ATI 2025 Fundamentals Proctored Exam with
Rationales | ATI Fundamentals Retake Guide |
Updated ATI FUNDAMENTALS PROCTOR Practice
Questions & Proctor Review
1. Temporal Artery Thermometer Use
Question:
A nurse is assessing the body temperature of an adult client using a temporal artery
thermometer. Which of the following actions should the nurse take? (Select all that
apply)
a. Slide the probe across the client's forehead
b. Pull the client's pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion
Correct Answers: a, c
Rationales:
• a. Slide the probe across the client's forehead: This is the correct
technique for using a temporal artery thermometer.
• b. Pull the client's pinna up & back: This is appropriate for tympanic
temperature measurement, not temporal.
• c. Hold the client's hair aside: Hair can interfere with the accuracy of the
reading.
• d. Document the temperature with "AX": “AX” refers to axillary temperature,
not temporal.
• e. Move the probe in a circular motion: The probe should be slid in a
straight line across the forehead.
2. Dilating Vein for IV Insertion
,Question:
A nurse is preparing to insert a peripheral IV catheter. Which action should the nurse
take to help dilate the vein?
a. Stroke the skin near the vein in an upward position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand open
Correct Answer: b
Rationale:
• b. Dangle the client's arm: This promotes venous pooling, making the vein
easier to visualize and access.
• a. Stroke the skin upward: Not a standard method for vein dilation.
• c. Apply a cool compress: Cold causes vasoconstriction, not dilation.
• d. Flexing the arm: This can compress veins, making insertion more difficult.
3. Suctioning Tracheostomy
Question:
When suctioning a client's tracheostomy, which action should the nurse plan to take?
a. Apply intermittent suction during insertion
b. Suction for 20 seconds per pass
c. Hyperoxygenate the client for 30–60 seconds before suctioning
d. Decrease suction pressure to 150 mm Hg if O₂ sat drops
Correct Answer: c
Rationale:
• c. Hyperoxygenate: Reduces hypoxia risk during suctioning.
• a. Intermittent suction during insertion: Suction is applied during
withdrawal only.
• b. 20 seconds: Suctioning should not exceed 10–15 seconds per pass.
• d. 150 mm Hg: Suction pressure should be 80–120 mm Hg for adults.
4. Post-Morphine Administration Assessment
,Question:
A nurse is assessing a client 30 minutes after administering morphine. Which finding is
the priority?
a. Last bowel movement was 3 days ago
b. Reports pain of 8/10
c. Distended bladder
d. Respiratory rate 7/min
Correct Answer: d
Rationale:
• d. Respiratory rate 7/min: Indicates respiratory depression, a life-
threatening side effect.
• a, b, c: Important, but not immediately life-threatening.
5. Recurrent STIs
Question:
A client has been treated multiple times for STIs. Which response should the nurse
provide?
a. "You must have too many sexual partners."
b. "Why do you keep letting this happen?"
c. "Let's explore why this might be re-occurring."
d. "Don't you have access to condoms?"
Correct Answer: c
Rationale:
• c. Therapeutic and nonjudgmental: Promotes open communication and
client education.
• a, b, d: Judgmental or accusatory; not therapeutic.
6. Seizure in Chair
Question:
A client begins to have a seizure while sitting in a chair. What should the nurse do first?
a. Move items away from the client
b. Turn the client onto their side
c. Help the client lie on the floor
d. Loosen the client’s clothing
, Correct Answer: c
Rationale:
• c. Help the client to the floor: Prevents injury from falling.
• a, b, d: Important, but not the first priority action.
7. Weber’s Test
Question:
Which action should the nurse take when performing Weber’s test?
a. Move a vibrating tuning fork in front of the client’s ears
b. Place the tuning fork on the mastoid process
c. Place the tuning fork on top of the client’s head
d. Count how many seconds the client hears the tuning fork
Correct Answer: c
Rationale:
• c. Top of the head: Assesses for lateralization of sound.
• a: This is part of the Rinne test.
• b: Also Rinne test.
• d: This describes testing for auditory acuity, not conduction.
8. Ginkgo Biloba Interaction
Question:
A nurse is reviewing medications with a client who takes ginkgo biloba. Which
medication may interact with this supplement?
a. Warfarin
b. Albuterol
c. Levothyroxine
d. Atorvastatin
Correct Answer: a
Rationale:
• a. Warfarin: Ginkgo biloba increases bleeding risk.
• b, c, d: No significant known interaction with ginkgo.
Rationales | ATI Fundamentals Retake Guide |
Updated ATI FUNDAMENTALS PROCTOR Practice
Questions & Proctor Review
1. Temporal Artery Thermometer Use
Question:
A nurse is assessing the body temperature of an adult client using a temporal artery
thermometer. Which of the following actions should the nurse take? (Select all that
apply)
a. Slide the probe across the client's forehead
b. Pull the client's pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion
Correct Answers: a, c
Rationales:
• a. Slide the probe across the client's forehead: This is the correct
technique for using a temporal artery thermometer.
• b. Pull the client's pinna up & back: This is appropriate for tympanic
temperature measurement, not temporal.
• c. Hold the client's hair aside: Hair can interfere with the accuracy of the
reading.
• d. Document the temperature with "AX": “AX” refers to axillary temperature,
not temporal.
• e. Move the probe in a circular motion: The probe should be slid in a
straight line across the forehead.
2. Dilating Vein for IV Insertion
,Question:
A nurse is preparing to insert a peripheral IV catheter. Which action should the nurse
take to help dilate the vein?
a. Stroke the skin near the vein in an upward position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand open
Correct Answer: b
Rationale:
• b. Dangle the client's arm: This promotes venous pooling, making the vein
easier to visualize and access.
• a. Stroke the skin upward: Not a standard method for vein dilation.
• c. Apply a cool compress: Cold causes vasoconstriction, not dilation.
• d. Flexing the arm: This can compress veins, making insertion more difficult.
3. Suctioning Tracheostomy
Question:
When suctioning a client's tracheostomy, which action should the nurse plan to take?
a. Apply intermittent suction during insertion
b. Suction for 20 seconds per pass
c. Hyperoxygenate the client for 30–60 seconds before suctioning
d. Decrease suction pressure to 150 mm Hg if O₂ sat drops
Correct Answer: c
Rationale:
• c. Hyperoxygenate: Reduces hypoxia risk during suctioning.
• a. Intermittent suction during insertion: Suction is applied during
withdrawal only.
• b. 20 seconds: Suctioning should not exceed 10–15 seconds per pass.
• d. 150 mm Hg: Suction pressure should be 80–120 mm Hg for adults.
4. Post-Morphine Administration Assessment
,Question:
A nurse is assessing a client 30 minutes after administering morphine. Which finding is
the priority?
a. Last bowel movement was 3 days ago
b. Reports pain of 8/10
c. Distended bladder
d. Respiratory rate 7/min
Correct Answer: d
Rationale:
• d. Respiratory rate 7/min: Indicates respiratory depression, a life-
threatening side effect.
• a, b, c: Important, but not immediately life-threatening.
5. Recurrent STIs
Question:
A client has been treated multiple times for STIs. Which response should the nurse
provide?
a. "You must have too many sexual partners."
b. "Why do you keep letting this happen?"
c. "Let's explore why this might be re-occurring."
d. "Don't you have access to condoms?"
Correct Answer: c
Rationale:
• c. Therapeutic and nonjudgmental: Promotes open communication and
client education.
• a, b, d: Judgmental or accusatory; not therapeutic.
6. Seizure in Chair
Question:
A client begins to have a seizure while sitting in a chair. What should the nurse do first?
a. Move items away from the client
b. Turn the client onto their side
c. Help the client lie on the floor
d. Loosen the client’s clothing
, Correct Answer: c
Rationale:
• c. Help the client to the floor: Prevents injury from falling.
• a, b, d: Important, but not the first priority action.
7. Weber’s Test
Question:
Which action should the nurse take when performing Weber’s test?
a. Move a vibrating tuning fork in front of the client’s ears
b. Place the tuning fork on the mastoid process
c. Place the tuning fork on top of the client’s head
d. Count how many seconds the client hears the tuning fork
Correct Answer: c
Rationale:
• c. Top of the head: Assesses for lateralization of sound.
• a: This is part of the Rinne test.
• b: Also Rinne test.
• d: This describes testing for auditory acuity, not conduction.
8. Ginkgo Biloba Interaction
Question:
A nurse is reviewing medications with a client who takes ginkgo biloba. Which
medication may interact with this supplement?
a. Warfarin
b. Albuterol
c. Levothyroxine
d. Atorvastatin
Correct Answer: a
Rationale:
• a. Warfarin: Ginkgo biloba increases bleeding risk.
• b, c, d: No significant known interaction with ginkgo.
