ATI RN Fundamentals Proctored Exam with Accurate Questions & Correct
Answers (Verified Answers) and Full Deep Expert Rationales | Latest
(2026/2027) Updated Version {JUST RELEASED}
1. A nurse is caring for a client who has had diarrhea for the past 4 days. When
assessing the client, the nurse should expect which of the following findings?
Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema
Correct Answers: B, C, D
Expert Rationale: Fever is caused by dehydration (tachycardia, not bradycardia).
Hypotension occurs because of decreased BP from dehydration. Poor skin turgor is
due to fluid volume deficit. Peripheral edema is a sign of fluid overload, which is
not expected with diarrhea.
2. A nurse is preparing to administer a cleansing enema to an adult client in
preparation for a diagnostic procedure. Which of the following are appropriate
steps for the nurse to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side with the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
,E. Hang the enema container 24 inches above the client's anus
Correct Answers: A, B, C
Expert Rationale:
• D is the appropriate length of insertion for a child; 3–4 inches is appropriate
for an adult.
• E — 24 inches is too high and will cause it to run too fast and possibly cause
painful distention of the colon; 18 inches is the recommended height.
3. Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia?
Answer: Yes.
4. A nurse on a med-surg unit has received change-of-shift report and will care for
4 clients. Which of the following client's needs may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
5. A nurse is delegating the ambulation of a client who had knee arthroplasty 5
days ago to an AP. Which of the following information should the nurse share with
,the AP? Select All.
A. The roommate is up independently.
B. The client ambulates with his slippers on over his antiembolic stockings.
C. The client uses a front-wheeled walker when ambulating.
D. The client had pain medication 30 min ago.
E. The client is allergic to codeine.
F. The client ate 50% of his breakfast this morning.
Correct Answers: B, C, D
6. An RN is making assignments for client care to an LPN at the beginning of the
shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D. Replacing the cartridge and tubing on a PCA pump
Expert Rationale: The RN is responsible for the PCA pump.
7. A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the 5 rights of delegation?
Select all.
A. Right client
B. Right supervision/evaluation
, C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, E
8. A nurse manager of a med-surg unit is assigning care responsibilities for the
oncoming shift. A client is awaiting transfer back to the unit from the PACU
following thoracic surgery. To which staff member should the nurse assign to this
client?
A. Charge nurse
B. RN
C. LPN
D. AP
Correct Answer: B. RN
Expert Rationale: A client returning from surgery requires assessment and
establishment of a plan of care. RNs are responsible for this, especially if the client
is potentially unstable.
9. A nurse observes an AP reprimanding a client for not using the urinal properly.
The AP tells him she will put a diaper on him if he does not use the urinal more
carefully next time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
Answers (Verified Answers) and Full Deep Expert Rationales | Latest
(2026/2027) Updated Version {JUST RELEASED}
1. A nurse is caring for a client who has had diarrhea for the past 4 days. When
assessing the client, the nurse should expect which of the following findings?
Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema
Correct Answers: B, C, D
Expert Rationale: Fever is caused by dehydration (tachycardia, not bradycardia).
Hypotension occurs because of decreased BP from dehydration. Poor skin turgor is
due to fluid volume deficit. Peripheral edema is a sign of fluid overload, which is
not expected with diarrhea.
2. A nurse is preparing to administer a cleansing enema to an adult client in
preparation for a diagnostic procedure. Which of the following are appropriate
steps for the nurse to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side with the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
,E. Hang the enema container 24 inches above the client's anus
Correct Answers: A, B, C
Expert Rationale:
• D is the appropriate length of insertion for a child; 3–4 inches is appropriate
for an adult.
• E — 24 inches is too high and will cause it to run too fast and possibly cause
painful distention of the colon; 18 inches is the recommended height.
3. Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia?
Answer: Yes.
4. A nurse on a med-surg unit has received change-of-shift report and will care for
4 clients. Which of the following client's needs may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
5. A nurse is delegating the ambulation of a client who had knee arthroplasty 5
days ago to an AP. Which of the following information should the nurse share with
,the AP? Select All.
A. The roommate is up independently.
B. The client ambulates with his slippers on over his antiembolic stockings.
C. The client uses a front-wheeled walker when ambulating.
D. The client had pain medication 30 min ago.
E. The client is allergic to codeine.
F. The client ate 50% of his breakfast this morning.
Correct Answers: B, C, D
6. An RN is making assignments for client care to an LPN at the beginning of the
shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D. Replacing the cartridge and tubing on a PCA pump
Expert Rationale: The RN is responsible for the PCA pump.
7. A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the 5 rights of delegation?
Select all.
A. Right client
B. Right supervision/evaluation
, C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, E
8. A nurse manager of a med-surg unit is assigning care responsibilities for the
oncoming shift. A client is awaiting transfer back to the unit from the PACU
following thoracic surgery. To which staff member should the nurse assign to this
client?
A. Charge nurse
B. RN
C. LPN
D. AP
Correct Answer: B. RN
Expert Rationale: A client returning from surgery requires assessment and
establishment of a plan of care. RNs are responsible for this, especially if the client
is potentially unstable.
9. A nurse observes an AP reprimanding a client for not using the urinal properly.
The AP tells him she will put a diaper on him if he does not use the urinal more
carefully next time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
