ATI FUNDAMENTALS CMS PROCTORED EXAM 2026/2027 |
70 Verified Questions & Answers | 100% Correct | Latest
Version | Pass Guaranteed - A+ Graded
Section 1: Safe & Effective Care Environment (Q1-20)
Subsection 1A: Management of Care - Delegation, Prioritization, Assignment,
Legal/Ethics (Q1-12)
Q1. A nurse delegates vital signs monitoring to a UAP for a group of stable post-op
patients. Which task is appropriate for the UAP to perform?
A. Evaluate the effectiveness of pain medication
B. Report abnormal vital signs to the charge nurse
C. Take vital signs and report findings to the RN
D. Adjust oxygen flow rate based on SpO2 readings
Correct format: C. Take vital signs and report findings to the RN [CORRECT]
Rationale: UAPs can collect data (vital signs) for stable patients but cannot interpret,
evaluate, or adjust interventions. Option A requires nursing judgment, B implies
independent interpretation, and D requires a nursing intervention.
Correct Answer: C
Q2. An LPN is assigned to care for a stable patient with a Stage 2 pressure injury. Which
action is within the LPN's scope of practice?
A. Develop the initial nursing care plan
B. Perform sterile wound irrigation per established protocol
C. Assess the patient's neurological status after a fall
D. Administer IV push medications through a central line
Correct format: B. Perform sterile wound irrigation per established protocol [CORRECT]
,Rationale: LPNs can perform sterile procedures for stable patients with established
protocols. Option A requires RN assessment and planning, C requires RN evaluation of a
change in condition, and D is outside LPN scope in most jurisdictions.
Correct Answer: B
Q3. A nurse is preparing discharge instructions for a patient newly diagnosed with heart
failure. Who should provide the initial discharge teaching?
A. UAP under RN supervision
B. LPN per facility protocol
C. RN or provider
D. Physical therapist
Correct format: C. RN or provider [CORRECT]
Rationale: Initial discharge teaching and patient education requiring assessment and
evaluation must be performed by the RN or provider. UAPs and LPNs may reinforce prior
teaching but cannot provide initial instruction.
Correct Answer: C
Q4. A UAP asks if they can remind a diabetic patient about their scheduled insulin dose.
What is the nurse's best response?
A. "Yes, you can reinforce teaching I have already provided."
B. "Yes, you can independently teach the patient about insulin."
C. "No, you cannot discuss medications with patients."
D. "No, only the pharmacist can discuss insulin."
Correct format: A. "Yes, you can reinforce teaching I have already provided." [CORRECT]
Rationale: UAPs can reinforce prior RN teaching but cannot independently teach or
assess understanding. Option B exceeds UAP scope, while C and D are overly restrictive
and incorrect.
Correct Answer: A
,Q5. An LPN is caring for a patient receiving a blood transfusion. Which action must be
performed by the RN?
A. Monitor the patient's temperature during the transfusion
B. Document the volume of blood infused
C. Verify blood product compatibility with another RN at the bedside
D. Assess the IV site for infiltration
Correct format: C. Verify blood product compatibility with another RN at the bedside
[CORRECT]
Rationale: Blood product verification requires two RNs at the bedside. Options A, B, and
D may be within LPN scope in some settings, but independent verification by two RNs is
exclusively an RN responsibility.
Correct Answer: C
Q6. When delegating a task, the nurse must ensure five specific rights. Which right
addresses whether the delegatee has the appropriate skills and licensure?
A. Right task
B. Right circumstance
C. Right person
D. Right supervision
Correct format: C. Right person [CORRECT]
Rationale: The right person ensures the delegatee possesses the necessary skills,
knowledge, and licensure. Right task refers to appropriateness for delegation, right
circumstance to patient stability, and right supervision to oversight and evaluation.
Correct Answer: C
Q7. The nurse receives report on four patients. Which patient should be assessed first?
A. A patient with chronic osteoarthritis requesting pain medication
B. A patient 2 hours post-op with stable vital signs and a patent airway
C. A patient with a new-onset oxygen saturation of 88% on room air
D. A patient scheduled for discharge in 2 hours
, Correct format: C. A patient with a new-onset oxygen saturation of 88% on room air
[CORRECT]
Rationale: Using ABCs prioritization, compromised oxygenation (88% SpO2) is
life-threatening and requires immediate assessment. Options A, B, and D are stable or
non-urgent situations.
Correct Answer: C
Q8. Using Maslow's hierarchy of needs, which patient need takes priority?
A. A patient fearful about an upcoming surgery
B. A patient with difficulty breathing after a pulmonary embolism
C. A patient feeling isolated from family during hospitalization
D. A patient concerned about job loss due to hospitalization
Correct format: B. A patient with difficulty breathing after a pulmonary embolism
[CORRECT]
Rationale: Physiological needs (oxygenation) take priority over safety, love/belonging,
and esteem needs per Maslow's hierarchy. Options A, C, and D represent higher-level
needs.
Correct Answer: B
Q9. A patient requires informed consent for an emergency appendectomy. Who is
legally responsible for obtaining the informed consent?
A. The RN circulating nurse
B. The surgeon performing the procedure
C. The anesthesiologist
D. The hospital administrator
Correct format: B. The surgeon performing the procedure [CORRECT]
70 Verified Questions & Answers | 100% Correct | Latest
Version | Pass Guaranteed - A+ Graded
Section 1: Safe & Effective Care Environment (Q1-20)
Subsection 1A: Management of Care - Delegation, Prioritization, Assignment,
Legal/Ethics (Q1-12)
Q1. A nurse delegates vital signs monitoring to a UAP for a group of stable post-op
patients. Which task is appropriate for the UAP to perform?
A. Evaluate the effectiveness of pain medication
B. Report abnormal vital signs to the charge nurse
C. Take vital signs and report findings to the RN
D. Adjust oxygen flow rate based on SpO2 readings
Correct format: C. Take vital signs and report findings to the RN [CORRECT]
Rationale: UAPs can collect data (vital signs) for stable patients but cannot interpret,
evaluate, or adjust interventions. Option A requires nursing judgment, B implies
independent interpretation, and D requires a nursing intervention.
Correct Answer: C
Q2. An LPN is assigned to care for a stable patient with a Stage 2 pressure injury. Which
action is within the LPN's scope of practice?
A. Develop the initial nursing care plan
B. Perform sterile wound irrigation per established protocol
C. Assess the patient's neurological status after a fall
D. Administer IV push medications through a central line
Correct format: B. Perform sterile wound irrigation per established protocol [CORRECT]
,Rationale: LPNs can perform sterile procedures for stable patients with established
protocols. Option A requires RN assessment and planning, C requires RN evaluation of a
change in condition, and D is outside LPN scope in most jurisdictions.
Correct Answer: B
Q3. A nurse is preparing discharge instructions for a patient newly diagnosed with heart
failure. Who should provide the initial discharge teaching?
A. UAP under RN supervision
B. LPN per facility protocol
C. RN or provider
D. Physical therapist
Correct format: C. RN or provider [CORRECT]
Rationale: Initial discharge teaching and patient education requiring assessment and
evaluation must be performed by the RN or provider. UAPs and LPNs may reinforce prior
teaching but cannot provide initial instruction.
Correct Answer: C
Q4. A UAP asks if they can remind a diabetic patient about their scheduled insulin dose.
What is the nurse's best response?
A. "Yes, you can reinforce teaching I have already provided."
B. "Yes, you can independently teach the patient about insulin."
C. "No, you cannot discuss medications with patients."
D. "No, only the pharmacist can discuss insulin."
Correct format: A. "Yes, you can reinforce teaching I have already provided." [CORRECT]
Rationale: UAPs can reinforce prior RN teaching but cannot independently teach or
assess understanding. Option B exceeds UAP scope, while C and D are overly restrictive
and incorrect.
Correct Answer: A
,Q5. An LPN is caring for a patient receiving a blood transfusion. Which action must be
performed by the RN?
A. Monitor the patient's temperature during the transfusion
B. Document the volume of blood infused
C. Verify blood product compatibility with another RN at the bedside
D. Assess the IV site for infiltration
Correct format: C. Verify blood product compatibility with another RN at the bedside
[CORRECT]
Rationale: Blood product verification requires two RNs at the bedside. Options A, B, and
D may be within LPN scope in some settings, but independent verification by two RNs is
exclusively an RN responsibility.
Correct Answer: C
Q6. When delegating a task, the nurse must ensure five specific rights. Which right
addresses whether the delegatee has the appropriate skills and licensure?
A. Right task
B. Right circumstance
C. Right person
D. Right supervision
Correct format: C. Right person [CORRECT]
Rationale: The right person ensures the delegatee possesses the necessary skills,
knowledge, and licensure. Right task refers to appropriateness for delegation, right
circumstance to patient stability, and right supervision to oversight and evaluation.
Correct Answer: C
Q7. The nurse receives report on four patients. Which patient should be assessed first?
A. A patient with chronic osteoarthritis requesting pain medication
B. A patient 2 hours post-op with stable vital signs and a patent airway
C. A patient with a new-onset oxygen saturation of 88% on room air
D. A patient scheduled for discharge in 2 hours
, Correct format: C. A patient with a new-onset oxygen saturation of 88% on room air
[CORRECT]
Rationale: Using ABCs prioritization, compromised oxygenation (88% SpO2) is
life-threatening and requires immediate assessment. Options A, B, and D are stable or
non-urgent situations.
Correct Answer: C
Q8. Using Maslow's hierarchy of needs, which patient need takes priority?
A. A patient fearful about an upcoming surgery
B. A patient with difficulty breathing after a pulmonary embolism
C. A patient feeling isolated from family during hospitalization
D. A patient concerned about job loss due to hospitalization
Correct format: B. A patient with difficulty breathing after a pulmonary embolism
[CORRECT]
Rationale: Physiological needs (oxygenation) take priority over safety, love/belonging,
and esteem needs per Maslow's hierarchy. Options A, C, and D represent higher-level
needs.
Correct Answer: B
Q9. A patient requires informed consent for an emergency appendectomy. Who is
legally responsible for obtaining the informed consent?
A. The RN circulating nurse
B. The surgeon performing the procedure
C. The anesthesiologist
D. The hospital administrator
Correct format: B. The surgeon performing the procedure [CORRECT]
