ATI PROCTORED FUNDAMENTAL
EXAM ADVANCED STUDY GUIDE
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED EXPLANATIONS
2026/2027
1. A nurse is assessing a client for orthostatic hypotension. Which of the following actions
should the nurse take first?
A. Assist the client to a standing position.
B. Check the client’s radial pulse for one full minute.
C. Measure the client’s blood pressure while supine.
D. Increase the client’s fluid intake to 2,000 mL per day.
Answer: C
Conceptual Explanation: To assess for orthostatic hypotension, the nurse must first
establish a baseline blood pressure while the client is in a supine position before moving to
sitting and standing positions.
2. A nurse is caring for a client who requires droplet precautions. Which of the following
personal protective equipment (PPE) should the nurse wear when entering the room?
A. N95 respirator
,B. Gown and gloves
C. Surgical mask
D. Protective goggles only
Answer: C
Conceptual Explanation: Droplet precautions require a surgical mask when within 3 to 6
feet of the client to prevent transmission of large-particle droplets.
3. Which of the following findings is an early indicator of hypoxemia?
A. Restlessness
B. Cyanosis
C. Bradycardia
D. Hypotension
Answer: A
Conceptual Explanation: Restlessness and agitation are early signs of hypoxemia due to
the brain’s sensitivity to declining oxygen levels. Cyanosis is a late sign.
4. A nurse is preparing to administer an intramuscular injection to an infant. Which of the
following sites is the most appropriate?
A. Dorsogluteal
B. Vastus lateralis
, C. Deltoid
D. Ventrogluteal
Answer: B
Conceptual Explanation: The vastus lateralis muscle is the preferred site for IM injections
in infants and children under 2 years old because it is the most developed muscle.
5. A client who is non-ambulatory is at risk for developing foot drop. Which of the following
interventions should the nurse implement?
A. Apply sequential compression devices.
B. Support the feet with foot boots or high-top sneakers.
C. Place the client in a prone position twice daily.
D. Perform passive range of motion to the hips only.
Answer: B
Conceptual Explanation: Foot boots or high-top sneakers help maintain the feet in
dorsiflexion, preventing the permanent shortening of the calf muscles known as foot drop.
6. When performing tracheostomy care, which of the following actions should the nurse
take?
A. Use clean technique to clean the inner cannula.
B. Secure the new ties before removing the old ones.
C. Apply suction for 20 to 30 seconds at a time.
EXAM ADVANCED STUDY GUIDE
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED EXPLANATIONS
2026/2027
1. A nurse is assessing a client for orthostatic hypotension. Which of the following actions
should the nurse take first?
A. Assist the client to a standing position.
B. Check the client’s radial pulse for one full minute.
C. Measure the client’s blood pressure while supine.
D. Increase the client’s fluid intake to 2,000 mL per day.
Answer: C
Conceptual Explanation: To assess for orthostatic hypotension, the nurse must first
establish a baseline blood pressure while the client is in a supine position before moving to
sitting and standing positions.
2. A nurse is caring for a client who requires droplet precautions. Which of the following
personal protective equipment (PPE) should the nurse wear when entering the room?
A. N95 respirator
,B. Gown and gloves
C. Surgical mask
D. Protective goggles only
Answer: C
Conceptual Explanation: Droplet precautions require a surgical mask when within 3 to 6
feet of the client to prevent transmission of large-particle droplets.
3. Which of the following findings is an early indicator of hypoxemia?
A. Restlessness
B. Cyanosis
C. Bradycardia
D. Hypotension
Answer: A
Conceptual Explanation: Restlessness and agitation are early signs of hypoxemia due to
the brain’s sensitivity to declining oxygen levels. Cyanosis is a late sign.
4. A nurse is preparing to administer an intramuscular injection to an infant. Which of the
following sites is the most appropriate?
A. Dorsogluteal
B. Vastus lateralis
, C. Deltoid
D. Ventrogluteal
Answer: B
Conceptual Explanation: The vastus lateralis muscle is the preferred site for IM injections
in infants and children under 2 years old because it is the most developed muscle.
5. A client who is non-ambulatory is at risk for developing foot drop. Which of the following
interventions should the nurse implement?
A. Apply sequential compression devices.
B. Support the feet with foot boots or high-top sneakers.
C. Place the client in a prone position twice daily.
D. Perform passive range of motion to the hips only.
Answer: B
Conceptual Explanation: Foot boots or high-top sneakers help maintain the feet in
dorsiflexion, preventing the permanent shortening of the calf muscles known as foot drop.
6. When performing tracheostomy care, which of the following actions should the nurse
take?
A. Use clean technique to clean the inner cannula.
B. Secure the new ties before removing the old ones.
C. Apply suction for 20 to 30 seconds at a time.
