ATI Fundamentals Proctored Exam 2026–
2027 | Comprehensive Practice Questions
with Detailed Answer Rationales | Complete
Nursing Study Guide
A nurse is teaching a client who is about to undergo a bowel resection about advance
directives. Which of the following instructions should the nurse include in the teaching?
A. Your partner must be present when you sign the advance directives
B. You will receive written information about advance directives prior to signing
C. You are required to sign advance directives prior to surgery
D. Your provider must sign the advance directives before surgery - Correct Answer - b
A nurse is caring for a client who has wrist restraints after an episode of violent behavior.
Which of the following actions should the nurse take?
. Remove one restraint at a time
A nurse is preparing to administer several medications via NG tube to a client who is
receiving a continuous tube feeding. Which of the following actions should the nurse take?
A. Dilute each crushed medication with sterile water
B. Mix the medication together in a single syringe
C. Flush the NG tube with 5mL of sterile water prior to administration
D. Combine the medication with the formula in the feeding bag - Correct Answer - c
A nurse is planning care for a client who has urinary incontinence. Which of the
following interventions should the nurse include in the client's plan of care?
a. Toilet the client every 4hr while the client is awake
b. Apply a moisture barrier in a thick layer to vulnerable skin areas
c. Cleanse the skin with antibacterial soap and hot water after each incontinence episode
d. Reduce the clients daily fluid intake - Correct Answer - b
pg. 1
, A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse
administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
A. Complete an incident report
B. Obtain the client's vital signs
C. Document the fluid infusion in the client's chart
D. Report the incident in to the unit manager - Correct Answer - b
A home health nurse is teaching a client about home safety. Which of the following
statements by the client indicates an understanding of the teaching? (SATA)
- I need to check my medications for expiration dates
- I will use the grab bars when getting in and out of the bathtub
- I need to have a fire escape plan with my family
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 intestine. Which of the following actions should the nurse take?
. notify the provider
A nurse is discussing the stages of general adaptation syndrome with a newly licensed
nurse. The nurse should identify that which of the following manifestations occurs during
the alarm reaction stage?
A. Dilated pupils
B. Physical exhaustion
C. Bradycardia
D. Depression - Correct Answer - a
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when
plugging in the IV pump. Which of the following actions should the nurse take first?
A. Unplug the pump
B. obtain a replacement pump
C. Notify the biomedical department to fix the pump
pg. 2
,D. Label the pump with a defective equipment sticker - Correct Answer - a
A nurse is caring for a client who is receiving a warm, moist compress to relieve lower
back pain. Which of the following findings should indicate to the nurse that the compress
has been effective?
A. The client's skin on the lower back is intact without redness
B. The client's laughing at a television show
C. The client states that he is able to concentrate while eating
D. The clients's vital signs are within the expected reference range - Correct Answer - c
A nurse is preparing a sterile field to assist with suturing a clients laceration. Which of the
following actions should the nurse plan to take?
A. Pour the sterile solution with the bottle 20cm(8in) above the sterile bowl
B. Hold the bottle of sterile solution so that the label is facing the palm of the hand
C. Place the lid of the sterile solution bottle face down on the sterile drape
D. Apply sterile gloves before opening the bottle of sterile solution - Correct Answer - b
A nurse is preparing to insert a peripheral IV catheter into the client's arm. Which of the
following actions should the nurse take to help dilate the vein? a. Stroke the skin near the
vein in an upward position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand open - Correct Answer - b
A nurse is preparing to suction a client's tracheostomy tube. Which of the following actions
should the nurse plan to take?
a. Apply intermittent suction during catheter insertion
b. Suction the client's airway for 20 seconds with each pass
c. Hyper oxygenate the client manually for 30 to 60 seconds before suctioning
d. decreases suction pressure to 150 mm Hg if the O2 sat levels drop during suctioning -
Correct Answer - a
pg. 3
, A nurse is assessing a client who received morphine for severe pain 30 mins ago. Which
of the following finding is the nurse's priority? a. Last bowel movement was 3 days ago
b. Reports pain of 8 on a scale of 0 to 10
c. Distended bladder
d. Respiratory rate 7/min - Correct Answer - d
A nurse is caring for a client who has been treated multiple times for STIs. Which of the
following responses should the nurse take?
a. "You must have too many sexual partners"
b. "Why do you keep letting this happen?"
c. "Let's explore why this might be re-occurring"
d. "Don't you have access to condoms?" - Correct Answer - c
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a
chair and begins to experience a seizure. Which of the following actions should the nurse
take first?
a. Move items in the room away from the client
b. Turn the client onto their side
c. Help the client lie on the floor
d. Loosen the client's clothing - Correct Answer - c
A nurse is testing a client for conduction deafness by performing Weber's test. Which of
the following actions should the nurse take when performing this test?
a. Move a vibrating tuning form in front of the client's ear canals one after the other
b. Place the base of a vibrating tuning fork on the client's mastoid process
c. Place the base of a vibrating tuning fork on the top of the client's head
d. Count how many seconds a client can hear a tuning fork after it has been struck -
Correct Answer - c
pg. 4
2027 | Comprehensive Practice Questions
with Detailed Answer Rationales | Complete
Nursing Study Guide
A nurse is teaching a client who is about to undergo a bowel resection about advance
directives. Which of the following instructions should the nurse include in the teaching?
A. Your partner must be present when you sign the advance directives
B. You will receive written information about advance directives prior to signing
C. You are required to sign advance directives prior to surgery
D. Your provider must sign the advance directives before surgery - Correct Answer - b
A nurse is caring for a client who has wrist restraints after an episode of violent behavior.
Which of the following actions should the nurse take?
. Remove one restraint at a time
A nurse is preparing to administer several medications via NG tube to a client who is
receiving a continuous tube feeding. Which of the following actions should the nurse take?
A. Dilute each crushed medication with sterile water
B. Mix the medication together in a single syringe
C. Flush the NG tube with 5mL of sterile water prior to administration
D. Combine the medication with the formula in the feeding bag - Correct Answer - c
A nurse is planning care for a client who has urinary incontinence. Which of the
following interventions should the nurse include in the client's plan of care?
a. Toilet the client every 4hr while the client is awake
b. Apply a moisture barrier in a thick layer to vulnerable skin areas
c. Cleanse the skin with antibacterial soap and hot water after each incontinence episode
d. Reduce the clients daily fluid intake - Correct Answer - b
pg. 1
, A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse
administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
A. Complete an incident report
B. Obtain the client's vital signs
C. Document the fluid infusion in the client's chart
D. Report the incident in to the unit manager - Correct Answer - b
A home health nurse is teaching a client about home safety. Which of the following
statements by the client indicates an understanding of the teaching? (SATA)
- I need to check my medications for expiration dates
- I will use the grab bars when getting in and out of the bathtub
- I need to have a fire escape plan with my family
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 intestine. Which of the following actions should the nurse take?
. notify the provider
A nurse is discussing the stages of general adaptation syndrome with a newly licensed
nurse. The nurse should identify that which of the following manifestations occurs during
the alarm reaction stage?
A. Dilated pupils
B. Physical exhaustion
C. Bradycardia
D. Depression - Correct Answer - a
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when
plugging in the IV pump. Which of the following actions should the nurse take first?
A. Unplug the pump
B. obtain a replacement pump
C. Notify the biomedical department to fix the pump
pg. 2
,D. Label the pump with a defective equipment sticker - Correct Answer - a
A nurse is caring for a client who is receiving a warm, moist compress to relieve lower
back pain. Which of the following findings should indicate to the nurse that the compress
has been effective?
A. The client's skin on the lower back is intact without redness
B. The client's laughing at a television show
C. The client states that he is able to concentrate while eating
D. The clients's vital signs are within the expected reference range - Correct Answer - c
A nurse is preparing a sterile field to assist with suturing a clients laceration. Which of the
following actions should the nurse plan to take?
A. Pour the sterile solution with the bottle 20cm(8in) above the sterile bowl
B. Hold the bottle of sterile solution so that the label is facing the palm of the hand
C. Place the lid of the sterile solution bottle face down on the sterile drape
D. Apply sterile gloves before opening the bottle of sterile solution - Correct Answer - b
A nurse is preparing to insert a peripheral IV catheter into the client's arm. Which of the
following actions should the nurse take to help dilate the vein? a. Stroke the skin near the
vein in an upward position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand open - Correct Answer - b
A nurse is preparing to suction a client's tracheostomy tube. Which of the following actions
should the nurse plan to take?
a. Apply intermittent suction during catheter insertion
b. Suction the client's airway for 20 seconds with each pass
c. Hyper oxygenate the client manually for 30 to 60 seconds before suctioning
d. decreases suction pressure to 150 mm Hg if the O2 sat levels drop during suctioning -
Correct Answer - a
pg. 3
, A nurse is assessing a client who received morphine for severe pain 30 mins ago. Which
of the following finding is the nurse's priority? a. Last bowel movement was 3 days ago
b. Reports pain of 8 on a scale of 0 to 10
c. Distended bladder
d. Respiratory rate 7/min - Correct Answer - d
A nurse is caring for a client who has been treated multiple times for STIs. Which of the
following responses should the nurse take?
a. "You must have too many sexual partners"
b. "Why do you keep letting this happen?"
c. "Let's explore why this might be re-occurring"
d. "Don't you have access to condoms?" - Correct Answer - c
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a
chair and begins to experience a seizure. Which of the following actions should the nurse
take first?
a. Move items in the room away from the client
b. Turn the client onto their side
c. Help the client lie on the floor
d. Loosen the client's clothing - Correct Answer - c
A nurse is testing a client for conduction deafness by performing Weber's test. Which of
the following actions should the nurse take when performing this test?
a. Move a vibrating tuning form in front of the client's ear canals one after the other
b. Place the base of a vibrating tuning fork on the client's mastoid process
c. Place the base of a vibrating tuning fork on the top of the client's head
d. Count how many seconds a client can hear a tuning fork after it has been struck -
Correct Answer - c
pg. 4
