ATI Testing | RN Fundamentals Proctored Examination
ATI RN Fundamentals Proctored
Comprehensive Examination 2026/2027 |
Verified Questions
ATI Testing | RN Fundamentals Proctored Examination | University-Level Nursing Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
ATI Testing | RN Fundamentals Proctored Examination
Proctored Comprehensive Examination Actual Exam | Academic Year 2026/2027
ATI RN Fundamentals Proctored Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains 100 verified questions designed to reinforce the official ATI
Testing RN Fundamentals Proctored Examination course objectives for actual exam readiness and clinical
proficiency, aligned to the 2026/2027 academic year. The questions are original and address four core
domains: Basic Care and Comfort, Safety and Infection Control, Health Promotion and Maintenance, and
Pharmacological and Parenteral Therapies. Each item requires application of foundational nursing
knowledge drawn from established ATI RN Fundamentals materials and evidence-based clinical
standards. Successful completion of this examination supports development of the clinical judgment
required for safe and effective fundamental nursing care.
ACTUAL QUESTIONS
Domain 1: Basic Care and Comfort
Question 1. When assisting a client with oral hygiene who is unconscious, the nurse should
position the client:
A. Supine with the head of the bed elevated 90 degrees
B. Side-lying with the head of the bed elevated slightly and the head turned toward the side
C. Prone with the face down
D. Sitting fully upright without support
Correct Answer: C
Rationale: A side-lying position with the head turned to the side allows secretions to drain and reduces
the risk of aspiration during oral care of an unconscious client.
Question 2. Which action is most appropriate when making an occupied bed?
A. Lowering both side rails and leaving the client unattended
B. Turning the client toward the nurse, loosening the soiled linen, and placing clean linen on the
exposed side before turning the client to the opposite side
C. Removing all linen at once while the client remains in bed
D. Completing the bed change without explaining the procedure to the client
Correct Answer: A
Rationale: The nurse turns the client toward self, removes and replaces linen on the exposed half, then
turns the client to complete the opposite side while maintaining safety and dignity.
Question 3. A client reports pain of 7/10. After administering the prescribed analgesic, the
nurse's priority follow-up action is to:
A. Document the medication and take no further action
B. Reassess pain intensity and the client's response within the appropriate time frame for the
medication route
C. Immediately administer a second dose without assessment
D. Assume the pain has resolved without checking
Correct Answer: D
Rationale: Reassessment after analgesic administration verifies effectiveness and guides further
intervention; timing depends on the route (e.g., 30–60 minutes for oral).
Question 4. Which finding indicates that a client needs assistance with bathing?
A. The client independently gathers supplies and bathes without difficulty
B. The client has limited range of motion, weakness, or cognitive impairment that prevents safe
independent bathing
C. The client prefers a shower over a bath
D. The client has intact skin and no odor
Correct Answer: B
ATI RN Fundamentals Proctored Comprehensive Examination 2026/2027 | Verified Questions
, Rationale: Functional limitations such as weakness, limited mobility, or cognitive impairment indicate
the need for nursing assistance to ensure safety and hygiene.
Question 5. When providing perineal care to a female client, the nurse should cleanse:
A. From the rectal area toward the pubic area
B. From the pubic area toward the rectal area (front to back)
C. In a circular motion starting at the rectum
D. Only the outer labia without separating the labia
Correct Answer: A
Rationale: Cleansing from front to back reduces the risk of transferring organisms from the anal area
to the urethra and vagina.
Question 6. A client is at risk for pressure injury. Which intervention is most effective for
prevention?
A. Massaging reddened areas vigorously
B. Repositioning the client at least every 2 hours and using pressure-redistributing surfaces
C. Keeping the head of the bed elevated above 45 degrees at all times
D. Limiting fluid intake to reduce edema
Correct Answer: B
Rationale: Regular repositioning and appropriate support surfaces reduce prolonged pressure over
bony prominences, the primary cause of pressure injuries.
Question 7. Which statement about range-of-motion (ROM) exercises is correct?
A. Passive ROM is performed by the client independently
B. Active ROM is performed by the client; passive ROM is performed by the nurse or caregiver when
the client cannot move the joint independently
C. ROM exercises should be forced past the point of pain
D. ROM is only needed for clients with complete paralysis
Correct Answer: C
Rationale: Active ROM is client-initiated; passive ROM is provided by another person when the client
lacks strength or ability to move the joint.
Question 8. When applying sequential compression devices (SCDs), the nurse should:
A. Apply them only while the client is ambulating
B. Ensure proper fit, connect to the pump, and verify that the devices inflate and deflate correctly
while the client is in bed or chair
C. Leave them in place continuously without removal for skin checks
D. Use them as a substitute for anticoagulant therapy in all cases
Correct Answer: B
Rationale: SCDs must fit correctly and cycle properly; skin integrity should be assessed regularly, and
they are used as part of venous thromboembolism prevention.
Question 9. A client with dysphagia is at risk for aspiration. Which nursing action is
appropriate during meals?
A. Having the client lie flat while eating
B. Positioning the client upright, providing thickened liquids if ordered, and monitoring for signs of
aspiration
C. Encouraging rapid eating to finish meals quickly
D. Offering thin liquids freely without assessment
Correct Answer: D
Rationale: Upright positioning, appropriate consistency of liquids and foods, and close observation
reduce aspiration risk in clients with dysphagia.
Question 10. Which intervention promotes comfort for a client with a fever?
ATI RN Fundamentals Proctored Comprehensive Examination 2026/2027 | Verified Questions
ATI RN Fundamentals Proctored
Comprehensive Examination 2026/2027 |
Verified Questions
ATI Testing | RN Fundamentals Proctored Examination | University-Level Nursing Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
ATI Testing | RN Fundamentals Proctored Examination
Proctored Comprehensive Examination Actual Exam | Academic Year 2026/2027
ATI RN Fundamentals Proctored Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains 100 verified questions designed to reinforce the official ATI
Testing RN Fundamentals Proctored Examination course objectives for actual exam readiness and clinical
proficiency, aligned to the 2026/2027 academic year. The questions are original and address four core
domains: Basic Care and Comfort, Safety and Infection Control, Health Promotion and Maintenance, and
Pharmacological and Parenteral Therapies. Each item requires application of foundational nursing
knowledge drawn from established ATI RN Fundamentals materials and evidence-based clinical
standards. Successful completion of this examination supports development of the clinical judgment
required for safe and effective fundamental nursing care.
ACTUAL QUESTIONS
Domain 1: Basic Care and Comfort
Question 1. When assisting a client with oral hygiene who is unconscious, the nurse should
position the client:
A. Supine with the head of the bed elevated 90 degrees
B. Side-lying with the head of the bed elevated slightly and the head turned toward the side
C. Prone with the face down
D. Sitting fully upright without support
Correct Answer: C
Rationale: A side-lying position with the head turned to the side allows secretions to drain and reduces
the risk of aspiration during oral care of an unconscious client.
Question 2. Which action is most appropriate when making an occupied bed?
A. Lowering both side rails and leaving the client unattended
B. Turning the client toward the nurse, loosening the soiled linen, and placing clean linen on the
exposed side before turning the client to the opposite side
C. Removing all linen at once while the client remains in bed
D. Completing the bed change without explaining the procedure to the client
Correct Answer: A
Rationale: The nurse turns the client toward self, removes and replaces linen on the exposed half, then
turns the client to complete the opposite side while maintaining safety and dignity.
Question 3. A client reports pain of 7/10. After administering the prescribed analgesic, the
nurse's priority follow-up action is to:
A. Document the medication and take no further action
B. Reassess pain intensity and the client's response within the appropriate time frame for the
medication route
C. Immediately administer a second dose without assessment
D. Assume the pain has resolved without checking
Correct Answer: D
Rationale: Reassessment after analgesic administration verifies effectiveness and guides further
intervention; timing depends on the route (e.g., 30–60 minutes for oral).
Question 4. Which finding indicates that a client needs assistance with bathing?
A. The client independently gathers supplies and bathes without difficulty
B. The client has limited range of motion, weakness, or cognitive impairment that prevents safe
independent bathing
C. The client prefers a shower over a bath
D. The client has intact skin and no odor
Correct Answer: B
ATI RN Fundamentals Proctored Comprehensive Examination 2026/2027 | Verified Questions
, Rationale: Functional limitations such as weakness, limited mobility, or cognitive impairment indicate
the need for nursing assistance to ensure safety and hygiene.
Question 5. When providing perineal care to a female client, the nurse should cleanse:
A. From the rectal area toward the pubic area
B. From the pubic area toward the rectal area (front to back)
C. In a circular motion starting at the rectum
D. Only the outer labia without separating the labia
Correct Answer: A
Rationale: Cleansing from front to back reduces the risk of transferring organisms from the anal area
to the urethra and vagina.
Question 6. A client is at risk for pressure injury. Which intervention is most effective for
prevention?
A. Massaging reddened areas vigorously
B. Repositioning the client at least every 2 hours and using pressure-redistributing surfaces
C. Keeping the head of the bed elevated above 45 degrees at all times
D. Limiting fluid intake to reduce edema
Correct Answer: B
Rationale: Regular repositioning and appropriate support surfaces reduce prolonged pressure over
bony prominences, the primary cause of pressure injuries.
Question 7. Which statement about range-of-motion (ROM) exercises is correct?
A. Passive ROM is performed by the client independently
B. Active ROM is performed by the client; passive ROM is performed by the nurse or caregiver when
the client cannot move the joint independently
C. ROM exercises should be forced past the point of pain
D. ROM is only needed for clients with complete paralysis
Correct Answer: C
Rationale: Active ROM is client-initiated; passive ROM is provided by another person when the client
lacks strength or ability to move the joint.
Question 8. When applying sequential compression devices (SCDs), the nurse should:
A. Apply them only while the client is ambulating
B. Ensure proper fit, connect to the pump, and verify that the devices inflate and deflate correctly
while the client is in bed or chair
C. Leave them in place continuously without removal for skin checks
D. Use them as a substitute for anticoagulant therapy in all cases
Correct Answer: B
Rationale: SCDs must fit correctly and cycle properly; skin integrity should be assessed regularly, and
they are used as part of venous thromboembolism prevention.
Question 9. A client with dysphagia is at risk for aspiration. Which nursing action is
appropriate during meals?
A. Having the client lie flat while eating
B. Positioning the client upright, providing thickened liquids if ordered, and monitoring for signs of
aspiration
C. Encouraging rapid eating to finish meals quickly
D. Offering thin liquids freely without assessment
Correct Answer: D
Rationale: Upright positioning, appropriate consistency of liquids and foods, and close observation
reduce aspiration risk in clients with dysphagia.
Question 10. Which intervention promotes comfort for a client with a fever?
ATI RN Fundamentals Proctored Comprehensive Examination 2026/2027 | Verified Questions
