ATI Fundamentals CMS Proctored Exam
2026/2027 | Newly Released
70 Verified Questions, Answers and detailed Rationales
Graded A+ | 100% Correct | Guaranteed Pass
Q1: A nurse is caring for a client who has Clostridium difficile infection. Which of the
following infection control precautions should the nurse implement?
A. Wear a N95 respirator mask when entering the room.
B. Place the client in a negative pressure room.
C. Use alcohol-based hand rub before leaving the client's room.
D. Wear a gown and gloves when providing direct care.
Correct Answer: D
Rationale: Correct because C. difficile is spread through contact with spores found in
feces, requiring Contact Precautions which include wearing a gown and gloves for any
contact with the client or their environment. Alcohol-based hand rub is not effective
against C. difficile spores, so hands must be washed with soap and water.
Q2: A nurse is caring for a client who reports severe pain and requests an opioid
analgesic. Which of the following actions should the nurse take first?
A. Check the client's medical record for allergies.
B. Assess the client's pain level on a 0 to 10 scale.
C. Administer the prescribed medication via the IV route.
D. Notify the provider of the client's request.
Correct Answer: A
Rationale: The nurse's priority action is to ensure the safety of the client by checking
for allergies before administering any medication, particularly opioids, to prevent an
,anaphylactic reaction. Assessment is vital, but safety regarding allergies takes
precedence in the "rights" of medication administration workflow to avoid harm.
Q3: A nurse is planning care for a group of clients. Which of the following tasks should
the nurse delegate to an assistive personnel (AP)?
A. Measuring the output from a client's indwelling urinary catheter.
B. Instructing a client on how to use a incentive spirometer.
C. Evaluating a client's understanding of a newly prescribed diet.
D. Admitting a new client to the unit.
Correct Answer: A
Rationale: Correct because measuring urinary output is a standardized, unambiguous
task that falls within the scope of practice for assistive personnel. Instructing,
evaluating, and admitting require nursing judgment and licensure, and therefore cannot
be delegated.
Q4: A provider prescribes morphine sulfate 2.5 mg IV bolus. The medication is available
in a vial labeled 10 mg/mL. How many mL should the nurse administer? (Round the
answer to the nearest tenth. Use a leading zero if applicable. Do not use a trailing zer o.)
A. 0.2 mL
B. 0.3 mL
C. 0.25 mL
D. 2.5 mL
Correct Answer: C
Rationale: Correct because the calculation is Desired dose (2.5 mg) divided by
Concentration (10 mg/mL), which equals 0.25 mL. The nurse should administer exactly
0.25 mL to deliver the prescribed dosage.
, Q5: A nurse is discussing discharge instructions with a client who is going home with a
new prescription for warfarin. Which of the following statements by the client indicates
a need for further teaching?
A. "I will use a soft-bristled toothbrush."
B. "I will eat plenty of green, leafy vegetables."
C. "I will report any nosebleeds to my doctor."
D. "I will have my blood work checked regularly."
Correct Answer: B
Rationale: Correct because green, leafy vegetables contain high amounts of vitamin K,
which antagonizes the effects of warfarin, leading to a decreased INR and increased risk
of clot formation. The client should maintain a consistent intake of vitamin K rather
than suddenly increasing or decreasing consumption.
Q6: A nurse is assessing an older adult client. Which of the following findings should the
nurse expect as a normal physiological change of aging?
A. Increased turgor of the skin.
B. Decreased visual acuity.
C. Increased resting heart rate.
D. Decreased appetite for protein.
Correct Answer: B
Rationale: Correct because the lens of the eye loses elasticity and becomes opaque with
age, causing a decline in visual acuity and presbyopia. Other normal changes include
loss of skin elasticity (decreased turgor) and slight changes in heart rate, but visual
decline is a universal expected finding.
Q7: A nurse is performing a sterile dressing change. Which of the following actions
contaminates the sterile field?
A. Pouring sterile saline into the sterile field basin from a height of 6 inches.
B. Holding the sterile gauze 2 inches above the sterile field.
C. Opening the outermost flap of the sterile kit away from the nurse's body.
D. Tying the sterile glove ties around the wrist.
2026/2027 | Newly Released
70 Verified Questions, Answers and detailed Rationales
Graded A+ | 100% Correct | Guaranteed Pass
Q1: A nurse is caring for a client who has Clostridium difficile infection. Which of the
following infection control precautions should the nurse implement?
A. Wear a N95 respirator mask when entering the room.
B. Place the client in a negative pressure room.
C. Use alcohol-based hand rub before leaving the client's room.
D. Wear a gown and gloves when providing direct care.
Correct Answer: D
Rationale: Correct because C. difficile is spread through contact with spores found in
feces, requiring Contact Precautions which include wearing a gown and gloves for any
contact with the client or their environment. Alcohol-based hand rub is not effective
against C. difficile spores, so hands must be washed with soap and water.
Q2: A nurse is caring for a client who reports severe pain and requests an opioid
analgesic. Which of the following actions should the nurse take first?
A. Check the client's medical record for allergies.
B. Assess the client's pain level on a 0 to 10 scale.
C. Administer the prescribed medication via the IV route.
D. Notify the provider of the client's request.
Correct Answer: A
Rationale: The nurse's priority action is to ensure the safety of the client by checking
for allergies before administering any medication, particularly opioids, to prevent an
,anaphylactic reaction. Assessment is vital, but safety regarding allergies takes
precedence in the "rights" of medication administration workflow to avoid harm.
Q3: A nurse is planning care for a group of clients. Which of the following tasks should
the nurse delegate to an assistive personnel (AP)?
A. Measuring the output from a client's indwelling urinary catheter.
B. Instructing a client on how to use a incentive spirometer.
C. Evaluating a client's understanding of a newly prescribed diet.
D. Admitting a new client to the unit.
Correct Answer: A
Rationale: Correct because measuring urinary output is a standardized, unambiguous
task that falls within the scope of practice for assistive personnel. Instructing,
evaluating, and admitting require nursing judgment and licensure, and therefore cannot
be delegated.
Q4: A provider prescribes morphine sulfate 2.5 mg IV bolus. The medication is available
in a vial labeled 10 mg/mL. How many mL should the nurse administer? (Round the
answer to the nearest tenth. Use a leading zero if applicable. Do not use a trailing zer o.)
A. 0.2 mL
B. 0.3 mL
C. 0.25 mL
D. 2.5 mL
Correct Answer: C
Rationale: Correct because the calculation is Desired dose (2.5 mg) divided by
Concentration (10 mg/mL), which equals 0.25 mL. The nurse should administer exactly
0.25 mL to deliver the prescribed dosage.
, Q5: A nurse is discussing discharge instructions with a client who is going home with a
new prescription for warfarin. Which of the following statements by the client indicates
a need for further teaching?
A. "I will use a soft-bristled toothbrush."
B. "I will eat plenty of green, leafy vegetables."
C. "I will report any nosebleeds to my doctor."
D. "I will have my blood work checked regularly."
Correct Answer: B
Rationale: Correct because green, leafy vegetables contain high amounts of vitamin K,
which antagonizes the effects of warfarin, leading to a decreased INR and increased risk
of clot formation. The client should maintain a consistent intake of vitamin K rather
than suddenly increasing or decreasing consumption.
Q6: A nurse is assessing an older adult client. Which of the following findings should the
nurse expect as a normal physiological change of aging?
A. Increased turgor of the skin.
B. Decreased visual acuity.
C. Increased resting heart rate.
D. Decreased appetite for protein.
Correct Answer: B
Rationale: Correct because the lens of the eye loses elasticity and becomes opaque with
age, causing a decline in visual acuity and presbyopia. Other normal changes include
loss of skin elasticity (decreased turgor) and slight changes in heart rate, but visual
decline is a universal expected finding.
Q7: A nurse is performing a sterile dressing change. Which of the following actions
contaminates the sterile field?
A. Pouring sterile saline into the sterile field basin from a height of 6 inches.
B. Holding the sterile gauze 2 inches above the sterile field.
C. Opening the outermost flap of the sterile kit away from the nurse's body.
D. Tying the sterile glove ties around the wrist.
