ATI RN Fundamentals CMS Proctored Exam with NGN | 2023-2026
Update - 200 Verified questions and Answers and Most Frequently
Tested Questions | Pass with a Level 3 Graded A+ Score 100%
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SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1–40)
1. A nurse is preparing to delegate client care tasks to an assistive personnel (AP). Which of the
following tasks should the nurse delegate?
A) Administering a tube feeding
B) Ambulating a client who is postoperative
C) Assessing a client’s pain level
D) Teaching a client how to use an incentive spirometer
Answer: B) Ambulating a client who is postoperative
Rationale: Ambulating a stable, postoperative client is within the scope of practice for AP.
Administration of tube feedings, assessment, and teaching require licensed nursing judgment
and should not be delegated.
2. A nurse is caring for a client who has a new prescription for wrist restraints. Which of the
following actions should the nurse take?
A) Tie the restraints to the side rail of the bed
B) Remove the restraints every 2 hours to check skin integrity
C) Secure the restraints with a quick‑release knot
D) Apply the restraints tightly to prevent movement
,Answer: C) Secure the restraints with a quick‑release knot
Rationale: Restraints must be secured with a quick‑release knot to allow for rapid removal in an
emergency. They should be tied to the bed frame, not the side rail, and removed every 2 hours
for skin assessment and range of motion.
3. A charge nurse is observing a new graduate nurse insert a urinary catheter. Which action
requires intervention?
A) The new graduate places the sterile field at waist level
B) The new graduate opens the outer packaging away from the body
C) The new graduate uses sterile gloves to handle the catheter
D) The new graduate sets up the sterile field 10 minutes before the procedure
Answer: D) The new graduate sets up the sterile field 10 minutes before the procedure
Rationale: A sterile field should be set up immediately before use to minimize the risk of
contamination. The other actions are correct sterile technique.
4. A nurse is planning care for a client who is on contact precautions. Which of the following
items must be worn when entering the client’s room?
A) Mask
B) Gown and gloves
C) N95 respirator
D) Eye protection
Answer: B) Gown and gloves
,Rationale: Contact precautions require a gown and gloves to prevent transmission of organisms
via direct contact. Mask, N95 respirator, and eye protection are used for droplet or airborne
precautions.
5. A nurse is preparing to administer a blood transfusion. Which of the following actions is most
important to prevent a transfusion reaction?
A) Use a 20‑gauge IV catheter
B) Prime the tubing with 0.9% sodium chloride
C) Verify the client’s identity using two identifiers
D) Stay with the client for the first 15 minutes
Answer: C) Verify the client’s identity using two identifiers
Rationale: Verification of client identity is the most critical step to prevent a transfusion reaction
(e.g., ABO incompatibility). Two identifiers (name, date of birth, medical record number) must
be checked against the blood product.
6. A nurse is providing discharge instructions to a client who has a new prescription for home
oxygen therapy. Which statement by the client indicates understanding?
A) “I can use an electric razor for shaving.”
B) “I will store my oxygen tank in the garage.”
C) “I can smoke as long as I am 10 feet away from the oxygen.”
D) “I will wear cotton clothing while using oxygen.”
Answer: D) “I will wear cotton clothing while using oxygen.”
, Rationale: Cotton is non‑static and safe. Electric razors and smoking are dangerous near oxygen.
Oxygen tanks should be stored in a well‑ventilated area away from heat sources.
7. A nurse is caring for a client who has a new diagnosis of Clostridioides difficile. Which of the
following is the appropriate type of precautions?
A) Standard precautions only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Answer: B) Contact precautions
Rationale: C. diff is spread by contact with contaminated surfaces or feces. Contact precautions
include a gown and gloves and using soap and water for hand hygiene.
8. A nurse is preparing to perform hand hygiene. Which of the following should the nurse do
when using an alcohol‑based hand rub?
A) Rub hands until they are completely dry
B) Use a paper towel to turn off the faucet
C) Wash hands with soap and water first if they are visibly soiled
D) Apply the rub to the palms only
Answer: C) Wash hands with soap and water first if they are visibly soiled
Rationale: Alcohol‑based hand rub is ineffective when hands are visibly soiled. In that case, soap
and water must be used. Otherwise, rub hands until dry, covering all surfaces.
Update - 200 Verified questions and Answers and Most Frequently
Tested Questions | Pass with a Level 3 Graded A+ Score 100%
---
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1–40)
1. A nurse is preparing to delegate client care tasks to an assistive personnel (AP). Which of the
following tasks should the nurse delegate?
A) Administering a tube feeding
B) Ambulating a client who is postoperative
C) Assessing a client’s pain level
D) Teaching a client how to use an incentive spirometer
Answer: B) Ambulating a client who is postoperative
Rationale: Ambulating a stable, postoperative client is within the scope of practice for AP.
Administration of tube feedings, assessment, and teaching require licensed nursing judgment
and should not be delegated.
2. A nurse is caring for a client who has a new prescription for wrist restraints. Which of the
following actions should the nurse take?
A) Tie the restraints to the side rail of the bed
B) Remove the restraints every 2 hours to check skin integrity
C) Secure the restraints with a quick‑release knot
D) Apply the restraints tightly to prevent movement
,Answer: C) Secure the restraints with a quick‑release knot
Rationale: Restraints must be secured with a quick‑release knot to allow for rapid removal in an
emergency. They should be tied to the bed frame, not the side rail, and removed every 2 hours
for skin assessment and range of motion.
3. A charge nurse is observing a new graduate nurse insert a urinary catheter. Which action
requires intervention?
A) The new graduate places the sterile field at waist level
B) The new graduate opens the outer packaging away from the body
C) The new graduate uses sterile gloves to handle the catheter
D) The new graduate sets up the sterile field 10 minutes before the procedure
Answer: D) The new graduate sets up the sterile field 10 minutes before the procedure
Rationale: A sterile field should be set up immediately before use to minimize the risk of
contamination. The other actions are correct sterile technique.
4. A nurse is planning care for a client who is on contact precautions. Which of the following
items must be worn when entering the client’s room?
A) Mask
B) Gown and gloves
C) N95 respirator
D) Eye protection
Answer: B) Gown and gloves
,Rationale: Contact precautions require a gown and gloves to prevent transmission of organisms
via direct contact. Mask, N95 respirator, and eye protection are used for droplet or airborne
precautions.
5. A nurse is preparing to administer a blood transfusion. Which of the following actions is most
important to prevent a transfusion reaction?
A) Use a 20‑gauge IV catheter
B) Prime the tubing with 0.9% sodium chloride
C) Verify the client’s identity using two identifiers
D) Stay with the client for the first 15 minutes
Answer: C) Verify the client’s identity using two identifiers
Rationale: Verification of client identity is the most critical step to prevent a transfusion reaction
(e.g., ABO incompatibility). Two identifiers (name, date of birth, medical record number) must
be checked against the blood product.
6. A nurse is providing discharge instructions to a client who has a new prescription for home
oxygen therapy. Which statement by the client indicates understanding?
A) “I can use an electric razor for shaving.”
B) “I will store my oxygen tank in the garage.”
C) “I can smoke as long as I am 10 feet away from the oxygen.”
D) “I will wear cotton clothing while using oxygen.”
Answer: D) “I will wear cotton clothing while using oxygen.”
, Rationale: Cotton is non‑static and safe. Electric razors and smoking are dangerous near oxygen.
Oxygen tanks should be stored in a well‑ventilated area away from heat sources.
7. A nurse is caring for a client who has a new diagnosis of Clostridioides difficile. Which of the
following is the appropriate type of precautions?
A) Standard precautions only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Answer: B) Contact precautions
Rationale: C. diff is spread by contact with contaminated surfaces or feces. Contact precautions
include a gown and gloves and using soap and water for hand hygiene.
8. A nurse is preparing to perform hand hygiene. Which of the following should the nurse do
when using an alcohol‑based hand rub?
A) Rub hands until they are completely dry
B) Use a paper towel to turn off the faucet
C) Wash hands with soap and water first if they are visibly soiled
D) Apply the rub to the palms only
Answer: C) Wash hands with soap and water first if they are visibly soiled
Rationale: Alcohol‑based hand rub is ineffective when hands are visibly soiled. In that case, soap
and water must be used. Otherwise, rub hands until dry, covering all surfaces.
