ATI FUNDAMENTALS CMS
PROCTORED FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS |GRADE A+|
JUST RELEASED
1. A nurse is reviewing a client’s medical record and notes a prescription for wrist restraints.
Which of the following actions should the nurse take?
A. Renew the prescription every 48 hours.
B. Check the client’s peripheral pulses every 2 hours.
C. Ensure two fingers can be inserted under the restraint.
D. Attach the restraints to the side rails of the bed.
Answer: C
Conceptual Explanation: Proper fit for restraints includes ensuring that two fingers can
be inserted between the restraint and the client’s wrist to prevent circulatory impairment.
Restraints should be attached to the bed frame, not side rails, and assessed more frequently
than every 2 hours depending on facility policy, typically every 15-30 minutes for safety
and neurovascular checks.
2. A nurse is preparing to administer an enteral feeding via a nasogastric tube. Which of the
following actions should the nurse take first?
A. Measure the gastric residual volume.
,B. Verify the placement of the tube via X-ray.
C. Flush the tube with 30 mL of water.
D. Warm the formula to room temperature.
Answer: B
Conceptual Explanation: The gold standard and first priority for verifying NG tube
placement before the initial feeding is a radiographic study (X-ray). While other actions like
measuring residual and flushing are parts of the process, ensuring correct placement is the
most critical safety step.
3. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer?
A. Vanilla pudding
B. Orange juice with pulp
C. Cream of mushroom soup
D. Apple juice
Answer: D
Conceptual Explanation: A clear liquid diet consists of foods that are liquid at room
temperature and are transparent. Apple juice is transparent, whereas pudding, orange juice
with pulp, and cream soups are considered full liquids or solid foods.
, 4. A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care.
Which of the following instructions should the nurse include?
A. Apply lotion between the toes after washing.
B. Use a heating pad to keep feet warm at night.
C. Trim toenails in a rounded shape.
D. Inspect the feet daily for any cuts or redness.
Answer: D
Conceptual Explanation: Daily inspection is crucial for early detection of injuries in
diabetic patients due to neuropathy. Lotion should not be applied between toes (promotes
fungal growth), heating pads are contraindicated due to risk of burns, and nails should be
trimmed straight across.
5. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I am not sure if
I want to go through with this.’ Which of the following responses should the nurse make?
A. ‘Don’t worry, your doctor is the best in the city.’
B. ‘Tell me more about what is making you feel unsure.’
C. ‘You should talk to your family about your concerns.’
D. ‘I will call the surgeon to cancel the procedure.’
Answer: B
PROCTORED FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS |GRADE A+|
JUST RELEASED
1. A nurse is reviewing a client’s medical record and notes a prescription for wrist restraints.
Which of the following actions should the nurse take?
A. Renew the prescription every 48 hours.
B. Check the client’s peripheral pulses every 2 hours.
C. Ensure two fingers can be inserted under the restraint.
D. Attach the restraints to the side rails of the bed.
Answer: C
Conceptual Explanation: Proper fit for restraints includes ensuring that two fingers can
be inserted between the restraint and the client’s wrist to prevent circulatory impairment.
Restraints should be attached to the bed frame, not side rails, and assessed more frequently
than every 2 hours depending on facility policy, typically every 15-30 minutes for safety
and neurovascular checks.
2. A nurse is preparing to administer an enteral feeding via a nasogastric tube. Which of the
following actions should the nurse take first?
A. Measure the gastric residual volume.
,B. Verify the placement of the tube via X-ray.
C. Flush the tube with 30 mL of water.
D. Warm the formula to room temperature.
Answer: B
Conceptual Explanation: The gold standard and first priority for verifying NG tube
placement before the initial feeding is a radiographic study (X-ray). While other actions like
measuring residual and flushing are parts of the process, ensuring correct placement is the
most critical safety step.
3. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer?
A. Vanilla pudding
B. Orange juice with pulp
C. Cream of mushroom soup
D. Apple juice
Answer: D
Conceptual Explanation: A clear liquid diet consists of foods that are liquid at room
temperature and are transparent. Apple juice is transparent, whereas pudding, orange juice
with pulp, and cream soups are considered full liquids or solid foods.
, 4. A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care.
Which of the following instructions should the nurse include?
A. Apply lotion between the toes after washing.
B. Use a heating pad to keep feet warm at night.
C. Trim toenails in a rounded shape.
D. Inspect the feet daily for any cuts or redness.
Answer: D
Conceptual Explanation: Daily inspection is crucial for early detection of injuries in
diabetic patients due to neuropathy. Lotion should not be applied between toes (promotes
fungal growth), heating pads are contraindicated due to risk of burns, and nails should be
trimmed straight across.
5. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I am not sure if
I want to go through with this.’ Which of the following responses should the nurse make?
A. ‘Don’t worry, your doctor is the best in the city.’
B. ‘Tell me more about what is making you feel unsure.’
C. ‘You should talk to your family about your concerns.’
D. ‘I will call the surgeon to cancel the procedure.’
Answer: B
