Guide | Verified NGN Content + Key
Concepts (2025–2027)
Perfect for nursing students preparing for their first attempt, retake, or remediation.
✅ What’s Included:
✅ Complete Coverage of ATI Fundamentals Exam Topics
✅ NGN-Style Clinical Judgment Focus
✅ Key Concepts, Priorities, and Safety Protocols
✅ Easy-to-understand summaries of:
‣ Infection control & standard precautions
‣ Nursing process (ADPIE)
‣ Delegation & prioritization
‣ Patient education & communication
‣ Legal/ethical practice
‣ Safety, hygiene, mobility, and more
Fundamentals ATI Proctored exam Study Guide
Levels of health care
Preventative health care focuses on educating and equipping clients to reduce and
control risk factors of disease. Examples include programs that promote
immunization, stress management, and seat belt use.
Primary health emphasizes health promotion, and includes prenatal and wellbaby
care, nutrition counseling, and disease control. This level of care is based on a
sustained partnership between the client and the provider. Examples include office
or clinic visits and scheduled school or work-centered screenings (Vision, hearing,
obesity).
Secondary health care includes the diagnosis and treatment of emergency, acute
illness, or injury. Examples include care that is given in hospital settings (inpatient
and emergency departments), diagnostic centers, or emergent care centers.
Tertiary health care involves the provision or specialized highly technical care.
Examples include oncology centers and burn centers.
Restorative health care involves intermediate follow up care for restoring health.
Examples include home health care, rehabilitation centers, and in-home respite
care.
,Nursing ethical principles
o Autonomy
Ability of the client to make personal decisions, even when those decisions may not be in
the clients own best interest. o Beneficence
Agreement that the care given is in the best interest of the client; taking positive actions
to help others.
0 Fidelity
Agreement to keep ones promise to the client about care that was offered. o Justice
Fair treatment in matters related to physical and psychosocial care and use of
resources. o Nonmaleficience
Avoidance of harm or pain as much as possible when giving treatments. o Veracity
It is the basis of the trust relationship established between a patient and a health
care provider.
Ethical decision making in nursing o Ethical dilemmas are problems about which more than one
choice can be made and the choice made is influenced by the values and beliefs of the decision
makers. These are common in health care, and nurses must be prepared to apply ethical theory
and decision making to ethical problems.
A problem is an ethical dilemma if:
It cannot be solved by a review of scientific data.
It involves a conflict between two moral imperatives.
The answer will have a profound effect on the situation/client.
The nurses basic code of ethics and principles remains constant. These basic principles include:
o Advocacy
Support of the cause of the client regarding health, safety, and personal rights o
Responsibility
Willingness to respect obligations and follow through on promises o
Accountability
Ability to answer for one's own actions o Confidentiality
Protection of privacy without diminishing access to quality care.
Intentional torts
o Assault
The conduct of one person makes another person fearful and apprehensive
(Threatening to place a nasogastric tube in a client who is refusing to eat). o
Battery
Intentional and wrongful physical contact with a person that involves an injury or
offensive contact (restraining a client and administering an injection against
his/her wishes).
False imprisonment
A person is confined or restrained against his will (Using restraints on a competent
client to prevent his leaving the care facility).
Unintentional torts (didn't intend to harm patient but you did) o
Negligence
A nurse fails to implement safety measures for a client who has been identified as
at risk for falls.
Malpractice (Professional negligence)
A nurse administers a large dose of medication due to a calculation error. The
client has a cardiac arrest and dies.
Informed Consent o Responsibility of
the provider
Communicate purpose of procedure, and complete description of procedure in the
patients primary language (use medical interpreter if needed, NOT family
member).
Explain Risks vs. benefits
Describe other options to treat the condition. o Responsibility of the RN:
Make sure provider gave the patient the above information.
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Ensure patient is competent to give informed consent (i.e. patient is an adult or
emancipated minor, not impaired)
Have patient sign consent document
If pt has further questions* call provider and have them come back and explain
things further BEFORE they sign the form
Patient Education o Assessment: identify patient needs, learning style (auditory, visual,
kinesthetic), abilities, available recources.
Planning: develop mutually agreeable goals/outcomes.
Implemmentation: DO NOT use medical jargon. Make sure materials are at a sixth
grade level (or below).
Evaluation: ask patient to explain the teaching in their own words, or have the
patient do a return demonstration for psychomotor learning.
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