ATI Fundamentals Proctored Exam
2019 Retake All Questions Correctly
Answered | Verified & Updated
2026/2027 100% Correct | Pass
Guaranteed | Grade A+
Q01 A nurse is preparing to administer a medication to a client. Which of the following actions
should the nurse take first?
Answer: Verify the client’s identity using two identifiers.
Rationale: The first action is to verify client identity using two patient identifiers (name, date of
birth, medical record number, etc.) to ensure the right medication is given to the right patient.
This is the priority step in the "five rights" of medication administration.
Q02 A nurse is reviewing a client’s medical record and notes that the client has a new
prescription for lisinopril. The nurse should monitor the client for which of the following adverse
effects?
Answer: Dry cough
Rationale: Lisinopril is an ACE inhibitor. A common adverse effect is a persistent dry cough
due to increased bradykinin levels. This is one of the most frequently reported side effects
leading to discontinuation.
Q03 A nurse is caring for a client who has a new prescription for albuterol inhaler. Which of the
following instructions should the nurse include in the teaching?
Answer: "Rinse your mouth after using the inhaler."
Rationale: Although albuterol is a short-acting beta-agonist (not a corticosteroid), rinsing the
mouth is still recommended to prevent dry mouth, throat irritation, and potential oral candidiasis
from residual medication.
Q04 A nurse is preparing to administer an enema to a client. Which of the following actions
should the nurse take?
, Answer: Place the client in the left lateral position.
Rationale: The left lateral (Sims’) position allows the enema solution to flow by gravity into the
sigmoid colon and rectum, following the natural anatomy of the colon.
Q05 A nurse is performing a dressing change on a client who has a wound with a drain. Which
of the following actions should the nurse take first?
Answer: Perform hand hygiene.
Rationale: Hand hygiene is the first action in any procedure to prevent the introduction of
microorganisms and is the priority step in infection control.
Q06 A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following foods should the nurse allow the client to have?
Answer: Apple juice
Rationale: Apple juice is clear, transparent, and residue-free, making it appropriate for a clear
liquid diet. Milk, orange juice with pulp, and solid foods are not allowed.
Q07 A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks
should the nurse delegate to the AP?
Answer: Obtaining vital signs on a stable client
Rationale: Obtaining vital signs on a stable client is within the scope of practice for AP.
Unstable clients or assessments requiring nursing judgment should not be delegated.
Q08 A nurse is providing oral hygiene for a client who is unconscious. Which of the following
actions should the nurse take?
Answer: Turn the client onto the side before beginning the procedure.
Rationale: Placing the client in a side-lying position helps prevent aspiration of oral secretions
during mouth care in unconscious patients.
Q09 A nurse is reviewing the medical record of a client who has a new prescription for
gentamicin. Which of the following findings should the nurse identify as a contraindication?
Answer: Creatinine clearance of 30 mL/min
Rationale: Gentamicin is nephrotoxic and ototoxic. Severe renal impairment (CrCl <30–40
mL/min) is a relative contraindication or requires significant dose adjustment.
2019 Retake All Questions Correctly
Answered | Verified & Updated
2026/2027 100% Correct | Pass
Guaranteed | Grade A+
Q01 A nurse is preparing to administer a medication to a client. Which of the following actions
should the nurse take first?
Answer: Verify the client’s identity using two identifiers.
Rationale: The first action is to verify client identity using two patient identifiers (name, date of
birth, medical record number, etc.) to ensure the right medication is given to the right patient.
This is the priority step in the "five rights" of medication administration.
Q02 A nurse is reviewing a client’s medical record and notes that the client has a new
prescription for lisinopril. The nurse should monitor the client for which of the following adverse
effects?
Answer: Dry cough
Rationale: Lisinopril is an ACE inhibitor. A common adverse effect is a persistent dry cough
due to increased bradykinin levels. This is one of the most frequently reported side effects
leading to discontinuation.
Q03 A nurse is caring for a client who has a new prescription for albuterol inhaler. Which of the
following instructions should the nurse include in the teaching?
Answer: "Rinse your mouth after using the inhaler."
Rationale: Although albuterol is a short-acting beta-agonist (not a corticosteroid), rinsing the
mouth is still recommended to prevent dry mouth, throat irritation, and potential oral candidiasis
from residual medication.
Q04 A nurse is preparing to administer an enema to a client. Which of the following actions
should the nurse take?
, Answer: Place the client in the left lateral position.
Rationale: The left lateral (Sims’) position allows the enema solution to flow by gravity into the
sigmoid colon and rectum, following the natural anatomy of the colon.
Q05 A nurse is performing a dressing change on a client who has a wound with a drain. Which
of the following actions should the nurse take first?
Answer: Perform hand hygiene.
Rationale: Hand hygiene is the first action in any procedure to prevent the introduction of
microorganisms and is the priority step in infection control.
Q06 A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following foods should the nurse allow the client to have?
Answer: Apple juice
Rationale: Apple juice is clear, transparent, and residue-free, making it appropriate for a clear
liquid diet. Milk, orange juice with pulp, and solid foods are not allowed.
Q07 A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks
should the nurse delegate to the AP?
Answer: Obtaining vital signs on a stable client
Rationale: Obtaining vital signs on a stable client is within the scope of practice for AP.
Unstable clients or assessments requiring nursing judgment should not be delegated.
Q08 A nurse is providing oral hygiene for a client who is unconscious. Which of the following
actions should the nurse take?
Answer: Turn the client onto the side before beginning the procedure.
Rationale: Placing the client in a side-lying position helps prevent aspiration of oral secretions
during mouth care in unconscious patients.
Q09 A nurse is reviewing the medical record of a client who has a new prescription for
gentamicin. Which of the following findings should the nurse identify as a contraindication?
Answer: Creatinine clearance of 30 mL/min
Rationale: Gentamicin is nephrotoxic and ototoxic. Severe renal impairment (CrCl <30–40
mL/min) is a relative contraindication or requires significant dose adjustment.
