ATI CMS FUNDAMENTALS PROCTORED EXAM QUESTIONS AND ANSWERS ALREADY GRADED A+. 100%
Verified Solutions | Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Basic Care and Comfort
INTRODUCTION
This comprehensive ATI CMS Fundamentals Proctored Examination is designed to assess the nursing student's
foundational knowledge and clinical judgment essential for safe, effective nursing practice. It evaluates the
application of nursing concepts, critical thinking, and evidence-based practice across a variety of healthcare
settings. The examination emphasizes patient safety, communication, legal and ethical responsibilities, and the
nursing process. Candidates will be challenged to prioritize care, identify potential complications, and implement
,appropriate nursing interventions. This rigorous assessment mirrors the complexity of real-world nursing situations
and is structured to reflect the official ATI CMS Fundamentals examination blueprint.
SECTION ONE
Questions 1–100
Question 1
The nurse is preparing to administer a medication to a patient via a nasogastric (NG) tube. Which of the
following actions is most important to ensure patient safety?
A. Verify the placement of the NG tube.
B. Crush all medications before administration.
C. Flush the tube with 30 mL of water after each medication.
D. Administer each medication separately.
🟢 Correct Answer:
A. Verify the placement of the NG tube.
🔴 RATIONALE:
Verifying the placement of the NG tube is the most critical step to ensure the medication is delivered into the
,stomach and not the lungs, which could cause aspiration. While crushing medications, flushing, and
administering separately are important, safety verification is the priority.
Question 2
The nurse is providing post-operative care to a patient following abdominal surgery. Which of the following
findings requires immediate intervention?
A. Pain rating of 4 on a 0-10 scale.
B. Serosanguineous drainage on the dressing.
C. Heart rate of 110 bpm and blood pressure of 100/68 mmHg.
D. Urine output of 120 mL over the past 4 hours.
🟢 Correct Answer:
C. Heart rate of 110 bpm and blood pressure of 100/68 mmHg.
🔴 RATIONALE:
Tachycardia and hypotension in a post-operative patient may indicate hypovolemic shock, possibly from
hemorrhage, and require immediate intervention. Pain of 4/10 is expected and can be managed;
serosanguineous drainage is normal; urine output of 30 mL/hr is adequate.
Question 3
, The nurse is assessing a patient's vital signs and notes a blood pressure of 142/92 mmHg. Which of the
following is the nurse's priority action?
A. Document the finding.
B. Recheck the blood pressure in the other arm.
C. Notify the healthcare provider.
D. Assess the patient for signs of dizziness.
🟢 Correct Answer:
D. Assess the patient for signs of dizziness.
🔴 RATIONALE:
The nurse should first assess the patient for symptoms of hypertension, such as dizziness, headache, or visual
changes. A single elevated reading should be rechecked, but assessment of the patient's condition is the
priority.
Question 4
The nurse is teaching a patient with diabetes mellitus about foot care. Which of the following instructions
should the nurse include?
A. "Soak your feet in warm water daily to keep them clean."
B. "Wear shoes that are comfortable and fit properly."
C. "Trim your toenails at the corners to prevent ingrown nails."
D. "Use a heating pad on your feet if they feel cold."
Verified Solutions | Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Basic Care and Comfort
INTRODUCTION
This comprehensive ATI CMS Fundamentals Proctored Examination is designed to assess the nursing student's
foundational knowledge and clinical judgment essential for safe, effective nursing practice. It evaluates the
application of nursing concepts, critical thinking, and evidence-based practice across a variety of healthcare
settings. The examination emphasizes patient safety, communication, legal and ethical responsibilities, and the
nursing process. Candidates will be challenged to prioritize care, identify potential complications, and implement
,appropriate nursing interventions. This rigorous assessment mirrors the complexity of real-world nursing situations
and is structured to reflect the official ATI CMS Fundamentals examination blueprint.
SECTION ONE
Questions 1–100
Question 1
The nurse is preparing to administer a medication to a patient via a nasogastric (NG) tube. Which of the
following actions is most important to ensure patient safety?
A. Verify the placement of the NG tube.
B. Crush all medications before administration.
C. Flush the tube with 30 mL of water after each medication.
D. Administer each medication separately.
🟢 Correct Answer:
A. Verify the placement of the NG tube.
🔴 RATIONALE:
Verifying the placement of the NG tube is the most critical step to ensure the medication is delivered into the
,stomach and not the lungs, which could cause aspiration. While crushing medications, flushing, and
administering separately are important, safety verification is the priority.
Question 2
The nurse is providing post-operative care to a patient following abdominal surgery. Which of the following
findings requires immediate intervention?
A. Pain rating of 4 on a 0-10 scale.
B. Serosanguineous drainage on the dressing.
C. Heart rate of 110 bpm and blood pressure of 100/68 mmHg.
D. Urine output of 120 mL over the past 4 hours.
🟢 Correct Answer:
C. Heart rate of 110 bpm and blood pressure of 100/68 mmHg.
🔴 RATIONALE:
Tachycardia and hypotension in a post-operative patient may indicate hypovolemic shock, possibly from
hemorrhage, and require immediate intervention. Pain of 4/10 is expected and can be managed;
serosanguineous drainage is normal; urine output of 30 mL/hr is adequate.
Question 3
, The nurse is assessing a patient's vital signs and notes a blood pressure of 142/92 mmHg. Which of the
following is the nurse's priority action?
A. Document the finding.
B. Recheck the blood pressure in the other arm.
C. Notify the healthcare provider.
D. Assess the patient for signs of dizziness.
🟢 Correct Answer:
D. Assess the patient for signs of dizziness.
🔴 RATIONALE:
The nurse should first assess the patient for symptoms of hypertension, such as dizziness, headache, or visual
changes. A single elevated reading should be rechecked, but assessment of the patient's condition is the
priority.
Question 4
The nurse is teaching a patient with diabetes mellitus about foot care. Which of the following instructions
should the nurse include?
A. "Soak your feet in warm water daily to keep them clean."
B. "Wear shoes that are comfortable and fit properly."
C. "Trim your toenails at the corners to prevent ingrown nails."
D. "Use a heating pad on your feet if they feel cold."
