ATI Fundamentals Proctored Exam 2025 – Top
Practice Questions with Detailed Rationales for
Guaranteed Nursing School Success
Question 1
A nurse in a long-term care facility is planning care for 4 clients. Which of the following
clients is at greatest risk of developing a pressure ulcer?
A. A client who is incontinent of urine 1 to 2 times a day
B. A client who is receiving enteral tube feedings
C. A client who requires assistance to transfer from the bed to a chair
D. A client who is unresponsive to pain stimuli
Correct Answer: D. A client who is unresponsive to pain stimuli
Rationale: Clients who are unresponsive to pain stimuli are at higher risk for pressure
ulcers due to decreased sensation and inability to reposition themselves to alleviate
pressure.
Question 2
A nurse is assessing a client's personal hygiene. Which of the following findings
indicates that the client might have difficulty with routinely brushing their teeth?
A. The client's mucosa is moist
B. The client’s gums feel spongy
C. The client has a missing tooth
D. The client's tongue is a dull red color
Correct Answer: B. The client’s gums feel spongy
Rationale: Spongy gums indicate poor oral hygiene and could signal that the client is
not brushing their teeth regularly.
Question 3
A nurse is planning to discharge a client who has diabetes mellitus and a new
prescription for insulin. Which of the following actions should the nurse plan to
complete first?
A. Make a copy of the medication reconciliation form for the client
B. Provide the client with the contact number for a diabetes education specialist
C. Determine whether the client can afford the insulin administration supplies
D. Obtain printed material about insulin self-administration
Correct Answer: C. Determine whether the client can afford the insulin administration
,supplies
Rationale: Assessing financial ability is a priority to ensure the client can follow through
with prescribed treatment.
Question 4
A community health nurse is teaching a group of clients about Kegel exercises to
prevent urinary incontinence. Which of the following instructions should the nurse
include?
A. Contract your pelvic muscle when performing the exercises
B. Expect improvement after 2 weeks of performing the exercises
C. Hold your breath when performing the exercises
D. Tighten your buttocks when performing the exercises
Correct Answer: A. Contract your pelvic muscle when performing the exercises
Rationale: Kegel exercises focus on strengthening the pelvic floor muscles to improve
urinary control.
Question 5
A nurse is assessing the skin of a client who has worked outdoors for the past 20 years.
Which of the following findings is the nurse's priority?
A. Skin tags noted in the neck region
B. A change in appearance of a mole on the shoulder
C. A flat, nonpalpable, discolored area of skin on the trunk
D. An atrophic wart on the left index finger
Correct Answer: B. A change in appearance of a mole on the shoulder
Rationale: Changes in a mole's appearance can indicate skin cancer and require
immediate evaluation.
Question 6
A nurse is caring for a client who has a high fever. Which of the following actions should
the nurse take?
A. Cover the client with heavy blankets after shivering subsides
B. Place ice packs on the client's neck and behind the knees
C. Apply a bath blanket between the client and a cooling blanket
D. Give the client a sponge bath using alcohol water solution
Correct Answer: C. Apply a bath blanket between the client and a cooling blanket
Rationale: A bath blanket helps protect the client's skin and promotes even cooling.
,Question 7
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: A minor who is a parent can give legal consent for their child's medical
procedures.
Question 8
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 minutes 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: A. Encourage the client to try to defecate for 20 minutes while on the
fracture pan
Rationale: Giving adequate time while using a fracture bedpan supports comfort and
bowel elimination.
Question 9
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: Magnetic therapy can interfere with the function of implanted electronic
devices like defibrillators.
Question 10
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: Gloves are considered most contaminated and should be removed first to
prevent the spread of infection.
Question 11
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: Clients with MRSA should be placed in a private room to prevent the spread
of infection.
Question 12
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
Correct Answer: A. Delirium has an abrupt onset
Rationale: Delirium typically develops suddenly and can fluctuate in severity.
Question 13
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
Practice Questions with Detailed Rationales for
Guaranteed Nursing School Success
Question 1
A nurse in a long-term care facility is planning care for 4 clients. Which of the following
clients is at greatest risk of developing a pressure ulcer?
A. A client who is incontinent of urine 1 to 2 times a day
B. A client who is receiving enteral tube feedings
C. A client who requires assistance to transfer from the bed to a chair
D. A client who is unresponsive to pain stimuli
Correct Answer: D. A client who is unresponsive to pain stimuli
Rationale: Clients who are unresponsive to pain stimuli are at higher risk for pressure
ulcers due to decreased sensation and inability to reposition themselves to alleviate
pressure.
Question 2
A nurse is assessing a client's personal hygiene. Which of the following findings
indicates that the client might have difficulty with routinely brushing their teeth?
A. The client's mucosa is moist
B. The client’s gums feel spongy
C. The client has a missing tooth
D. The client's tongue is a dull red color
Correct Answer: B. The client’s gums feel spongy
Rationale: Spongy gums indicate poor oral hygiene and could signal that the client is
not brushing their teeth regularly.
Question 3
A nurse is planning to discharge a client who has diabetes mellitus and a new
prescription for insulin. Which of the following actions should the nurse plan to
complete first?
A. Make a copy of the medication reconciliation form for the client
B. Provide the client with the contact number for a diabetes education specialist
C. Determine whether the client can afford the insulin administration supplies
D. Obtain printed material about insulin self-administration
Correct Answer: C. Determine whether the client can afford the insulin administration
,supplies
Rationale: Assessing financial ability is a priority to ensure the client can follow through
with prescribed treatment.
Question 4
A community health nurse is teaching a group of clients about Kegel exercises to
prevent urinary incontinence. Which of the following instructions should the nurse
include?
A. Contract your pelvic muscle when performing the exercises
B. Expect improvement after 2 weeks of performing the exercises
C. Hold your breath when performing the exercises
D. Tighten your buttocks when performing the exercises
Correct Answer: A. Contract your pelvic muscle when performing the exercises
Rationale: Kegel exercises focus on strengthening the pelvic floor muscles to improve
urinary control.
Question 5
A nurse is assessing the skin of a client who has worked outdoors for the past 20 years.
Which of the following findings is the nurse's priority?
A. Skin tags noted in the neck region
B. A change in appearance of a mole on the shoulder
C. A flat, nonpalpable, discolored area of skin on the trunk
D. An atrophic wart on the left index finger
Correct Answer: B. A change in appearance of a mole on the shoulder
Rationale: Changes in a mole's appearance can indicate skin cancer and require
immediate evaluation.
Question 6
A nurse is caring for a client who has a high fever. Which of the following actions should
the nurse take?
A. Cover the client with heavy blankets after shivering subsides
B. Place ice packs on the client's neck and behind the knees
C. Apply a bath blanket between the client and a cooling blanket
D. Give the client a sponge bath using alcohol water solution
Correct Answer: C. Apply a bath blanket between the client and a cooling blanket
Rationale: A bath blanket helps protect the client's skin and promotes even cooling.
,Question 7
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: A minor who is a parent can give legal consent for their child's medical
procedures.
Question 8
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 minutes 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: A. Encourage the client to try to defecate for 20 minutes while on the
fracture pan
Rationale: Giving adequate time while using a fracture bedpan supports comfort and
bowel elimination.
Question 9
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: Magnetic therapy can interfere with the function of implanted electronic
devices like defibrillators.
Question 10
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: Gloves are considered most contaminated and should be removed first to
prevent the spread of infection.
Question 11
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: Clients with MRSA should be placed in a private room to prevent the spread
of infection.
Question 12
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
Correct Answer: A. Delirium has an abrupt onset
Rationale: Delirium typically develops suddenly and can fluctuate in severity.
Question 13
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
