ATI FUNDAMENTALS PROCTORED EXAM 2026/2027 – EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALE | 2027 Q&A | INSTANT
DOWNLOAD PDF
1. A nurse is preparing to assess a newly admitted client. Which action should the
nurse take first to establish an accurate baseline?
A. Review the client's previous discharge instructions
B. Perform a systematic assessment of the client's current health status
C. Ask the client to identify the expected treatment outcomes
D. Determine which family member will participate in care
Rationale: A systematic assessment establishes the client's current condition and provides
baseline data for identifying problems and evaluating changes. Previous records and family
participation can provide useful information but do not replace the initial assessment.
2. Which finding should the nurse recognize as an objective assessment finding?
A. “My pain is a 7 out of 10.”
B. “I feel dizzy when I stand.”
C. “I am worried about my surgery.”
D. Blood pressure is 88/54 mm Hg.
Rationale: Objective data are measurable or observable findings obtained through examination
or monitoring. Blood pressure is measurable, whereas the other findings are subjective reports
from the client.
3. A nurse is interviewing a client who reports abdominal pain. Which question best
encourages the client to provide additional information?
A. “Is the pain sharp?”
B. “Does the pain occur after eating?”
C. “Tell me more about the pain you are experiencing.”
D. “Is the pain located in your lower abdomen?”
,Rationale: An open-ended question encourages the client to describe the symptom in their own
words and provides broader assessment information. Closed-ended questions limit the amount of
information obtained.
4. A nurse is caring for a client who has difficulty hearing. Which intervention is
appropriate when communicating with the client?
A. Speak loudly directly into the client's ear.
B. Use exaggerated lip movements.
C. Stand behind the client to avoid distractions.
D. Face the client and speak clearly at a normal pace.
Rationale: Facing the client allows the person to use visual cues while hearing the message.
Speaking clearly at a normal pace is generally more effective than shouting or exaggerating
speech.
5. A client tells the nurse, “I am scared about what will happen after my diagnosis.”
Which response demonstrates therapeutic communication?
A. “You should try to remain positive.”
B. “Everything will probably work out.”
C. “There is no reason to be afraid.”
D. “Tell me more about what concerns you most.”
Rationale: This response acknowledges the client's concern and encourages further expression
of feelings. Reassurance that minimizes the client's concern can interfere with therapeutic
communication.
6. A nurse is preparing to obtain a client's blood pressure. Which action is
necessary for an accurate measurement?
A. Place the cuff over the client's clothing.
B. Position the arm below the level of the heart.
C. Select a cuff with a bladder width appropriate for the client's arm.
D. Have the client talk throughout the measurement.
,Rationale: An appropriately sized cuff is necessary for accurate blood pressure measurement.
Clothing, improper arm positioning, and talking can affect the reading.
7. A nurse observes that a client becomes pale, diaphoretic, and confused. Which
action should the nurse take first?
A. Document the findings.
B. Notify the client's family.
C. Reassess the client in 30 minutes.
D. Perform an immediate focused assessment and evaluate vital signs.
Rationale: Sudden pallor, diaphoresis, and confusion can indicate an acute deterioration. The
nurse should immediately assess the client's condition and vital signs before determining
subsequent interventions.
8. A nurse is developing a plan of care using the nursing process. Which activity
occurs during the planning phase?
A. Collecting subjective and objective data
B. Identifying the client's response to treatment
C. Establishing measurable goals and selecting appropriate interventions
D. Determining whether interventions produced the desired outcome
Rationale: Planning involves establishing measurable goals and selecting nursing interventions
based on identified problems. Assessment occurs before planning, while evaluation determines
whether goals were achieved.
9. Which statement represents an appropriately written measurable client outcome?
A. “The client will feel better soon.”
B. “The client will understand mobility.”
C. “The client will improve activity tolerance.”
D. “The client will ambulate 50 meters with assistance by the end of the shift.”
Rationale: A measurable outcome specifies the expected behavior, amount of activity, assistance
level, and timeframe. This allows the nurse to determine whether the goal was achieved.
, 10. A nurse is evaluating a client's response to an intervention. Which finding
indicates that the intervention was effective?
A. The client states that the treatment is unnecessary.
B. The nurse completes the intervention as scheduled.
C. The family reports that the client appears comfortable.
D. The client's respiratory rate decreases from 30/min to 20/min after oxygen therapy.
Rationale: Evaluation focuses on the client's response to care. A measurable improvement in
respiratory rate after the intervention provides objective evidence of the client's response.
11. A nurse is caring for a client who is at risk for falls. Which intervention should the
nurse implement?
A. Keep all four side rails raised.
B. Place the client's personal items out of reach.
C. Encourage the client to walk independently.
D. Keep the bed in the lowest position and the call light within reach.
Rationale: A low bed and accessible call light reduce fall risk while promoting the client's ability
to request assistance. Routine use of all four side rails can function as a restraint.
12. A client who is weak and unsteady asks to walk to the bathroom. What should
the nurse do?
A. Tell the client to use the bathroom independently.
B. Ask the client to wait until the next scheduled rounding time.
C. Assist the client with ambulation using an appropriate mobility aid.
D. Ask a family member to assist without further assessment.
Rationale: A weak and unsteady client has an increased risk for falling. The nurse should assess
the client's mobility needs and provide appropriate assistance rather than encouraging
independent ambulation.
13. A nurse is transferring a client from the bed to a wheelchair. Which action is
appropriate?
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALE | 2027 Q&A | INSTANT
DOWNLOAD PDF
1. A nurse is preparing to assess a newly admitted client. Which action should the
nurse take first to establish an accurate baseline?
A. Review the client's previous discharge instructions
B. Perform a systematic assessment of the client's current health status
C. Ask the client to identify the expected treatment outcomes
D. Determine which family member will participate in care
Rationale: A systematic assessment establishes the client's current condition and provides
baseline data for identifying problems and evaluating changes. Previous records and family
participation can provide useful information but do not replace the initial assessment.
2. Which finding should the nurse recognize as an objective assessment finding?
A. “My pain is a 7 out of 10.”
B. “I feel dizzy when I stand.”
C. “I am worried about my surgery.”
D. Blood pressure is 88/54 mm Hg.
Rationale: Objective data are measurable or observable findings obtained through examination
or monitoring. Blood pressure is measurable, whereas the other findings are subjective reports
from the client.
3. A nurse is interviewing a client who reports abdominal pain. Which question best
encourages the client to provide additional information?
A. “Is the pain sharp?”
B. “Does the pain occur after eating?”
C. “Tell me more about the pain you are experiencing.”
D. “Is the pain located in your lower abdomen?”
,Rationale: An open-ended question encourages the client to describe the symptom in their own
words and provides broader assessment information. Closed-ended questions limit the amount of
information obtained.
4. A nurse is caring for a client who has difficulty hearing. Which intervention is
appropriate when communicating with the client?
A. Speak loudly directly into the client's ear.
B. Use exaggerated lip movements.
C. Stand behind the client to avoid distractions.
D. Face the client and speak clearly at a normal pace.
Rationale: Facing the client allows the person to use visual cues while hearing the message.
Speaking clearly at a normal pace is generally more effective than shouting or exaggerating
speech.
5. A client tells the nurse, “I am scared about what will happen after my diagnosis.”
Which response demonstrates therapeutic communication?
A. “You should try to remain positive.”
B. “Everything will probably work out.”
C. “There is no reason to be afraid.”
D. “Tell me more about what concerns you most.”
Rationale: This response acknowledges the client's concern and encourages further expression
of feelings. Reassurance that minimizes the client's concern can interfere with therapeutic
communication.
6. A nurse is preparing to obtain a client's blood pressure. Which action is
necessary for an accurate measurement?
A. Place the cuff over the client's clothing.
B. Position the arm below the level of the heart.
C. Select a cuff with a bladder width appropriate for the client's arm.
D. Have the client talk throughout the measurement.
,Rationale: An appropriately sized cuff is necessary for accurate blood pressure measurement.
Clothing, improper arm positioning, and talking can affect the reading.
7. A nurse observes that a client becomes pale, diaphoretic, and confused. Which
action should the nurse take first?
A. Document the findings.
B. Notify the client's family.
C. Reassess the client in 30 minutes.
D. Perform an immediate focused assessment and evaluate vital signs.
Rationale: Sudden pallor, diaphoresis, and confusion can indicate an acute deterioration. The
nurse should immediately assess the client's condition and vital signs before determining
subsequent interventions.
8. A nurse is developing a plan of care using the nursing process. Which activity
occurs during the planning phase?
A. Collecting subjective and objective data
B. Identifying the client's response to treatment
C. Establishing measurable goals and selecting appropriate interventions
D. Determining whether interventions produced the desired outcome
Rationale: Planning involves establishing measurable goals and selecting nursing interventions
based on identified problems. Assessment occurs before planning, while evaluation determines
whether goals were achieved.
9. Which statement represents an appropriately written measurable client outcome?
A. “The client will feel better soon.”
B. “The client will understand mobility.”
C. “The client will improve activity tolerance.”
D. “The client will ambulate 50 meters with assistance by the end of the shift.”
Rationale: A measurable outcome specifies the expected behavior, amount of activity, assistance
level, and timeframe. This allows the nurse to determine whether the goal was achieved.
, 10. A nurse is evaluating a client's response to an intervention. Which finding
indicates that the intervention was effective?
A. The client states that the treatment is unnecessary.
B. The nurse completes the intervention as scheduled.
C. The family reports that the client appears comfortable.
D. The client's respiratory rate decreases from 30/min to 20/min after oxygen therapy.
Rationale: Evaluation focuses on the client's response to care. A measurable improvement in
respiratory rate after the intervention provides objective evidence of the client's response.
11. A nurse is caring for a client who is at risk for falls. Which intervention should the
nurse implement?
A. Keep all four side rails raised.
B. Place the client's personal items out of reach.
C. Encourage the client to walk independently.
D. Keep the bed in the lowest position and the call light within reach.
Rationale: A low bed and accessible call light reduce fall risk while promoting the client's ability
to request assistance. Routine use of all four side rails can function as a restraint.
12. A client who is weak and unsteady asks to walk to the bathroom. What should
the nurse do?
A. Tell the client to use the bathroom independently.
B. Ask the client to wait until the next scheduled rounding time.
C. Assist the client with ambulation using an appropriate mobility aid.
D. Ask a family member to assist without further assessment.
Rationale: A weak and unsteady client has an increased risk for falling. The nurse should assess
the client's mobility needs and provide appropriate assistance rather than encouraging
independent ambulation.
13. A nurse is transferring a client from the bed to a wheelchair. Which action is
appropriate?
