1|Page
NEXT GENERATION NCLEX-RN ATI FUNDAMENTALS OF
NURSING PROCTORED EXAM 2026,150 VERIFIED AND
CORRECT ANSWER AND DETAILED RATIONALE ALREADY
GRADED A+
1 — Topic: Infection control
A nurse prepares to enter the room of a client diagnosed with pulmonary
tuberculosis. The client is coughing and producing sputum. The nurse must
decide which personal protective equipment (PPE) is essential to protect
against airborne particles.
A. Surgical mask and gown
B. N95 respirator
C. Face shield only
D. Standard gloves only
Correct Answer: B
Rationale: Pulmonary tuberculosis requires airborne precautions. An N95
respirator (or higher-level particulate respirator) is mandatory to filter small
airborne droplets. A surgical mask is insufficient. Gowns and gloves are
only needed if there is contact with secretions, while the N95 specifically
prevents inhalation of infectious particles.
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2 — Topic: Safety — fall prevention
An older adult client with a history of osteoporosis and unsteady gait is
preparing for discharge home. The nurse provides education on
environmental safety modifications to reduce fall risk. Which
recommendation is best?
A. Encourage rugs in hallways for comfort
B. Install grab bars and adequate lighting
C. Provide soft slippers for mobility
D. Place bed at maximum height
Correct Answer: B
Rationale: Falls are a leading cause of injury in older adults. The safest
intervention is installing grab bars, nonslip flooring, and proper lighting
in hallways and bathrooms. Loose rugs and slippers increase risk. The bed
should be in its lowest position to prevent falls, not raised.
3 — Topic: Vital signs
A nurse is screening clients for hypertension. Which blood pressure reading
meets the criteria for stage 2 hypertension according to current guidelines?
A. 118/76 mmHg
B. 132/84 mmHg
C. 138/88 mmHg
D. 152/96 mmHg
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Correct Answer: D
Rationale: Stage 2 hypertension is defined as systolic ≥140 mmHg or
diastolic ≥90 mmHg. A reading of 152/96 clearly meets this definition.
Options A–C are either normal or stage 1 hypertension ranges. Accurate
recognition ensures timely referral and management.
4 — Topic: Nursing process — assessment
A client suddenly becomes short of breath during ambulation. The nurse
notes audible wheezing and labored breathing. According to the nursing
process, what is the nurse’s priority action?
A. Obtain complete health history
B. Assess respiratory rate and O2 saturation
C. Document findings in chart
D. Offer reassurance
Correct Answer: B
Rationale: The priority is assessment of airway and breathing. Checking
respiratory rate, effort, and oxygen saturation provides immediate data to
guide interventions. History and documentation are secondary to stabilizing
the client. Reassurance alone does not address acute distress.
5 — Topic: Hygiene & comfort
An immobile client is at risk for pressure ulcers due to prolonged bed rest.
The nurse plans interventions to preserve skin integrity. Which measure is
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most effective in preventing skin breakdown?
A. Elevating head of bed 90° continuously
B. Repositioning every 2 hours
C. Using donut-type cushions
D. Restricting fluid intake
Correct Answer: B
Rationale: Regular repositioning at least every 2 hours redistributes
pressure and maintains circulation, preventing pressure ulcers. High
Fowler’s (90°) causes shear. Donut cushions concentrate pressure. Adequate
hydration, not restriction, is necessary for healthy skin.
6 — Topic: Delegation
The RN must delegate tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A. Administering enteral feeding
B. Evaluating pain relief
C. Ambulating a stable client post-op
D. Assessing wound healing
Correct Answer: C
Rationale: Ambulating a stable client is within the UAP’s scope. Pain
evaluation, wound assessment, and administering feedings require nursing
judgment or advanced skill. Delegation must match training, safety, and
legal responsibilities.
NEXT GENERATION NCLEX-RN ATI FUNDAMENTALS OF
NURSING PROCTORED EXAM 2026,150 VERIFIED AND
CORRECT ANSWER AND DETAILED RATIONALE ALREADY
GRADED A+
1 — Topic: Infection control
A nurse prepares to enter the room of a client diagnosed with pulmonary
tuberculosis. The client is coughing and producing sputum. The nurse must
decide which personal protective equipment (PPE) is essential to protect
against airborne particles.
A. Surgical mask and gown
B. N95 respirator
C. Face shield only
D. Standard gloves only
Correct Answer: B
Rationale: Pulmonary tuberculosis requires airborne precautions. An N95
respirator (or higher-level particulate respirator) is mandatory to filter small
airborne droplets. A surgical mask is insufficient. Gowns and gloves are
only needed if there is contact with secretions, while the N95 specifically
prevents inhalation of infectious particles.
,2|Page
2 — Topic: Safety — fall prevention
An older adult client with a history of osteoporosis and unsteady gait is
preparing for discharge home. The nurse provides education on
environmental safety modifications to reduce fall risk. Which
recommendation is best?
A. Encourage rugs in hallways for comfort
B. Install grab bars and adequate lighting
C. Provide soft slippers for mobility
D. Place bed at maximum height
Correct Answer: B
Rationale: Falls are a leading cause of injury in older adults. The safest
intervention is installing grab bars, nonslip flooring, and proper lighting
in hallways and bathrooms. Loose rugs and slippers increase risk. The bed
should be in its lowest position to prevent falls, not raised.
3 — Topic: Vital signs
A nurse is screening clients for hypertension. Which blood pressure reading
meets the criteria for stage 2 hypertension according to current guidelines?
A. 118/76 mmHg
B. 132/84 mmHg
C. 138/88 mmHg
D. 152/96 mmHg
,3|Page
Correct Answer: D
Rationale: Stage 2 hypertension is defined as systolic ≥140 mmHg or
diastolic ≥90 mmHg. A reading of 152/96 clearly meets this definition.
Options A–C are either normal or stage 1 hypertension ranges. Accurate
recognition ensures timely referral and management.
4 — Topic: Nursing process — assessment
A client suddenly becomes short of breath during ambulation. The nurse
notes audible wheezing and labored breathing. According to the nursing
process, what is the nurse’s priority action?
A. Obtain complete health history
B. Assess respiratory rate and O2 saturation
C. Document findings in chart
D. Offer reassurance
Correct Answer: B
Rationale: The priority is assessment of airway and breathing. Checking
respiratory rate, effort, and oxygen saturation provides immediate data to
guide interventions. History and documentation are secondary to stabilizing
the client. Reassurance alone does not address acute distress.
5 — Topic: Hygiene & comfort
An immobile client is at risk for pressure ulcers due to prolonged bed rest.
The nurse plans interventions to preserve skin integrity. Which measure is
, 4|Page
most effective in preventing skin breakdown?
A. Elevating head of bed 90° continuously
B. Repositioning every 2 hours
C. Using donut-type cushions
D. Restricting fluid intake
Correct Answer: B
Rationale: Regular repositioning at least every 2 hours redistributes
pressure and maintains circulation, preventing pressure ulcers. High
Fowler’s (90°) causes shear. Donut cushions concentrate pressure. Adequate
hydration, not restriction, is necessary for healthy skin.
6 — Topic: Delegation
The RN must delegate tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A. Administering enteral feeding
B. Evaluating pain relief
C. Ambulating a stable client post-op
D. Assessing wound healing
Correct Answer: C
Rationale: Ambulating a stable client is within the UAP’s scope. Pain
evaluation, wound assessment, and administering feedings require nursing
judgment or advanced skill. Delegation must match training, safety, and
legal responsibilities.
