ATI FUNDAMENTALS CMS
PROCTORED FINAL EXAM REVIEW
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?
A. 1.5 inches
B. 1 inch
C. 5/8 inch
D. 2 inches
Answer: A
Conceptual Explanation: For an obese adult client, a 1.5-inch needle is typically required
to ensure the medication reaches the muscle tissue rather than staying in the subcutaneous
layer.
2. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items is appropriate for this client?
A. Vanilla pudding
B. Orange juice with pulp
,C. Apple juice
D. Sherbet
Answer: C
Conceptual Explanation: Clear liquids include items that are liquid at room temperature
and transparent, such as apple juice, broth, and gelatin. Pulp and dairy-based items are not
allowed.
3. A nurse is documenting in a client’s medical record. Which of the following entries is an
example of objective data?
A. Client states, ‘I feel nauseated.’
B. Client reports pain level of 6 on a scale of 0 to 10.
C. Client’s skin is warm and dry to the touch.
D. Client appears anxious about upcoming surgery.
Answer: C
Conceptual Explanation: Objective data is observable and measurable information
obtained through physical examination or diagnostic tests. Subjective data includes the
client’s self-reported feelings.
4. Which of the following actions should a nurse take when performing tracheostomy care for
a client?
A. Clean the inner cannula with full-strength hydrogen peroxide.
, B. Use a sterile square knot to tie the tracheostomy ties.
C. Remove the old ties before securing the new ones.
D. Apply a sterile precut gauze dressing around the stoma.
Answer: D
Conceptual Explanation: A sterile precut gauze dressing (fenestrated) is used to absorb
secretions and prevent skin breakdown. Ties should never be removed before new ones
are secured to prevent accidental decannulation.
5. A nurse is teaching a client about the use of a cane. Which of the following instructions
should the nurse include?
A. Keep two points of support on the ground at all times.
B. Move the cane forward first, followed by the unaffected leg.
C. Hold the cane on the affected side.
D. Advance the cane 30 cm (12 in) with each step.
Answer: A
Conceptual Explanation: Maintaining two points of support (either both feet or one foot
and the cane) provides stability. The cane should be held on the unaffected side.
6. A nurse is assessing a client’s radial pulse and notes that it is irregular. Which of the
following actions should the nurse take?
A. Count the pulse for 30 seconds and multiply by 2.
PROCTORED FINAL EXAM REVIEW
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?
A. 1.5 inches
B. 1 inch
C. 5/8 inch
D. 2 inches
Answer: A
Conceptual Explanation: For an obese adult client, a 1.5-inch needle is typically required
to ensure the medication reaches the muscle tissue rather than staying in the subcutaneous
layer.
2. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items is appropriate for this client?
A. Vanilla pudding
B. Orange juice with pulp
,C. Apple juice
D. Sherbet
Answer: C
Conceptual Explanation: Clear liquids include items that are liquid at room temperature
and transparent, such as apple juice, broth, and gelatin. Pulp and dairy-based items are not
allowed.
3. A nurse is documenting in a client’s medical record. Which of the following entries is an
example of objective data?
A. Client states, ‘I feel nauseated.’
B. Client reports pain level of 6 on a scale of 0 to 10.
C. Client’s skin is warm and dry to the touch.
D. Client appears anxious about upcoming surgery.
Answer: C
Conceptual Explanation: Objective data is observable and measurable information
obtained through physical examination or diagnostic tests. Subjective data includes the
client’s self-reported feelings.
4. Which of the following actions should a nurse take when performing tracheostomy care for
a client?
A. Clean the inner cannula with full-strength hydrogen peroxide.
, B. Use a sterile square knot to tie the tracheostomy ties.
C. Remove the old ties before securing the new ones.
D. Apply a sterile precut gauze dressing around the stoma.
Answer: D
Conceptual Explanation: A sterile precut gauze dressing (fenestrated) is used to absorb
secretions and prevent skin breakdown. Ties should never be removed before new ones
are secured to prevent accidental decannulation.
5. A nurse is teaching a client about the use of a cane. Which of the following instructions
should the nurse include?
A. Keep two points of support on the ground at all times.
B. Move the cane forward first, followed by the unaffected leg.
C. Hold the cane on the affected side.
D. Advance the cane 30 cm (12 in) with each step.
Answer: A
Conceptual Explanation: Maintaining two points of support (either both feet or one foot
and the cane) provides stability. The cane should be held on the unaffected side.
6. A nurse is assessing a client’s radial pulse and notes that it is irregular. Which of the
following actions should the nurse take?
A. Count the pulse for 30 seconds and multiply by 2.
