ATI FUNDAMENTALS CMS
PROCTORED PRACTICE EXAM
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is caring for a client who is postoperative and has a prescription for sequential
compression devices (SCDs). Which of the following actions should the nurse take?
A. Apply the sleeves while the client is sitting in a chair.
B. Set the pressure to 60 mm Hg for the inflation cycle.
C. Remove the sleeves every 24 hours for skin assessment.
D. Place two fingers between the sleeve and the client’s leg.
Answer: D
Conceptual Explanation: The nurse should be able to fit two fingers between the sleeve
and the client’s leg to ensure proper fit and prevent circulatory impairment.
2. A nurse is reviewing the medical records of several clients. For which of the following
clients should the nurse complete an incident report?
A. A client who requested a new primary care provider.
B. A client whose IV catheter site developed phlebitis.
C. A client who refused to participate in physical therapy.
,D. A client whose medication was administered 45 minutes late.
Answer: D
Conceptual Explanation: Medication errors, including late administration outside the
facility’s policy window, require an incident report to identify system issues.
3. A nurse is teaching a client who has a new prescription for a cane. Which of the following
instructions should the nurse include?
A. Hold the cane on the weaker side of the body.
B. Move the stronger leg forward first when walking.
C. Maintain two points of support on the ground at all times.
D. Advance the cane 30 to 45 cm (12 to 18 in) with each step.
Answer: C
Conceptual Explanation: Maintaining two points of support (either both feet or one foot
and the cane) provides better stability for the client.
4. A nurse is preparing to administer an intramuscular injection to an adult client. Which of
the following sites should the nurse use to minimize the risk of injury?
A. Dorsogluteal
B. Ventrogluteal
C. Deltoid
D. Vastus lateralis
, Answer: B
Conceptual Explanation: The ventrogluteal site is the safest for IM injections in adults
because it is away from major blood vessels and nerves.
5. A nurse is caring for a client who is at risk for falls. Which of the following actions should
the nurse take?
A. Keep the bed in the highest position.
B. Instruct the client to wear socks when ambulating.
C. Ensure the call light is within the client’s reach.
D. Place all four side rails in the upright position.
Answer: C
Conceptual Explanation: Ensuring the call light is reachable allows the client to request
assistance, reducing the likelihood of unassisted ambulation and falls.
6. A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of
the following actions should the nurse take?
A. Cleanse the perineal area from back to front.
B. Open the top flap of the sterile kit toward the body.
C. Lubricate the first 1 to 2 inches of the catheter tip.
D. Inflate the balloon before inserting the catheter.
Answer: C
PROCTORED PRACTICE EXAM
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is caring for a client who is postoperative and has a prescription for sequential
compression devices (SCDs). Which of the following actions should the nurse take?
A. Apply the sleeves while the client is sitting in a chair.
B. Set the pressure to 60 mm Hg for the inflation cycle.
C. Remove the sleeves every 24 hours for skin assessment.
D. Place two fingers between the sleeve and the client’s leg.
Answer: D
Conceptual Explanation: The nurse should be able to fit two fingers between the sleeve
and the client’s leg to ensure proper fit and prevent circulatory impairment.
2. A nurse is reviewing the medical records of several clients. For which of the following
clients should the nurse complete an incident report?
A. A client who requested a new primary care provider.
B. A client whose IV catheter site developed phlebitis.
C. A client who refused to participate in physical therapy.
,D. A client whose medication was administered 45 minutes late.
Answer: D
Conceptual Explanation: Medication errors, including late administration outside the
facility’s policy window, require an incident report to identify system issues.
3. A nurse is teaching a client who has a new prescription for a cane. Which of the following
instructions should the nurse include?
A. Hold the cane on the weaker side of the body.
B. Move the stronger leg forward first when walking.
C. Maintain two points of support on the ground at all times.
D. Advance the cane 30 to 45 cm (12 to 18 in) with each step.
Answer: C
Conceptual Explanation: Maintaining two points of support (either both feet or one foot
and the cane) provides better stability for the client.
4. A nurse is preparing to administer an intramuscular injection to an adult client. Which of
the following sites should the nurse use to minimize the risk of injury?
A. Dorsogluteal
B. Ventrogluteal
C. Deltoid
D. Vastus lateralis
, Answer: B
Conceptual Explanation: The ventrogluteal site is the safest for IM injections in adults
because it is away from major blood vessels and nerves.
5. A nurse is caring for a client who is at risk for falls. Which of the following actions should
the nurse take?
A. Keep the bed in the highest position.
B. Instruct the client to wear socks when ambulating.
C. Ensure the call light is within the client’s reach.
D. Place all four side rails in the upright position.
Answer: C
Conceptual Explanation: Ensuring the call light is reachable allows the client to request
assistance, reducing the likelihood of unassisted ambulation and falls.
6. A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of
the following actions should the nurse take?
A. Cleanse the perineal area from back to front.
B. Open the top flap of the sterile kit toward the body.
C. Lubricate the first 1 to 2 inches of the catheter tip.
D. Inflate the balloon before inserting the catheter.
Answer: C