ATI Fundamentals Proctored Exam 10
Full-Length Practice Tests
FUNDAMENTALS, SAFETY & BASIC CARE
1. A nurse is caring for a client who is at risk for falls. Which
intervention should the nurse implement first?
A. Place the client's personal items on the bedside table.
B. Raise all four side rails.
C. Keep the bed in the lowest position with the wheels locked.
D. Apply a vest restraint.
Keeping the bed low and locked reduces the risk of injury from falls.
Four side rails can constitute a restraint and are not routinely
appropriate.
2. A nurse is preparing to administer medication to a client. Which
action is most important for client identification?
A. Ask the client to state the room number.
B. Compare two client identifiers with the medication
administration record.
C. Ask another nurse to confirm the client's name.
D. Identify the client by the diagnosis.
Two approved identifiers, such as name and date of birth, help
prevent medication errors. Room number is not an acceptable
identifier.
3. A client reports dizziness when getting out of bed. Which action
should the nurse take?
A. Encourage the client to stand quickly.
B. Have the client walk independently.
,C. Assist the client to sit on the edge of the bed before standing.
D. Restrict oral fluids.
Changing position gradually allows the body time to adjust and
decreases the risk of orthostatic hypotension and falls.
4. Which finding should the nurse report immediately?
A. Temperature of 37.2°C (99°F)
B. Respiratory rate of 18/min
C. Pulse of 82/min
D. Oxygen saturation of 86% on room air
An oxygen saturation of 86% indicates significant hypoxemia in most
clients and requires prompt assessment and intervention.
5. A nurse is teaching a client how to use a cane. Which instruction
is correct?
A. Hold the cane on the weaker side.
B. Hold the cane on the stronger side.
C. Move the unaffected leg first.
D. Keep the cane 30 cm away from the body.
The cane is generally held on the stronger side to provide support to
the weaker leg.
6. Which action should the nurse take when removing gloves after
client care?
A. Touch the outside of both gloves with bare hands.
B. Remove the gloves and immediately touch the face.
C. Remove the gloves without contaminating the hands.
D. Wash the gloves before removal.
Gloves should be removed carefully to prevent contamination of the
hands.
7. A nurse is caring for a client with dysphagia. Which intervention
is appropriate?
,A. Place food on the unaffected side of the mouth.
B. Keep the client upright during meals.
C. Offer thin liquids rapidly.
D. Encourage the client to talk while chewing.
An upright position reduces aspiration risk. Clients with dysphagia
may require prescribed texture modifications.
8. Which finding indicates that a client may be experiencing
dehydration?
A. Bounding pulse
B. Moist mucous membranes
C. Concentrated urine
D. Peripheral edema
Concentrated urine can indicate decreased fluid intake or increased
fluid loss.
9. A nurse is assisting a client from the bed to a wheelchair. Which
action is appropriate?
A. Place the wheelchair several feet from the bed.
B. Leave the wheelchair unlocked.
C. Lock the wheelchair brakes before transfer.
D. Pull the client by the arms.
Locking the wheelchair prevents it from moving during transfer and
reduces injury risk.
10. Which assessment finding requires immediate intervention?
A. Mild fatigue
B. Dry skin
C. Decreased appetite
D. New onset confusion
, Acute confusion can indicate hypoxia, infection, metabolic
abnormalities, medication effects, or another acute condition and
requires prompt assessment.
11. A nurse is changing a sterile dressing. Which action
contaminates the sterile field?
A. Keeping sterile supplies above waist level
B. Opening the sterile package away from the body
C. Reaching over the sterile field
D. Maintaining the field within view
Reaching over a sterile field can contaminate it.
12. A client has been prescribed bed rest. Which intervention helps
prevent complications of immobility?
A. Restrict fluids.
B. Keep the client in one position.
C. Encourage range-of-motion exercises.
D. Avoid repositioning.
Range-of-motion exercises help maintain joint mobility and reduce
complications associated with immobility.
13. Which intervention is appropriate for a client receiving oxygen
through a nasal cannula?
A. Apply petroleum jelly inside the nares.
B. Assess the client's respiratory status regularly.
C. Set the oxygen flow rate independently of the prescription.
D. Allow smoking near the client.
Respiratory status should be monitored frequently. Oxygen supports
combustion, so smoking is prohibited.
14. A nurse is caring for a client with a pressure injury. Which
intervention is appropriate?
Full-Length Practice Tests
FUNDAMENTALS, SAFETY & BASIC CARE
1. A nurse is caring for a client who is at risk for falls. Which
intervention should the nurse implement first?
A. Place the client's personal items on the bedside table.
B. Raise all four side rails.
C. Keep the bed in the lowest position with the wheels locked.
D. Apply a vest restraint.
Keeping the bed low and locked reduces the risk of injury from falls.
Four side rails can constitute a restraint and are not routinely
appropriate.
2. A nurse is preparing to administer medication to a client. Which
action is most important for client identification?
A. Ask the client to state the room number.
B. Compare two client identifiers with the medication
administration record.
C. Ask another nurse to confirm the client's name.
D. Identify the client by the diagnosis.
Two approved identifiers, such as name and date of birth, help
prevent medication errors. Room number is not an acceptable
identifier.
3. A client reports dizziness when getting out of bed. Which action
should the nurse take?
A. Encourage the client to stand quickly.
B. Have the client walk independently.
,C. Assist the client to sit on the edge of the bed before standing.
D. Restrict oral fluids.
Changing position gradually allows the body time to adjust and
decreases the risk of orthostatic hypotension and falls.
4. Which finding should the nurse report immediately?
A. Temperature of 37.2°C (99°F)
B. Respiratory rate of 18/min
C. Pulse of 82/min
D. Oxygen saturation of 86% on room air
An oxygen saturation of 86% indicates significant hypoxemia in most
clients and requires prompt assessment and intervention.
5. A nurse is teaching a client how to use a cane. Which instruction
is correct?
A. Hold the cane on the weaker side.
B. Hold the cane on the stronger side.
C. Move the unaffected leg first.
D. Keep the cane 30 cm away from the body.
The cane is generally held on the stronger side to provide support to
the weaker leg.
6. Which action should the nurse take when removing gloves after
client care?
A. Touch the outside of both gloves with bare hands.
B. Remove the gloves and immediately touch the face.
C. Remove the gloves without contaminating the hands.
D. Wash the gloves before removal.
Gloves should be removed carefully to prevent contamination of the
hands.
7. A nurse is caring for a client with dysphagia. Which intervention
is appropriate?
,A. Place food on the unaffected side of the mouth.
B. Keep the client upright during meals.
C. Offer thin liquids rapidly.
D. Encourage the client to talk while chewing.
An upright position reduces aspiration risk. Clients with dysphagia
may require prescribed texture modifications.
8. Which finding indicates that a client may be experiencing
dehydration?
A. Bounding pulse
B. Moist mucous membranes
C. Concentrated urine
D. Peripheral edema
Concentrated urine can indicate decreased fluid intake or increased
fluid loss.
9. A nurse is assisting a client from the bed to a wheelchair. Which
action is appropriate?
A. Place the wheelchair several feet from the bed.
B. Leave the wheelchair unlocked.
C. Lock the wheelchair brakes before transfer.
D. Pull the client by the arms.
Locking the wheelchair prevents it from moving during transfer and
reduces injury risk.
10. Which assessment finding requires immediate intervention?
A. Mild fatigue
B. Dry skin
C. Decreased appetite
D. New onset confusion
, Acute confusion can indicate hypoxia, infection, metabolic
abnormalities, medication effects, or another acute condition and
requires prompt assessment.
11. A nurse is changing a sterile dressing. Which action
contaminates the sterile field?
A. Keeping sterile supplies above waist level
B. Opening the sterile package away from the body
C. Reaching over the sterile field
D. Maintaining the field within view
Reaching over a sterile field can contaminate it.
12. A client has been prescribed bed rest. Which intervention helps
prevent complications of immobility?
A. Restrict fluids.
B. Keep the client in one position.
C. Encourage range-of-motion exercises.
D. Avoid repositioning.
Range-of-motion exercises help maintain joint mobility and reduce
complications associated with immobility.
13. Which intervention is appropriate for a client receiving oxygen
through a nasal cannula?
A. Apply petroleum jelly inside the nares.
B. Assess the client's respiratory status regularly.
C. Set the oxygen flow rate independently of the prescription.
D. Allow smoking near the client.
Respiratory status should be monitored frequently. Oxygen supports
combustion, so smoking is prohibited.
14. A nurse is caring for a client with a pressure injury. Which
intervention is appropriate?
