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CMS ATI FUNDAMENTALS PROCTORED /ATI
FUNDAMENTALS CMS PROCTORED Final Exam
Newest Exam Preparation With Complete Questions
And Correct Answers With Rationales | Already
Graded A+||Brand New Version!!
QUESTION 1
A nurse is preparing to administer oral medications to a client who has
difficulty swallowing tablets. Which of the following actions should the
nurse take?
A) Crush the tablet and mix it with applesauce
B) Request a liquid formulation from the pharmacy
C) Place the tablet under the client's tongue
D) Dissolve the tablet in a glass of water
ANSWER: B) Request a liquid formulation from the pharmacy
RATIONALE: The most appropriate action when a client has difficulty
swallowing tablets is to request a liquid formulation from the
pharmacy. This ensures the medication is administered in the safest and
most effective form. Crushing medications can alter their release
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mechanism, may cause gastrointestinal irritation, and is
contraindicated for enteric-coated or sustained-release preparations.
Sublingual administration is reserved for medications specifically
designed for that route. Dissolving tablets in water may not be
appropriate for all medications and does not address the underlying
swallowing difficulty.
QUESTION 2
A nurse is assessing a client's peripheral pulses. Which of the following
findings should the nurse report to the provider?
A) Bilateral radial pulses 2+
B) Dorsalis pedis pulses 1+
C) Femoral pulses symmetrical
D) Popliteal pulses palpable
ANSWER: B) Dorsalis pedis pulses 1+
RATIONALE: A dorsalis pedis pulse rated 1+ indicates a diminished or
weak pulse, which may suggest decreased peripheral perfusion. Pulse
strength is rated on a scale of 0 (absent) to 4+ (bounding). Normal
pulses are typically 2+. The nurse should report diminished pulses to the
provider as this may indicate peripheral vascular disease, arterial
insufficiency, or other circulatory problems. Bilateral radial pulses 2+ are
normal, symmetrical femoral pulses are expected, and palpable
popliteal pulses are also a normal finding.
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QUESTION 3
A nurse is caring for a client who is postoperative and reports incisional
pain. The nurse administers an analgesic and documents the
administration. Which of the following documentation entries is most
appropriate?
A) "Client complaining of pain, analgesic given"
B) "Morphine sulfate 4 mg IV administered for incisional pain at 1400,
client reports pain relief at 1430"
C) "Gave pain medication per provider's orders"
D) "Client received 4 mg morphine, appears comfortable"
ANSWER: B) "Morphine sulfate 4 mg IV administered for incisional pain
at 1400, client reports pain relief at 1430"
RATIONALE: This documentation entry includes all necessary
components: the specific medication name, dose, route, time
administered, indication, and evaluation of effectiveness. This meets the
standards for accurate and comprehensive nursing documentation. The
other options lack specificity, do not include evaluation of effectiveness,
or use vague terminology that does not meet legal and professional
documentation standards.
QUESTION 4
A nurse is teaching a client about dietary modifications to manage
hypertension. Which of the following statements by the client indicates
understanding of the teaching?
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A) "I should limit my sodium intake to 3,000 mg per day"
B) "I can use salt substitutes freely without any concerns"
C) "I should increase my intake of fruits and vegetables"
D) "I need to avoid all carbohydrates in my diet"
ANSWER: C) "I should increase my intake of fruits and vegetables"
RATIONALE: Increasing intake of fruits and vegetables is a key
component of the DASH (Dietary Approaches to Stop Hypertension) diet,
which is recommended for managing hypertension. Fruits and
vegetables are rich in potassium, magnesium, and fiber, which can help
lower blood pressure. The recommended sodium limit for hypertension
management is typically 1,500 to 2,300 mg per day, not 3,000 mg. Salt
substitutes contain potassium and may be contraindicated for clients
with renal impairment or those taking potassium-sparing diuretics.
Avoiding all carbohydrates is not recommended and is unrelated to
hypertension management.
QUESTION 5
A nurse is performing a head-to-toe assessment on a client. Which of
the following techniques should the nurse use to assess the client's
abdomen?
A) Palpate the abdomen before auscultation
B) Auscultate the abdomen before palpation
C) Percuss the abdomen before inspection
CMS ATI FUNDAMENTALS PROCTORED /ATI
FUNDAMENTALS CMS PROCTORED Final Exam
Newest Exam Preparation With Complete Questions
And Correct Answers With Rationales | Already
Graded A+||Brand New Version!!
QUESTION 1
A nurse is preparing to administer oral medications to a client who has
difficulty swallowing tablets. Which of the following actions should the
nurse take?
A) Crush the tablet and mix it with applesauce
B) Request a liquid formulation from the pharmacy
C) Place the tablet under the client's tongue
D) Dissolve the tablet in a glass of water
ANSWER: B) Request a liquid formulation from the pharmacy
RATIONALE: The most appropriate action when a client has difficulty
swallowing tablets is to request a liquid formulation from the
pharmacy. This ensures the medication is administered in the safest and
most effective form. Crushing medications can alter their release
,2|Page
mechanism, may cause gastrointestinal irritation, and is
contraindicated for enteric-coated or sustained-release preparations.
Sublingual administration is reserved for medications specifically
designed for that route. Dissolving tablets in water may not be
appropriate for all medications and does not address the underlying
swallowing difficulty.
QUESTION 2
A nurse is assessing a client's peripheral pulses. Which of the following
findings should the nurse report to the provider?
A) Bilateral radial pulses 2+
B) Dorsalis pedis pulses 1+
C) Femoral pulses symmetrical
D) Popliteal pulses palpable
ANSWER: B) Dorsalis pedis pulses 1+
RATIONALE: A dorsalis pedis pulse rated 1+ indicates a diminished or
weak pulse, which may suggest decreased peripheral perfusion. Pulse
strength is rated on a scale of 0 (absent) to 4+ (bounding). Normal
pulses are typically 2+. The nurse should report diminished pulses to the
provider as this may indicate peripheral vascular disease, arterial
insufficiency, or other circulatory problems. Bilateral radial pulses 2+ are
normal, symmetrical femoral pulses are expected, and palpable
popliteal pulses are also a normal finding.
,3|Page
QUESTION 3
A nurse is caring for a client who is postoperative and reports incisional
pain. The nurse administers an analgesic and documents the
administration. Which of the following documentation entries is most
appropriate?
A) "Client complaining of pain, analgesic given"
B) "Morphine sulfate 4 mg IV administered for incisional pain at 1400,
client reports pain relief at 1430"
C) "Gave pain medication per provider's orders"
D) "Client received 4 mg morphine, appears comfortable"
ANSWER: B) "Morphine sulfate 4 mg IV administered for incisional pain
at 1400, client reports pain relief at 1430"
RATIONALE: This documentation entry includes all necessary
components: the specific medication name, dose, route, time
administered, indication, and evaluation of effectiveness. This meets the
standards for accurate and comprehensive nursing documentation. The
other options lack specificity, do not include evaluation of effectiveness,
or use vague terminology that does not meet legal and professional
documentation standards.
QUESTION 4
A nurse is teaching a client about dietary modifications to manage
hypertension. Which of the following statements by the client indicates
understanding of the teaching?
, 4|Page
A) "I should limit my sodium intake to 3,000 mg per day"
B) "I can use salt substitutes freely without any concerns"
C) "I should increase my intake of fruits and vegetables"
D) "I need to avoid all carbohydrates in my diet"
ANSWER: C) "I should increase my intake of fruits and vegetables"
RATIONALE: Increasing intake of fruits and vegetables is a key
component of the DASH (Dietary Approaches to Stop Hypertension) diet,
which is recommended for managing hypertension. Fruits and
vegetables are rich in potassium, magnesium, and fiber, which can help
lower blood pressure. The recommended sodium limit for hypertension
management is typically 1,500 to 2,300 mg per day, not 3,000 mg. Salt
substitutes contain potassium and may be contraindicated for clients
with renal impairment or those taking potassium-sparing diuretics.
Avoiding all carbohydrates is not recommended and is unrelated to
hypertension management.
QUESTION 5
A nurse is performing a head-to-toe assessment on a client. Which of
the following techniques should the nurse use to assess the client's
abdomen?
A) Palpate the abdomen before auscultation
B) Auscultate the abdomen before palpation
C) Percuss the abdomen before inspection
