ATI Fundamentals Proctored Exam 2026–2027 |
Complete 200 Practice Questions with Detailed
Answer Rationales | Comprehensive Nursing
Study Guide
A nurse is caring for a client who has wrists restraints after an episode of violent
behavior. Which of the following actions should the nurse take?
a. Tie the restraints to the side rail
b. Secure restraints with a square knot
c. Remove one restraint at a time
d. Remove the restraints every 3 hours - Correct Answer - Remove one restraint at a
time
A nurse is admitting a client who has a clostridium difficile infection. Which of
the following actions should the nurse take? Select all that apply a. Use an N95
respirator while providing client care
b. wear a gown and gloves when providing client care
c. assign the client to a private room with positive air flow
d. wash hands with soap and water after contact with the client
e. Ensure the client does not receive fresh fruits - Correct Answer - wear a gown and
gloves when providing client care
assign the client to a private room with positive air flow
wash hands with soap and water after contact with the client
pg. 1
,A nurse is planning care for a client who has latex allergy and is scheduled for
surgery. Which of the following actions is appropriate to include in the clients plan of
care?
a. Schedule the client as the first surgical procedure of the day
b. Cleanse the stoppers with primidone iodine for withdrawing medication
c. Remove the stop stocks from iv tubing
d.Ensure the gloves in the surgical suite are powdered gloves - Correct Answer -
Schedule the client as the first surgical procedure of the day
A nurse is providing discharge teaching to a client who does not speak the same
language as the nurse. Which of the following action should the nurse take?
a. direct verbal discharge instruction to the interpreter - Correct Answer - direct verbal
discharge instruction to the interpreter
A nurse is teaching a client how to self-administer daily low dose heparin injections.
Which of the following factors is most likely to increase the clients motivation to learn?
a. The client's belief that his needs will be met through education
b. The nurse explaining the need for education to the client
c. The client seeking family approval by agreeing to a teaching plan
d. The nurse's empathy about the client having to self-inject - Correct Answer - The
client's belief that his needs will be met through education
A nurse is caring for a client who is receiving continuous enteral feedings
through gastrostomy tubes. Which of the following actions should the nurse
take?
a. Heat the formula to 105 degrees Fahrenheit
b. Flush the tubing with 10 ml of water every 2 hours
c. Change the tubing every 72 hours
pg. 2
,d. Aspirate residual volume every 4 hours (Every 4-8 hours is correct) - Correct Answer
- Aspirate residual volume every 4 hours (Every 4-8 hours is correct)
A nurse is caring for a client who has an incisional wound and a prescription for wound
care. Which of the following answers indicates the proper method of cleaning a wound
site?
a. use a different sterile swab for each stroke - Correct Answer - use a different sterile
swab for each stroke
A nurse is teaching a client who requires maximum support about how to use a two
wheeled walker. Which of the following actions by the client indicates an understanding
of teaching?
a. The client picks up the walker with each step
b. The client stoops slightly forward when moving the walker
c. The client stands with her elbows slightly flexed while holding the walker
d. The client moves the walker ahead 10 inches with each step (Incorrect b/c 6 inches
max) - Correct Answer - The client stands with her elbows slightly flexed while
holding the walker
A nurse is caring for a client who refuses to follow the providers prescription for bed
rest. The nurse over hears the assistive personnel tell the client that if she does not
remain in bed he will place her in restraints. The nurse should identify that the AP
is committing which of the following torts?
a. Libel
b. Defamation of character
c. Assault
d. Battery - Correct Answer - Assault
A nurse is preparing to insert an IV catheter for an older adult client who has fragile skin.
Which of the following actions should the nurse take?
a. Stabilize the vein by applying traction above the insertion site
pg. 3
, b. Engorge the vein by placing the arm in the dependent position
c. Use friction at the insertion site to increase venous distention d.Leave the tourniquet
on for 30 to 60 seconds after initial insertion - Correct Answer - Engorge the vein by
placing the arm in the dependent position
A nurse is planning care for a client who has a new prescription for parental nutrition in
20% dextrose and fat emulsion. Which of the following is the appropriate action to
indicate in the plan of care?
a. Prepare the client for a central venous line
b. Change the PN infusion bag every 48 hours
c. Administer the PN and fat emulsion separately
d.Obtain a random blood glucose daily - Correct Answer - Prepare the client for a
central venous line
A Nurse is preparing to administer several medications to a client. Which of
the following data should the nurse plan to use to confirm the client's identity?
a. The client's room number
b. The client's admitting diagnosis
c. The name of the client's next of kind.
d. The client's telephone number - Correct Answer - the clients telephone number
A nurse is caring for a client who is prescribed a special diet. The client is concerned
that he does not have the resources to purchase the food he needs to adhere to the diet
at home. The nurse should notify which of the following members of the health care
team.
a. social worker
b. Occupational therapist
c. Registered Dietician
pg. 4
Complete 200 Practice Questions with Detailed
Answer Rationales | Comprehensive Nursing
Study Guide
A nurse is caring for a client who has wrists restraints after an episode of violent
behavior. Which of the following actions should the nurse take?
a. Tie the restraints to the side rail
b. Secure restraints with a square knot
c. Remove one restraint at a time
d. Remove the restraints every 3 hours - Correct Answer - Remove one restraint at a
time
A nurse is admitting a client who has a clostridium difficile infection. Which of
the following actions should the nurse take? Select all that apply a. Use an N95
respirator while providing client care
b. wear a gown and gloves when providing client care
c. assign the client to a private room with positive air flow
d. wash hands with soap and water after contact with the client
e. Ensure the client does not receive fresh fruits - Correct Answer - wear a gown and
gloves when providing client care
assign the client to a private room with positive air flow
wash hands with soap and water after contact with the client
pg. 1
,A nurse is planning care for a client who has latex allergy and is scheduled for
surgery. Which of the following actions is appropriate to include in the clients plan of
care?
a. Schedule the client as the first surgical procedure of the day
b. Cleanse the stoppers with primidone iodine for withdrawing medication
c. Remove the stop stocks from iv tubing
d.Ensure the gloves in the surgical suite are powdered gloves - Correct Answer -
Schedule the client as the first surgical procedure of the day
A nurse is providing discharge teaching to a client who does not speak the same
language as the nurse. Which of the following action should the nurse take?
a. direct verbal discharge instruction to the interpreter - Correct Answer - direct verbal
discharge instruction to the interpreter
A nurse is teaching a client how to self-administer daily low dose heparin injections.
Which of the following factors is most likely to increase the clients motivation to learn?
a. The client's belief that his needs will be met through education
b. The nurse explaining the need for education to the client
c. The client seeking family approval by agreeing to a teaching plan
d. The nurse's empathy about the client having to self-inject - Correct Answer - The
client's belief that his needs will be met through education
A nurse is caring for a client who is receiving continuous enteral feedings
through gastrostomy tubes. Which of the following actions should the nurse
take?
a. Heat the formula to 105 degrees Fahrenheit
b. Flush the tubing with 10 ml of water every 2 hours
c. Change the tubing every 72 hours
pg. 2
,d. Aspirate residual volume every 4 hours (Every 4-8 hours is correct) - Correct Answer
- Aspirate residual volume every 4 hours (Every 4-8 hours is correct)
A nurse is caring for a client who has an incisional wound and a prescription for wound
care. Which of the following answers indicates the proper method of cleaning a wound
site?
a. use a different sterile swab for each stroke - Correct Answer - use a different sterile
swab for each stroke
A nurse is teaching a client who requires maximum support about how to use a two
wheeled walker. Which of the following actions by the client indicates an understanding
of teaching?
a. The client picks up the walker with each step
b. The client stoops slightly forward when moving the walker
c. The client stands with her elbows slightly flexed while holding the walker
d. The client moves the walker ahead 10 inches with each step (Incorrect b/c 6 inches
max) - Correct Answer - The client stands with her elbows slightly flexed while
holding the walker
A nurse is caring for a client who refuses to follow the providers prescription for bed
rest. The nurse over hears the assistive personnel tell the client that if she does not
remain in bed he will place her in restraints. The nurse should identify that the AP
is committing which of the following torts?
a. Libel
b. Defamation of character
c. Assault
d. Battery - Correct Answer - Assault
A nurse is preparing to insert an IV catheter for an older adult client who has fragile skin.
Which of the following actions should the nurse take?
a. Stabilize the vein by applying traction above the insertion site
pg. 3
, b. Engorge the vein by placing the arm in the dependent position
c. Use friction at the insertion site to increase venous distention d.Leave the tourniquet
on for 30 to 60 seconds after initial insertion - Correct Answer - Engorge the vein by
placing the arm in the dependent position
A nurse is planning care for a client who has a new prescription for parental nutrition in
20% dextrose and fat emulsion. Which of the following is the appropriate action to
indicate in the plan of care?
a. Prepare the client for a central venous line
b. Change the PN infusion bag every 48 hours
c. Administer the PN and fat emulsion separately
d.Obtain a random blood glucose daily - Correct Answer - Prepare the client for a
central venous line
A Nurse is preparing to administer several medications to a client. Which of
the following data should the nurse plan to use to confirm the client's identity?
a. The client's room number
b. The client's admitting diagnosis
c. The name of the client's next of kind.
d. The client's telephone number - Correct Answer - the clients telephone number
A nurse is caring for a client who is prescribed a special diet. The client is concerned
that he does not have the resources to purchase the food he needs to adhere to the diet
at home. The nurse should notify which of the following members of the health care
team.
a. social worker
b. Occupational therapist
c. Registered Dietician
pg. 4
