the surgery. - Answer-A. Make sure the
surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
Rationale:
1. It is the nurse's responsibility to verify that the surgeon obtained the client's consent
and that he understands the information the surgeon gave him.
2. It is the nurse's responsibility to witness the client's signing of the consent form, & to
verify that he is consenting voluntarily & appears to be competent to do so.
3. The nurse also should verify that he understands the information the surgeon gave
him.
When entering a client's room to change a surgical dressing, a nurse notes that the
client is coughing and sneezing. Which of the following actions should the nurse take
when preparing the sterile field? - Answer-C. Place a mask on the client to limit the
spread of micro-organisms into the surgical wound.
Rationale: Placing a mask on the client prevents contamination of the surgical wound
during the dressing change.
A nurse has removed a sterile pack from its outside cover and placed it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first? - Answer-D. The flap farthest from the body
Rationale: The priority goal in setting up a sterile field is to maintain sterility and thus
reduce the risk to the client's safety. Unless the nurse pulls the top flap (the one furthest
from her body) away from her body first, she risks touching part of the inner surface of
the wrap and thus contaminating it.
, A nurse is wearing sterile gloves in preparation for performing sterile procedure. Which
of the following objects can the nurse touch without breaching sterile technique? (Select
all that apply) - Answer-The inner wrapping of an item on the sterile field.
Rationale: The inner wrappings of any objects the nurse dropped onto the sterile field
are sterile. The nurse may touch them with sterile gloves.
D. An irrigation syringe on the sterile field
Rationale: Any objects the nurse dropped onto the sterile field during the setup are
sterile. The nurse may touch the syringe with sterile gloves.
E. One gloved hand with the other gloved hand
Rationale: One sterile gloved hand may touch the other sterile gloved hand because
both are sterile.
A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP).
Which of the following instructions should the nurse include when discussing
handwashing? (Select all that apply) - Answer-Wash the hands with soap and water for
at least 15 seconds.
Rationale: This is the amount of time it takes to remove transient flora from the hands.
For soiled hands, the recommendation is 2 min.
Use a clean paper towel to turn off hand faucets.
Rationale: If the sink does not have foot or knee pedals, the APs should turn off the
water with a clean paper towel and not with their hands.
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion.
Which of the following events should the nurse recognize as contaminating the sterile
field? (Select all that apply) - Answer-The nurse moistens a cotton ball with sterile
normal saline and places it on the sterile field.
Rationale: Fluid permeation of the sterile drape or barrier contaminates the field.
The procedure is delayed 1 hr because the provider receives an emergency call.
Rationale: Prolonged exposure to air contaminates a sterile field
The nurse turns to speak to someone who enters through the door behind the nurse.
Rationale: Turning away from a sterile field contaminates the field because the nurse
cannot see if a piece of clothing or hair made contact with the field.
A nurse is discussing restorative health care with a newly licensed nurse. Which of the
following examples should the nurse include in the teaching? - Answer-1. Home Health
Care
2. Rehab Facilities
3. Skilled Nursing Facilities
Rationale: Restorative health care involves intermediate follow up for care health and
promoting self care.
A nurse is explaining the various types of health care coverage. Which of the following
health care financing mechanisms are federally funded? - Answer-1. Medicare
2. Medicaid.
