ATI FUNDAMENTALS CMS
PROCTORED FINAL EXAM 2026/2027
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is preparing to administer an intramuscular injection to an adult client who is
obese. Which of the following needle lengths should the nurse select to ensure the
medication reaches the muscle tissue?
A. 1.5 inches
B. 1 inch
C. 5/8 inch
D. 2 inches
Answer: A
Conceptual Explanation: For an average adult, a 1 to 1.5-inch needle is standard, but for
an obese client, a 1.5-inch needle is necessary to penetrate the subcutaneous fat and reach
the muscle. Some cases may require 2-3 inches, but 1.5 is the standard upper range for
deep IM.
2. A nurse is caring for a client who is on airborne precautions. Which of the following
protective equipment is required when entering the client’s room?
A. N95 respirator
,B. Surgical mask
C. Face shield
D. Gown and gloves only
Answer: A
Conceptual Explanation: Airborne precautions require the use of a fit-tested N95
respirator to filter out small droplets that remain suspended in the air. Surgical masks are
used for droplet precautions.
3. A nurse is assessing a client for orthostatic hypotension. Which of the following findings
indicates the client is experiencing this condition?
A. A decrease in systolic pressure by 10 mm Hg when standing
B. An increase in heart rate by 5 bpm when sitting up
C. A decrease in diastolic pressure by 10 mm Hg when standing
D. An increase in systolic pressure by 20 mm Hg when standing
Answer: C
Conceptual Explanation: Orthostatic hypotension is defined as a decrease in systolic
blood pressure of 20 mm Hg or more, or a decrease in diastolic blood pressure of 10 mm
Hg or more within 3 minutes of standing.
, 4. A nurse is performing a physical assessment on a client. Which of the following techniques
should the nurse use first when assessing the abdomen?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation
Answer: B
Conceptual Explanation: The correct sequence for abdominal assessment is Inspection,
Auscultation, Percussion, and Palpation (IAPP) to avoid altering bowel sounds through
manipulation.
5. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take?
A. Include the first voided specimen at the start of the 24-hour period
B. Store the urine in a clear container at room temperature
C. Discard the first voided specimen and start the timer
D. Restart the collection if the client misses one voiding
Answer: C
PROCTORED FINAL EXAM 2026/2027
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is preparing to administer an intramuscular injection to an adult client who is
obese. Which of the following needle lengths should the nurse select to ensure the
medication reaches the muscle tissue?
A. 1.5 inches
B. 1 inch
C. 5/8 inch
D. 2 inches
Answer: A
Conceptual Explanation: For an average adult, a 1 to 1.5-inch needle is standard, but for
an obese client, a 1.5-inch needle is necessary to penetrate the subcutaneous fat and reach
the muscle. Some cases may require 2-3 inches, but 1.5 is the standard upper range for
deep IM.
2. A nurse is caring for a client who is on airborne precautions. Which of the following
protective equipment is required when entering the client’s room?
A. N95 respirator
,B. Surgical mask
C. Face shield
D. Gown and gloves only
Answer: A
Conceptual Explanation: Airborne precautions require the use of a fit-tested N95
respirator to filter out small droplets that remain suspended in the air. Surgical masks are
used for droplet precautions.
3. A nurse is assessing a client for orthostatic hypotension. Which of the following findings
indicates the client is experiencing this condition?
A. A decrease in systolic pressure by 10 mm Hg when standing
B. An increase in heart rate by 5 bpm when sitting up
C. A decrease in diastolic pressure by 10 mm Hg when standing
D. An increase in systolic pressure by 20 mm Hg when standing
Answer: C
Conceptual Explanation: Orthostatic hypotension is defined as a decrease in systolic
blood pressure of 20 mm Hg or more, or a decrease in diastolic blood pressure of 10 mm
Hg or more within 3 minutes of standing.
, 4. A nurse is performing a physical assessment on a client. Which of the following techniques
should the nurse use first when assessing the abdomen?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation
Answer: B
Conceptual Explanation: The correct sequence for abdominal assessment is Inspection,
Auscultation, Percussion, and Palpation (IAPP) to avoid altering bowel sounds through
manipulation.
5. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take?
A. Include the first voided specimen at the start of the 24-hour period
B. Store the urine in a clear container at room temperature
C. Discard the first voided specimen and start the timer
D. Restart the collection if the client misses one voiding
Answer: C
