ATI RN FUNDAMENTALS PROCTORED EXAM QUESTIONS
AND VERIFIED ANSWERS VERSION 1, 2 and 3 2025 100%
CORRECT ANSWERS GRADED A+ WITH RATIONALES
1. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take first?
A. Educate the client about how to use the call light
B. Perform a fall-risk assessment
C. Keep the bed in the lowest position
D. Apply a fall risk bracelet
Performing a fall-risk assessment allows the nurse to determine the level of risk
and implement appropriate interventions based on that risk.
2. A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which of the following actions should the nurse take?
A. Clean the urinary meatus from front to back
B. Inflate the balloon before insertion
C. Insert the catheter 1 inch into the urethra
D. Use clean gloves for the procedure
Cleaning from front to back reduces the risk of introducing bacteria from the anal
area to the urinary tract.
,3. A nurse is documenting client care. Which of the following entries is
appropriate?
A. "Client appears to be comfortable."
B. "Client seems to be upset."
C. "Client is having a good day."
D. "Client reports pain rated 4 on a scale of 0 to 10."
Objective and measurable data should be documented, and pain ratings are
client-reported and quantifiable.
4. A nurse is providing oral care for an unconscious client. Which of the
following actions should the nurse take?
A. Place the client in the supine position
B. Position the client laterally
C. Use firm pressure with the toothbrush
D. Avoid using a toothbrush
Positioning the client laterally prevents aspiration by allowing secretions to drain
from the mouth.
5. A nurse is reviewing hand hygiene with a group of newly licensed nurses.
Which of the following statements requires clarification?
A. "I will use hand sanitizer after removing gloves."
B. "I will wash my hands for at least 15 seconds."
,C. "I will wash my hands before touching a client."
D. "I will use soap and water when hands are visibly soiled."
Hand sanitizer can be used after removing gloves unless hands are visibly soiled.
This statement does not require clarification.
6. A nurse is caring for a client who is receiving oxygen via nasal cannula. Which
of the following interventions is appropriate?
A. Set the oxygen flow rate to 8 L/min
B. Secure the tubing tightly around the ears
C. Use oil-based moisturizer on the nostrils
D. Assess the client’s nares for skin breakdown
Prolonged use of a nasal cannula can cause skin irritation or breakdown,
especially around the nares.
7. A nurse is reinforcing teaching with a client about proper use of a cane. Which
of the following instructions should the nurse include?
A. "Hold the cane on your weak side."
B. "Move the cane forward at the same time as your weak leg."
C. "Advance the strong leg first."
D. "Keep the cane 12 inches from your body."
The cane should move forward with the weaker leg to provide support and
maintain balance.
, 8. A nurse is preparing to administer an intramuscular injection to a client.
Which of the following actions should the nurse take?
A. Insert the needle at a 90-degree angle
B. Use a 25-gauge, 5/8-inch needle
C. Massage the site after injection
D. Use the vastus lateralis for adults
The correct angle for intramuscular injections is 90 degrees to ensure the
medication reaches the muscle.
9. A nurse is caring for a client who is terminally ill. Which of the following
actions should the nurse take to promote comfort?
A. Encourage frequent visitors at all times
B. Discourage the use of analgesics
C. Keep the client's environment quiet and peaceful
D. Perform frequent neurological assessments
A quiet environment can help promote comfort and peace for terminally ill clients.
10. A nurse is assisting a client who has left-sided weakness with ambulation.
Where should the nurse stand?
A. Behind the client
B. On the client’s weak side
C. On the client’s strong side
D. In front of the client
AND VERIFIED ANSWERS VERSION 1, 2 and 3 2025 100%
CORRECT ANSWERS GRADED A+ WITH RATIONALES
1. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take first?
A. Educate the client about how to use the call light
B. Perform a fall-risk assessment
C. Keep the bed in the lowest position
D. Apply a fall risk bracelet
Performing a fall-risk assessment allows the nurse to determine the level of risk
and implement appropriate interventions based on that risk.
2. A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which of the following actions should the nurse take?
A. Clean the urinary meatus from front to back
B. Inflate the balloon before insertion
C. Insert the catheter 1 inch into the urethra
D. Use clean gloves for the procedure
Cleaning from front to back reduces the risk of introducing bacteria from the anal
area to the urinary tract.
,3. A nurse is documenting client care. Which of the following entries is
appropriate?
A. "Client appears to be comfortable."
B. "Client seems to be upset."
C. "Client is having a good day."
D. "Client reports pain rated 4 on a scale of 0 to 10."
Objective and measurable data should be documented, and pain ratings are
client-reported and quantifiable.
4. A nurse is providing oral care for an unconscious client. Which of the
following actions should the nurse take?
A. Place the client in the supine position
B. Position the client laterally
C. Use firm pressure with the toothbrush
D. Avoid using a toothbrush
Positioning the client laterally prevents aspiration by allowing secretions to drain
from the mouth.
5. A nurse is reviewing hand hygiene with a group of newly licensed nurses.
Which of the following statements requires clarification?
A. "I will use hand sanitizer after removing gloves."
B. "I will wash my hands for at least 15 seconds."
,C. "I will wash my hands before touching a client."
D. "I will use soap and water when hands are visibly soiled."
Hand sanitizer can be used after removing gloves unless hands are visibly soiled.
This statement does not require clarification.
6. A nurse is caring for a client who is receiving oxygen via nasal cannula. Which
of the following interventions is appropriate?
A. Set the oxygen flow rate to 8 L/min
B. Secure the tubing tightly around the ears
C. Use oil-based moisturizer on the nostrils
D. Assess the client’s nares for skin breakdown
Prolonged use of a nasal cannula can cause skin irritation or breakdown,
especially around the nares.
7. A nurse is reinforcing teaching with a client about proper use of a cane. Which
of the following instructions should the nurse include?
A. "Hold the cane on your weak side."
B. "Move the cane forward at the same time as your weak leg."
C. "Advance the strong leg first."
D. "Keep the cane 12 inches from your body."
The cane should move forward with the weaker leg to provide support and
maintain balance.
, 8. A nurse is preparing to administer an intramuscular injection to a client.
Which of the following actions should the nurse take?
A. Insert the needle at a 90-degree angle
B. Use a 25-gauge, 5/8-inch needle
C. Massage the site after injection
D. Use the vastus lateralis for adults
The correct angle for intramuscular injections is 90 degrees to ensure the
medication reaches the muscle.
9. A nurse is caring for a client who is terminally ill. Which of the following
actions should the nurse take to promote comfort?
A. Encourage frequent visitors at all times
B. Discourage the use of analgesics
C. Keep the client's environment quiet and peaceful
D. Perform frequent neurological assessments
A quiet environment can help promote comfort and peace for terminally ill clients.
10. A nurse is assisting a client who has left-sided weakness with ambulation.
Where should the nurse stand?
A. Behind the client
B. On the client’s weak side
C. On the client’s strong side
D. In front of the client
