RN ATI FUNDAMENTALS OF
NURSING PROCTORED EXAM
2023 WITH NGN
UNIT 1: Health Care Delivery & Nursing Practice (Q1–15)
1. A nurse is caring for a client who practices Orthodox Judaism. Which action should the nurse
take?
A. Serve milk with the client's meat meal
B. Ensure kosher meals are ordered
C. Offer coffee with cream after dinner
D. Provide pork as a protein source
Correct: B Kosher dietary laws prohibit mixing meat and dairy and prohibit
pork/shellfish. The nurse should ensure kosher meals.
2. Which action by the nurse best demonstrates the ethical principle of autonomy?
A. Administering a prescribed medication
B. Honoring a client's refusal of a blood transfusion
C. Reporting a colleague's impairment
D. Providing equal care to all clients
Correct: B Autonomy is respect for the client's right to make decisions about their own
care, including refusal.
3. A nurse is delegating to an assistive personnel (AP). Which task is appropriate to delegate?
A. Assessing a client's incision
B. Administering oral medications
C. Ambulating a stable client
D. Teaching a client about a new diet
Correct: C Ambulating a stable client is within AP scope. Assessment, medication
administration, and teaching require a nurse.
4. A client asks the nurse to explain the purpose of an advance directive. Which response is
best?
,A. "It allows your family to make all decisions for you."
B. "It is a legal document that states your wishes for end-of-life care."
C. "It transfers your care to a physician."
D. "It is required before surgery."
Correct: B Advance directives communicate a client's wishes for care if they lose
decision-making capacity.
5. A nurse is working on a quality improvement committee. Which is the first step in the QI
process?
A. Implement a change
B. Identify an area for improvement
C. Evaluate outcomes
D. Educate staff
Correct: B QI begins with identifying a problem or area needing improvement.
6. Which client should the nurse assess first?
A. Client with a new colostomy requesting assistance
B. Client reporting chest pain
C. Client requesting pain medication for a headache
D. Client needing discharge teaching
Correct: B Chest pain is a potential life-threatening emergency; priority per ABCs.
7. A nurse is explaining Medicare to a client. Which statement is accurate?
A. "Medicare is for people over 65 or with certain disabilities."
B. "Medicare covers all long-term care."
C. "Medicare is income-based."
D. "Medicare is only for children."
Correct: A Medicare is a federal program for those ≥65, certain disabilities, and ESRD.
8. (SATA) Which are components of the nursing process? Select all that apply.
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
E. Evaluation
F. Billing
Correct: A, B, C, D, E The nursing process: ADPIE. Billing is not a component.
, 9. A nurse acts as a client advocate. Which action best reflects advocacy?
A. Making decisions for the client
B. Speaking up for the client's wishes
C. Avoiding family involvement
D. Documenting after the shift
Correct: B Advocacy = protecting and communicating the client's rights and wishes.
10. A nurse is caring for a client who speaks limited English. Which action is best?
A. Ask a family member to interpret
B. Use a certified medical interpreter
C. Speak loudly in English
D. Use gestures only
Correct: B Certified interpreters ensure accuracy and confidentiality; family members
may not interpret accurately.
11. Which is an example of a nurse demonstrating beneficence?
A. Telling the truth
B. Promoting good for the client
C. Keeping promises
D. Avoiding harm
Correct: B Beneficence = doing good. Nonmaleficence = avoiding harm. Veracity = truth.
Fidelity = keeping promises.
12. A nurse is preparing to perform a procedure. Which action ensures informed consent?
A. Signing the consent for the client
B. Verifying the client understands the procedure
C. Explaining the risks to the client
D. Witnessing without explanation
Correct: B The provider explains; the nurse verifies understanding and witnesses the
signature.
13. (SATA) Which factors increase a client's risk for falls? Select all that apply.
A. Age 78
B. Recent sedative use
C. Use of a walker correctly
D. History of falls
E. Urinary urgency
NURSING PROCTORED EXAM
2023 WITH NGN
UNIT 1: Health Care Delivery & Nursing Practice (Q1–15)
1. A nurse is caring for a client who practices Orthodox Judaism. Which action should the nurse
take?
A. Serve milk with the client's meat meal
B. Ensure kosher meals are ordered
C. Offer coffee with cream after dinner
D. Provide pork as a protein source
Correct: B Kosher dietary laws prohibit mixing meat and dairy and prohibit
pork/shellfish. The nurse should ensure kosher meals.
2. Which action by the nurse best demonstrates the ethical principle of autonomy?
A. Administering a prescribed medication
B. Honoring a client's refusal of a blood transfusion
C. Reporting a colleague's impairment
D. Providing equal care to all clients
Correct: B Autonomy is respect for the client's right to make decisions about their own
care, including refusal.
3. A nurse is delegating to an assistive personnel (AP). Which task is appropriate to delegate?
A. Assessing a client's incision
B. Administering oral medications
C. Ambulating a stable client
D. Teaching a client about a new diet
Correct: C Ambulating a stable client is within AP scope. Assessment, medication
administration, and teaching require a nurse.
4. A client asks the nurse to explain the purpose of an advance directive. Which response is
best?
,A. "It allows your family to make all decisions for you."
B. "It is a legal document that states your wishes for end-of-life care."
C. "It transfers your care to a physician."
D. "It is required before surgery."
Correct: B Advance directives communicate a client's wishes for care if they lose
decision-making capacity.
5. A nurse is working on a quality improvement committee. Which is the first step in the QI
process?
A. Implement a change
B. Identify an area for improvement
C. Evaluate outcomes
D. Educate staff
Correct: B QI begins with identifying a problem or area needing improvement.
6. Which client should the nurse assess first?
A. Client with a new colostomy requesting assistance
B. Client reporting chest pain
C. Client requesting pain medication for a headache
D. Client needing discharge teaching
Correct: B Chest pain is a potential life-threatening emergency; priority per ABCs.
7. A nurse is explaining Medicare to a client. Which statement is accurate?
A. "Medicare is for people over 65 or with certain disabilities."
B. "Medicare covers all long-term care."
C. "Medicare is income-based."
D. "Medicare is only for children."
Correct: A Medicare is a federal program for those ≥65, certain disabilities, and ESRD.
8. (SATA) Which are components of the nursing process? Select all that apply.
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
E. Evaluation
F. Billing
Correct: A, B, C, D, E The nursing process: ADPIE. Billing is not a component.
, 9. A nurse acts as a client advocate. Which action best reflects advocacy?
A. Making decisions for the client
B. Speaking up for the client's wishes
C. Avoiding family involvement
D. Documenting after the shift
Correct: B Advocacy = protecting and communicating the client's rights and wishes.
10. A nurse is caring for a client who speaks limited English. Which action is best?
A. Ask a family member to interpret
B. Use a certified medical interpreter
C. Speak loudly in English
D. Use gestures only
Correct: B Certified interpreters ensure accuracy and confidentiality; family members
may not interpret accurately.
11. Which is an example of a nurse demonstrating beneficence?
A. Telling the truth
B. Promoting good for the client
C. Keeping promises
D. Avoiding harm
Correct: B Beneficence = doing good. Nonmaleficence = avoiding harm. Veracity = truth.
Fidelity = keeping promises.
12. A nurse is preparing to perform a procedure. Which action ensures informed consent?
A. Signing the consent for the client
B. Verifying the client understands the procedure
C. Explaining the risks to the client
D. Witnessing without explanation
Correct: B The provider explains; the nurse verifies understanding and witnesses the
signature.
13. (SATA) Which factors increase a client's risk for falls? Select all that apply.
A. Age 78
B. Recent sedative use
C. Use of a walker correctly
D. History of falls
E. Urinary urgency
