ATI FUNDAMENTALS PROCTORED EXAM
TEST BANK 2020/2021
1. A nurse is collecting data on a newly admitted client. The client reports feeling "nauseated
and dizzy." The nurse also notes pale skin and a heart rate of 110 bpm. Which type of data has
the nurse collected?
A) Objective data only
B) Subjective data only
C) Both subjective and objective data
D) Neither subjective nor objective data
Correct Answer: C
Rationale: Subjective data are what the client reports (nausea, dizziness). Objective data are
observable or measurable findings (pale skin, tachycardia). This scenario includes both.
2. A nurse is using the NCSBN Clinical Judgment Model. After recognizing and analyzing cues,
which step comes next?
A) Take action
B) Generate solutions
C) Prioritize hypotheses
D) Evaluate outcomes
Correct Answer: C
Rationale: The sequence is: Recognize Cues → Analyze Cues → Prioritize Hypotheses →
Generate Solutions → Take Action → Evaluate Outcomes.
3. A nurse writes the following: "Client will ambulate 50 feet with a walker by the end of the
shift without shortness of breath." This statement is an example of:
A) A nursing diagnosis
B) A goal/outcome statement
C) A nursing intervention
D) Evaluation criteria
,Correct Answer: B
Rationale: This is a measurable, client-centered, time-bound goal created during the
Planning phase.
4. A client's blood pressure is 82/50 mm Hg, heart rate is 124 bpm, and the client reports
feeling lightheaded. The nurse places the client supine, elevates the legs, and calls the
provider. This action demonstrates:
A) Evaluation
B) Clinical judgment and timely intervention
C) Delegation
D) Health promotion
Correct Answer: B
Rationale: The nurse recognized abnormal cues, prioritized the risk of shock, and took
immediate action.
5. Which statement is a correctly written nursing diagnosis?
A) "Congestive heart failure"
B) "Risk for falls related to unsteady gait"
C) "Client will remain free from falls"
D) "Administer oxygen at 2 L/min"
Correct Answer: B
Rationale: A nursing diagnosis includes the problem and related factor. "Congestive heart
failure" is a medical diagnosis. Option C is a goal. Option D is an intervention.
6. A nurse is evaluating a client's response to pain medication. Which finding indicates the
goal has been met?
A) Client reports pain is 8/10
B) Client is sleeping
C) Client reports pain is 2/10 and is able to take deep breaths
D) Client requests more medication
,Correct Answer: C
Rationale: The goal of pain management is to reduce pain to a tolerable level and improve
function. Sleeping alone is not a reliable indicator.
7. A nurse delegates vital signs measurement to unlicensed assistive personnel (UAP). Which
action by the nurse is appropriate?
A) Delegating without further instruction
B) Assuming the UAP knows how to take blood pressure
C) Providing clear instructions and verifying the UAP's competency
D) Delegating the assessment of lung sounds to the UAP
Correct Answer: C
Rationale: The nurse must delegate the right task to the right person with clear
communication and confirmed competency. Assessment cannot be delegated to UAP.
8. A nurse is preparing to discharge a client. Which action is most important for continuity of
care?
A) Providing a written discharge summary to the client
B) Verbally telling the client to follow up with the provider
C) Ensuring the client understands discharge instructions through teach-back
D) Scheduling a follow-up appointment for the client
Correct Answer: C
Rationale: Teach-back confirms the client understands instructions, which is essential for
safe transition to home. A written summary and follow-up are important but do not confirm
understanding.
9. A nurse is assessing a client who is 24 hours post-surgery. The client reports incisional pain
at 7/10. The nurse administers the prescribed PRN analgesic. Thirty minutes later, the nurse
reassesses the pain as 3/10. This reassessment represents which step of the nursing process?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
, Correct Answer: D
Rationale: Evaluation determines whether interventions were effective by comparing
current status to expected outcomes.
10. A nurse gathers data about a client's heart rate, blood pressure, lung sounds, and client-
reported nausea. Which step of the nursing process is this?
A) Planning
B) Assessment
C) Implementation
D) Evaluation
Correct Answer: B
Rationale: Assessment involves collecting both subjective and objective data to establish a
baseline.
11. A nurse is caring for a client who has a blood pressure of 88/52 mm Hg and a heart rate of
118 bpm. Which action should the nurse take first?
A) Document the findings and continue monitoring
B) Administer prescribed antihypertensive medication
C) Assess for signs of shock and notify the provider
D) Encourage the client to increase oral fluid intake
Correct Answer: C
Rationale: Hypotension with tachycardia suggests shock. The nurse must assess and notify
the provider immediately.
12. A nurse is using the SBAR communication tool. Which component is included in the "R"
section?
A) The nurse's name and unit
B) The client's vital signs and current status
C) The nurse's recommendation for action
D) The client's medical history
TEST BANK 2020/2021
1. A nurse is collecting data on a newly admitted client. The client reports feeling "nauseated
and dizzy." The nurse also notes pale skin and a heart rate of 110 bpm. Which type of data has
the nurse collected?
A) Objective data only
B) Subjective data only
C) Both subjective and objective data
D) Neither subjective nor objective data
Correct Answer: C
Rationale: Subjective data are what the client reports (nausea, dizziness). Objective data are
observable or measurable findings (pale skin, tachycardia). This scenario includes both.
2. A nurse is using the NCSBN Clinical Judgment Model. After recognizing and analyzing cues,
which step comes next?
A) Take action
B) Generate solutions
C) Prioritize hypotheses
D) Evaluate outcomes
Correct Answer: C
Rationale: The sequence is: Recognize Cues → Analyze Cues → Prioritize Hypotheses →
Generate Solutions → Take Action → Evaluate Outcomes.
3. A nurse writes the following: "Client will ambulate 50 feet with a walker by the end of the
shift without shortness of breath." This statement is an example of:
A) A nursing diagnosis
B) A goal/outcome statement
C) A nursing intervention
D) Evaluation criteria
,Correct Answer: B
Rationale: This is a measurable, client-centered, time-bound goal created during the
Planning phase.
4. A client's blood pressure is 82/50 mm Hg, heart rate is 124 bpm, and the client reports
feeling lightheaded. The nurse places the client supine, elevates the legs, and calls the
provider. This action demonstrates:
A) Evaluation
B) Clinical judgment and timely intervention
C) Delegation
D) Health promotion
Correct Answer: B
Rationale: The nurse recognized abnormal cues, prioritized the risk of shock, and took
immediate action.
5. Which statement is a correctly written nursing diagnosis?
A) "Congestive heart failure"
B) "Risk for falls related to unsteady gait"
C) "Client will remain free from falls"
D) "Administer oxygen at 2 L/min"
Correct Answer: B
Rationale: A nursing diagnosis includes the problem and related factor. "Congestive heart
failure" is a medical diagnosis. Option C is a goal. Option D is an intervention.
6. A nurse is evaluating a client's response to pain medication. Which finding indicates the
goal has been met?
A) Client reports pain is 8/10
B) Client is sleeping
C) Client reports pain is 2/10 and is able to take deep breaths
D) Client requests more medication
,Correct Answer: C
Rationale: The goal of pain management is to reduce pain to a tolerable level and improve
function. Sleeping alone is not a reliable indicator.
7. A nurse delegates vital signs measurement to unlicensed assistive personnel (UAP). Which
action by the nurse is appropriate?
A) Delegating without further instruction
B) Assuming the UAP knows how to take blood pressure
C) Providing clear instructions and verifying the UAP's competency
D) Delegating the assessment of lung sounds to the UAP
Correct Answer: C
Rationale: The nurse must delegate the right task to the right person with clear
communication and confirmed competency. Assessment cannot be delegated to UAP.
8. A nurse is preparing to discharge a client. Which action is most important for continuity of
care?
A) Providing a written discharge summary to the client
B) Verbally telling the client to follow up with the provider
C) Ensuring the client understands discharge instructions through teach-back
D) Scheduling a follow-up appointment for the client
Correct Answer: C
Rationale: Teach-back confirms the client understands instructions, which is essential for
safe transition to home. A written summary and follow-up are important but do not confirm
understanding.
9. A nurse is assessing a client who is 24 hours post-surgery. The client reports incisional pain
at 7/10. The nurse administers the prescribed PRN analgesic. Thirty minutes later, the nurse
reassesses the pain as 3/10. This reassessment represents which step of the nursing process?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
, Correct Answer: D
Rationale: Evaluation determines whether interventions were effective by comparing
current status to expected outcomes.
10. A nurse gathers data about a client's heart rate, blood pressure, lung sounds, and client-
reported nausea. Which step of the nursing process is this?
A) Planning
B) Assessment
C) Implementation
D) Evaluation
Correct Answer: B
Rationale: Assessment involves collecting both subjective and objective data to establish a
baseline.
11. A nurse is caring for a client who has a blood pressure of 88/52 mm Hg and a heart rate of
118 bpm. Which action should the nurse take first?
A) Document the findings and continue monitoring
B) Administer prescribed antihypertensive medication
C) Assess for signs of shock and notify the provider
D) Encourage the client to increase oral fluid intake
Correct Answer: C
Rationale: Hypotension with tachycardia suggests shock. The nurse must assess and notify
the provider immediately.
12. A nurse is using the SBAR communication tool. Which component is included in the "R"
section?
A) The nurse's name and unit
B) The client's vital signs and current status
C) The nurse's recommendation for action
D) The client's medical history
