ATI Fundamentals CMS Proctored Exam
2025/2026
Comprehensive exam content aligned with ATI’s Fundamentals curriculum
for the academic year 2025/2026. All questions reflect essential nursing
principles including safety, patient care, basic comfort, communication, and
evidence-based practice.
Answers are presented clearly with correct options highlighted in green for
clarity.
,1 Exam Questions and Answers
Question 1
A nurse is preparing to transfer a client from a bed to a chair. Which action should the
nurse take first?
A. Position the chair next to the bed
B. Assess the client’s ability to assist
C. Apply a transfer belt
D. Lock the wheels of the bed
Correct Answer:
B. Assess the client’s ability to assist
Rationale:
Assessing the client’s strength and mobility ensures a safe transfer plan tailored to their
capabilities.
Question 2
A nurse is teaching a client about proper hand hygiene. Which instruction should the nurse
include?
A. Wash hands with cold water
B. Scrub hands for at least 20 seconds
C. Use a dry cloth to clean hands
D. Rinse hands without soap
Correct Answer:
B. Scrub hands for at least 20 seconds
Rationale:
Scrubbing for at least 20 seconds with soap and water effectively removes pathogens.
Question 3
A nurse is assisting a client with ambulation. Which intervention ensures client safety?
A. Encourage rapid walking
B. Use a gait belt
1
, C. Allow the client to walk barefoot
D. Hold the client’s arm tightly
Correct Answer:
B. Use a gait belt
Rationale:
A gait belt provides secure support, reducing the risk of falls during ambulation.
Question 4
A nurse is providing oral care for a client who is unconscious. Which position is most ap-
propriate?
A. Supine
B. Side-lying
C. Prone
D. Trendelenburg
Correct Answer:
B. Side-lying
Rationale:
The side-lying position prevents aspiration during oral care for an unconscious client.
Question 5
A nurse is preparing to administer a medication. Which step confirms the right client?
A. Check the room number
B. Use two client identifiers
C. Ask the client’s roommate
D. Verify the medication label
Correct Answer:
B. Use two client identifiers
Rationale:
Using two identifiers, such as name and date of birth, ensures the correct client receives the
medication.
Question 6
A client reports difficulty sleeping. Which intervention should the nurse implement first?
2
2025/2026
Comprehensive exam content aligned with ATI’s Fundamentals curriculum
for the academic year 2025/2026. All questions reflect essential nursing
principles including safety, patient care, basic comfort, communication, and
evidence-based practice.
Answers are presented clearly with correct options highlighted in green for
clarity.
,1 Exam Questions and Answers
Question 1
A nurse is preparing to transfer a client from a bed to a chair. Which action should the
nurse take first?
A. Position the chair next to the bed
B. Assess the client’s ability to assist
C. Apply a transfer belt
D. Lock the wheels of the bed
Correct Answer:
B. Assess the client’s ability to assist
Rationale:
Assessing the client’s strength and mobility ensures a safe transfer plan tailored to their
capabilities.
Question 2
A nurse is teaching a client about proper hand hygiene. Which instruction should the nurse
include?
A. Wash hands with cold water
B. Scrub hands for at least 20 seconds
C. Use a dry cloth to clean hands
D. Rinse hands without soap
Correct Answer:
B. Scrub hands for at least 20 seconds
Rationale:
Scrubbing for at least 20 seconds with soap and water effectively removes pathogens.
Question 3
A nurse is assisting a client with ambulation. Which intervention ensures client safety?
A. Encourage rapid walking
B. Use a gait belt
1
, C. Allow the client to walk barefoot
D. Hold the client’s arm tightly
Correct Answer:
B. Use a gait belt
Rationale:
A gait belt provides secure support, reducing the risk of falls during ambulation.
Question 4
A nurse is providing oral care for a client who is unconscious. Which position is most ap-
propriate?
A. Supine
B. Side-lying
C. Prone
D. Trendelenburg
Correct Answer:
B. Side-lying
Rationale:
The side-lying position prevents aspiration during oral care for an unconscious client.
Question 5
A nurse is preparing to administer a medication. Which step confirms the right client?
A. Check the room number
B. Use two client identifiers
C. Ask the client’s roommate
D. Verify the medication label
Correct Answer:
B. Use two client identifiers
Rationale:
Using two identifiers, such as name and date of birth, ensures the correct client receives the
medication.
Question 6
A client reports difficulty sleeping. Which intervention should the nurse implement first?
2
