ATI RN FUNDAMENTALS PROCTORED EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2025 Q&A | INSTANT DOWNLOAD PDF
Questions cover safety, infection control, communication, ethical/legal issues,
basic care and comfort, health promotion, and more.
1. A nurse is planning care for a client who is immobile. Which of the following
interventions should the nurse include to prevent skin breakdown?
A. Massage reddened bony prominences
B. Turn the client every 2 hours
C. Apply heat packs to pressure points
D. Limit fluid intake
Turning the client every 2 hours helps reduce pressure and promotes circulation,
which prevents skin breakdown.
2. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take?
A. Place the client in a room away from the nurses’ station
B. Raise all four side rails
C. Apply a fall-risk wristband
D. Leave the bed in a high position
A fall-risk wristband alerts all staff to take precautions.
, 3. A nurse is using a pain scale to assess a client’s pain level. The client rates
their pain as 7 out of 10. What should the nurse do next?
A. Document the pain level
B. Administer prescribed analgesic
C. Reassess pain in 1 hour
D. Ask the client to describe the pain
A rating of 7 indicates moderate to severe pain, and prompt intervention is
required.
4. A nurse is assessing an older adult client. Which of the following findings
should be reported to the provider?
A. Decreased skin turgor
B. Loss of height
C. Presence of adventitious lung sounds
D. Thick toenails
Adventitious breath sounds may indicate a respiratory problem that requires
immediate attention.
5. A nurse is teaching a client how to use a cane. Which of the following
instructions should the nurse give?
A. Hold the cane on the same side as the affected leg
B. Move the cane forward with the affected leg
,C. Keep the cane 12 inches from the body
D. Move the stronger leg before the cane
The cane should be moved forward at the same time as the affected leg to
maintain balance.
6. A nurse is preparing to insert an indwelling urinary catheter. Which of the
following actions should the nurse take first?
A. Don sterile gloves
B. Perform hand hygiene
C. Open the catheter kit
D. Position the client
Hand hygiene is the first step to prevent infection.
7. A nurse is performing passive range of motion (ROM) for a client. Which of
the following actions should the nurse take?
A. Move the joint beyond resistance
B. Perform ROM exercises once daily
C. Keep the joint stiff to prevent injury
D. Support the joint while moving it
Supporting the joint prevents strain and promotes safe movement.
8. A nurse is caring for a client who is postoperative. Which of the following
interventions reduces the risk of deep vein thrombosis (DVT)?
, A. Elevate legs above heart level continuously
B. Apply sequential compression devices (SCDs)
C. Massage the calves
D. Maintain bedrest for 24 hours
SCDs promote venous return and prevent blood stasis, reducing DVT risk.
9. A nurse is caring for a client with a stage 2 pressure injury. Which of the
following findings should the nurse expect?
A. Exposed bone
B. Full-thickness skin loss
C. Partial-thickness skin loss with a red-pink wound bed
D. Intact skin with non-blanchable redness
Stage 2 involves partial-thickness skin loss without slough.
10.A nurse is reinforcing teaching with a client who has a prescription for a
clear liquid diet. Which of the following items should the nurse include?
A. Gelatin
B. Milk
C. Ice cream
D. Yogurt
Gelatin is a clear liquid and appropriate for this type of diet.
AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2025 Q&A | INSTANT DOWNLOAD PDF
Questions cover safety, infection control, communication, ethical/legal issues,
basic care and comfort, health promotion, and more.
1. A nurse is planning care for a client who is immobile. Which of the following
interventions should the nurse include to prevent skin breakdown?
A. Massage reddened bony prominences
B. Turn the client every 2 hours
C. Apply heat packs to pressure points
D. Limit fluid intake
Turning the client every 2 hours helps reduce pressure and promotes circulation,
which prevents skin breakdown.
2. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take?
A. Place the client in a room away from the nurses’ station
B. Raise all four side rails
C. Apply a fall-risk wristband
D. Leave the bed in a high position
A fall-risk wristband alerts all staff to take precautions.
, 3. A nurse is using a pain scale to assess a client’s pain level. The client rates
their pain as 7 out of 10. What should the nurse do next?
A. Document the pain level
B. Administer prescribed analgesic
C. Reassess pain in 1 hour
D. Ask the client to describe the pain
A rating of 7 indicates moderate to severe pain, and prompt intervention is
required.
4. A nurse is assessing an older adult client. Which of the following findings
should be reported to the provider?
A. Decreased skin turgor
B. Loss of height
C. Presence of adventitious lung sounds
D. Thick toenails
Adventitious breath sounds may indicate a respiratory problem that requires
immediate attention.
5. A nurse is teaching a client how to use a cane. Which of the following
instructions should the nurse give?
A. Hold the cane on the same side as the affected leg
B. Move the cane forward with the affected leg
,C. Keep the cane 12 inches from the body
D. Move the stronger leg before the cane
The cane should be moved forward at the same time as the affected leg to
maintain balance.
6. A nurse is preparing to insert an indwelling urinary catheter. Which of the
following actions should the nurse take first?
A. Don sterile gloves
B. Perform hand hygiene
C. Open the catheter kit
D. Position the client
Hand hygiene is the first step to prevent infection.
7. A nurse is performing passive range of motion (ROM) for a client. Which of
the following actions should the nurse take?
A. Move the joint beyond resistance
B. Perform ROM exercises once daily
C. Keep the joint stiff to prevent injury
D. Support the joint while moving it
Supporting the joint prevents strain and promotes safe movement.
8. A nurse is caring for a client who is postoperative. Which of the following
interventions reduces the risk of deep vein thrombosis (DVT)?
, A. Elevate legs above heart level continuously
B. Apply sequential compression devices (SCDs)
C. Massage the calves
D. Maintain bedrest for 24 hours
SCDs promote venous return and prevent blood stasis, reducing DVT risk.
9. A nurse is caring for a client with a stage 2 pressure injury. Which of the
following findings should the nurse expect?
A. Exposed bone
B. Full-thickness skin loss
C. Partial-thickness skin loss with a red-pink wound bed
D. Intact skin with non-blanchable redness
Stage 2 involves partial-thickness skin loss without slough.
10.A nurse is reinforcing teaching with a client who has a prescription for a
clear liquid diet. Which of the following items should the nurse include?
A. Gelatin
B. Milk
C. Ice cream
D. Yogurt
Gelatin is a clear liquid and appropriate for this type of diet.
