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ATI RN FUNDAMENTALS PROCTORED EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2025 Q&A | INSTANT DOWNLOAD PDF
Questions cover safety, infection control, communication, ethical/legal issues, basic care and comfort, health promotion, and more.
- A nurse is planning care for a client who is immobile. Which of the following interventions should the nurse include to prevent skin breakdown? A. Massage reddened bony prominences B. Turn the client every 2 hours C. Apply heat packs to pressure points D. Limit fluid intake Turning the client every 2 hours helps reduce pressure and promotes circulation, which prevents skin breakdown.
- A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take? A. Place the client in a room away from the nurses’ station B. Raise all four side rails C. Apply a fall-risk wristband D. Leave the bed in a high position A fall-risk wristband alerts all staff to take precautions.
- A nurse is using a pain scale to assess a client’s pain level. The client rates their pain as 7 out of 10. What should the nurse do next? A. Document the pain level B. Administer prescribed analgesic C. Reassess pain in 1 hour D. Ask the client to describe the pain A rating of 7 indicates moderate to severe pain, and prompt intervention is required.
- A nurse is assessing an older adult client. Which of the following findings should be reported to the provider? A. Decreased skin turgor B. Loss of height C. Presence of adventitious lung sounds D. Thick toenails Adventitious breath sounds may indicate a respiratory problem that requires immediate attention.
- A nurse is teaching a client how to use a cane. Which of the following instructions should the nurse give? A. Hold the cane on the same side as the affected leg B. Move the cane forward with the affected leg
A. Elevate legs above heart level continuously B. Apply sequential compression devices (SCDs) C. Massage the calves D. Maintain bedrest for 24 hours SCDs promote venous return and prevent blood stasis, reducing DVT risk.
- A nurse is caring for a client with a stage 2 pressure injury. Which of the following findings should the nurse expect? A. Exposed bone B. Full-thickness skin loss C. Partial-thickness skin loss with a red-pink wound bed D. Intact skin with non-blanchable redness Stage 2 involves partial-thickness skin loss without slough. 10.A nurse is reinforcing teaching with a client who has a prescription for a clear liquid diet. Which of the following items should the nurse include? A. Gelatin B. Milk C. Ice cream D. Yogurt Gelatin is a clear liquid and appropriate for this type of diet.
11.A nurse is caring for a client who has dysphagia. Which of the following interventions should the nurse implement? A. Encourage thin liquids B. Offer small bites and allow time to chew C. Position client at a 30-degree angle D. Feed quickly to maintain food temperature Small bites and adequate time help reduce aspiration risk. 12.A nurse is caring for a client who has a prescription for cold therapy to a sprained ankle. Which of the following actions should the nurse take? A. Apply the ice pack directly to the skin B. Limit application to 20 minutes C. Use warm compresses instead D. Apply cold for at least 1 hour Cold should be applied for 15-20 minutes to avoid tissue damage. 13.A nurse is reinforcing teaching with a client who has a new prescription for metoprolol. Which of the following statements indicates understanding? A. “I will stop taking it when I feel better.” B. “I will check my blood pressure regularly.” C. “I can skip doses if I don’t feel sick.” D. “I’ll take this with grapefruit juice.” Monitoring blood pressure ensures the medication is working and safe.
TB tests are administered intradermally to form a bleb. 17.A nurse is reinforcing teaching on fire safety. What does the “R” in the RACE acronym stand for? A. Run B. Rescue C. Remove D. React R = Rescue anyone in immediate danger. 18.A nurse is caring for a client who is receiving oxygen via nasal cannula. What action should the nurse take? A. Set oxygen at 10 L/min B. Assess for skin breakdown on ears C. Apply oil-based lubricant to the nostrils D. Place mask over the cannula High flow rates and tubing can irritate skin around the ears. 19.A nurse is preparing to administer an intramuscular injection. What angle should the needle be inserted? A. 15 degrees B. 30 degrees
C. 90 degrees D. 45 degrees IM injections require a 90-degree angle for proper muscle penetration. 20.A nurse is caring for a client with a history of falls. What should the nurse implement? A. Keep the bed in the lowest position B. Place the client in restraints C. Leave lights off to reduce stimulation D. Limit mobility to reduce fall risk Keeping the bed low prevents injury if the client falls. 21.A nurse is caring for a client who has a prescription for wound irrigation. Which solution should the nurse use? A. Hydrogen peroxide B. Povidone-iodine C. Normal saline D. Alcohol-based solution Normal saline is isotonic and non-damaging to healthy tissue, making it ideal for wound irrigation. 22.A nurse is reinforcing teaching about advance directives with a client. Which of the following statements indicates understanding?
25.A nurse is collecting data on a client who has fluid volume deficit. Which of the following findings should the nurse expect? A. Bounding pulse B. Hypotension C. Peripheral edema D. Distended neck veins Fluid volume deficit typically results in low blood pressure and weak pulses. 26.A nurse is caring for a client who is on seizure precautions. Which equipment should the nurse have at the bedside? A. Tongue blade B. Restraints C. Suction equipment D. Oxygen tent Suction equipment is essential to maintain the airway during or after a seizure. 27.A nurse is providing foot care to a client who has diabetes mellitus. Which action should the nurse take? A. Soak feet in warm water B. File toenails straight across C. Cut corns and calluses D. Apply lotion between toes
Filing straight across prevents ingrown toenails; cutting or soaking can cause injury or infection. 28.A nurse is caring for a client who reports difficulty sleeping. What action should the nurse take? A. Encourage naps during the day B. Recommend a bedtime routine C. Offer coffee after dinner D. Provide a large meal before bedtime A consistent bedtime routine can help promote sleep hygiene. 29.A nurse is preparing to administer a rectal suppository. What position should the client be placed in? A. Prone B. Sims’ C. Supine D. Trendelenburg Sims’ position provides optimal access to the rectum and promotes comfort. 30.A nurse is reinforcing teaching about medication safety to a client who has a new prescription. Which statement indicates understanding? A. “I will double my dose if I miss one.” B. “I’ll keep medications in my bathroom cabinet.”
33.A nurse is caring for a client with constipation. Which food should the nurse recommend? A. White rice B. Cheese C. Eggs D. Prunes Prunes are high in fiber and act as a natural laxative. 34.A nurse is caring for a client who reports difficulty hearing. What action should the nurse take? A. Face the client when speaking B. Speak in a high-pitched tone C. Turn away while speaking D. Use longer sentences Facing the client helps them read lips and pick up visual cues. 35.A nurse is reinforcing teaching about hand hygiene. Which statement indicates a need for further teaching? A. “I can use hand sanitizer after caring for a client with C. difficile.” B. “I should wash my hands for at least 20 seconds.” C. “I will clean under my fingernails.” D. “I will dry my hands completely.”
Hand sanitizer is not effective against C. difficile spores; soap and water are required. 36.A nurse is assessing a client’s pain. What is the most reliable indicator of pain? A. Vital signs B. Client’s report C. Facial expression D. Guarding behavior The client’s self-report is always the most accurate indicator of pain. 37.A nurse is collecting data on a client with hearing loss. Which action should the nurse take first? A. Speak loudly B. Reduce background noise C. Use hand gestures D. Write all communication Minimizing background noise helps the client hear more clearly. 38.A nurse is preparing a sterile field. Which action breaks sterility? A. Opening the top flap away from the body B. Turning back to the sterile field
A. Supine B. Trendelenburg C. Sitting, leaning forward over a bedside table D. Lateral Sims’ Leaning forward expands the thoracic cavity and allows fluid drainage. 42.A nurse is reinforcing teaching about crutch use with a client who is non- weight-bearing on one leg. Which gait should the nurse reinforce? A. Two-point gait B. Four-point gait C. Three-point gait D. Swing-through gait Three-point gait is appropriate when one leg is non-weight-bearing. 43.A nurse is caring for a client who has a wound with moderate drainage. What dressing should the nurse apply? A. Dry sterile gauze B. Hydrocolloid dressing C. Transparent film D. Nonadherent dressing Hydrocolloid dressings are ideal for wounds with moderate exudate.
44.A nurse is assessing a client’s turgor. What part of the body should the nurse pinch? A. Back of the hand B. Sternum or clavicle C. Thigh D. Forearm Skin over the sternum provides the most reliable turgor data, especially in older adults. 45.A nurse is caring for a client who reports nausea. Which of the following interventions should the nurse implement first? A. Offer carbonated beverages B. Encourage deep breathing C. Raise the head of the bed D. Provide antiemetic Positioning reduces risk of aspiration and may relieve nausea. 46.A nurse is caring for a client who is terminally ill. What is the priority nursing action? A. Encourage fluid intake B. Promote comfort C. Provide family counseling D. Offer spiritual services
C. Use a trained medical interpreter D. Provide written materials only A trained interpreter ensures accurate and ethical communication. 50.A nurse is caring for a client who is visually impaired. What is the best method for meal setup? A. Use the clock method to describe food placement B. Feed the client C. Announce the tray and walk away D. Remove items not eaten The clock method helps the client identify food locations independently. 51.A nurse is preparing to administer a medication through a nasogastric (NG) tube. What should the nurse do before giving the medication? A. Mix all medications together B. Verify tube placement C. Flush with 5 mL of water D. Crush extended-release tablets Verifying tube placement ensures the medication enters the stomach and not the lungs. 52.A nurse is reinforcing teaching with a client who has a new ostomy. Which action indicates the client understands the teaching?
A. Measures the stoma and cuts the barrier 1/8 inch larger B. Applies barrier powder directly to the stoma C. Removes the pouch every 12 hours D. Uses alcohol to clean the skin Cutting the wafer slightly larger prevents constriction while maintaining a good seal. 53.A nurse is caring for a client who has a prescription for wrist restraints. What action should the nurse take? A. Attach the restraint to the side rail B. Tie the restraint in a double knot C. Place the client in a private room D. Remove the restraints every 2 hours Restraints should be removed at least every 2 hours for assessment and care. 54.A nurse is preparing to give oral medications to a client who has dysphagia. What action should the nurse take? A. Place the client in supine position B. Offer pills one at a time C. Use a straw to drink thickened liquids D. Tilt the head back to swallow Giving one pill at a time reduces choking and aspiration risk.
