ATI PROCTORED FUNDAMENTAL
FINAL EXAM PREP QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
EXPLANATIONS 2026/2027
1. A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of
the following actions is the nurse’s responsibility regarding informed consent?
A. Explain the risks and benefits of the procedure to the client.
B. Witness the client’s signature on the consent form.
C. Provide information on alternative treatments available.
D. Determine if the client is mentally competent to give consent.
Answer: B
Conceptual Explanation: The nurse’s role in informed consent is to witness the signature,
ensure the client is competent, and verify that the client received the information.
Explaining risks, benefits, and alternatives is the provider’s responsibility.
2. A nurse is preparing to administer an intramuscular injection to an adult client. Which of
the following angles should the nurse use?
A. 90 degrees
B. 45 degrees
,C. 15 degrees
D. 30 degrees
Answer: A
Conceptual Explanation: Intramuscular (IM) injections are administered at a 90-degree
angle to ensure the medication reaches the muscle tissue.
3. A nurse is assessing a client for orthostatic hypotension. After measuring the BP and heart
rate in the supine position, which action should the nurse take next?
A. Assist the client to a sitting position and wait 1 to 3 minutes before re-measuring.
B. Measure the blood pressure immediately after the client stands up.
C. Encourage the client to drink 500 mL of water before the next measurement.
D. Document the supine findings and stop the assessment.
Answer: A
Conceptual Explanation: When checking for orthostatic hypotension, the nurse should
allow the client to sit for 1 to 3 minutes before taking the next reading to allow the
cardiovascular system to adjust.
4. Which of the following is the priority nursing action when a client’s surgical wound has
eviscerated?
A. Apply a dry sterile dressing tightly over the wound.
B. Attempt to gently push the organs back into the abdominal cavity.
, C. Place the client in a High-Fowler’s position.
D. Cover the protruding organs with sterile towels soaked in sterile normal saline.
Answer: D
Conceptual Explanation: Evisceration is a medical emergency. The nurse must cover the
exposed organs with sterile, saline-soaked dressings to keep them moist and prevent
infection.
5. A nurse is caring for a client who is on contact precautions. Which of the following personal
protective equipment (PPE) is required when providing direct care?
A. N95 respirator and gloves
B. Surgical mask and goggles
C. Gown and gloves
D. Gown and N95 respirator
Answer: C
Conceptual Explanation: Contact precautions require a gown and gloves. A mask is only
required if splashing is anticipated or if the client also has respiratory precautions.
6. A nurse is caring for an older adult client who is at risk for falls. Which of the following
interventions should the nurse include in the plan of care?
A. Place the bed in the lowest position.
B. Keep all four side rails in the upright position.
FINAL EXAM PREP QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
EXPLANATIONS 2026/2027
1. A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of
the following actions is the nurse’s responsibility regarding informed consent?
A. Explain the risks and benefits of the procedure to the client.
B. Witness the client’s signature on the consent form.
C. Provide information on alternative treatments available.
D. Determine if the client is mentally competent to give consent.
Answer: B
Conceptual Explanation: The nurse’s role in informed consent is to witness the signature,
ensure the client is competent, and verify that the client received the information.
Explaining risks, benefits, and alternatives is the provider’s responsibility.
2. A nurse is preparing to administer an intramuscular injection to an adult client. Which of
the following angles should the nurse use?
A. 90 degrees
B. 45 degrees
,C. 15 degrees
D. 30 degrees
Answer: A
Conceptual Explanation: Intramuscular (IM) injections are administered at a 90-degree
angle to ensure the medication reaches the muscle tissue.
3. A nurse is assessing a client for orthostatic hypotension. After measuring the BP and heart
rate in the supine position, which action should the nurse take next?
A. Assist the client to a sitting position and wait 1 to 3 minutes before re-measuring.
B. Measure the blood pressure immediately after the client stands up.
C. Encourage the client to drink 500 mL of water before the next measurement.
D. Document the supine findings and stop the assessment.
Answer: A
Conceptual Explanation: When checking for orthostatic hypotension, the nurse should
allow the client to sit for 1 to 3 minutes before taking the next reading to allow the
cardiovascular system to adjust.
4. Which of the following is the priority nursing action when a client’s surgical wound has
eviscerated?
A. Apply a dry sterile dressing tightly over the wound.
B. Attempt to gently push the organs back into the abdominal cavity.
, C. Place the client in a High-Fowler’s position.
D. Cover the protruding organs with sterile towels soaked in sterile normal saline.
Answer: D
Conceptual Explanation: Evisceration is a medical emergency. The nurse must cover the
exposed organs with sterile, saline-soaked dressings to keep them moist and prevent
infection.
5. A nurse is caring for a client who is on contact precautions. Which of the following personal
protective equipment (PPE) is required when providing direct care?
A. N95 respirator and gloves
B. Surgical mask and goggles
C. Gown and gloves
D. Gown and N95 respirator
Answer: C
Conceptual Explanation: Contact precautions require a gown and gloves. A mask is only
required if splashing is anticipated or if the client also has respiratory precautions.
6. A nurse is caring for an older adult client who is at risk for falls. Which of the following
interventions should the nurse include in the plan of care?
A. Place the bed in the lowest position.
B. Keep all four side rails in the upright position.
