1
ATI FUNDAMENTAL RN ONLINE
PROCTORED
ATI FUNDAMENTAL LEVEL 3 EXAM
RN ONLINE
PROCTORED LEVEL1- 3 EXAM 3 FINAL 2026
Exam TEST BANK VERIFIED QUESTIONS
AND CORRECT ANSWERS with DETAILED
RATIONALES GRADED A+ GUARANTEED
PASS
When assessing a client with wrist restraints, the nurse observes that the fingers on the right
hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
, 2
ATI FUNDAMENTAL RN ONLINE
PROCTORED
The priority nursing action is to restore LEVEL
circulation by loosening the restraint 3
(A),EXAM
because blue
fingers (cyanosis) indicates decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of (A). Pulse oximetry (B) measures the saturation
of hemoglobin with oxygen and is not indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
Correct Answer: A
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all
conditions that require protein, but do not have the increased metabolic protein demands of
lactation.
Correct Answer: B
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin)
500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What
is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
To ensure that a therapeutic level of medication is maintained, the nurse should administer
the missed dose as soon as possible, and revise the administration schedule accordingly to
prevent dangerously increasing the level of the medication in the bloodstream (D). The nurse
should document the reason for the late dose, but (A and C) are not warranted. (B) could
result in increased blood levels of the drug.
Correct Answer: D
While instructing a male client's wife in the performance of passive range-of-motion exercises
to his contracted shoulder, the nurse observes that she is holding his arm above and below
the elbow. What nursing action should the nurse implement?
, 3
ATI FUNDAMENTAL RN ONLINE
PROCTORED
A. Acknowledge that she is supporting the arm correctly. LEVEL 3 EXAM
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
The wife is performing the passive ROM correctly, therefore the nurse should acknowledge
this fact (A). The joint that is being exercised should be uncovered (B) while the rest of the
body should remain covered for warmth and privacy. (C and D) do not provide adequate
support to the joint while still allowing for joint movement.
Correct Answer: A
What is the most important reason for starting intravenous infusions in the upper extremities
rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful procedure.
Venous return is usually better in the upper extremities. Cannulation of the veins in the lower
extremities increases the risk of thrombus formation (B) which, if dislodged, could be life-
threatening. Superficial veins are often very easy (A) to find in the feet and legs. Handling a
leg or foot with an IV (C) is probably not any more difficult than handling an arm or hand. Even
if the nurse did believe moving a cannulated leg was more difficult, this is not the most
important reason for using the upper extremities. Pain (D) is not a consideration.
Correct Answer: B
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure
with a cuff that is too small, but the blood pressure reading obtained is within the client's
usual range. What action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
The most important action is to ensure that an accurate BP reading is obtained. The nurse
should reassess the BP with the correct size cuff (B). Reassessment should not be postponed
(A). Though (C and D) are likely indicated, these actions do not have the priority of (B).
Correct Answer: B
, 4
ATI FUNDAMENTAL RN ONLINE
Twenty minutes after beginning PROCTORED LEVEL
a heat application, the client states that the3 EXAM
heating pad no
longer feels warm enough. What is the best response by the nurse?
A. "That means you have derived the maximum benefit, and the heat can be removed."
B. "Your blood vessels are becoming dilated and removing the heat from the site."
C. "We will increase the temperature 5 degrees when the pad no longer feels warm."
D. "The body's receptors adapt over time as they are exposed to heat."
(D) describes thermal adaptation, which occurs 20 to 30 minutes after heat application. (A
and B) provide false information. (C) is not based on a knowledge of physiology and is an
unsafe action that may harm the client.
Correct Answer: D
The nurse is instructing a client with high cholesterol about diet and life style modification.
What comment from the client indicates that the teaching has been effective?
A. "If I exercise at least two times weekly for one hour, I will lower my cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase."
Limiting saturated fat from animal food sources to no more than 4 ounces per week (C) is an
important diet modification for lowering cholesterol. To be effective in reducing cholesterol,
the client should exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat
and all proteins do not need to be eliminated (B) to lower cholesterol, but should be
restricted to lean cuts of red meat and smaller portions (2-ounce servings). The low density
lipoproteins (D) need to decrease rather than increase.
Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest
way to transfer an elderly client with left-sided weakness from the bed to the chair. What
method describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the right foot.
(D) uses the client's stronger side, the right side, for weight-bearing during the transfer, and is
the safest approach to take. (A, B, and C) are unsafe methods of transfer and include the use
of poor body mechanics by the caregiver.
ATI FUNDAMENTAL RN ONLINE
PROCTORED
ATI FUNDAMENTAL LEVEL 3 EXAM
RN ONLINE
PROCTORED LEVEL1- 3 EXAM 3 FINAL 2026
Exam TEST BANK VERIFIED QUESTIONS
AND CORRECT ANSWERS with DETAILED
RATIONALES GRADED A+ GUARANTEED
PASS
When assessing a client with wrist restraints, the nurse observes that the fingers on the right
hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
, 2
ATI FUNDAMENTAL RN ONLINE
PROCTORED
The priority nursing action is to restore LEVEL
circulation by loosening the restraint 3
(A),EXAM
because blue
fingers (cyanosis) indicates decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of (A). Pulse oximetry (B) measures the saturation
of hemoglobin with oxygen and is not indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
Correct Answer: A
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all
conditions that require protein, but do not have the increased metabolic protein demands of
lactation.
Correct Answer: B
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin)
500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What
is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
To ensure that a therapeutic level of medication is maintained, the nurse should administer
the missed dose as soon as possible, and revise the administration schedule accordingly to
prevent dangerously increasing the level of the medication in the bloodstream (D). The nurse
should document the reason for the late dose, but (A and C) are not warranted. (B) could
result in increased blood levels of the drug.
Correct Answer: D
While instructing a male client's wife in the performance of passive range-of-motion exercises
to his contracted shoulder, the nurse observes that she is holding his arm above and below
the elbow. What nursing action should the nurse implement?
, 3
ATI FUNDAMENTAL RN ONLINE
PROCTORED
A. Acknowledge that she is supporting the arm correctly. LEVEL 3 EXAM
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
The wife is performing the passive ROM correctly, therefore the nurse should acknowledge
this fact (A). The joint that is being exercised should be uncovered (B) while the rest of the
body should remain covered for warmth and privacy. (C and D) do not provide adequate
support to the joint while still allowing for joint movement.
Correct Answer: A
What is the most important reason for starting intravenous infusions in the upper extremities
rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful procedure.
Venous return is usually better in the upper extremities. Cannulation of the veins in the lower
extremities increases the risk of thrombus formation (B) which, if dislodged, could be life-
threatening. Superficial veins are often very easy (A) to find in the feet and legs. Handling a
leg or foot with an IV (C) is probably not any more difficult than handling an arm or hand. Even
if the nurse did believe moving a cannulated leg was more difficult, this is not the most
important reason for using the upper extremities. Pain (D) is not a consideration.
Correct Answer: B
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure
with a cuff that is too small, but the blood pressure reading obtained is within the client's
usual range. What action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
The most important action is to ensure that an accurate BP reading is obtained. The nurse
should reassess the BP with the correct size cuff (B). Reassessment should not be postponed
(A). Though (C and D) are likely indicated, these actions do not have the priority of (B).
Correct Answer: B
, 4
ATI FUNDAMENTAL RN ONLINE
Twenty minutes after beginning PROCTORED LEVEL
a heat application, the client states that the3 EXAM
heating pad no
longer feels warm enough. What is the best response by the nurse?
A. "That means you have derived the maximum benefit, and the heat can be removed."
B. "Your blood vessels are becoming dilated and removing the heat from the site."
C. "We will increase the temperature 5 degrees when the pad no longer feels warm."
D. "The body's receptors adapt over time as they are exposed to heat."
(D) describes thermal adaptation, which occurs 20 to 30 minutes after heat application. (A
and B) provide false information. (C) is not based on a knowledge of physiology and is an
unsafe action that may harm the client.
Correct Answer: D
The nurse is instructing a client with high cholesterol about diet and life style modification.
What comment from the client indicates that the teaching has been effective?
A. "If I exercise at least two times weekly for one hour, I will lower my cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase."
Limiting saturated fat from animal food sources to no more than 4 ounces per week (C) is an
important diet modification for lowering cholesterol. To be effective in reducing cholesterol,
the client should exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat
and all proteins do not need to be eliminated (B) to lower cholesterol, but should be
restricted to lean cuts of red meat and smaller portions (2-ounce servings). The low density
lipoproteins (D) need to decrease rather than increase.
Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest
way to transfer an elderly client with left-sided weakness from the bed to the chair. What
method describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the right foot.
(D) uses the client's stronger side, the right side, for weight-bearing during the transfer, and is
the safest approach to take. (A, B, and C) are unsafe methods of transfer and include the use
of poor body mechanics by the caregiver.
