ATI Fundamentals Proctored Exam 2026–2027: 100
Comprehensive Practice Questions with Verified Answers &
Detailed Rationales (NCLEX-RN & NGN Review Guide)
Instructions: Choose the best answer for each question. Answers and
rationales are provided after all questions.
1. A nurse is caring for a client who is at risk for falls. Which intervention is the highest
priority?
A. Place the call light within reach. B. Apply wrist restraints. C. Raise all four side rails. D.
Keep the client’s room door closed.
2. Which action by the nurse demonstrates proper hand hygiene?
A. Wash hands for at least 20 seconds with soap and water when visibly soiled. B. Wear
gloves instead of washing hands. C. Wash hands only after client contact. D. Use alcohol-
based rub after caring for a client with Clostridioides difficile.
3. Which action should the nurse take first when identifying a client before medication
administration?
A. Ask the client to state their full name and date of birth. B. Ask a family member to
identify the client. C. Verify the room number. D. Check the client’s diagnosis.
4. Which client should the nurse assess first?
A. A client reporting chest pain. B. A client requesting pain medication for chronic back
pain. C. A client asking for assistance to the bathroom. D. A client awaiting discharge
instructions.
5. Which personal protective equipment (PPE) is required when caring for a client on
airborne precautions?
A. Surgical mask B. N95 respirator C. Gloves only D. Face shield only
6. A nurse is positioning a client to prevent pressure injuries. Which intervention is
appropriate?
A. Reposition every 2 hours. B. Massage reddened areas. C. Elevate the head of the bed
above 60° continuously. D. Use a donut-shaped cushion.
7. Which action is an example of objective data?
,A. “I feel dizzy.” B. “My pain is 8 out of 10.” C. Blood pressure is 90/60 mmHg. D. “I am
anxious.”
8. Which task can the nurse delegate to an assistive personnel (AP)?
A. Assess pain. B. Develop a care plan. C. Assist with bathing. D. Teach a client about
medications.
9. Which finding requires immediate follow-up?
A. Temperature 37°C (98.6°F) B. Oxygen saturation 88% C. Pulse 78/min D. Respiratory rate
18/min
10. Which action helps prevent healthcare-associated infections?
A. Perform hand hygiene before and after client contact. B. Reuse disposable gloves. C.
Wear gloves instead of washing hands. D. Recap used needles.
11. Which client is at greatest risk for developing pressure injuries?
A. Ambulatory client B. Immobile older adult C. Young adult with a sprained ankle D. Client
with seasonal allergies
12. Which statement by the client indicates understanding of incentive spirometry?
A. “I’ll use it every hour while awake.” B. “I’ll use it only when I feel short of breath.” C. “I’ll
breathe into it as fast as possible.” D. “I’ll stop using it after one deep breath.”
13. The nurse discovers a fire in a client’s room. What is the first action?
A. Rescue the client. B. Activate the alarm. C. Close the door. D. Extinguish the fire.
14. Which route of medication administration has the fastest onset?
A. Oral B. Intramuscular C. Intravenous D. Subcutaneous
15. Which finding should the nurse report immediately after surgery?
A. Urine output of 20 mL/hr. B. Mild incisional pain. C. Sleepiness after anesthesia. D.
Temperature 37.2°C (99°F).
16. Which client statement indicates the need for further teaching about infection
prevention?
A. “I’ll wash my hands before eating.” B. “I’ll finish all my antibiotics.” C. “I’ll stop taking
antibiotics when I feel better.” D. “I’ll cover my cough.”
17. Which position is best for a client receiving an enema?
, A. Left Sims’ B. Supine C. Prone D. High Fowler’s
18. Which action by the nurse protects client confidentiality?
A. Discuss client information only with authorized healthcare providers. B. Leave the chart
open at the nurses’ station. C. Discuss the client in the cafeteria. D. Share information with
visitors.
19. Which action is appropriate when transferring a client from bed to wheelchair?
A. Lock the wheelchair brakes. B. Keep the wheelchair unlocked. C. Pull the client by the
arms. D. Twist while lifting.
20. Which electrolyte is most important for cardiac function?
A. Potassium B. Calcium C. Magnesium D. Phosphorus
21. Which finding indicates dehydration?
A. Moist mucous membranes B. Increased urine output C. Dry mucous membranes D.
Bounding pulse
22. Which nursing action promotes effective communication?
A. Maintain eye contact and actively listen. B. Interrupt the client frequently. C. Change the
subject when emotions arise. D. Use medical jargon.
23. Which client requires contact precautions?
A. Tuberculosis B. Influenza C. MRSA wound infection D. Measles
24. Which action is appropriate when disposing of a used needle?
A. Place it immediately into a sharps container. B. Bend the needle. C. Recap the needle. D.
Throw it into the trash.
25. Which pulse site is used during cardiopulmonary resuscitation (CPR) in adults?
A. Radial B. Carotid C. Pedal D. Brachial
26. Which client statement indicates effective pain management?
A. “My pain is gone forever.” B. “I can walk with tolerable discomfort.” C. “Pain medicine
should eliminate all pain.” D. “I won’t report pain.”
27. Which client is the highest priority?
Comprehensive Practice Questions with Verified Answers &
Detailed Rationales (NCLEX-RN & NGN Review Guide)
Instructions: Choose the best answer for each question. Answers and
rationales are provided after all questions.
1. A nurse is caring for a client who is at risk for falls. Which intervention is the highest
priority?
A. Place the call light within reach. B. Apply wrist restraints. C. Raise all four side rails. D.
Keep the client’s room door closed.
2. Which action by the nurse demonstrates proper hand hygiene?
A. Wash hands for at least 20 seconds with soap and water when visibly soiled. B. Wear
gloves instead of washing hands. C. Wash hands only after client contact. D. Use alcohol-
based rub after caring for a client with Clostridioides difficile.
3. Which action should the nurse take first when identifying a client before medication
administration?
A. Ask the client to state their full name and date of birth. B. Ask a family member to
identify the client. C. Verify the room number. D. Check the client’s diagnosis.
4. Which client should the nurse assess first?
A. A client reporting chest pain. B. A client requesting pain medication for chronic back
pain. C. A client asking for assistance to the bathroom. D. A client awaiting discharge
instructions.
5. Which personal protective equipment (PPE) is required when caring for a client on
airborne precautions?
A. Surgical mask B. N95 respirator C. Gloves only D. Face shield only
6. A nurse is positioning a client to prevent pressure injuries. Which intervention is
appropriate?
A. Reposition every 2 hours. B. Massage reddened areas. C. Elevate the head of the bed
above 60° continuously. D. Use a donut-shaped cushion.
7. Which action is an example of objective data?
,A. “I feel dizzy.” B. “My pain is 8 out of 10.” C. Blood pressure is 90/60 mmHg. D. “I am
anxious.”
8. Which task can the nurse delegate to an assistive personnel (AP)?
A. Assess pain. B. Develop a care plan. C. Assist with bathing. D. Teach a client about
medications.
9. Which finding requires immediate follow-up?
A. Temperature 37°C (98.6°F) B. Oxygen saturation 88% C. Pulse 78/min D. Respiratory rate
18/min
10. Which action helps prevent healthcare-associated infections?
A. Perform hand hygiene before and after client contact. B. Reuse disposable gloves. C.
Wear gloves instead of washing hands. D. Recap used needles.
11. Which client is at greatest risk for developing pressure injuries?
A. Ambulatory client B. Immobile older adult C. Young adult with a sprained ankle D. Client
with seasonal allergies
12. Which statement by the client indicates understanding of incentive spirometry?
A. “I’ll use it every hour while awake.” B. “I’ll use it only when I feel short of breath.” C. “I’ll
breathe into it as fast as possible.” D. “I’ll stop using it after one deep breath.”
13. The nurse discovers a fire in a client’s room. What is the first action?
A. Rescue the client. B. Activate the alarm. C. Close the door. D. Extinguish the fire.
14. Which route of medication administration has the fastest onset?
A. Oral B. Intramuscular C. Intravenous D. Subcutaneous
15. Which finding should the nurse report immediately after surgery?
A. Urine output of 20 mL/hr. B. Mild incisional pain. C. Sleepiness after anesthesia. D.
Temperature 37.2°C (99°F).
16. Which client statement indicates the need for further teaching about infection
prevention?
A. “I’ll wash my hands before eating.” B. “I’ll finish all my antibiotics.” C. “I’ll stop taking
antibiotics when I feel better.” D. “I’ll cover my cough.”
17. Which position is best for a client receiving an enema?
, A. Left Sims’ B. Supine C. Prone D. High Fowler’s
18. Which action by the nurse protects client confidentiality?
A. Discuss client information only with authorized healthcare providers. B. Leave the chart
open at the nurses’ station. C. Discuss the client in the cafeteria. D. Share information with
visitors.
19. Which action is appropriate when transferring a client from bed to wheelchair?
A. Lock the wheelchair brakes. B. Keep the wheelchair unlocked. C. Pull the client by the
arms. D. Twist while lifting.
20. Which electrolyte is most important for cardiac function?
A. Potassium B. Calcium C. Magnesium D. Phosphorus
21. Which finding indicates dehydration?
A. Moist mucous membranes B. Increased urine output C. Dry mucous membranes D.
Bounding pulse
22. Which nursing action promotes effective communication?
A. Maintain eye contact and actively listen. B. Interrupt the client frequently. C. Change the
subject when emotions arise. D. Use medical jargon.
23. Which client requires contact precautions?
A. Tuberculosis B. Influenza C. MRSA wound infection D. Measles
24. Which action is appropriate when disposing of a used needle?
A. Place it immediately into a sharps container. B. Bend the needle. C. Recap the needle. D.
Throw it into the trash.
25. Which pulse site is used during cardiopulmonary resuscitation (CPR) in adults?
A. Radial B. Carotid C. Pedal D. Brachial
26. Which client statement indicates effective pain management?
A. “My pain is gone forever.” B. “I can walk with tolerable discomfort.” C. “Pain medicine
should eliminate all pain.” D. “I won’t report pain.”
27. Which client is the highest priority?
