ATI CMS Fundamentals Proctored Exam 2025/2026 | 290 Real Exam Questions & Correct Answers | 100% Complete | A+ Graded with Rationales | NGN Verified

Unlock Your Level 3 in Fundamentals The Fundamentals exam is often the first major hurdle in the ATI Content Mastery Series, setting the tone for your entire nursing school journey. It doesn't just test facts; it tests your ability to think like a nurse—prioritizing safety, applying the nursing process, and demonstrating clinical judgment. This CMS Fundamentals Proctored Exam Package eliminates the guesswork. We have compiled 290 high-yield questions that represent the "best of" actual exam items. These aren't just random practice questions; they are the exact scenarios, "Select All That Apply" (SATA) items, and Next Gen (NGN) case studies you will face on exam day. Every single answer has been graded A+ and verified against the latest evidence-based practice standards, ensuring you are studying the correct clinical protocols. Why 290 Questions? Real ATI exams rotate through different versions. A 60-question bank isn't enough to cover the variations you might see. Our 290-question bank aggregates content from Version A, Version B, and the 2025 Retake versions, giving you a complete "safety net." If a question appears on any version of the exam, it is covered here. Detailed Content Blueprint The 290 questions are categorized into the core domains essential for the Fundamentals exam. 1. Safety and Infection Control (approx. 25% of content) This is the single most heavily weighted category. You cannot pass without mastering these concepts. Standard vs. Transmission-Based Precautions: Differentiating between Airborne (e.g., Measles, Varicella, TB), Droplet (e.g., Influenza, Meningitis), and Contact precautions. Key Concept: Knowing exactly which PPE to don/doff and in what order. Restraints and Safety: Legal requirements for restraints, "least restrictive" interventions, and seizure precautions. Ergonomics: Proper lifting techniques to prevent injury to the nurse and client. Shutterstock Explore 2. Health Assessment and Data Collection Physical Assessment: Head-to-toe techniques, identifying normal vs. abnormal lung sounds (crackles vs. wheezes), and assessing bowel sounds. Vital Signs: accurate measurement techniques and interpreting trends (e.g., recognizing Cushing's Triad or signs of shock). Life Span Considerations: Adjusting assessment techniques for infants (fontanels) vs. older adults (skin turgor check sites). 3. Basic Nursing Care & Comfort Hygiene: Oral care for the unconscious patient (safety positioning), bed baths, and foot care for diabetics. Mobility and Immobility: Preventing pressure injuries (turning schedules), preventing DVT (TED hose/SCDs), and teaching crutch gaits. High-Yield Topic: The "3-point gait" vs. "2-point gait" is a frequent exam question. Wound Care: Staging pressure ulcers (Stage 1-4, Unstageable) and selecting the correct dressing type (hydrocolloid vs. alginate). Shutterstock 4. Medication Administration The Rights of Administration: Safety checks and reducing medication errors. Parenteral Therapies: Sites for IM injections (Vastus Lateralis for infants, Ventrogluteal for adults), Z-track method, and IV insertion/maintenance. Dosage Calculations: Simple conversions and flow rates (gtt/min). 5. Physiological Adaptation Oxygenation: Managing nasal cannulas, non-rebreather masks, and suctioning techniques (limiting pass time to 10-15 seconds). Fluid & Electrolytes: Recognizing signs of dehydration vs. fluid overload and basic electrolyte imbalances (e.g., Hypokalemia = muscle weakness/cramps). Elimination: Ostomy care (normal stoma appearance) and enema administration best practices. 6. Psychosocial Integrity Therapeutic Communication: Identifying "non-therapeutic" responses (e.g., "Why did you do that?" or "Don't worry") and selecting the best empathetic response. Grief and Loss: Kubler-Ross stages of grief and palliative care vs. hospice. Cultural Competency: Respecting religious dietary restrictions and end-of-life rituals. Why This 290-Question Bank is the "Gold Standard" Next Gen NGN Ready: Includes the new "Clinical Judgment" item types (highlighting cues, matrix grids) that assess your ability to recognize sepsis, respiratory distress, or shock early. Detailed Rationales: We don't just say "B is correct." We explain why B is the priority action using Maslow’s Hierarchy (Airway first!) and ADPIE (Assess before you Implement). Mock Exam Mode: The questions are presented in a format that allows you to simulate the pressure of the real proctored environment. Study Strategy for Success Diagnostic Run: Take the first 50 questions without notes to see where you stand. Rationale Review: For every question you miss, read the detailed rationale. Understanding why the other answers are wrong is just as important as knowing the right answer. Focus on "Priority": The hardest questions ask "What is the nurse's priority action?" Use this bank to train your brain to spot the "killer" answer—the one that, if missed, would harm the patient. Final Polish: In the week before your exam, review the "Safety and Infection Control" section again. It is the easiest place to gain (or lose) points. Conclusion Don't risk your grade on generic study guides. The CMS Fundamentals Proctored Exam () 290 QS & ANS is the specific, targeted, and verified resource you need to walk into your exam with total confidence. Secure your Level 3 and move one step closer to your RN license today.