CMS ATI FUNDAMENTALS PROCTORED EXAM/ATI
FUNDAMENTALS CMS PROCTORED EXAM FULLY REVISED
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS ATI
FUNDAMENTALS CMS PROCTORED EXAM WITH MOST TESTED
EXAM QUESTIONS LATEST UPDATES 2026-2027 (VERIFIED
ANSWERS) GUARANTEED SUCCESS PASS A+
A nurse is prioritizing care for four clients at the start of the shift. Which client
should the nurse assess first?
A) A client post-operative day 2 requesting pain medication
B) A client with new diabetes needing insulin education
C) A client with a tracheostomy who has copious, thick secretions and is
attempting to cough
D) A client scheduled for discharge in two hours needing help packing
Correct Answer: C
Rationale: Using the ABCs (Airway, Breathing, Circulation) approach, the client
with a tracheostomy and thick secretions is at immediate risk for airway obstruction.
This takes priority over comfort, teaching, and discharge planning.
A charge nurse is assigning tasks on a medical-surgical unit. Which task should
be assigned to the LPN?
A) Conduct initial admission assessment for a client with pneumonia
B) Evaluate effectiveness of a new diuretic medication
,C) Administer a scheduled subcutaneous insulin injection to a client with
stable diabetes
D) Create the plan of care for a client recently diagnosed with heart failure
Correct Answer: C
Rationale: LPNs function under RN supervision and can perform routine, stable
tasks like administering scheduled medications. The RN is responsible for
assessment, evaluation, and initial plan of care .
Which action is most appropriate for the RN to delegate to an AP?
A) Reinforcing teaching about a low-sodium diet
B) Assessing a client's lung sounds
C) Ambulating a client who uses a walker
D) Administering a PRN analgesic
Correct Answer: C
Rationale: Ambulating a stable client with a walker is a routine, non-invasive task
that can be delegated to AP. Teaching, assessment, and medication administration
require licensed nursing judgment .
A nurse receives report on four clients. Which should the nurse see first?
A) Client with pneumonia who has new onset confusion
B) Client scheduled for physical therapy in 30 minutes
C) Client requesting pain medication for headache
D) Client ready for discharge teaching
Correct Answer: A
Rationale: New onset confusion in a client with pneumonia may indicate hypoxia or
declining respiratory status, making this the priority for immediate assessment .
,A nurse is caring for a client who has major fecal incontinence and reports
perianal irritation. Which action should the nurse take first?
A) Apply a fecal collection system
B) Apply a barrier cream
C) Cleanse and dry the area
D) Check the client's perineum
Correct Answer: D
Rationale: The nursing process prioritizes assessment before intervention.
The nurse must assess the area of irritation before implementing treatments.
A nurse is caring for four clients. Which client should the nurse assess first?
A) Client with a new colostomy who is anxious about ostomy care
B) Client with a fractured hip who reports pain of 7 on 0-10 scale
C) Client with a blood glucose level of 50 mg/dL
D) Client requesting to use the bedside commode
Correct Answer: C
Rationale: A blood glucose of 50 mg/dL indicates severe hypoglycemia, a life -
threatening emergency requiring immediate intervention.
A nurse manager is teaching staff about delegation. Which statement indicates
correct understanding of the "five rights"?
A) "I must ensure the task is within my own scope of practice"
B) "I can delegate any task as long as I supervise the AP"
C) "The right task is one that is routine and has a predictable outcome"
, D) "I am ultimately responsible for the task once delegated"
Correct Answer: C
Rationale: The "right task" must be routine, non-invasive, and have a
predictable, stable outcome. The RN retains accountability for delegated
tasks .
A nurse is caring for a client who has a new diagnosis of deep vein thrombosis
and is receiving heparin infusion. The client reports sudden chest pain and
shortness of breath. Which action should the nurse take FIRST?
A) Administer oxygen
B) Notify the provider
C) Stop the heparin infusion
D) Obtain a stat chest x-ray
Correct Answer: A
Rationale: The client is experiencing symptoms of a possible pulmonary embolism.
Using the ABC approach, administering oxygen is the priority to maintain adequate
oxygenation .
A nurse is caring for a client who has an epidural catheter for pain
management. The client reports sudden difficulty breathing. Which action
should the nurse take FIRST?
A) Check the client's blood pressure
B) Raise the head of the bed
C) Assess the client's level of consciousness
D) Notify the anesthesia provider
Correct Answer: B
FUNDAMENTALS CMS PROCTORED EXAM FULLY REVISED
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS ATI
FUNDAMENTALS CMS PROCTORED EXAM WITH MOST TESTED
EXAM QUESTIONS LATEST UPDATES 2026-2027 (VERIFIED
ANSWERS) GUARANTEED SUCCESS PASS A+
A nurse is prioritizing care for four clients at the start of the shift. Which client
should the nurse assess first?
A) A client post-operative day 2 requesting pain medication
B) A client with new diabetes needing insulin education
C) A client with a tracheostomy who has copious, thick secretions and is
attempting to cough
D) A client scheduled for discharge in two hours needing help packing
Correct Answer: C
Rationale: Using the ABCs (Airway, Breathing, Circulation) approach, the client
with a tracheostomy and thick secretions is at immediate risk for airway obstruction.
This takes priority over comfort, teaching, and discharge planning.
A charge nurse is assigning tasks on a medical-surgical unit. Which task should
be assigned to the LPN?
A) Conduct initial admission assessment for a client with pneumonia
B) Evaluate effectiveness of a new diuretic medication
,C) Administer a scheduled subcutaneous insulin injection to a client with
stable diabetes
D) Create the plan of care for a client recently diagnosed with heart failure
Correct Answer: C
Rationale: LPNs function under RN supervision and can perform routine, stable
tasks like administering scheduled medications. The RN is responsible for
assessment, evaluation, and initial plan of care .
Which action is most appropriate for the RN to delegate to an AP?
A) Reinforcing teaching about a low-sodium diet
B) Assessing a client's lung sounds
C) Ambulating a client who uses a walker
D) Administering a PRN analgesic
Correct Answer: C
Rationale: Ambulating a stable client with a walker is a routine, non-invasive task
that can be delegated to AP. Teaching, assessment, and medication administration
require licensed nursing judgment .
A nurse receives report on four clients. Which should the nurse see first?
A) Client with pneumonia who has new onset confusion
B) Client scheduled for physical therapy in 30 minutes
C) Client requesting pain medication for headache
D) Client ready for discharge teaching
Correct Answer: A
Rationale: New onset confusion in a client with pneumonia may indicate hypoxia or
declining respiratory status, making this the priority for immediate assessment .
,A nurse is caring for a client who has major fecal incontinence and reports
perianal irritation. Which action should the nurse take first?
A) Apply a fecal collection system
B) Apply a barrier cream
C) Cleanse and dry the area
D) Check the client's perineum
Correct Answer: D
Rationale: The nursing process prioritizes assessment before intervention.
The nurse must assess the area of irritation before implementing treatments.
A nurse is caring for four clients. Which client should the nurse assess first?
A) Client with a new colostomy who is anxious about ostomy care
B) Client with a fractured hip who reports pain of 7 on 0-10 scale
C) Client with a blood glucose level of 50 mg/dL
D) Client requesting to use the bedside commode
Correct Answer: C
Rationale: A blood glucose of 50 mg/dL indicates severe hypoglycemia, a life -
threatening emergency requiring immediate intervention.
A nurse manager is teaching staff about delegation. Which statement indicates
correct understanding of the "five rights"?
A) "I must ensure the task is within my own scope of practice"
B) "I can delegate any task as long as I supervise the AP"
C) "The right task is one that is routine and has a predictable outcome"
, D) "I am ultimately responsible for the task once delegated"
Correct Answer: C
Rationale: The "right task" must be routine, non-invasive, and have a
predictable, stable outcome. The RN retains accountability for delegated
tasks .
A nurse is caring for a client who has a new diagnosis of deep vein thrombosis
and is receiving heparin infusion. The client reports sudden chest pain and
shortness of breath. Which action should the nurse take FIRST?
A) Administer oxygen
B) Notify the provider
C) Stop the heparin infusion
D) Obtain a stat chest x-ray
Correct Answer: A
Rationale: The client is experiencing symptoms of a possible pulmonary embolism.
Using the ABC approach, administering oxygen is the priority to maintain adequate
oxygenation .
A nurse is caring for a client who has an epidural catheter for pain
management. The client reports sudden difficulty breathing. Which action
should the nurse take FIRST?
A) Check the client's blood pressure
B) Raise the head of the bed
C) Assess the client's level of consciousness
D) Notify the anesthesia provider
Correct Answer: B
