ATI Fundamentals 2019 Proctored Exam | Fundamentals
Proctored Exam_UPDATED 2022/2023
1. A nurse is explaining the levels of health care to a group of new nurses. Which of the
following is an example of tertiary health care?
A. A community health fair offering blood pressure screenings
B. A rehabilitation center providing physical therapy after a stroke
C. An urgent care clinic treating a sprained ankle
D. A provider prescribing an antibiotic for an ear infection
B. A rehabilitation center providing physical therapy after a stroke
Tertiary care involves specialized, highly technical services such as rehabilitation,
chemotherapy, and intensive care. A is primary/preventive care, C is secondary/acute care, and
D is secondary care.
2. A nurse is reviewing the Affordable Care Act (ACA) with a group of clients. Which of the
following statements by a client indicates understanding?
A. "The ACA allows insurers to deny coverage for preexisting conditions."
B. "The ACA requires all individuals to have health insurance or pay a penalty."
C. "The ACA eliminates Medicare coverage for older adults."
D. "The ACA only applies to individuals younger than 18 years."
B. "The ACA requires all individuals to have health insurance or pay a penalty."
The ACA included an individual mandate (later reduced to $0 penalty) and prohibited denial
for preexisting conditions. It expanded, not eliminated, Medicare and applies to all ages.
3. A nurse is working in a facility that uses the functional nursing model of care delivery.
Which of the following is a characteristic of this model?
A. One nurse is assigned to provide total care for a group of clients.
B. Tasks are divided among team members based on skill level.
C. A primary nurse is responsible for a client's care from admission to discharge.
D. Care is provided by an interprofessional team collaborating on all clients.
B. Tasks are divided among team members based on skill level.
, Functional nursing assigns specific tasks (e.g., medication administration, vital signs) to
different staff members. A describes total patient care, C describes primary nursing, and D
describes interprofessional collaborative care.
4. A nurse manager is evaluating staffing for the upcoming shift. Which of the following
factors is the priority when making assignments?
A. The nurse's preference for certain clients
B. The acuity level of the clients
C. The number of years each nurse has worked at the facility
D. The distance each nurse travels to work
B. The acuity level of the clients
Client acuity and safety are the priority when making assignments. Preferences, seniority,
and commute are secondary considerations.
5. A nurse is describing the role of the case manager to a new graduate. Which of the
following activities is the responsibility of the case manager?
A. Performing bedside procedures
B. Coordinating care and resources across the continuum
C. Prescribing medications
D. Administering chemotherapy
B. Coordinating care and resources across the continuum
Case managers coordinate care, control costs, and ensure appropriate resource use. They
do not perform procedures, prescribe, or administer chemotherapy.
6. A nurse is caring for a client who requests a referral to a social worker. Which of the
following client needs is most appropriate for a social work referral?
A. Assistance with ambulation after surgery
B. Financial assistance and community resources
C. Instruction on insulin administration
D. Physical therapy for a fractured hip
B. Financial assistance and community resources
, Social workers address psychosocial, financial, and resource needs. A and D are PT/OT roles;
C is a nursing education role.
7. A nurse is explaining the concept of continuity of care. Which of the following best
describes this concept?
A. Care provided only in the acute care setting
B. Care that is coordinated across settings and providers over time
C. Care that is provided by a single nurse
D. Care that ends when the client is discharged
B. Care that is coordinated across settings and providers over time
Continuity of care ensures seamless coordination as clients move between settings and
providers. It does not end at discharge and is not limited to one setting or nurse.
8. A nurse is reviewing the roles of members of the interprofessional team. Which of the
following team members is responsible for evaluating a client's ability to perform activities of
daily living (ADLs)?
A. Respiratory therapist
B. Occupational therapist
C. Speech-language pathologist
D. Dietitian
B. Occupational therapist
Occupational therapists evaluate and improve a client's ability to perform ADLs. Respiratory
therapists manage airway/breathing, speech therapists address swallowing/communication,
and dietitians address nutrition.
9. A nurse is caring for a client who is being discharged home. Which of the following actions
should the nurse take first to ensure a safe transition?
A. Provide a list of community resources
B. Assess the client's home environment and support system
C. Schedule a follow-up appointment
D. Teach the client about medication side effects
, B. Assess the client's home environment and support system
Assessment is the first step of the nursing process. Identifying needs and risks before
discharge planning ensures a safe transition.
10. A nurse is discussing the role of the nurse advocate. Which of the following actions
demonstrates advocacy?
A. Making decisions for the client without consulting them
B. Ensuring the client's wishes are communicated to the health care team
C. Avoiding discussion of the client's concerns
D. Delegating all client communication to unlicensed personnel
B. Ensuring the client's wishes are communicated to the health care team
Advocacy involves supporting and communicating the client's wishes and rights. Nurses
should not make decisions for clients or avoid their concerns.
Section 2: Safety, Infection Control & Precautions
11. A nurse is preparing to care for a client who requires airborne precautions. Which of the
following personal protective equipment (PPE) is required?
A. Surgical mask
B. N95 respirator
C. Face shield only
D. Gown and gloves only
B. N95 respirator
Airborne precautions require an N95 respirator (or higher) and a negative-pressure room.
Surgical masks are for droplet precautions.
12. A nurse is caring for a client with Clostridioides difficile (C. difficile) infection. Which of the
following actions should the nurse take?
A. Use an alcohol-based hand rub after care
B. Wear a gown and gloves and wash hands with soap and water
Proctored Exam_UPDATED 2022/2023
1. A nurse is explaining the levels of health care to a group of new nurses. Which of the
following is an example of tertiary health care?
A. A community health fair offering blood pressure screenings
B. A rehabilitation center providing physical therapy after a stroke
C. An urgent care clinic treating a sprained ankle
D. A provider prescribing an antibiotic for an ear infection
B. A rehabilitation center providing physical therapy after a stroke
Tertiary care involves specialized, highly technical services such as rehabilitation,
chemotherapy, and intensive care. A is primary/preventive care, C is secondary/acute care, and
D is secondary care.
2. A nurse is reviewing the Affordable Care Act (ACA) with a group of clients. Which of the
following statements by a client indicates understanding?
A. "The ACA allows insurers to deny coverage for preexisting conditions."
B. "The ACA requires all individuals to have health insurance or pay a penalty."
C. "The ACA eliminates Medicare coverage for older adults."
D. "The ACA only applies to individuals younger than 18 years."
B. "The ACA requires all individuals to have health insurance or pay a penalty."
The ACA included an individual mandate (later reduced to $0 penalty) and prohibited denial
for preexisting conditions. It expanded, not eliminated, Medicare and applies to all ages.
3. A nurse is working in a facility that uses the functional nursing model of care delivery.
Which of the following is a characteristic of this model?
A. One nurse is assigned to provide total care for a group of clients.
B. Tasks are divided among team members based on skill level.
C. A primary nurse is responsible for a client's care from admission to discharge.
D. Care is provided by an interprofessional team collaborating on all clients.
B. Tasks are divided among team members based on skill level.
, Functional nursing assigns specific tasks (e.g., medication administration, vital signs) to
different staff members. A describes total patient care, C describes primary nursing, and D
describes interprofessional collaborative care.
4. A nurse manager is evaluating staffing for the upcoming shift. Which of the following
factors is the priority when making assignments?
A. The nurse's preference for certain clients
B. The acuity level of the clients
C. The number of years each nurse has worked at the facility
D. The distance each nurse travels to work
B. The acuity level of the clients
Client acuity and safety are the priority when making assignments. Preferences, seniority,
and commute are secondary considerations.
5. A nurse is describing the role of the case manager to a new graduate. Which of the
following activities is the responsibility of the case manager?
A. Performing bedside procedures
B. Coordinating care and resources across the continuum
C. Prescribing medications
D. Administering chemotherapy
B. Coordinating care and resources across the continuum
Case managers coordinate care, control costs, and ensure appropriate resource use. They
do not perform procedures, prescribe, or administer chemotherapy.
6. A nurse is caring for a client who requests a referral to a social worker. Which of the
following client needs is most appropriate for a social work referral?
A. Assistance with ambulation after surgery
B. Financial assistance and community resources
C. Instruction on insulin administration
D. Physical therapy for a fractured hip
B. Financial assistance and community resources
, Social workers address psychosocial, financial, and resource needs. A and D are PT/OT roles;
C is a nursing education role.
7. A nurse is explaining the concept of continuity of care. Which of the following best
describes this concept?
A. Care provided only in the acute care setting
B. Care that is coordinated across settings and providers over time
C. Care that is provided by a single nurse
D. Care that ends when the client is discharged
B. Care that is coordinated across settings and providers over time
Continuity of care ensures seamless coordination as clients move between settings and
providers. It does not end at discharge and is not limited to one setting or nurse.
8. A nurse is reviewing the roles of members of the interprofessional team. Which of the
following team members is responsible for evaluating a client's ability to perform activities of
daily living (ADLs)?
A. Respiratory therapist
B. Occupational therapist
C. Speech-language pathologist
D. Dietitian
B. Occupational therapist
Occupational therapists evaluate and improve a client's ability to perform ADLs. Respiratory
therapists manage airway/breathing, speech therapists address swallowing/communication,
and dietitians address nutrition.
9. A nurse is caring for a client who is being discharged home. Which of the following actions
should the nurse take first to ensure a safe transition?
A. Provide a list of community resources
B. Assess the client's home environment and support system
C. Schedule a follow-up appointment
D. Teach the client about medication side effects
, B. Assess the client's home environment and support system
Assessment is the first step of the nursing process. Identifying needs and risks before
discharge planning ensures a safe transition.
10. A nurse is discussing the role of the nurse advocate. Which of the following actions
demonstrates advocacy?
A. Making decisions for the client without consulting them
B. Ensuring the client's wishes are communicated to the health care team
C. Avoiding discussion of the client's concerns
D. Delegating all client communication to unlicensed personnel
B. Ensuring the client's wishes are communicated to the health care team
Advocacy involves supporting and communicating the client's wishes and rights. Nurses
should not make decisions for clients or avoid their concerns.
Section 2: Safety, Infection Control & Precautions
11. A nurse is preparing to care for a client who requires airborne precautions. Which of the
following personal protective equipment (PPE) is required?
A. Surgical mask
B. N95 respirator
C. Face shield only
D. Gown and gloves only
B. N95 respirator
Airborne precautions require an N95 respirator (or higher) and a negative-pressure room.
Surgical masks are for droplet precautions.
12. A nurse is caring for a client with Clostridioides difficile (C. difficile) infection. Which of the
following actions should the nurse take?
A. Use an alcohol-based hand rub after care
B. Wear a gown and gloves and wash hands with soap and water
