ATI RN Fundamentals Proctored Exam
2026/2027 - Latest Updated Exam Questions
with Verified Correct Answers and Rationales
- Graded A+ || Guaranteed Pass!!
Question 1
A nurse is instructing an AP in caring for a client who has a low platelet count as a
result of chemo. Which of the following is the nurse's priority instruction for
measuring vital signs for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP."
Answer: A
Rationale: A low platelet count (thrombocytopenia) increases bleeding risk. Rectal
temperature measurement can cause rectal trauma and bleeding. This is the priority
instruction.
Question 2
A nurse is instructing a group of nursing students in measuring a client's RR. Which
of the following guidelines should the nurse include? Select all.
A. Place the client in semi-Fowler's position
B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any sighs the client demonstrates
Answer: A, B, C
Rationale: Semi-Fowler's position promotes natural breathing. Resting the arm
across the abdomen allows observation of chest and abdominal movement. Observing
a full cycle before counting ensures accuracy. A regular rate can be counted for 30
seconds and multiplied by 2. Sighs are not counted separately.
Question 3
A nurse who is admitting a client who has a fractured femur obtains a BP reading of
140/94 mmHg. The client denies any history of HTN. Which of the following actions
should the nurse take next?
A. Request a prescription for an antihypertensive med
1
,B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30 min to recheck the client's BP
Answer: B
Rationale: Pain can cause elevated blood pressure. Before assuming hypertension,
the nurse should assess for pain, which is a common cause of elevated BP in clients
with fractures.
Question 4
A nurse is performing an admission assessment on a client. When measuring her vital
signs, the nurse finds that her radial pulse rate is 68/min & her simultaneous apical
pulse rate is 84/min. What is the client's pulse deficit?
A. 16/min
Answer: 16/min
Rationale: Pulse deficit is calculated by subtracting the radial pulse rate from the
apical pulse rate (84 - 68 = 16). This indicates that some heartbeats are not reaching
the periphery.
Question 5
A nurse is caring for a client who will perform fecal occult blood testing at home.
Which of the following info should the nurse include when explaining the procedure
to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated
Answer: D
Rationale: The specimen must not be contaminated with water, urine, or toilet
tissue cleaners, as this can cause false results. Three specimens are typically required
for testing.
Question 6
A nurse is talking with a client who reports constipation. When the nurse discusses
dietary changes that can help prevent constipation, which of the following foods
should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
2
,C. Rice pudding & ripe bananas
D. Roast chicken & white rice
Answer: B
Rationale: Fresh fruit and whole wheat toast are high in fiber, which promotes
bowel regularity and helps prevent constipation.
Question 7
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing
the client, the nurse should expect which of the following findings? Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema
Answer: B, C, D
Rationale: Prolonged diarrhea causes fluid and electrolyte loss, leading to
hypotension, fever (from infection or dehydration), and poor skin turgor
(dehydration).
Question 8
A nurse is preparing to administer a cleansing enema to an adult client in preparation
for a diagnostic procedure. Which of the following are appropriate steps for the nurse
to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side with the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus
Answer: A, B, C
Rationale: Warming the enema reduces cramping. Left Sims' position with right leg
flexed follows gravity. Lubrication prevents trauma. The tube should be inserted 3-4
inches, and the container should hang 12-18 inches above the anus.
Question 9
While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
3
, C. Remind the client that cramping is common at this time
D. Lower the enema fluid container
Answer: D
Rationale: Lowering the enema container reduces the flow rate and pressure, which
helps relieve cramping. If cramping persists, stop the flow temporarily.
Question 10
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the
following problems is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction
Answer: C
Rationale: Prolonged sitting increases pressure on bony prominences (sacrum,
ischium), leading to decreased blood flow and risk of pressure ulcer development.
Question 11
A nurse is caring for a client who is on bed rest. Which of the following interventions
should the nurse implement to maintain the patency of the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use
Answer: D
Rationale: Incentive spirometry promotes deep breathing, which helps prevent
atelectasis and maintains airway patency in immobilized clients.
Question 12
A nurse is caring for a client who is postop. Which of the following nursing
interventions reduce the risk of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often
Answer: B, E
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2026/2027 - Latest Updated Exam Questions
with Verified Correct Answers and Rationales
- Graded A+ || Guaranteed Pass!!
Question 1
A nurse is instructing an AP in caring for a client who has a low platelet count as a
result of chemo. Which of the following is the nurse's priority instruction for
measuring vital signs for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP."
Answer: A
Rationale: A low platelet count (thrombocytopenia) increases bleeding risk. Rectal
temperature measurement can cause rectal trauma and bleeding. This is the priority
instruction.
Question 2
A nurse is instructing a group of nursing students in measuring a client's RR. Which
of the following guidelines should the nurse include? Select all.
A. Place the client in semi-Fowler's position
B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any sighs the client demonstrates
Answer: A, B, C
Rationale: Semi-Fowler's position promotes natural breathing. Resting the arm
across the abdomen allows observation of chest and abdominal movement. Observing
a full cycle before counting ensures accuracy. A regular rate can be counted for 30
seconds and multiplied by 2. Sighs are not counted separately.
Question 3
A nurse who is admitting a client who has a fractured femur obtains a BP reading of
140/94 mmHg. The client denies any history of HTN. Which of the following actions
should the nurse take next?
A. Request a prescription for an antihypertensive med
1
,B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30 min to recheck the client's BP
Answer: B
Rationale: Pain can cause elevated blood pressure. Before assuming hypertension,
the nurse should assess for pain, which is a common cause of elevated BP in clients
with fractures.
Question 4
A nurse is performing an admission assessment on a client. When measuring her vital
signs, the nurse finds that her radial pulse rate is 68/min & her simultaneous apical
pulse rate is 84/min. What is the client's pulse deficit?
A. 16/min
Answer: 16/min
Rationale: Pulse deficit is calculated by subtracting the radial pulse rate from the
apical pulse rate (84 - 68 = 16). This indicates that some heartbeats are not reaching
the periphery.
Question 5
A nurse is caring for a client who will perform fecal occult blood testing at home.
Which of the following info should the nurse include when explaining the procedure
to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated
Answer: D
Rationale: The specimen must not be contaminated with water, urine, or toilet
tissue cleaners, as this can cause false results. Three specimens are typically required
for testing.
Question 6
A nurse is talking with a client who reports constipation. When the nurse discusses
dietary changes that can help prevent constipation, which of the following foods
should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
2
,C. Rice pudding & ripe bananas
D. Roast chicken & white rice
Answer: B
Rationale: Fresh fruit and whole wheat toast are high in fiber, which promotes
bowel regularity and helps prevent constipation.
Question 7
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing
the client, the nurse should expect which of the following findings? Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema
Answer: B, C, D
Rationale: Prolonged diarrhea causes fluid and electrolyte loss, leading to
hypotension, fever (from infection or dehydration), and poor skin turgor
(dehydration).
Question 8
A nurse is preparing to administer a cleansing enema to an adult client in preparation
for a diagnostic procedure. Which of the following are appropriate steps for the nurse
to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side with the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus
Answer: A, B, C
Rationale: Warming the enema reduces cramping. Left Sims' position with right leg
flexed follows gravity. Lubrication prevents trauma. The tube should be inserted 3-4
inches, and the container should hang 12-18 inches above the anus.
Question 9
While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
3
, C. Remind the client that cramping is common at this time
D. Lower the enema fluid container
Answer: D
Rationale: Lowering the enema container reduces the flow rate and pressure, which
helps relieve cramping. If cramping persists, stop the flow temporarily.
Question 10
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the
following problems is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction
Answer: C
Rationale: Prolonged sitting increases pressure on bony prominences (sacrum,
ischium), leading to decreased blood flow and risk of pressure ulcer development.
Question 11
A nurse is caring for a client who is on bed rest. Which of the following interventions
should the nurse implement to maintain the patency of the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use
Answer: D
Rationale: Incentive spirometry promotes deep breathing, which helps prevent
atelectasis and maintains airway patency in immobilized clients.
Question 12
A nurse is caring for a client who is postop. Which of the following nursing
interventions reduce the risk of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often
Answer: B, E
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