ATI Fundamentals CMS Proctored Exam 2026–
2027 | Complete 200 Practice Questions with
Detailed Answer Rationales | Comprehensive
Study Guide
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium
chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL
intermittent IV bolus, 200mL emesis, 40mL voided urine, and 20mL urine from straight
catheterization. The nurse should record the client's net fluid intake as how many mL?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.)
DOSAGE CALCULATION - Correct Answer - 700 mL
A nurse is planning care for a client who reports insomnia. Which of the following
actions should the nurse perform shortly before bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client - Correct Answer - a
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients.
Which of the following clients should the nurse see first?
a. A client who has acute abdominal pain of 4 on a scale from 0 to 10
b. A client who has pneumonia and an oxygen saturation of 96%
c. A client who has new onset of dyspnea 24hr after a total hip arthroplasty •
d. A client who has a urinary tract infection and low-grade fever - Correct Answer - c
pg. 1
,A nurse is planning care for a client who reports having a latex allergy. Which of the
following interventions should the nurse include in the plan?
a. Cover the blood pressure cuff with a stockinette.
b. Wear powdered gloves when providing care to the client.
c. Apply adhesive tape when securing an IV insertion site.
d. Use plastic syringes for medication administration. - Correct Answer - a
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing
the client's signature, the client states, " I trust my doctor, but I don't understand what is
meant by resecting my intestines." Which of the following actions should the nurse
take?
a. Describe the surgery to the client.
b. Notify the Provider.
c. Complete an incident report
d. Provide brochures about the procedure. - Correct Answer - b
A nurse is documenting client care. Which of the following abbreviations should the
nurse use?
a. " SQ" for subcutaneous
b. "SS" for sliding scale
c. "BRP" for bathroom privileges
d. "OJ" for orange juice - Correct Answer - c
A nurse is preparing to bathe a client who has dementia. Which of the following actions
should the nurse take?
a. Give detailed instructions for the client to follow.
b. Complete the bath even if the client is in distress.
c. Use distractions when bathing the client.
d. Allow the client to select the temperature of the bath water. - Correct Answer - c
pg. 2
,A hospice nurse is caring for a client who has end stage cancer. Which of the
following interventions should the nurse include to promote the client's dignity? a.
Provide guided imagery exercises to the client.
b. Refrain from discussing the client's prognosis
c. Suggest that the client keep a journal.
d. Encourage the client to share their life story. - Correct Answer - b
A nurse is caring for a client who has a closed wound drainage system. Which of the
following actions should the nurse take?
a. Wear sterile gloves when emptying the container.
b. Reset the container with the drainage port closed
c. Connect the drain to high pressure suction.
d. Press straight down on the container to create vacuum. - Correct Answer - d
A nurse is discussing incident reports with a group of newly licensed nurses. The nurse
should include that which if the following requires the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr. - Correct Answer - a
A nurse is caring for a client who has a new prescription for negative-pressure therapy
for a chronic wound. The nurse is unfamiliar with the procedure. Which of the
following resources should the nurse consult to learn more about the intervention. a.
The client's plan of care
b. The nurse practice act
c. The material safety data sheet
pg. 3
, d. The policy and procedure manual - Correct Answer - d
A nurse is performing postural drainage with percussion and vibration for a client
who has cystic fibrosis. Which of the following actions should the nurse take? a.
Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
c. Schedule postural drainage after meals
d. Perform percussion over the lower back - Correct Answer - d
A nurse is admitting a client who is malnourished. The client states, "My wedding ring is
loose and I'm worried I will lose it if it falls off."Which of the following is an appropriate
response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you - Correct Answer - d
A charge nurse is teaching a group of newly licensed nurses about the use of restraints.
In which of the following clinical situations should the nurse apply restraints? a. If the
client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - Correct Answer - d
To ensure client safety, a nurse manager is planning to observe a newly licensed
nurse perform a straight catheterization on a client. In which of the following roles is the
nurse manager functioning? a. Case manager
b. Client educator
c. Client care provider
pg. 4
2027 | Complete 200 Practice Questions with
Detailed Answer Rationales | Comprehensive
Study Guide
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium
chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL
intermittent IV bolus, 200mL emesis, 40mL voided urine, and 20mL urine from straight
catheterization. The nurse should record the client's net fluid intake as how many mL?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.)
DOSAGE CALCULATION - Correct Answer - 700 mL
A nurse is planning care for a client who reports insomnia. Which of the following
actions should the nurse perform shortly before bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client - Correct Answer - a
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients.
Which of the following clients should the nurse see first?
a. A client who has acute abdominal pain of 4 on a scale from 0 to 10
b. A client who has pneumonia and an oxygen saturation of 96%
c. A client who has new onset of dyspnea 24hr after a total hip arthroplasty •
d. A client who has a urinary tract infection and low-grade fever - Correct Answer - c
pg. 1
,A nurse is planning care for a client who reports having a latex allergy. Which of the
following interventions should the nurse include in the plan?
a. Cover the blood pressure cuff with a stockinette.
b. Wear powdered gloves when providing care to the client.
c. Apply adhesive tape when securing an IV insertion site.
d. Use plastic syringes for medication administration. - Correct Answer - a
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing
the client's signature, the client states, " I trust my doctor, but I don't understand what is
meant by resecting my intestines." Which of the following actions should the nurse
take?
a. Describe the surgery to the client.
b. Notify the Provider.
c. Complete an incident report
d. Provide brochures about the procedure. - Correct Answer - b
A nurse is documenting client care. Which of the following abbreviations should the
nurse use?
a. " SQ" for subcutaneous
b. "SS" for sliding scale
c. "BRP" for bathroom privileges
d. "OJ" for orange juice - Correct Answer - c
A nurse is preparing to bathe a client who has dementia. Which of the following actions
should the nurse take?
a. Give detailed instructions for the client to follow.
b. Complete the bath even if the client is in distress.
c. Use distractions when bathing the client.
d. Allow the client to select the temperature of the bath water. - Correct Answer - c
pg. 2
,A hospice nurse is caring for a client who has end stage cancer. Which of the
following interventions should the nurse include to promote the client's dignity? a.
Provide guided imagery exercises to the client.
b. Refrain from discussing the client's prognosis
c. Suggest that the client keep a journal.
d. Encourage the client to share their life story. - Correct Answer - b
A nurse is caring for a client who has a closed wound drainage system. Which of the
following actions should the nurse take?
a. Wear sterile gloves when emptying the container.
b. Reset the container with the drainage port closed
c. Connect the drain to high pressure suction.
d. Press straight down on the container to create vacuum. - Correct Answer - d
A nurse is discussing incident reports with a group of newly licensed nurses. The nurse
should include that which if the following requires the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr. - Correct Answer - a
A nurse is caring for a client who has a new prescription for negative-pressure therapy
for a chronic wound. The nurse is unfamiliar with the procedure. Which of the
following resources should the nurse consult to learn more about the intervention. a.
The client's plan of care
b. The nurse practice act
c. The material safety data sheet
pg. 3
, d. The policy and procedure manual - Correct Answer - d
A nurse is performing postural drainage with percussion and vibration for a client
who has cystic fibrosis. Which of the following actions should the nurse take? a.
Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
c. Schedule postural drainage after meals
d. Perform percussion over the lower back - Correct Answer - d
A nurse is admitting a client who is malnourished. The client states, "My wedding ring is
loose and I'm worried I will lose it if it falls off."Which of the following is an appropriate
response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you - Correct Answer - d
A charge nurse is teaching a group of newly licensed nurses about the use of restraints.
In which of the following clinical situations should the nurse apply restraints? a. If the
client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - Correct Answer - d
To ensure client safety, a nurse manager is planning to observe a newly licensed
nurse perform a straight catheterization on a client. In which of the following roles is the
nurse manager functioning? a. Case manager
b. Client educator
c. Client care provider
pg. 4
