ATI FUNDAMENTALS CMS
PROCTORED EXAM PRACTICE
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is caring for a client who is at risk for falls. Which of the following actions should
the nurse take first?
A. Complete a fall risk assessment using a standardized tool
B. Provide the client with non-skid footwear
C. Apply a fall risk identification band to the client
D. Place the call light within the client’s reach
Answer: A
Conceptual Explanation: According to the nursing process, assessment is the first step.
The nurse should first determine the client’s specific risk level before implementing
interventions.
,2. A nurse is preparing to administer an enema to a client. Which of the following positions
should the nurse place the client in?
A. Dorsal recumbent
B. Left-lateral Sims’
C. Prone
D. Orthopneic
Answer: B
Conceptual Explanation: The left-lateral Sims’ position allows the enema solution to flow
by gravity into the sigmoid colon and rectum, which is anatomically favorable.
3. A nurse is teaching a client about a new prescription for a dynamic air-overlay mattress.
Which of the following statements should the nurse include?
A. It will completely eliminate the need for repositioning
B. It should be placed directly on the bed frame
C. It uses a motorized pump to circulate air through the cells
D. It is indicated for clients who have stage 4 pressure injuries only
Answer: C
Conceptual Explanation: Dynamic air-overlay mattresses use a pump to alternate
pressure, which helps prevent and treat pressure injuries for at-risk clients.
, 4. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take?
A. Collect the last voiding 2 hours before the 24-hour mark
B. Keep the urine container at room temperature
C. Discard the first voiding of the collection period
D. Restart the collection if the client misses one void
Answer: C
Conceptual Explanation: The 24-hour collection starts by having the client void and
discarding that first specimen to ensure the collection starts with an empty bladder.
5. A nurse is planning care for a client who has a prescription for soft wrist restraints. Which
of the following should the nurse include in the plan?
A. Check the client’s peripheral pulses every 4 hours
B. Tie the restraints to the side rails of the bed
C. Remove the restraints every 4 hours for range-of-motion exercises
D. Ensure two fingers can be inserted under the restraint
Answer: D
Conceptual Explanation: Ensuring two fingers fit under the restraint prevents
constriction of circulation. Restraints should be tied to the bed frame, checked every 15-30
mins, and removed every 2 hours.
PROCTORED EXAM PRACTICE
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is caring for a client who is at risk for falls. Which of the following actions should
the nurse take first?
A. Complete a fall risk assessment using a standardized tool
B. Provide the client with non-skid footwear
C. Apply a fall risk identification band to the client
D. Place the call light within the client’s reach
Answer: A
Conceptual Explanation: According to the nursing process, assessment is the first step.
The nurse should first determine the client’s specific risk level before implementing
interventions.
,2. A nurse is preparing to administer an enema to a client. Which of the following positions
should the nurse place the client in?
A. Dorsal recumbent
B. Left-lateral Sims’
C. Prone
D. Orthopneic
Answer: B
Conceptual Explanation: The left-lateral Sims’ position allows the enema solution to flow
by gravity into the sigmoid colon and rectum, which is anatomically favorable.
3. A nurse is teaching a client about a new prescription for a dynamic air-overlay mattress.
Which of the following statements should the nurse include?
A. It will completely eliminate the need for repositioning
B. It should be placed directly on the bed frame
C. It uses a motorized pump to circulate air through the cells
D. It is indicated for clients who have stage 4 pressure injuries only
Answer: C
Conceptual Explanation: Dynamic air-overlay mattresses use a pump to alternate
pressure, which helps prevent and treat pressure injuries for at-risk clients.
, 4. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take?
A. Collect the last voiding 2 hours before the 24-hour mark
B. Keep the urine container at room temperature
C. Discard the first voiding of the collection period
D. Restart the collection if the client misses one void
Answer: C
Conceptual Explanation: The 24-hour collection starts by having the client void and
discarding that first specimen to ensure the collection starts with an empty bladder.
5. A nurse is planning care for a client who has a prescription for soft wrist restraints. Which
of the following should the nurse include in the plan?
A. Check the client’s peripheral pulses every 4 hours
B. Tie the restraints to the side rails of the bed
C. Remove the restraints every 4 hours for range-of-motion exercises
D. Ensure two fingers can be inserted under the restraint
Answer: D
Conceptual Explanation: Ensuring two fingers fit under the restraint prevents
constriction of circulation. Restraints should be tied to the bed frame, checked every 15-30
mins, and removed every 2 hours.
