ATI Fundamentals Proctored Exam 2025 Full
Review | Updated ATI FUNDAMENTALS PROCTOR
Retake Questions with Correct Answers &
Rationales | Proctor Nursing Exam Prep Guide for
RN Students
Scenario 1: A nurse is caring for an infant who is to undergo surgery. The nurse should
identify which of the following individuals should sign the consent form?
A. The infant's 17-year-old mother
B. The infant's provider
C. The infant's grandmother
D. The mother's 21-year-old sibling
Correct Answer: A. The infant's 17-year-old mother
Rationale: Generally, a parent or legal guardian has the legal authority to provide
consent for medical treatment for a minor. Even though the mother is a minor herself
(under 18), many jurisdictions have laws allowing minor parents to consent to medical
care for their children. The provider explains the procedure but does not sign the
consent. The grandmother and the mother's sibling do not typically have legal authority
unless they are the legal guardians.
Scenario 2: A nurse is assisting in the use of a fracture bedpan for a client who is
immobile due to a cast. Which of the following actions should the nurse use?
A. Encourage the client to try to defecate for 20 min while on the fracture pan.
B. Keep the bed flat while the client is on the fracture pan.
C. Hyperextend the client's back while the fracture pan is in place.
D. Place the shallow end of the fracture pan under the client's buttocks.
Correct Answer: D. Place the shallow end of the fracture pan under the client's
buttocks.
Rationale: Fracture bedpans are designed with a lower and shallower end to facilitate
placement under clients with mobility limitations, such as those in casts, minimizing
discomfort and the need for significant lifting or repositioning. Encouraging defecation
,for a fixed long period (20 minutes) is not always appropriate. Keeping the bed flat can
make it harder for the client to use the bedpan. Hyperextending the back could cause
pain or injury.
Scenario 3: A nurse is reviewing the medical record of a client who asks about the use of
magnet therapy for pain relief. The nurse should identify which of the following findings
is a contraindication for receiving this type of therapy?
A. The client is allergic to penicillin
B. The client has a prescription for metoprolol
C. The client has a history of alcohol use disorder
D. The client has an implanted defibrillator
Correct Answer: D. The client has an implanted defibrillator
Rationale: Magnet therapy is contraindicated for clients with implanted electronic
devices like defibrillators and pacemakers because the magnetic fields can interfere
with the function of these devices, potentially leading to serious adverse events.
Allergies, beta-blockers like metoprolol, and a history of alcohol use disorder are
generally not contraindications for magnet therapy, although the nurse should still
consider the client's overall health status.
Scenario 4: A nurse is caring for a client who requires airborne precautions. The nurse is
preparing to leave the client's room following a dressing change. Which of the following
pieces of personal protective equipment should the nurse remove first?
A. Gloves
B. Eyewear
C. Gown
D. Mask
Correct Answer: A. Gloves
Rationale: The gloves are the most contaminated piece of PPE. Removing them first
minimizes the risk of transferring microorganisms to oneself or the environment during
the removal of other PPE. The correct order for removing PPE after airborne precautions
is typically gloves, eyewear, gown, and then mask (outside the patient's room).
Scenario 5: A nurse is teaching a newly licensed nurse about the care of a client who
has methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the
following statements by the newly licensed nurse indicates an understanding of the
teaching?
,A. I will wear an N95 respirator mask when caring for the client.
B. I will tell the client's visitors to wear a mask when they are within 3 feet of the client.
C. I will place the client in a private room.
D. I will remove my gown before my gloves after providing client care.
Correct Answer: C. I will place the client in a private room.
Rationale: MRSA is typically spread through direct contact. Standard and contact
precautions are required, which include placing the client in a private room to prevent
the spread of the infection to other clients. An N95 respirator is required for airborne
precautions, not typically MRSA. Visitors should follow the same precautions as staff,
which usually includes gowns and gloves for contact. Gloves should always be removed
before the gown to minimize contamination.
Scenario 6: A charge nurse in a long-term care facility is preparing an educational
program about delirium for newly hired nurses. Which of the following statements
should the nurse plan to include?
A. Delirium has an abrupt onset.
Rationale: Delirium is characterized by a sudden or rapid onset of confusion and altered
cognition that can fluctuate in severity throughout the day. Options that describe a
gradual onset or chronic conditions are incorrect.
Scenario 7: A nurse is preparing to insert an IV catheter for an adult client. Which of the
following actions should the nurse take?
A. Choose the most proximal site on the extremity selected.
B. Apply a cool compress for several minutes before insertion of the IV catheter.
C. Place the tourniquet below the proposed insertion site.
D. Place the extremity in a dependent position.
Correct Answer: D. Place the extremity in a dependent position.
Rationale: Placing the extremity in a dependent position (hanging down) helps to
distend the veins, making them more prominent and easier to cannulate. The most
distal site should be attempted first to preserve proximal sites for future use. A warm
compress, not a cool compress, can help with vasodilation. The tourniquet should be
placed above the proposed insertion site to occlude venous return.
Scenario 8: A nurse is teaching a client who is about to undergo a bowel resection about
advance directives. Which of the following instructions should the nurse include in the
teaching?
, A. Your partner must be present when you sign the advance directives.
B. You will receive written information about advance directives prior to signing.
C. You are required to sign advance directives prior to surgery.
D. Your provider must sign the advance directives before surgery.
Correct Answer: B. You will receive written information about advance directives prior to
signing.
Rationale: Clients have the right to receive information about advance directives, which
are legal documents outlining their wishes for medical treatment in the event they
become unable to make decisions for themselves. While encouraged, signing advance
directives is not always a requirement for surgery. A witness is usually required for
signing, but it doesn't have to be the partner. The provider does not typically sign the
client's advance directives.
Scenario 9: A nurse is caring for a client who has wrist restraints after an episode of
violent behavior. Which of the following actions should the nurse take?
A. Remove one restraint at a time.
Rationale: When providing care to a client in restraints, it is important to maintain safety
while allowing for assessment and hygiene. Removing one restraint at a time allows for
limb movement and skin assessment while still ensuring the client's safety and
preventing the removal of all restraints simultaneously.
Scenario 10: A nurse is preparing to administer several medications via NG tube to a
client who is receiving a continuous tube feeding. Which of the following actions should
the nurse take?
A. Dilute each crushed medication with sterile water.
B. Mix the medications together in a single syringe.
C. Flush the NG tube with 15-30 mL of sterile water prior to administration.
D. Combine the medications with the formula in the feeding bag.
Correct Answer: C. Flush the NG tube with 15-30 mL of sterile water prior to
administration.
Rationale: The NG tube should be flushed with water before administering medications
to ensure patency and prevent interactions between medications and the feeding
formula. Each medication should ideally be administered separately and flushed with
water in between to prevent clogging and interactions. Diluting crushed medications is
generally recommended, but flushing the tube before is the priority action in this list.
Medications should never be mixed directly with the feeding formula.
Review | Updated ATI FUNDAMENTALS PROCTOR
Retake Questions with Correct Answers &
Rationales | Proctor Nursing Exam Prep Guide for
RN Students
Scenario 1: A nurse is caring for an infant who is to undergo surgery. The nurse should
identify which of the following individuals should sign the consent form?
A. The infant's 17-year-old mother
B. The infant's provider
C. The infant's grandmother
D. The mother's 21-year-old sibling
Correct Answer: A. The infant's 17-year-old mother
Rationale: Generally, a parent or legal guardian has the legal authority to provide
consent for medical treatment for a minor. Even though the mother is a minor herself
(under 18), many jurisdictions have laws allowing minor parents to consent to medical
care for their children. The provider explains the procedure but does not sign the
consent. The grandmother and the mother's sibling do not typically have legal authority
unless they are the legal guardians.
Scenario 2: A nurse is assisting in the use of a fracture bedpan for a client who is
immobile due to a cast. Which of the following actions should the nurse use?
A. Encourage the client to try to defecate for 20 min while on the fracture pan.
B. Keep the bed flat while the client is on the fracture pan.
C. Hyperextend the client's back while the fracture pan is in place.
D. Place the shallow end of the fracture pan under the client's buttocks.
Correct Answer: D. Place the shallow end of the fracture pan under the client's
buttocks.
Rationale: Fracture bedpans are designed with a lower and shallower end to facilitate
placement under clients with mobility limitations, such as those in casts, minimizing
discomfort and the need for significant lifting or repositioning. Encouraging defecation
,for a fixed long period (20 minutes) is not always appropriate. Keeping the bed flat can
make it harder for the client to use the bedpan. Hyperextending the back could cause
pain or injury.
Scenario 3: A nurse is reviewing the medical record of a client who asks about the use of
magnet therapy for pain relief. The nurse should identify which of the following findings
is a contraindication for receiving this type of therapy?
A. The client is allergic to penicillin
B. The client has a prescription for metoprolol
C. The client has a history of alcohol use disorder
D. The client has an implanted defibrillator
Correct Answer: D. The client has an implanted defibrillator
Rationale: Magnet therapy is contraindicated for clients with implanted electronic
devices like defibrillators and pacemakers because the magnetic fields can interfere
with the function of these devices, potentially leading to serious adverse events.
Allergies, beta-blockers like metoprolol, and a history of alcohol use disorder are
generally not contraindications for magnet therapy, although the nurse should still
consider the client's overall health status.
Scenario 4: A nurse is caring for a client who requires airborne precautions. The nurse is
preparing to leave the client's room following a dressing change. Which of the following
pieces of personal protective equipment should the nurse remove first?
A. Gloves
B. Eyewear
C. Gown
D. Mask
Correct Answer: A. Gloves
Rationale: The gloves are the most contaminated piece of PPE. Removing them first
minimizes the risk of transferring microorganisms to oneself or the environment during
the removal of other PPE. The correct order for removing PPE after airborne precautions
is typically gloves, eyewear, gown, and then mask (outside the patient's room).
Scenario 5: A nurse is teaching a newly licensed nurse about the care of a client who
has methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the
following statements by the newly licensed nurse indicates an understanding of the
teaching?
,A. I will wear an N95 respirator mask when caring for the client.
B. I will tell the client's visitors to wear a mask when they are within 3 feet of the client.
C. I will place the client in a private room.
D. I will remove my gown before my gloves after providing client care.
Correct Answer: C. I will place the client in a private room.
Rationale: MRSA is typically spread through direct contact. Standard and contact
precautions are required, which include placing the client in a private room to prevent
the spread of the infection to other clients. An N95 respirator is required for airborne
precautions, not typically MRSA. Visitors should follow the same precautions as staff,
which usually includes gowns and gloves for contact. Gloves should always be removed
before the gown to minimize contamination.
Scenario 6: A charge nurse in a long-term care facility is preparing an educational
program about delirium for newly hired nurses. Which of the following statements
should the nurse plan to include?
A. Delirium has an abrupt onset.
Rationale: Delirium is characterized by a sudden or rapid onset of confusion and altered
cognition that can fluctuate in severity throughout the day. Options that describe a
gradual onset or chronic conditions are incorrect.
Scenario 7: A nurse is preparing to insert an IV catheter for an adult client. Which of the
following actions should the nurse take?
A. Choose the most proximal site on the extremity selected.
B. Apply a cool compress for several minutes before insertion of the IV catheter.
C. Place the tourniquet below the proposed insertion site.
D. Place the extremity in a dependent position.
Correct Answer: D. Place the extremity in a dependent position.
Rationale: Placing the extremity in a dependent position (hanging down) helps to
distend the veins, making them more prominent and easier to cannulate. The most
distal site should be attempted first to preserve proximal sites for future use. A warm
compress, not a cool compress, can help with vasodilation. The tourniquet should be
placed above the proposed insertion site to occlude venous return.
Scenario 8: A nurse is teaching a client who is about to undergo a bowel resection about
advance directives. Which of the following instructions should the nurse include in the
teaching?
, A. Your partner must be present when you sign the advance directives.
B. You will receive written information about advance directives prior to signing.
C. You are required to sign advance directives prior to surgery.
D. Your provider must sign the advance directives before surgery.
Correct Answer: B. You will receive written information about advance directives prior to
signing.
Rationale: Clients have the right to receive information about advance directives, which
are legal documents outlining their wishes for medical treatment in the event they
become unable to make decisions for themselves. While encouraged, signing advance
directives is not always a requirement for surgery. A witness is usually required for
signing, but it doesn't have to be the partner. The provider does not typically sign the
client's advance directives.
Scenario 9: A nurse is caring for a client who has wrist restraints after an episode of
violent behavior. Which of the following actions should the nurse take?
A. Remove one restraint at a time.
Rationale: When providing care to a client in restraints, it is important to maintain safety
while allowing for assessment and hygiene. Removing one restraint at a time allows for
limb movement and skin assessment while still ensuring the client's safety and
preventing the removal of all restraints simultaneously.
Scenario 10: A nurse is preparing to administer several medications via NG tube to a
client who is receiving a continuous tube feeding. Which of the following actions should
the nurse take?
A. Dilute each crushed medication with sterile water.
B. Mix the medications together in a single syringe.
C. Flush the NG tube with 15-30 mL of sterile water prior to administration.
D. Combine the medications with the formula in the feeding bag.
Correct Answer: C. Flush the NG tube with 15-30 mL of sterile water prior to
administration.
Rationale: The NG tube should be flushed with water before administering medications
to ensure patency and prevent interactions between medications and the feeding
formula. Each medication should ideally be administered separately and flushed with
water in between to prevent clogging and interactions. Diluting crushed medications is
generally recommended, but flushing the tube before is the priority action in this list.
Medications should never be mixed directly with the feeding formula.
