ATI Fundamentals of Nursing
Proctored Exam 2026 (Forms A & B)
70 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Safety & Infection Control
2 Vital Signs & Assessment
3 Medication Administration
4 Documentation & Reporting
5 Mobility & Immobility
6 Hygiene & Personal Care
7 Nutrition & Elimination
8 Wound Care & Sterile Technique
9 Oxygenation
10 Perioperative Care
11 Prioritization & Delegation
Page 1
,Q1
Case Study: An 82-year-old client is admitted after a fall at home. The nurse notes
bruising on the arms and a new onset of confusion. Which action should the nurse take
first?
A) Ask the family about the client's home environment
B) *Assess the client's level of consciousness and vital signs CORRECT
C) Document the bruising as an expected finding
D) Apply restraints to prevent another fall
Rationale
New confusion after a fall may indicate head injury or hypoxia; assess LOC and vitals before
other actions.
Q2
Case Study: A client with Clostridium difficile diarrhea is in contact precautions. The
nurse observes a visitor leaving the room without washing hands. Which action should
the nurse take?
A) *Stop the visitor and instruct them to wash hands with soap and
CORRECT
water
B) Tell the visitor to use hand sanitizer instead
C) Notify security
D) Document the incident and continue care
Rationale
C. diff requires soap and water; alcohol does not kill spores. Immediate correction protects
others.
Page 2
, Q3
Case Study: A client is 1 day post-operative from abdominal surgery. The nurse notes the
dressing has a small amount of serosanguineous drainage. Which action should the
nurse take?
A) Notify the provider immediately
B) *Reinforce the dressing and document the finding CORRECT
C) Change the dressing using clean technique
D) Apply a pressure dressing
Rationale
Small serosanguineous drainage is expected post-op; reinforce and monitor. Sterile
technique required for changes.
Q4
Case Study: A nurse is preparing to administer digoxin to a client with heart failure. The
apical pulse is 54 bpm. Which action should the nurse take?
A) Administer the dose as ordered
B) *Hold the dose and notify the provider CORRECT
C) Give half the dose
D) Recheck the pulse in 30 minutes
Rationale
Digoxin is held for apical pulse <60 bpm in adults due to risk of toxicity and bradycardia.
Q5
Case Study: A client with a new colostomy asks how to prevent odor. Which food should
the nurse recommend?
A) Eggs
B) Onions
C) *Yogurt CORRECT
Page 3
Proctored Exam 2026 (Forms A & B)
70 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Safety & Infection Control
2 Vital Signs & Assessment
3 Medication Administration
4 Documentation & Reporting
5 Mobility & Immobility
6 Hygiene & Personal Care
7 Nutrition & Elimination
8 Wound Care & Sterile Technique
9 Oxygenation
10 Perioperative Care
11 Prioritization & Delegation
Page 1
,Q1
Case Study: An 82-year-old client is admitted after a fall at home. The nurse notes
bruising on the arms and a new onset of confusion. Which action should the nurse take
first?
A) Ask the family about the client's home environment
B) *Assess the client's level of consciousness and vital signs CORRECT
C) Document the bruising as an expected finding
D) Apply restraints to prevent another fall
Rationale
New confusion after a fall may indicate head injury or hypoxia; assess LOC and vitals before
other actions.
Q2
Case Study: A client with Clostridium difficile diarrhea is in contact precautions. The
nurse observes a visitor leaving the room without washing hands. Which action should
the nurse take?
A) *Stop the visitor and instruct them to wash hands with soap and
CORRECT
water
B) Tell the visitor to use hand sanitizer instead
C) Notify security
D) Document the incident and continue care
Rationale
C. diff requires soap and water; alcohol does not kill spores. Immediate correction protects
others.
Page 2
, Q3
Case Study: A client is 1 day post-operative from abdominal surgery. The nurse notes the
dressing has a small amount of serosanguineous drainage. Which action should the
nurse take?
A) Notify the provider immediately
B) *Reinforce the dressing and document the finding CORRECT
C) Change the dressing using clean technique
D) Apply a pressure dressing
Rationale
Small serosanguineous drainage is expected post-op; reinforce and monitor. Sterile
technique required for changes.
Q4
Case Study: A nurse is preparing to administer digoxin to a client with heart failure. The
apical pulse is 54 bpm. Which action should the nurse take?
A) Administer the dose as ordered
B) *Hold the dose and notify the provider CORRECT
C) Give half the dose
D) Recheck the pulse in 30 minutes
Rationale
Digoxin is held for apical pulse <60 bpm in adults due to risk of toxicity and bradycardia.
Q5
Case Study: A client with a new colostomy asks how to prevent odor. Which food should
the nurse recommend?
A) Eggs
B) Onions
C) *Yogurt CORRECT
Page 3
