ATI Fundamentals Proctored Exam Retake
2026–2027: Two Versions with 300+
Complete Questions, Detailed Rationales &
Verified Answers | A+ Guaranteed Pass
Question 1
A nurse in an outpatient clinic is preparing to administer IV therapy to an adult client who
reports having multiple allergies. Which of the following client allergies should the nurse bring
immediately to the charge nurse's attention before initiating therapy?
A) Eggs
B) Latex
C) Seafood
D) Bee stings
Answer: B
Rationale: Latex allergies can pose a significant risk during IV therapy due to the common use of
latex-containing materials (e.g., gloves, IV tubing seals). Identifying and preventing latex
exposure is crucial for client safety .
Question 2
A client who is 2 days postoperative following a colostomy has a stoma that appears purple.
Which action should the nurse take?
A) Document the finding as normal
B) Notify the provider immediately
C) Apply warm compresses
D) Massage the stoma
Answer: B
Rationale: A purple or dusky stoma indicates compromised blood flow and possible ischemia.
This finding is an urgent complication requiring provider notification .
,Question 3
A nurse is preparing a client for a Romberg test to assess balance. Which of the following
statements should the nurse make?
A) "Stand with your feet together and your arms at your sides."
B) "After I place the tuning fork, tell me when you no longer hear the sound."
C) "I'm going to stroke the lateral side of your foot."
D) "Touch each fingertip with your thumb as quickly as possible."
Answer: A
Rationale: A Romberg test assesses the client's ability to maintain balance with feet together
and eyes closed or opened .
Question 4
A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the
following findings at the IV site should the nurse identify as indicating infiltration?
A) Redness at the site
B) Warmth around the site
C) Skin blanching
D) Bloody drainage at the site
Answer: C
Rationale: Infiltration occurs when IV fluid or medication leaks out of the vein into the
surrounding tissue. Skin blanching, swelling, and coolness are classic signs of infiltration .
Question 5
A nurse is reinforcing teaching with a newly licensed nurse about setting up a sterile field.
Which of the following actions indicates correct understanding?
A) Opening the first flap of the sterile package toward themselves
B) Dropping sterile gauze onto the field from 3 inches above
C) Removing and inverting a lid before placing it on a nonsterile surface
D) Maintaining the sterile field below waist level
Answer: C
,Rationale: Properly removing and inverting the container's lid onto a nonsterile surface
prevents accidental contamination of the sterile field. Waist-level or above is required to
maintain sterility .
Question 6
A nurse is caring for a client with tuberculosis. Which type of precautions should be
implemented?
A) Standard precautions only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Answer: D
Rationale: Tuberculosis is transmitted via small droplet nuclei that remain suspended in air,
requiring airborne precautions with an N95 respirator and negative pressure isolation room.
Question 7
A client with Clostridium difficile infection requires which type of transmission-based
precautions?
A) Airborne
B) Droplet
C) Contact
D) Standard only
Answer: C
Rationale: C. difficile is transmitted by direct contact with infected patients or contaminated
surfaces. Contact precautions include gloves and gown for all patient contact .
Question 8
A nurse is preparing to insert an indwelling urinary catheter. Which technique is required?
A) Clean technique
B) Medical asepsis
C) Surgical asepsis
D) Standard precautions only
, Answer: C
Rationale: Indwelling urinary catheter insertion requires surgical asepsis (sterile technique)
because the urinary tract is sterile and the procedure breaches a sterile body cavity.
Question 9
Which of the following is an indication of a stage 1 pressure injury?
A) Blistering of the skin
B) Visible bone or tendon
C) Non-blanchable erythema of intact skin
D) Partial-thickness skin loss
Answer: C
Rationale: A stage 1 pressure injury is characterized by redness that does not turn white
(blanch) when pressed, but the skin remains intact .
Question 10
A nurse is caring for a client with a wound that has thick, yellow drainage. How should the nurse
document this finding?
A) Serous drainage
B) Sanguineous drainage
C) Purulent drainage
D) Serosanguineous drainage
Answer: C
Rationale: Purulent drainage is thick and consists of WBCs and bacteria, often yellow, green, or
brown, indicating infection .
Question 11
A charge nurse is reinforcing teaching with a newly licensed nurse about privacy rules. Under
which of the following circumstances can the nurse disclose protected health information
without the client's written permission?
A) An insurance company offering a life insurance policy
B) A family member requesting the client's diagnosis
2026–2027: Two Versions with 300+
Complete Questions, Detailed Rationales &
Verified Answers | A+ Guaranteed Pass
Question 1
A nurse in an outpatient clinic is preparing to administer IV therapy to an adult client who
reports having multiple allergies. Which of the following client allergies should the nurse bring
immediately to the charge nurse's attention before initiating therapy?
A) Eggs
B) Latex
C) Seafood
D) Bee stings
Answer: B
Rationale: Latex allergies can pose a significant risk during IV therapy due to the common use of
latex-containing materials (e.g., gloves, IV tubing seals). Identifying and preventing latex
exposure is crucial for client safety .
Question 2
A client who is 2 days postoperative following a colostomy has a stoma that appears purple.
Which action should the nurse take?
A) Document the finding as normal
B) Notify the provider immediately
C) Apply warm compresses
D) Massage the stoma
Answer: B
Rationale: A purple or dusky stoma indicates compromised blood flow and possible ischemia.
This finding is an urgent complication requiring provider notification .
,Question 3
A nurse is preparing a client for a Romberg test to assess balance. Which of the following
statements should the nurse make?
A) "Stand with your feet together and your arms at your sides."
B) "After I place the tuning fork, tell me when you no longer hear the sound."
C) "I'm going to stroke the lateral side of your foot."
D) "Touch each fingertip with your thumb as quickly as possible."
Answer: A
Rationale: A Romberg test assesses the client's ability to maintain balance with feet together
and eyes closed or opened .
Question 4
A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the
following findings at the IV site should the nurse identify as indicating infiltration?
A) Redness at the site
B) Warmth around the site
C) Skin blanching
D) Bloody drainage at the site
Answer: C
Rationale: Infiltration occurs when IV fluid or medication leaks out of the vein into the
surrounding tissue. Skin blanching, swelling, and coolness are classic signs of infiltration .
Question 5
A nurse is reinforcing teaching with a newly licensed nurse about setting up a sterile field.
Which of the following actions indicates correct understanding?
A) Opening the first flap of the sterile package toward themselves
B) Dropping sterile gauze onto the field from 3 inches above
C) Removing and inverting a lid before placing it on a nonsterile surface
D) Maintaining the sterile field below waist level
Answer: C
,Rationale: Properly removing and inverting the container's lid onto a nonsterile surface
prevents accidental contamination of the sterile field. Waist-level or above is required to
maintain sterility .
Question 6
A nurse is caring for a client with tuberculosis. Which type of precautions should be
implemented?
A) Standard precautions only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Answer: D
Rationale: Tuberculosis is transmitted via small droplet nuclei that remain suspended in air,
requiring airborne precautions with an N95 respirator and negative pressure isolation room.
Question 7
A client with Clostridium difficile infection requires which type of transmission-based
precautions?
A) Airborne
B) Droplet
C) Contact
D) Standard only
Answer: C
Rationale: C. difficile is transmitted by direct contact with infected patients or contaminated
surfaces. Contact precautions include gloves and gown for all patient contact .
Question 8
A nurse is preparing to insert an indwelling urinary catheter. Which technique is required?
A) Clean technique
B) Medical asepsis
C) Surgical asepsis
D) Standard precautions only
, Answer: C
Rationale: Indwelling urinary catheter insertion requires surgical asepsis (sterile technique)
because the urinary tract is sterile and the procedure breaches a sterile body cavity.
Question 9
Which of the following is an indication of a stage 1 pressure injury?
A) Blistering of the skin
B) Visible bone or tendon
C) Non-blanchable erythema of intact skin
D) Partial-thickness skin loss
Answer: C
Rationale: A stage 1 pressure injury is characterized by redness that does not turn white
(blanch) when pressed, but the skin remains intact .
Question 10
A nurse is caring for a client with a wound that has thick, yellow drainage. How should the nurse
document this finding?
A) Serous drainage
B) Sanguineous drainage
C) Purulent drainage
D) Serosanguineous drainage
Answer: C
Rationale: Purulent drainage is thick and consists of WBCs and bacteria, often yellow, green, or
brown, indicating infection .
Question 11
A charge nurse is reinforcing teaching with a newly licensed nurse about privacy rules. Under
which of the following circumstances can the nurse disclose protected health information
without the client's written permission?
A) An insurance company offering a life insurance policy
B) A family member requesting the client's diagnosis
