CHAMBERL AIN COLLEGE OF NURSING
Bachelor of Science in Nursing (BSN)
ATI Fundamentals Proctored Exam
Academic Year: 2026/2027 Comprehensive Study Guide
NCLEX-Style Review
Q1 Question 1
A nurse is admitting a client who has an abdominal wound with a large amount of
purulent drainage. Which of the following types of transmission precautions should the
nurse initiate?
A. Contact precautions
CORRECT ANSWER: A. Contact precautions
RATIONALE
Purulent drainage indicates an infection that can be transmitted via direct contact. Contact
precautions, including gloves and gowns, are required to prevent spread.
Q2 Question 2
A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The
client's partner wants the client to have the blood transfusion. Which of the following
actions should the nurse take?
A. Withhold the blood transfusion.
CORRECT ANSWER: A. Withhold the blood transfusion.
RATIONALE
A competent client has the right to refuse treatment based on religious or personal beliefs.
The nurse must respect the client's autonomy and withhold the blood transfusion.
, Q3 Question 3
A nurse is caring for a client who has a new prescription for wrist restraints. Which of the
following actions should the nurse take?
A. Pad the client's wrist before applying the restraints.
CORRECT ANSWER: A. Pad the client's wrist before applying the restraints.
RATIONALE
Padding prevents skin breakdown and injury from the restraints. The nurse should ensure the
restraints are applied safely and according to protocol.
Q4 Question 4
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the
following statements should the nurse identify as an indication that the client understands
the teaching?
A. "When descending stairs, I will first shift my weight to my right leg."
CORRECT ANSWER:
A. "When descending stairs, I will first shift my weight to my right leg."
RATIONALE
When descending stairs with crutches, the client should shift weight to the strong (right) leg
and move the crutches and weak leg first. This statement indicates correct understanding.
Q5 Question 5
A nurse is caring for a client who has a respiratory infection. Which of the following
techniques should the nurse use when performing nasotracheal suctioning for the client?
A. Apply intermittent suction when withdrawing the catheter.
CORRECT ANSWER: A. Apply intermittent suction when withdrawing the catheter.
RATIONALE
Intermittent suction during withdrawal minimizes trauma to the mucosa and prevents hypoxia.
Continuous suction can damage tissue and is not recommended.
, Q6 Question 6
A nurse is assessing a client who reports increased pain following physical therapy. Which
of the following questions should the nurse ask when assessing the quality of the client's
pain?
A. "Is your pain sharp or dull?"
CORRECT ANSWER: A. "Is your pain sharp or dull?"
RATIONALE
This question addresses the quality of pain, which is a descriptive characteristic (sharp, dull,
burning). It helps the nurse understand the nature of the pain experience.
Q7 Question 7
A nurse is assessing an older client's risk for falls. Which of the following assessments
should the nurse use to identify the client's safety needs?
A. Pupil clarity
B. Visual fields
C. Visual acuity
CORRECT ANSWER:
A, B, C. Pupil clarity, visual fields, and visual acuity all help assess fall risk.
RATIONALE
Vision changes significantly affect fall risk in older adults. Assessing pupil clarity, visual fields,
and visual acuity provides a comprehensive evaluation of vision-related safety needs.
, Q8 Question 8
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the
following actions should the nurse take?
A. Administer the medication with the needle at a 45-degree angle
CORRECT ANSWER:
A. Administer the medication with the needle at a 45-degree angle
RATIONALE
Enoxaparin is administered subcutaneously using a 45-degree angle. The nurse should not
aspirate, and the injection should be given in the abdomen to ensure proper absorption and
reduce bruising.
Q9 Question 9
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed
with a nasal cannula delivering oxygen. Which of the following interventions should the
nurse take first?
A. Assist the client to an upright position.
CORRECT ANSWER: A. Assist the client to an upright position.
RATIONALE
The priority intervention for a client with difficulty breathing is to position them upright
(Fowler's position) to maximize lung expansion and ease breathing.
Bachelor of Science in Nursing (BSN)
ATI Fundamentals Proctored Exam
Academic Year: 2026/2027 Comprehensive Study Guide
NCLEX-Style Review
Q1 Question 1
A nurse is admitting a client who has an abdominal wound with a large amount of
purulent drainage. Which of the following types of transmission precautions should the
nurse initiate?
A. Contact precautions
CORRECT ANSWER: A. Contact precautions
RATIONALE
Purulent drainage indicates an infection that can be transmitted via direct contact. Contact
precautions, including gloves and gowns, are required to prevent spread.
Q2 Question 2
A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The
client's partner wants the client to have the blood transfusion. Which of the following
actions should the nurse take?
A. Withhold the blood transfusion.
CORRECT ANSWER: A. Withhold the blood transfusion.
RATIONALE
A competent client has the right to refuse treatment based on religious or personal beliefs.
The nurse must respect the client's autonomy and withhold the blood transfusion.
, Q3 Question 3
A nurse is caring for a client who has a new prescription for wrist restraints. Which of the
following actions should the nurse take?
A. Pad the client's wrist before applying the restraints.
CORRECT ANSWER: A. Pad the client's wrist before applying the restraints.
RATIONALE
Padding prevents skin breakdown and injury from the restraints. The nurse should ensure the
restraints are applied safely and according to protocol.
Q4 Question 4
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the
following statements should the nurse identify as an indication that the client understands
the teaching?
A. "When descending stairs, I will first shift my weight to my right leg."
CORRECT ANSWER:
A. "When descending stairs, I will first shift my weight to my right leg."
RATIONALE
When descending stairs with crutches, the client should shift weight to the strong (right) leg
and move the crutches and weak leg first. This statement indicates correct understanding.
Q5 Question 5
A nurse is caring for a client who has a respiratory infection. Which of the following
techniques should the nurse use when performing nasotracheal suctioning for the client?
A. Apply intermittent suction when withdrawing the catheter.
CORRECT ANSWER: A. Apply intermittent suction when withdrawing the catheter.
RATIONALE
Intermittent suction during withdrawal minimizes trauma to the mucosa and prevents hypoxia.
Continuous suction can damage tissue and is not recommended.
, Q6 Question 6
A nurse is assessing a client who reports increased pain following physical therapy. Which
of the following questions should the nurse ask when assessing the quality of the client's
pain?
A. "Is your pain sharp or dull?"
CORRECT ANSWER: A. "Is your pain sharp or dull?"
RATIONALE
This question addresses the quality of pain, which is a descriptive characteristic (sharp, dull,
burning). It helps the nurse understand the nature of the pain experience.
Q7 Question 7
A nurse is assessing an older client's risk for falls. Which of the following assessments
should the nurse use to identify the client's safety needs?
A. Pupil clarity
B. Visual fields
C. Visual acuity
CORRECT ANSWER:
A, B, C. Pupil clarity, visual fields, and visual acuity all help assess fall risk.
RATIONALE
Vision changes significantly affect fall risk in older adults. Assessing pupil clarity, visual fields,
and visual acuity provides a comprehensive evaluation of vision-related safety needs.
, Q8 Question 8
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the
following actions should the nurse take?
A. Administer the medication with the needle at a 45-degree angle
CORRECT ANSWER:
A. Administer the medication with the needle at a 45-degree angle
RATIONALE
Enoxaparin is administered subcutaneously using a 45-degree angle. The nurse should not
aspirate, and the injection should be given in the abdomen to ensure proper absorption and
reduce bruising.
Q9 Question 9
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed
with a nasal cannula delivering oxygen. Which of the following interventions should the
nurse take first?
A. Assist the client to an upright position.
CORRECT ANSWER: A. Assist the client to an upright position.
RATIONALE
The priority intervention for a client with difficulty breathing is to position them upright
(Fowler's position) to maximize lung expansion and ease breathing.
