ATI RN Fundamentals
Proctored Exam: Basic Care &
Comfort Question Bank
1. A nurse is assisting a client with a complete bed bath. Which
action should the nurse take first?
A. Wash the client's back
B. Wash the perineal area
C. Perform hand hygiene and provide privacy
D. Apply lotion to the client's extremities
**Answer: C. Perform hand hygiene and provide privacy
Rationale: Hand hygiene and privacy are essential before beginning
personal care. They promote infection prevention and preserve the
client's dignity.
2. A nurse is providing oral care to an unconscious client. Which
position is safest?
A. Supine
B. High-Fowler's
C. Side-lying
D. Trendelenburg
**Answer: C. Side-lying
Rationale: Side-lying promotes drainage of secretions and reduces
the risk of aspiration.
,3. A client reports difficulty sleeping in the hospital. Which
intervention should the nurse implement first?
A. Offer a caffeinated beverage
B. Cluster nursing activities
C. Encourage daytime sleeping
D. Keep the television on for distraction
**Answer: B. Cluster nursing activities
Rationale: Clustering care decreases nighttime interruptions and
promotes uninterrupted sleep.
4. Which intervention is appropriate when providing perineal care to
a female client?
A. Clean from back to front
B. Use the same portion of the washcloth for each stroke
C. Clean from front to back
D. Clean the rectal area before the urethral area
**Answer: C. Clean from front to back
Rationale: Cleaning from front to back decreases the transfer of
microorganisms from the anal area to the urinary tract.
5. A nurse is helping a client with oral hygiene. Which finding
requires further assessment?
A. Moist oral mucosa
B. Pink gums
C. Bleeding gums
D. Intact tongue
**Answer: C. Bleeding gums
,Rationale: Bleeding gums can indicate gingival inflammation,
infection, trauma, or another oral-health problem and should be
assessed.
6. Which action should the nurse take when changing the linens of a
client who is on bed rest?
A. Shake the linens to remove debris
B. Place soiled linens on the floor temporarily
C. Keep the soiled linens away from the nurse's uniform
D. Reuse the client's top sheet if it appears clean
**Answer: C. Keep the soiled linens away from the nurse's uniform
Rationale: Soiled linens should be contained and kept away from the
nurse's clothing to reduce microorganism transmission.
7. A client has limited mobility and is at risk for pressure injury.
Which intervention is most appropriate?
A. Massage reddened areas
B. Reposition the client regularly
C. Use donut-shaped devices under the sacrum
D. Limit fluid intake
**Answer: B. Reposition the client regularly
Rationale: Regular repositioning relieves prolonged pressure and
helps prevent pressure injury. Massaging reddened tissue can cause
further damage.
8. Which finding is most concerning when assessing a client's skin?
A. Dry skin on the elbows
B. Blanchable redness over the sacrum
, C. Nonblanchable erythema over a bony prominence
D. Mildly cool hands
**Answer: C. Nonblanchable erythema over a bony prominence
Rationale: Nonblanchable erythema is consistent with a stage 1
pressure injury and requires prompt intervention.
9. Which intervention is appropriate for a client experiencing
pruritus?
A. Apply hot water to the skin
B. Encourage scratching
C. Keep fingernails short
D. Use alcohol-based products on the skin
**Answer: C. Keep fingernails short
Rationale: Short nails decrease the risk of skin injury from scratching.
10. A client reports pain of 8/10. Which action should the nurse take
first?
A. Document the pain
B. Assess the client's pain characteristics
C. Encourage the client to ignore the pain
D. Wait until the next scheduled medication time
**Answer: B. Assess the client's pain characteristics
Rationale: Pain assessment guides appropriate intervention and
includes location, quality, intensity, timing, and aggravating or
relieving factors.
Proctored Exam: Basic Care &
Comfort Question Bank
1. A nurse is assisting a client with a complete bed bath. Which
action should the nurse take first?
A. Wash the client's back
B. Wash the perineal area
C. Perform hand hygiene and provide privacy
D. Apply lotion to the client's extremities
**Answer: C. Perform hand hygiene and provide privacy
Rationale: Hand hygiene and privacy are essential before beginning
personal care. They promote infection prevention and preserve the
client's dignity.
2. A nurse is providing oral care to an unconscious client. Which
position is safest?
A. Supine
B. High-Fowler's
C. Side-lying
D. Trendelenburg
**Answer: C. Side-lying
Rationale: Side-lying promotes drainage of secretions and reduces
the risk of aspiration.
,3. A client reports difficulty sleeping in the hospital. Which
intervention should the nurse implement first?
A. Offer a caffeinated beverage
B. Cluster nursing activities
C. Encourage daytime sleeping
D. Keep the television on for distraction
**Answer: B. Cluster nursing activities
Rationale: Clustering care decreases nighttime interruptions and
promotes uninterrupted sleep.
4. Which intervention is appropriate when providing perineal care to
a female client?
A. Clean from back to front
B. Use the same portion of the washcloth for each stroke
C. Clean from front to back
D. Clean the rectal area before the urethral area
**Answer: C. Clean from front to back
Rationale: Cleaning from front to back decreases the transfer of
microorganisms from the anal area to the urinary tract.
5. A nurse is helping a client with oral hygiene. Which finding
requires further assessment?
A. Moist oral mucosa
B. Pink gums
C. Bleeding gums
D. Intact tongue
**Answer: C. Bleeding gums
,Rationale: Bleeding gums can indicate gingival inflammation,
infection, trauma, or another oral-health problem and should be
assessed.
6. Which action should the nurse take when changing the linens of a
client who is on bed rest?
A. Shake the linens to remove debris
B. Place soiled linens on the floor temporarily
C. Keep the soiled linens away from the nurse's uniform
D. Reuse the client's top sheet if it appears clean
**Answer: C. Keep the soiled linens away from the nurse's uniform
Rationale: Soiled linens should be contained and kept away from the
nurse's clothing to reduce microorganism transmission.
7. A client has limited mobility and is at risk for pressure injury.
Which intervention is most appropriate?
A. Massage reddened areas
B. Reposition the client regularly
C. Use donut-shaped devices under the sacrum
D. Limit fluid intake
**Answer: B. Reposition the client regularly
Rationale: Regular repositioning relieves prolonged pressure and
helps prevent pressure injury. Massaging reddened tissue can cause
further damage.
8. Which finding is most concerning when assessing a client's skin?
A. Dry skin on the elbows
B. Blanchable redness over the sacrum
, C. Nonblanchable erythema over a bony prominence
D. Mildly cool hands
**Answer: C. Nonblanchable erythema over a bony prominence
Rationale: Nonblanchable erythema is consistent with a stage 1
pressure injury and requires prompt intervention.
9. Which intervention is appropriate for a client experiencing
pruritus?
A. Apply hot water to the skin
B. Encourage scratching
C. Keep fingernails short
D. Use alcohol-based products on the skin
**Answer: C. Keep fingernails short
Rationale: Short nails decrease the risk of skin injury from scratching.
10. A client reports pain of 8/10. Which action should the nurse take
first?
A. Document the pain
B. Assess the client's pain characteristics
C. Encourage the client to ignore the pain
D. Wait until the next scheduled medication time
**Answer: B. Assess the client's pain characteristics
Rationale: Pain assessment guides appropriate intervention and
includes location, quality, intensity, timing, and aggravating or
relieving factors.
