ATI PN CMS FUNDAMENTALS PROCTORED EXAM
(VERSION 1) QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF
Core Domains
Management of Care and Legal/Ethical Issues
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Nursing Process and Clinical Judgment
Introduction
This comprehensive examination assesses the fundamental
nursing knowledge and clinical decision-making skills
required for practical nursing practice. It evaluates safe,
,effective care environments, health promotion, psychosocial
integrity, and physiological integrity across the lifespan. The
examination employs multiple-choice and scenario-based
questions aligned with the ATI CMS Fundamentals blueprint.
Emphasis is placed on critical thinking, prioritization,
delegation, clinical judgment, and the application of nursing
knowledge in diverse healthcare settings. This assessment
prepares candidates for the rigor of the ATI PN CMS
Fundamentals Proctored Exam and real-world practical
nursing practice.
SECTION ONE: QUESTIONS 1–70
1. A nurse is caring for an older adult client and is
concerned that the client may have a fecal impaction.
Which of the following is the most important question for
the nurse to ask?
A. "What types of foods have you been eating?"
B. "Are you using stool softeners or laxatives?"
C. "Have you been passing gas?"
D. "Have you had small liquid stools?"
🟢 D. "Have you had small liquid stools?"
,🔴 RATIONALE: With a fecal impaction, liquid stool can leak
around the hardened mass (paradoxical diarrhea). Asking
about small liquid stools is key to identifying impaction.
Passing gas may still occur but is less specific.
2. A nurse is contributing to the plan of care for a client
who practices Islam. Which of the following questions
should the nurse ask the client to clarify the client's
religious preferences?
A. "Do you receive Holy Communion?"
B. "Do you follow a kosher diet?"
C. "Do you consume pork products?"
D. "Do you oppose receiving a blood transfusion if it is
needed?"
🟢 C. "Do you consume pork products?"
🔴 RATIONALE: Islam prohibits pork. Asking about pork
consumption respects dietary religious practices. Holy
Communion is Christian, kosher is Jewish, and blood
transfusions are generally accepted in Islam.
3. A nurse is reinforcing teaching with a client who is
scheduled for a bladder scan. Which of the following
instructions should the nurse include in the teaching?
, A. "You will need to sign a consent form before we begin the
procedure."
B. "I will place a gel pad directly above your pubic area
before I place the probe."
C. "You will need to hold your urine for 1 hour prior to the
procedure."
D. "You will receive a contrast dye through an IV catheter
prior to the scan."
🟢 B. "I will place a gel pad directly above your pubic area
before I place the probe."
🔴 RATIONALE: A bladder scan uses ultrasound; a gel pad
or gel is placed above the pubic area for probe contact. No
consent is required (noninvasive), a full bladder is needed
(don't void), and no contrast dye is used.
4. A nurse is caring for a client who has limited mobility.
Which of the following actions should the nurse take to
maintain the client's skin integrity?
A. Use warm water when bathing the client.
B. Place a donut-shaped cushion in the client's chair.
C. Massage reddened areas over bony prominences.
(VERSION 1) QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF
Core Domains
Management of Care and Legal/Ethical Issues
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Nursing Process and Clinical Judgment
Introduction
This comprehensive examination assesses the fundamental
nursing knowledge and clinical decision-making skills
required for practical nursing practice. It evaluates safe,
,effective care environments, health promotion, psychosocial
integrity, and physiological integrity across the lifespan. The
examination employs multiple-choice and scenario-based
questions aligned with the ATI CMS Fundamentals blueprint.
Emphasis is placed on critical thinking, prioritization,
delegation, clinical judgment, and the application of nursing
knowledge in diverse healthcare settings. This assessment
prepares candidates for the rigor of the ATI PN CMS
Fundamentals Proctored Exam and real-world practical
nursing practice.
SECTION ONE: QUESTIONS 1–70
1. A nurse is caring for an older adult client and is
concerned that the client may have a fecal impaction.
Which of the following is the most important question for
the nurse to ask?
A. "What types of foods have you been eating?"
B. "Are you using stool softeners or laxatives?"
C. "Have you been passing gas?"
D. "Have you had small liquid stools?"
🟢 D. "Have you had small liquid stools?"
,🔴 RATIONALE: With a fecal impaction, liquid stool can leak
around the hardened mass (paradoxical diarrhea). Asking
about small liquid stools is key to identifying impaction.
Passing gas may still occur but is less specific.
2. A nurse is contributing to the plan of care for a client
who practices Islam. Which of the following questions
should the nurse ask the client to clarify the client's
religious preferences?
A. "Do you receive Holy Communion?"
B. "Do you follow a kosher diet?"
C. "Do you consume pork products?"
D. "Do you oppose receiving a blood transfusion if it is
needed?"
🟢 C. "Do you consume pork products?"
🔴 RATIONALE: Islam prohibits pork. Asking about pork
consumption respects dietary religious practices. Holy
Communion is Christian, kosher is Jewish, and blood
transfusions are generally accepted in Islam.
3. A nurse is reinforcing teaching with a client who is
scheduled for a bladder scan. Which of the following
instructions should the nurse include in the teaching?
, A. "You will need to sign a consent form before we begin the
procedure."
B. "I will place a gel pad directly above your pubic area
before I place the probe."
C. "You will need to hold your urine for 1 hour prior to the
procedure."
D. "You will receive a contrast dye through an IV catheter
prior to the scan."
🟢 B. "I will place a gel pad directly above your pubic area
before I place the probe."
🔴 RATIONALE: A bladder scan uses ultrasound; a gel pad
or gel is placed above the pubic area for probe contact. No
consent is required (noninvasive), a full bladder is needed
(don't void), and no contrast dye is used.
4. A nurse is caring for a client who has limited mobility.
Which of the following actions should the nurse take to
maintain the client's skin integrity?
A. Use warm water when bathing the client.
B. Place a donut-shaped cushion in the client's chair.
C. Massage reddened areas over bony prominences.
