RN FUNDAMENTALS ATI PROCTORED EXAM – PRACTICE QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
*Core Domains*
*• Safety and Infection Control*
*• Basic Care and Comfort*
*• Pharmacological and Parenteral Therapies*
*• Health Promotion and Maintenance*
*• Psychosocial Integrity*
*• Physiological Adaptation*
*• Management of Care*
*• Legal and Ethical Aspects of Nursing*
*Introduction*
The purpose of this practice assessment is to evaluate the foundational nursing knowledge and clinical judgment
required for entry-level nursing practice. This exam assesses essential skills including patient safety, physical
assessment, and the implementation of basic nursing interventions. The structure utilizes a combination of
traditional multiple-choice questions and complex clinical scenarios designed to mirror the Next Generation
NCLEX (NGN) style. There is a heavy emphasis on real-world application, prioritizing patient needs, and
evidence-based decision-making. By engaging with these questions, candidates will refine their critical thinking
abilities and ensure readiness for the complexities of modern healthcare environments and regulatory standards.
SECTION ONE: QUESTIONS 1–100
1. A nurse is preparing to perform hand hygiene before providing client care. Which of the following actions is
appropriate when using an alcohol-based hand rub?
,A. Use only if hands are visibly soiled
B. Rub hands together until the solution is dry
C. Rinse hands with warm water after application
D. Apply a small amount and wipe off with a paper towel
🟢 Correct Answer: B
🔴 RATIONALE: Alcohol-based hand rubs should be rubbed into all surfaces of the hands and fingers until the
liquid has completely evaporated and the hands are dry to ensure maximum efficacy. They should not be used if
hands are visibly soiled.
2. A nurse is caring for a client who is at risk for falls. Which of the following interventions should the nurse
include in the plan of care?
A. Keep all four side rails in the up position
B. Place the bedside table across the foot of the bed
C. Instruct the client to use the call light before getting up
D. Ensure the bed is at its highest position for ease of egress
🟢 Correct Answer: C
🔴 RATIONALE: Instructing the client to use the call light ensures they receive assistance when moving, reducing
the risk of a fall. Keeping all four side rails up is considered a restraint.
3. A nurse is reviewing the medical record of a client who has a prescription for a clear liquid diet. Which of
the following food items should the nurse provide?
A. Vanilla pudding
B. Chicken broth
,C. Orange juice with pulp
D. Low-fat yogurt
🟢 Correct Answer: B
🔴 RATIONALE: Clear liquids consist of foods that are liquid at room temperature and transparent. Chicken broth
meets these criteria, whereas pudding and yogurt are full liquids, and pulp makes juice non-transparent.
4. A nurse is assessing a client's radial pulse and notes that the rhythm is irregular. Which of the following
actions should the nurse take next?
A. Document the finding as normal
B. Assess the pulse for a full minute
C. Notify the provider immediately
D. Check the pedal pulse for comparison
🟢 Correct Answer: B
🔴 RATIONALE: When an irregular peripheral pulse is detected, the nurse should count the pulse for a full 60
seconds (or assess the apical pulse for a full minute) to ensure an accurate measurement of the rate and rhythm.
5. A nurse is teaching a client about the use of a cane. Which of the following instructions should the nurse
include?
A. Hold the cane on the stronger side of the body
B. Move the stronger leg forward first
C. Keep the elbow straight when holding the cane
D. Place the cane 30 cm (12 in) in front of the feet
🟢 Correct Answer: A
🔴 RATIONALE: The cane should be held on the unaffected (stronger) side to provide support and stability for the
, opposite, weaker limb.
6. A nurse is preparing to administer an intramuscular injection to an adult client. Which of the following
needle lengths is appropriate for the ventrogluteal site?
A. 5/8 inch
B. 1 inch
C. 1.5 inches
D. 2 inches
🟢 Correct Answer: C
🔴 RATIONALE: For an average-sized adult, a 1.5-inch needle is typically used for ventrogluteal injections to
ensure the medication reaches the muscle tissue.
7. A nurse is caring for a client who is unconscious and requires oral hygiene. In which of the following
positions should the nurse place the client?
A. Supine
B. Fowler's
C. Lateral
D. Trendelenburg
🟢 Correct Answer: C
🔴 RATIONALE: Placing an unconscious client in a lateral (side-lying) position with the head turned toward the
side allows secretions to drain out of the mouth, significantly reducing the risk of aspiration.
8. A nurse is documenting care in a client's electronic health record. Which of the following entries is an
example of objective data?
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
*Core Domains*
*• Safety and Infection Control*
*• Basic Care and Comfort*
*• Pharmacological and Parenteral Therapies*
*• Health Promotion and Maintenance*
*• Psychosocial Integrity*
*• Physiological Adaptation*
*• Management of Care*
*• Legal and Ethical Aspects of Nursing*
*Introduction*
The purpose of this practice assessment is to evaluate the foundational nursing knowledge and clinical judgment
required for entry-level nursing practice. This exam assesses essential skills including patient safety, physical
assessment, and the implementation of basic nursing interventions. The structure utilizes a combination of
traditional multiple-choice questions and complex clinical scenarios designed to mirror the Next Generation
NCLEX (NGN) style. There is a heavy emphasis on real-world application, prioritizing patient needs, and
evidence-based decision-making. By engaging with these questions, candidates will refine their critical thinking
abilities and ensure readiness for the complexities of modern healthcare environments and regulatory standards.
SECTION ONE: QUESTIONS 1–100
1. A nurse is preparing to perform hand hygiene before providing client care. Which of the following actions is
appropriate when using an alcohol-based hand rub?
,A. Use only if hands are visibly soiled
B. Rub hands together until the solution is dry
C. Rinse hands with warm water after application
D. Apply a small amount and wipe off with a paper towel
🟢 Correct Answer: B
🔴 RATIONALE: Alcohol-based hand rubs should be rubbed into all surfaces of the hands and fingers until the
liquid has completely evaporated and the hands are dry to ensure maximum efficacy. They should not be used if
hands are visibly soiled.
2. A nurse is caring for a client who is at risk for falls. Which of the following interventions should the nurse
include in the plan of care?
A. Keep all four side rails in the up position
B. Place the bedside table across the foot of the bed
C. Instruct the client to use the call light before getting up
D. Ensure the bed is at its highest position for ease of egress
🟢 Correct Answer: C
🔴 RATIONALE: Instructing the client to use the call light ensures they receive assistance when moving, reducing
the risk of a fall. Keeping all four side rails up is considered a restraint.
3. A nurse is reviewing the medical record of a client who has a prescription for a clear liquid diet. Which of
the following food items should the nurse provide?
A. Vanilla pudding
B. Chicken broth
,C. Orange juice with pulp
D. Low-fat yogurt
🟢 Correct Answer: B
🔴 RATIONALE: Clear liquids consist of foods that are liquid at room temperature and transparent. Chicken broth
meets these criteria, whereas pudding and yogurt are full liquids, and pulp makes juice non-transparent.
4. A nurse is assessing a client's radial pulse and notes that the rhythm is irregular. Which of the following
actions should the nurse take next?
A. Document the finding as normal
B. Assess the pulse for a full minute
C. Notify the provider immediately
D. Check the pedal pulse for comparison
🟢 Correct Answer: B
🔴 RATIONALE: When an irregular peripheral pulse is detected, the nurse should count the pulse for a full 60
seconds (or assess the apical pulse for a full minute) to ensure an accurate measurement of the rate and rhythm.
5. A nurse is teaching a client about the use of a cane. Which of the following instructions should the nurse
include?
A. Hold the cane on the stronger side of the body
B. Move the stronger leg forward first
C. Keep the elbow straight when holding the cane
D. Place the cane 30 cm (12 in) in front of the feet
🟢 Correct Answer: A
🔴 RATIONALE: The cane should be held on the unaffected (stronger) side to provide support and stability for the
, opposite, weaker limb.
6. A nurse is preparing to administer an intramuscular injection to an adult client. Which of the following
needle lengths is appropriate for the ventrogluteal site?
A. 5/8 inch
B. 1 inch
C. 1.5 inches
D. 2 inches
🟢 Correct Answer: C
🔴 RATIONALE: For an average-sized adult, a 1.5-inch needle is typically used for ventrogluteal injections to
ensure the medication reaches the muscle tissue.
7. A nurse is caring for a client who is unconscious and requires oral hygiene. In which of the following
positions should the nurse place the client?
A. Supine
B. Fowler's
C. Lateral
D. Trendelenburg
🟢 Correct Answer: C
🔴 RATIONALE: Placing an unconscious client in a lateral (side-lying) position with the head turned toward the
side allows secretions to drain out of the mouth, significantly reducing the risk of aspiration.
8. A nurse is documenting care in a client's electronic health record. Which of the following entries is an
example of objective data?
