ATI Fundamentals
Proctored Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A nurse is preparing to perform hand hygiene. When is
alcohol-based hand rub appropriate?
A. When hands are visibly soiled
B. After caring for a patient with Clostridium difficile
C. When hands are not visibly soiled
D. After removing sterile gloves
Answer: C
,Rationale: Alcohol-based hand rub is effective when hands
are not visibly soiled and is faster and more effective than
soap and water for most routine situations.
2. Which action breaks sterile technique during a sterile
dressing change?
A. Keeping sterile field at waist level
B. Touching only sterile items
C. Turning away from sterile field
D. Reaching over sterile field
Answer: D
Rationale: Reaching over a sterile field contaminates it
because airborne microorganisms may fall onto the sterile
surface.
3. The nurse is assessing a patient’s pain. Which scale is
most appropriate for a patient who is nonverbal?
A. Numeric scale
B. Wong-Baker scale
C. FLACC scale
D. Visual analog scale
Answer: C
Rationale: FLACC (Face, Legs, Activity, Cry, Consolability) is
used for nonverbal patients, especially children or
cognitively impaired adults.
,4. Which is a priority nursing action when a patient is
choking but can cough weakly?
A. Perform abdominal thrusts
B. Encourage coughing
C. Start CPR
D. Give water
Answer: B
Rationale: A weak cough indicates partial airway
obstruction; encouraging coughing is the first action.
5. A nurse is caring for a patient in restraints. How often
must circulation be checked?
A. Every 2 hours
B. Every 8 hours
C. Every 4 hours
D. Every 30 minutes
Answer: A
Rationale: Restraints require frequent assessment, including
circulation checks at least every 2 hours.
6. Which is an example of a subjective assessment finding?
A. Blood pressure
B. Heart rate
C. Pain level
D. Skin color
Answer: C
Rationale: Pain is subjective because it is based on the
patient’s report.
, **7. The nurse notes a respiratory rate of 28/min in an adult.
This is:
A. Normal
B. Bradycardia
C. Tachypnea
D. Hypoventilation
Answer: C
Rationale: Tachypnea refers to an elevated respiratory rate
above normal adult range (12–20/min).
8. What is the correct position for a patient receiving an
enema?
A. Supine
B. Sims’ left lateral
C. Trendelenburg
D. Prone
Answer: B
Rationale: Sims’ position allows gravity to help solution flow
into the colon.
9. A nurse is documenting care. Which is appropriate
charting?
A. “Patient was rude today”
B. “Patient appears fine”
C. “Patient ambulated 20 feet with walker”
D. “Patient doing well”
Proctored Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A nurse is preparing to perform hand hygiene. When is
alcohol-based hand rub appropriate?
A. When hands are visibly soiled
B. After caring for a patient with Clostridium difficile
C. When hands are not visibly soiled
D. After removing sterile gloves
Answer: C
,Rationale: Alcohol-based hand rub is effective when hands
are not visibly soiled and is faster and more effective than
soap and water for most routine situations.
2. Which action breaks sterile technique during a sterile
dressing change?
A. Keeping sterile field at waist level
B. Touching only sterile items
C. Turning away from sterile field
D. Reaching over sterile field
Answer: D
Rationale: Reaching over a sterile field contaminates it
because airborne microorganisms may fall onto the sterile
surface.
3. The nurse is assessing a patient’s pain. Which scale is
most appropriate for a patient who is nonverbal?
A. Numeric scale
B. Wong-Baker scale
C. FLACC scale
D. Visual analog scale
Answer: C
Rationale: FLACC (Face, Legs, Activity, Cry, Consolability) is
used for nonverbal patients, especially children or
cognitively impaired adults.
,4. Which is a priority nursing action when a patient is
choking but can cough weakly?
A. Perform abdominal thrusts
B. Encourage coughing
C. Start CPR
D. Give water
Answer: B
Rationale: A weak cough indicates partial airway
obstruction; encouraging coughing is the first action.
5. A nurse is caring for a patient in restraints. How often
must circulation be checked?
A. Every 2 hours
B. Every 8 hours
C. Every 4 hours
D. Every 30 minutes
Answer: A
Rationale: Restraints require frequent assessment, including
circulation checks at least every 2 hours.
6. Which is an example of a subjective assessment finding?
A. Blood pressure
B. Heart rate
C. Pain level
D. Skin color
Answer: C
Rationale: Pain is subjective because it is based on the
patient’s report.
, **7. The nurse notes a respiratory rate of 28/min in an adult.
This is:
A. Normal
B. Bradycardia
C. Tachypnea
D. Hypoventilation
Answer: C
Rationale: Tachypnea refers to an elevated respiratory rate
above normal adult range (12–20/min).
8. What is the correct position for a patient receiving an
enema?
A. Supine
B. Sims’ left lateral
C. Trendelenburg
D. Prone
Answer: B
Rationale: Sims’ position allows gravity to help solution flow
into the colon.
9. A nurse is documenting care. Which is appropriate
charting?
A. “Patient was rude today”
B. “Patient appears fine”
C. “Patient ambulated 20 feet with walker”
D. “Patient doing well”
