ATI RN FUNDAMENTALS PROCTORED
EXAM NEWEST 2026 ACTUAL EXAM|
NGN - EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GURANTEED PASS
1. A nurse is preparing to administer an intramuscular
injection to a client. Which action ensures proper site
selection?
A. Inject into the deltoid muscle for all adult clients
B. Use the dorsogluteal site for rapid absorption
C. Select the vastus lateralis for clients over 7 months
D. Choose the ventrogluteal site for most adults
Rationale: The ventrogluteal site is preferred for IM injections in
adults due to its large muscle mass and minimal risk of nerve
injury. The dorsogluteal site is avoided due to the proximity of the
sciatic nerve .
2. A nurse is providing teaching to a client who has a new
prescription for wrist restraints. Which of the following
statements by the nurse is appropriate?
A. "I will apply the restraints tightly to ensure you cannot move."
B. "I will tie the restraints to the side rails of your bed."
C. "I will make sure that two fingers can fit between the
restraint and your wrist."
D. "The restraints will be documented every two days."
, Rationale: Proper restraint application requires padding bony
prominences and confirming you can slip two fingers beneath the
cuff to ensure it is not too tight. Restraints are never tied to
movable bed parts and must be reassessed frequently .
3. A nurse is preparing to administer methylprednisolone
acetate 10 mg by IV bolus. The amount available is 40 mg/mL.
How many mL should the nurse administer? (Round to the
nearest tenth.)
A. 0.1 mL
B. 0.2 mL
C. 0.3 mL
D. 0.4 mL
Rationale: Use the formula: (Desired dose / Available dose) x
Volume. (10 mg / 40 mg) x 1 mL = 0.25 mL, which rounds to 0.3
mL .
4. A nurse is caring for a client who is 1 hour postoperative
and has a blood pressure of 88/50 mmHg. Which of the
following actions should the nurse take?
A. Continue to monitor the blood pressure.
B. Assess the client for further signs of shock or hemorrhage.
C. Administer the prescribed pain medication.
D. Increase the rate of the IV fluid.
Rationale: Hypotension in a postoperative patient may indicate
shock or hemorrhage, requiring immediate assessment. This is a
priority over less urgent tasks .
, 5. A nurse is caring for a client who has Shigella. Which of the
following precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Neutropenic precautions
D. Contact precautions (gown and gloves)
Rationale: Shigella is transmitted via the fecal-oral route,
requiring contact precautions, which include the use of gloves and
a gown .
6. A nurse is caring for a client who is experiencing a seizure.
Which action should the nurse take FIRST?
A. Place a tongue blade in the client's mouth.
B. Restrain the client.
C. Turn the client to the side.
D. Leave the client to get help.
Rationale: During a seizure, the client should be turned to the
side to maintain an open airway and prevent aspiration. Nothing
should be placed in the client's mouth, and the client should not
be restrained .
7. A nurse is assessing a client's pain level. Which of the
following is the most reliable indicator of pain?
A. Client's vital signs.
B. Client's self-report of pain.
C. Nurse's observation of the client.
D. Family member's report.
, Rationale: Pain is subjective, and the client's self-report is the
most reliable indicator of pain. Healthcare professionals should
believe and respect the client's report of their pain experience .
8. A nurse is caring for a client who is receiving IV pain
medication through a PCA pump. Which statement by the
nurse is appropriate?
A. "Your spouse can press the PCA button to give you a dose if
you're asleep."
B. "Only you should press the PCA button when you need
pain medication."
C. "Go ahead and push the button every hour, no matter your
pain level."
D. "We will hang the PCA button out of reach so you don't
overuse it."
Rationale: Only the client should activate the PCA button to avoid
oversedation. Family-activated dosing risks giving medication
unnecessarily .
9. A nurse is preparing to administer an enema to a client.
Which of the following actions should the nurse take? (Select
all that apply.)
A. Warm the enema solution prior to instillation.
B. Position the client on the left side with the right leg flexed
forward.
C. Lubricate the rectal tube generously.
D. Slowly insert the tube about 2 inches into the rectum.
E. Hang the enema fluid container 24 inches above the client's
anus.
EXAM NEWEST 2026 ACTUAL EXAM|
NGN - EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GURANTEED PASS
1. A nurse is preparing to administer an intramuscular
injection to a client. Which action ensures proper site
selection?
A. Inject into the deltoid muscle for all adult clients
B. Use the dorsogluteal site for rapid absorption
C. Select the vastus lateralis for clients over 7 months
D. Choose the ventrogluteal site for most adults
Rationale: The ventrogluteal site is preferred for IM injections in
adults due to its large muscle mass and minimal risk of nerve
injury. The dorsogluteal site is avoided due to the proximity of the
sciatic nerve .
2. A nurse is providing teaching to a client who has a new
prescription for wrist restraints. Which of the following
statements by the nurse is appropriate?
A. "I will apply the restraints tightly to ensure you cannot move."
B. "I will tie the restraints to the side rails of your bed."
C. "I will make sure that two fingers can fit between the
restraint and your wrist."
D. "The restraints will be documented every two days."
, Rationale: Proper restraint application requires padding bony
prominences and confirming you can slip two fingers beneath the
cuff to ensure it is not too tight. Restraints are never tied to
movable bed parts and must be reassessed frequently .
3. A nurse is preparing to administer methylprednisolone
acetate 10 mg by IV bolus. The amount available is 40 mg/mL.
How many mL should the nurse administer? (Round to the
nearest tenth.)
A. 0.1 mL
B. 0.2 mL
C. 0.3 mL
D. 0.4 mL
Rationale: Use the formula: (Desired dose / Available dose) x
Volume. (10 mg / 40 mg) x 1 mL = 0.25 mL, which rounds to 0.3
mL .
4. A nurse is caring for a client who is 1 hour postoperative
and has a blood pressure of 88/50 mmHg. Which of the
following actions should the nurse take?
A. Continue to monitor the blood pressure.
B. Assess the client for further signs of shock or hemorrhage.
C. Administer the prescribed pain medication.
D. Increase the rate of the IV fluid.
Rationale: Hypotension in a postoperative patient may indicate
shock or hemorrhage, requiring immediate assessment. This is a
priority over less urgent tasks .
, 5. A nurse is caring for a client who has Shigella. Which of the
following precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Neutropenic precautions
D. Contact precautions (gown and gloves)
Rationale: Shigella is transmitted via the fecal-oral route,
requiring contact precautions, which include the use of gloves and
a gown .
6. A nurse is caring for a client who is experiencing a seizure.
Which action should the nurse take FIRST?
A. Place a tongue blade in the client's mouth.
B. Restrain the client.
C. Turn the client to the side.
D. Leave the client to get help.
Rationale: During a seizure, the client should be turned to the
side to maintain an open airway and prevent aspiration. Nothing
should be placed in the client's mouth, and the client should not
be restrained .
7. A nurse is assessing a client's pain level. Which of the
following is the most reliable indicator of pain?
A. Client's vital signs.
B. Client's self-report of pain.
C. Nurse's observation of the client.
D. Family member's report.
, Rationale: Pain is subjective, and the client's self-report is the
most reliable indicator of pain. Healthcare professionals should
believe and respect the client's report of their pain experience .
8. A nurse is caring for a client who is receiving IV pain
medication through a PCA pump. Which statement by the
nurse is appropriate?
A. "Your spouse can press the PCA button to give you a dose if
you're asleep."
B. "Only you should press the PCA button when you need
pain medication."
C. "Go ahead and push the button every hour, no matter your
pain level."
D. "We will hang the PCA button out of reach so you don't
overuse it."
Rationale: Only the client should activate the PCA button to avoid
oversedation. Family-activated dosing risks giving medication
unnecessarily .
9. A nurse is preparing to administer an enema to a client.
Which of the following actions should the nurse take? (Select
all that apply.)
A. Warm the enema solution prior to instillation.
B. Position the client on the left side with the right leg flexed
forward.
C. Lubricate the rectal tube generously.
D. Slowly insert the tube about 2 inches into the rectum.
E. Hang the enema fluid container 24 inches above the client's
anus.
