RN ATI Fundamentals of Nursing
Proctored Exam 2026-Practice
Questions and Answers with
Rationales//Instant Download pdf
Question 1: A nurse is planning care for a client who has a new
prescription for a restraints. Which of the following actions should
the nurse plan to take?
Answer: Obtain a prescription from the provider for the
restraints within a specific timeframe, and ensure the
prescription includes the type of restraint, location, and
duration.
Rationale: Restraints should only be used as a last resort to
ensure client safety. A provider's prescription is required, and
it must be renewed within a specific time frame (usually 24
hours for adults). The prescription must specify the type of
restraint and the duration of use.
Question 2: A nurse is preparing to administer a medication to a
client. The client states, "I don't want to take that medication."
Which of the following actions should the nurse take?
Answer: Withhold the medication and document the client's
refusal.
Rationale: The client has the right to refuse treatment. The
nurse should respect this decision, withhold the medication,
, and document the refusal and the client's reason for refusal
in the medical record. The provider should also be notified.
Question 3: A nurse is caring for a client who has a history of falls.
Which of the following interventions should the nurse implement
to prevent falls?
Answer: Keep the bed in the lowest position with the side
rails up.
Rationale: Keeping the bed in the lowest position reduces
the risk of injury if the client attempts to get out of bed. Side
rails can help prevent the client from rolling out of bed, but
they should not be used as a restraint.
Question 4: A nurse is preparing to perform hand hygiene. Which
of the following actions is appropriate?
Answer: Use an alcohol-based hand rub if hands are not
visibly soiled.
Rationale: Alcohol-based hand rubs are effective for
decontaminating hands when they are not visibly soiled. If
hands are visibly dirty or contaminated with body fluids, they
should be washed with soap and water.
Question 5: A nurse is caring for a client who is on contact
precautions. Which of the following actions should the nurse
take?
Answer: Wear a gown and gloves when entering the client's
room.
Rationale: Contact precautions are used for clients with
infections that can be transmitted by direct or indirect
, contact. The nurse should wear a gown and gloves to prevent
transmission of microorganisms.
Question 6: A nurse is preparing a client for a procedure that
requires informed consent. Which of the following actions should
the nurse take?
Answer: Ensure the client understands the risks and benefits
of the procedure.
Rationale: Informed consent requires that the client has
been provided with information about the procedure,
including its risks, benefits, and alternatives. The nurse's role
is to witness the signing of the consent form and to ensure
the client has the capacity to give consent.
Question 7: A nurse is delegating tasks to an assistive personnel
(AP). Which of the following tasks is appropriate to delegate to
the AP?
Answer: Assisting a client with ambulation.
Rationale: Assisting with ambulation is a basic nursing task
that can be delegated to an AP, provided the client is stable
and the AP has been trained in proper techniques.
Question 8: A nurse is caring for a client who has a new diagnosis
of diabetes mellitus. The nurse is providing discharge teaching.
Which of the following statements indicates that the client
understands the teaching?
Answer: "I will check my blood sugar before each meal."
Rationale: Checking blood glucose levels before meals is a
key component of diabetes management. This helps the
, client determine the appropriate insulin dose and make
dietary choices.
Question 9: A nurse is preparing to administer a blood
transfusion. Which of the following actions should the nurse take
first?
Answer: Verify the client's identity using two identifiers.
Rationale: The first step in any procedure is to verify the
client's identity to ensure the right client receives the right
treatment. Two identifiers, such as name and date of birth,
should be used.
Question 10: A nurse is caring for a client who has an indwelling
urinary catheter. Which of the following actions should the nurse
take to prevent catheter-associated urinary tract infections
(CAUTIs)?
Answer: Keep the drainage bag below the level of the
bladder.
Rationale: Keeping the drainage bag below the level of the
bladder prevents backflow of urine, which can introduce
bacteria into the bladder.
Question 11: A nurse is caring for a client who is at risk for
pressure injuries. Which of the following interventions should the
nurse implement?
Answer: Reposition the client every two hours.
Rationale: Repositioning the client every two hours relieves
pressure on bony prominences and helps prevent the
development of pressure injuries.
Proctored Exam 2026-Practice
Questions and Answers with
Rationales//Instant Download pdf
Question 1: A nurse is planning care for a client who has a new
prescription for a restraints. Which of the following actions should
the nurse plan to take?
Answer: Obtain a prescription from the provider for the
restraints within a specific timeframe, and ensure the
prescription includes the type of restraint, location, and
duration.
Rationale: Restraints should only be used as a last resort to
ensure client safety. A provider's prescription is required, and
it must be renewed within a specific time frame (usually 24
hours for adults). The prescription must specify the type of
restraint and the duration of use.
Question 2: A nurse is preparing to administer a medication to a
client. The client states, "I don't want to take that medication."
Which of the following actions should the nurse take?
Answer: Withhold the medication and document the client's
refusal.
Rationale: The client has the right to refuse treatment. The
nurse should respect this decision, withhold the medication,
, and document the refusal and the client's reason for refusal
in the medical record. The provider should also be notified.
Question 3: A nurse is caring for a client who has a history of falls.
Which of the following interventions should the nurse implement
to prevent falls?
Answer: Keep the bed in the lowest position with the side
rails up.
Rationale: Keeping the bed in the lowest position reduces
the risk of injury if the client attempts to get out of bed. Side
rails can help prevent the client from rolling out of bed, but
they should not be used as a restraint.
Question 4: A nurse is preparing to perform hand hygiene. Which
of the following actions is appropriate?
Answer: Use an alcohol-based hand rub if hands are not
visibly soiled.
Rationale: Alcohol-based hand rubs are effective for
decontaminating hands when they are not visibly soiled. If
hands are visibly dirty or contaminated with body fluids, they
should be washed with soap and water.
Question 5: A nurse is caring for a client who is on contact
precautions. Which of the following actions should the nurse
take?
Answer: Wear a gown and gloves when entering the client's
room.
Rationale: Contact precautions are used for clients with
infections that can be transmitted by direct or indirect
, contact. The nurse should wear a gown and gloves to prevent
transmission of microorganisms.
Question 6: A nurse is preparing a client for a procedure that
requires informed consent. Which of the following actions should
the nurse take?
Answer: Ensure the client understands the risks and benefits
of the procedure.
Rationale: Informed consent requires that the client has
been provided with information about the procedure,
including its risks, benefits, and alternatives. The nurse's role
is to witness the signing of the consent form and to ensure
the client has the capacity to give consent.
Question 7: A nurse is delegating tasks to an assistive personnel
(AP). Which of the following tasks is appropriate to delegate to
the AP?
Answer: Assisting a client with ambulation.
Rationale: Assisting with ambulation is a basic nursing task
that can be delegated to an AP, provided the client is stable
and the AP has been trained in proper techniques.
Question 8: A nurse is caring for a client who has a new diagnosis
of diabetes mellitus. The nurse is providing discharge teaching.
Which of the following statements indicates that the client
understands the teaching?
Answer: "I will check my blood sugar before each meal."
Rationale: Checking blood glucose levels before meals is a
key component of diabetes management. This helps the
, client determine the appropriate insulin dose and make
dietary choices.
Question 9: A nurse is preparing to administer a blood
transfusion. Which of the following actions should the nurse take
first?
Answer: Verify the client's identity using two identifiers.
Rationale: The first step in any procedure is to verify the
client's identity to ensure the right client receives the right
treatment. Two identifiers, such as name and date of birth,
should be used.
Question 10: A nurse is caring for a client who has an indwelling
urinary catheter. Which of the following actions should the nurse
take to prevent catheter-associated urinary tract infections
(CAUTIs)?
Answer: Keep the drainage bag below the level of the
bladder.
Rationale: Keeping the drainage bag below the level of the
bladder prevents backflow of urine, which can introduce
bacteria into the bladder.
Question 11: A nurse is caring for a client who is at risk for
pressure injuries. Which of the following interventions should the
nurse implement?
Answer: Reposition the client every two hours.
Rationale: Repositioning the client every two hours relieves
pressure on bony prominences and helps prevent the
development of pressure injuries.
