ATI FUNDAMENTALS CMS
PROCTORED MIDTERM EXAM
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is preparing to administer a liquid medication to an infant. Which of the following
actions should the nurse take?
A. Administer the medication with the infant in a supine position.
B. Use a tablespoon to measure the medication.
C. Mix the medication with the infant’s formula.
D. Place the syringe in the side of the infant’s mouth.
Answer: D
Conceptual Explanation: To prevent aspiration, the syringe should be placed in the side of
the infant’s mouth. The infant should be held in a semi-reclining position, not supine.
Medication should not be mixed with formula as the infant may not finish it.
2. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food choices is appropriate?
A. Apple juice
B. Vanilla ice cream
,C. Orange juice with pulp
D. Cream of mushroom soup
Answer: A
Conceptual Explanation: Apple juice is a clear liquid. Orange juice with pulp, ice cream
(dairy), and cream soups are not considered clear liquids.
3. A nurse is assessing a client’s radial pulse and determines the rhythm is irregular. Which of
the following actions should the nurse take?
A. Assess the carotid pulse instead.
B. Assess the pulse using a Doppler device.
C. Document the findings and recheck in 4 hours.
D. Assess the pulse for a full minute.
Answer: D
Conceptual Explanation: If a peripheral pulse is irregular, the nurse should count the rate
for a full minute to ensure accuracy and assess the pattern of irregularity.
4. A nurse is preparing to perform tracheostomy care for a client. Which of the following
actions should the nurse take first?
A. Perform hand hygiene.
B. Open all sterile supplies.
C. Don sterile gloves.
, D. Remove the inner cannula.
Answer: A
Conceptual Explanation: The first step in any clinical procedure is hand hygiene to
prevent the spread of microorganisms.
5. A nurse is reviewing the laboratory results of a client who has a pressure injury. Which of
the following findings indicates a risk for impaired wound healing?
A. Prealbumin 25 mg/dL
B. WBC count 8,000/mm3
C. Hemoglobin 14 g/dL
D. Serum albumin 3.0 g/dL
Answer: D
Conceptual Explanation: A serum albumin level below 3.5 g/dL indicates protein
deficiency, which is essential for wound healing and tissue repair.
6. A nurse is caring for a client who is on contact precautions. Which of the following actions
is appropriate?
A. Wear an N95 respirator when entering the room.
B. Dedicate a disposable stethoscope for this client.
C. Keep the door to the room closed at all times.
D. Wear a mask when working within 3 feet of the client.
PROCTORED MIDTERM EXAM
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is preparing to administer a liquid medication to an infant. Which of the following
actions should the nurse take?
A. Administer the medication with the infant in a supine position.
B. Use a tablespoon to measure the medication.
C. Mix the medication with the infant’s formula.
D. Place the syringe in the side of the infant’s mouth.
Answer: D
Conceptual Explanation: To prevent aspiration, the syringe should be placed in the side of
the infant’s mouth. The infant should be held in a semi-reclining position, not supine.
Medication should not be mixed with formula as the infant may not finish it.
2. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food choices is appropriate?
A. Apple juice
B. Vanilla ice cream
,C. Orange juice with pulp
D. Cream of mushroom soup
Answer: A
Conceptual Explanation: Apple juice is a clear liquid. Orange juice with pulp, ice cream
(dairy), and cream soups are not considered clear liquids.
3. A nurse is assessing a client’s radial pulse and determines the rhythm is irregular. Which of
the following actions should the nurse take?
A. Assess the carotid pulse instead.
B. Assess the pulse using a Doppler device.
C. Document the findings and recheck in 4 hours.
D. Assess the pulse for a full minute.
Answer: D
Conceptual Explanation: If a peripheral pulse is irregular, the nurse should count the rate
for a full minute to ensure accuracy and assess the pattern of irregularity.
4. A nurse is preparing to perform tracheostomy care for a client. Which of the following
actions should the nurse take first?
A. Perform hand hygiene.
B. Open all sterile supplies.
C. Don sterile gloves.
, D. Remove the inner cannula.
Answer: A
Conceptual Explanation: The first step in any clinical procedure is hand hygiene to
prevent the spread of microorganisms.
5. A nurse is reviewing the laboratory results of a client who has a pressure injury. Which of
the following findings indicates a risk for impaired wound healing?
A. Prealbumin 25 mg/dL
B. WBC count 8,000/mm3
C. Hemoglobin 14 g/dL
D. Serum albumin 3.0 g/dL
Answer: D
Conceptual Explanation: A serum albumin level below 3.5 g/dL indicates protein
deficiency, which is essential for wound healing and tissue repair.
6. A nurse is caring for a client who is on contact precautions. Which of the following actions
is appropriate?
A. Wear an N95 respirator when entering the room.
B. Dedicate a disposable stethoscope for this client.
C. Keep the door to the room closed at all times.
D. Wear a mask when working within 3 feet of the client.
