ATI FUNDAMENTALS CMS
PROCTORED EXAM REVIEW
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is caring for a client who decides to discontinue chemotherapy despite the
provider’s recommendation. Which ethical principle is the nurse supporting by respecting this
decision?
A. Veracity
B. Nonmaleficence
C. Beneficence
D. Autonomy
Answer: D
Conceptual Explanation: Autonomy refers to the client’s right to make their own
decisions about their health care, even if those decisions conflict with the provider’s
recommendations.
2. A nurse is preparing to admit a client who has Clostridioides difficile. Which of the
following precautions should the nurse implement?
A. Airborne precautions
,B. Droplet precautions
C. Protective environment
D. Contact precautions
Answer: D
Conceptual Explanation: C. difficile requires contact precautions, including a private
room, gloves, and gowns, to prevent the spread of spores via direct or indirect contact.
3. A nurse discovers a small fire in a client’s trash can. According to the RACE acronym, which
of the following actions should the nurse take first?
A. Activate the fire alarm
B. Confine the fire by closing the door
C. Rescue the client from the room
D. Extinguish the fire using a fire extinguisher
Answer: C
Conceptual Explanation: The RACE acronym stands for Rescue, Alarm, Confine, and
Extinguish. The priority is to remove the client from immediate danger.
4. A nurse is assessing a client for orthostatic hypotension. Which of the following findings
indicates the client is experiencing this condition?
A. A decrease in heart rate by 15 beats/min when standing
B. An increase in diastolic blood pressure by 10 mm Hg when sitting
, C. A decrease in systolic blood pressure by 20 mm Hg when standing
D. An increase in systolic blood pressure by 15 mm Hg when standing
Answer: C
Conceptual Explanation: Orthostatic hypotension is defined as a decrease in systolic BP of
at least 20 mm Hg or a decrease in diastolic BP of at least 10 mm Hg within 3 minutes of
standing.
5. A nurse is preparing to administer an intramuscular injection to an adult client. Which of
the following sites is the safest and preferred for this administration?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Answer: D
Conceptual Explanation: The ventrogluteal site is the preferred and safest site for IM
injections in adults because it lacks major nerves and blood vessels.
6. A nurse is caring for a client with a stage 3 pressure injury. Which of the following
characteristics should the nurse expect to observe?
A. Non-blanchable erythema of intact skin
B. Partial-thickness skin loss involving the epidermis
PROCTORED EXAM REVIEW
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is caring for a client who decides to discontinue chemotherapy despite the
provider’s recommendation. Which ethical principle is the nurse supporting by respecting this
decision?
A. Veracity
B. Nonmaleficence
C. Beneficence
D. Autonomy
Answer: D
Conceptual Explanation: Autonomy refers to the client’s right to make their own
decisions about their health care, even if those decisions conflict with the provider’s
recommendations.
2. A nurse is preparing to admit a client who has Clostridioides difficile. Which of the
following precautions should the nurse implement?
A. Airborne precautions
,B. Droplet precautions
C. Protective environment
D. Contact precautions
Answer: D
Conceptual Explanation: C. difficile requires contact precautions, including a private
room, gloves, and gowns, to prevent the spread of spores via direct or indirect contact.
3. A nurse discovers a small fire in a client’s trash can. According to the RACE acronym, which
of the following actions should the nurse take first?
A. Activate the fire alarm
B. Confine the fire by closing the door
C. Rescue the client from the room
D. Extinguish the fire using a fire extinguisher
Answer: C
Conceptual Explanation: The RACE acronym stands for Rescue, Alarm, Confine, and
Extinguish. The priority is to remove the client from immediate danger.
4. A nurse is assessing a client for orthostatic hypotension. Which of the following findings
indicates the client is experiencing this condition?
A. A decrease in heart rate by 15 beats/min when standing
B. An increase in diastolic blood pressure by 10 mm Hg when sitting
, C. A decrease in systolic blood pressure by 20 mm Hg when standing
D. An increase in systolic blood pressure by 15 mm Hg when standing
Answer: C
Conceptual Explanation: Orthostatic hypotension is defined as a decrease in systolic BP of
at least 20 mm Hg or a decrease in diastolic BP of at least 10 mm Hg within 3 minutes of
standing.
5. A nurse is preparing to administer an intramuscular injection to an adult client. Which of
the following sites is the safest and preferred for this administration?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Answer: D
Conceptual Explanation: The ventrogluteal site is the preferred and safest site for IM
injections in adults because it lacks major nerves and blood vessels.
6. A nurse is caring for a client with a stage 3 pressure injury. Which of the following
characteristics should the nurse expect to observe?
A. Non-blanchable erythema of intact skin
B. Partial-thickness skin loss involving the epidermis
