ATI RN FUNDAMENTALS PROCTORED EXAM QUESTIONS
AND ANSWERS LATEST UPDATE 2026/2027 ALL ANSWERS
CORRECT VERIFIED TO SCORE A+ FOR SUCCESS
A nurse is instructing an AP in caring for a client who has a low platelet count as a result of chemo.
Which of the following is the nurse's priority instruction for measuring vital signs for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP." - CORRECT ANSWERS A. "Don't
measure the client's temp rectally."
The greatest risk to a client w/a low platelet count is injury that results in bleeding, obtaining a temp
this way increases the risk for bleeding.
A nurse is instructing a group of nursing students in measuring a client's RR. Which of the following
guidelines should the nurse include? Select all.
A. Place the client in semi-Fowler's position
B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any signs the client demonstrates - CORRECT ANSWERS A, B, C
For D, this is if the rate is irregular after initial count, for E, sighs are expected & don't need to be
reported
A nurse who is admitting a client who has a fractured femur obtains a BP reading of 140/94 mmHg.
The client denies any history of HTN. Which of the following actions should the nurse take next?
A. Request a prescription for an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30min to recheck the client's BP - CORRECT ANSWERS B
Perform a pain assessment would be the appropriate action to take next
,A nurse is performing an admission assessment on a client. When measuring her vital signs, the
nurse finds that her radial pulse rate 68/min & her simultaneous apical pulse rate is 84/min. What is
the client's pulse deficit? - CORRECT ANSWERS 16/min
the pulse deficit is the difference between the apical & radial pulse rates.
84-68=16
A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the
following info should the nurse include when explaining the procedure to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated - CORRECT ANSWERS D.
The stool specimens cannot be contaminated with water or urine
A nurse is talking w/a client who reports constipation. When the nurse discusses dietary changes that
can help prevent constipation, which of the following foods should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice - CORRECT ANSWERS B.
A high-fiber diet promotes normal bowel elimination
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the
nurse should expect which of the following findings? Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema - CORRECT ANSWERS B, C, D
,fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic
procedure. Which of the following are appropriate steps for the nurse to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus - CORRECT ANSWERS A, B, C
-D is the appropriate length of insertion for a child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible painful distention of the colon, 18
inches is the recommended height
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of
the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - CORRECT ANSWERS D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the following problems
is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
, D. Fecal impaction - CORRECT ANSWERS Answer: C
Unrelieved pressure over a bony prominence for too long increases the risk of a pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for a client who is on bed rest. Which of the following interventions should the
nurse implement to maintain the patency of the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use - CORRECT ANSWERS Answer: D. it helps keep airways open
and prevent atelectasis
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following nursing interventions reduce the
risk of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often - CORRECT ANSWERS B, E
Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? -
CORRECT ANSWERS Yes.
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the
following client's needs may the nurse assign to an assistive personnel (AP)?
AND ANSWERS LATEST UPDATE 2026/2027 ALL ANSWERS
CORRECT VERIFIED TO SCORE A+ FOR SUCCESS
A nurse is instructing an AP in caring for a client who has a low platelet count as a result of chemo.
Which of the following is the nurse's priority instruction for measuring vital signs for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP." - CORRECT ANSWERS A. "Don't
measure the client's temp rectally."
The greatest risk to a client w/a low platelet count is injury that results in bleeding, obtaining a temp
this way increases the risk for bleeding.
A nurse is instructing a group of nursing students in measuring a client's RR. Which of the following
guidelines should the nurse include? Select all.
A. Place the client in semi-Fowler's position
B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any signs the client demonstrates - CORRECT ANSWERS A, B, C
For D, this is if the rate is irregular after initial count, for E, sighs are expected & don't need to be
reported
A nurse who is admitting a client who has a fractured femur obtains a BP reading of 140/94 mmHg.
The client denies any history of HTN. Which of the following actions should the nurse take next?
A. Request a prescription for an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30min to recheck the client's BP - CORRECT ANSWERS B
Perform a pain assessment would be the appropriate action to take next
,A nurse is performing an admission assessment on a client. When measuring her vital signs, the
nurse finds that her radial pulse rate 68/min & her simultaneous apical pulse rate is 84/min. What is
the client's pulse deficit? - CORRECT ANSWERS 16/min
the pulse deficit is the difference between the apical & radial pulse rates.
84-68=16
A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the
following info should the nurse include when explaining the procedure to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated - CORRECT ANSWERS D.
The stool specimens cannot be contaminated with water or urine
A nurse is talking w/a client who reports constipation. When the nurse discusses dietary changes that
can help prevent constipation, which of the following foods should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice - CORRECT ANSWERS B.
A high-fiber diet promotes normal bowel elimination
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the
nurse should expect which of the following findings? Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema - CORRECT ANSWERS B, C, D
,fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic
procedure. Which of the following are appropriate steps for the nurse to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus - CORRECT ANSWERS A, B, C
-D is the appropriate length of insertion for a child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible painful distention of the colon, 18
inches is the recommended height
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of
the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - CORRECT ANSWERS D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the following problems
is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
, D. Fecal impaction - CORRECT ANSWERS Answer: C
Unrelieved pressure over a bony prominence for too long increases the risk of a pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for a client who is on bed rest. Which of the following interventions should the
nurse implement to maintain the patency of the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use - CORRECT ANSWERS Answer: D. it helps keep airways open
and prevent atelectasis
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following nursing interventions reduce the
risk of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often - CORRECT ANSWERS B, E
Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? -
CORRECT ANSWERS Yes.
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the
following client's needs may the nurse assign to an assistive personnel (AP)?
