ATI Fundamentals CMS Proctored Exam
2026/2027 | Newly Released
70 Verified Questions, Answers and detailed Rationales
Graded A+ | 100% Correct | Guaranteed Pass
Q1: A nurse is planning care for a group of clients on a medical-surgical unit. Which of
the following tasks should the nurse delegate to an assistive personnel (AP)?
A. Administering a tap water enema to a client with constipation
B. Instructing a client on how to use a incentive spirometer
C. Developing the discharge plan for a client admitted with pneumonia
D. Performing the initial admission assessment on a new client
Correct Answer: A
Rationale: Correct because administering a tap water enema is a standardized, non-invasive
procedure that falls within the scope of practice for assistive personnel. The nurse retains
responsibility for education, discharge planning, and initial assessments which require critical
thinking and professional judgment.
Q2: A provider prescribes diphenhydramine 25 mg IV bolus stat. The medication is
available in a vial labeled 50 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if applicable. Do not use a
trailing zero.)
A. 0.5 mL
B. 1.0 mL
C. 1.5 mL
D. 2.0 mL
Correct Answer: A
,Rationale: Correct because the calculation involves dividing the prescribed dose (25 mg) by the
available concentration (50 mg/mL), resulting in 0.5 mL. This ensures the client receives the
accurate prescribed volume of medication.
Q3: A nurse is caring for a client who states, "I don't know what I'm going to do when I get out
of the hospital. I have no one to help me." Which of the following responses by the nurse is
therapeutic?
A. "You should not worry about that right now; focus on getting better."
B. "I can refer you to a social worker to discuss discharge planning options."
C. "Many patients have to go to a nursing home after a hospital stay."
D. "Why do you think you have no one to help you?"
Correct Answer: B
Rationale: Correct because this response offers a concrete solution and resource by referring the
client to a social worker, which addresses the client's anxiety and facilitates a safe discharge. It
validates the concern and directs the client to the appropriate professional for assistance.
Q4: A nurse is caring for a client who has Clostridium difficile infection. Which of the following
infection control precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment precautions
Correct Answer: A
Rationale: Correct because C. difficile is transmitted primarily through direct or indirect contact
with spores in the environment or on the hands of healthcare workers. Contact precautions
require the use of gloves and gowns to prevent the spread of the bacteria.
, Q5: A nurse on a medical-surgical unit is receiving report on four clients. Which of the following
clients should the nurse assess first?
A. A client who is 24 hr postoperative following a hip arthroplasty and reports pain as a 6 on a
scale of 0 to 10
B. A client who has diabetes mellitus and a blood glucose level of 250 mg/dL
C. A client who has a suspected deep vein thrombosis (DVT) and reports sudden shortness
of breath
D. A client who has hypertension and a blood pressure of 150/90 mm Hg
Correct Answer: C
Rationale: Correct because sudden shortness of breath in a client with suspected DVT suggests a
potential pulmonary embolism, which is a life-threatening condition requiring immediate
intervention. The nurse must prioritize assessing this client to stabilize their airway and
breathing.
Q6: A nurse is providing teaching to a client who has a new prescription for ferrous sulfate.
Which of the following statements by the client indicates an understanding of the teaching?
A. "I will take this medication with milk."
B. "I will take this medication with orange juice."
C. "I should expect my stool to be light colored."
D. "I should take an antacid with this medication for stomach upset."
Correct Answer: B
Rationale: Correct because orange juice contains ascorbic acid (vitamin C), which enhances the
absorption of iron. The client should avoid taking iron with milk, antacids, or tea, as these
decrease absorption, and should be warned that stools will become dark or tarry.
2026/2027 | Newly Released
70 Verified Questions, Answers and detailed Rationales
Graded A+ | 100% Correct | Guaranteed Pass
Q1: A nurse is planning care for a group of clients on a medical-surgical unit. Which of
the following tasks should the nurse delegate to an assistive personnel (AP)?
A. Administering a tap water enema to a client with constipation
B. Instructing a client on how to use a incentive spirometer
C. Developing the discharge plan for a client admitted with pneumonia
D. Performing the initial admission assessment on a new client
Correct Answer: A
Rationale: Correct because administering a tap water enema is a standardized, non-invasive
procedure that falls within the scope of practice for assistive personnel. The nurse retains
responsibility for education, discharge planning, and initial assessments which require critical
thinking and professional judgment.
Q2: A provider prescribes diphenhydramine 25 mg IV bolus stat. The medication is
available in a vial labeled 50 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if applicable. Do not use a
trailing zero.)
A. 0.5 mL
B. 1.0 mL
C. 1.5 mL
D. 2.0 mL
Correct Answer: A
,Rationale: Correct because the calculation involves dividing the prescribed dose (25 mg) by the
available concentration (50 mg/mL), resulting in 0.5 mL. This ensures the client receives the
accurate prescribed volume of medication.
Q3: A nurse is caring for a client who states, "I don't know what I'm going to do when I get out
of the hospital. I have no one to help me." Which of the following responses by the nurse is
therapeutic?
A. "You should not worry about that right now; focus on getting better."
B. "I can refer you to a social worker to discuss discharge planning options."
C. "Many patients have to go to a nursing home after a hospital stay."
D. "Why do you think you have no one to help you?"
Correct Answer: B
Rationale: Correct because this response offers a concrete solution and resource by referring the
client to a social worker, which addresses the client's anxiety and facilitates a safe discharge. It
validates the concern and directs the client to the appropriate professional for assistance.
Q4: A nurse is caring for a client who has Clostridium difficile infection. Which of the following
infection control precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment precautions
Correct Answer: A
Rationale: Correct because C. difficile is transmitted primarily through direct or indirect contact
with spores in the environment or on the hands of healthcare workers. Contact precautions
require the use of gloves and gowns to prevent the spread of the bacteria.
, Q5: A nurse on a medical-surgical unit is receiving report on four clients. Which of the following
clients should the nurse assess first?
A. A client who is 24 hr postoperative following a hip arthroplasty and reports pain as a 6 on a
scale of 0 to 10
B. A client who has diabetes mellitus and a blood glucose level of 250 mg/dL
C. A client who has a suspected deep vein thrombosis (DVT) and reports sudden shortness
of breath
D. A client who has hypertension and a blood pressure of 150/90 mm Hg
Correct Answer: C
Rationale: Correct because sudden shortness of breath in a client with suspected DVT suggests a
potential pulmonary embolism, which is a life-threatening condition requiring immediate
intervention. The nurse must prioritize assessing this client to stabilize their airway and
breathing.
Q6: A nurse is providing teaching to a client who has a new prescription for ferrous sulfate.
Which of the following statements by the client indicates an understanding of the teaching?
A. "I will take this medication with milk."
B. "I will take this medication with orange juice."
C. "I should expect my stool to be light colored."
D. "I should take an antacid with this medication for stomach upset."
Correct Answer: B
Rationale: Correct because orange juice contains ascorbic acid (vitamin C), which enhances the
absorption of iron. The client should avoid taking iron with milk, antacids, or tea, as these
decrease absorption, and should be warned that stools will become dark or tarry.
