ATI CMS Fundamentals Proctored
Exam 2025/2026
70 Comprehensive Questions with Verified Answers | 100% Accuracy | Nursing
Fundamentals Certification | Graded A+
Introduction
This essential resource contains 70 verified questions and correct answers from the actual
ATI CMS Fundamentals Proctored Exam for 2025/2026. Covers all critical nursing
fundamentals including basic care, infection control, vital signs, documentation, and
ethical/legal considerations - updated to reflect the 2025/2026 test blueprint.
Answer Format
All correct answers are clearly marked in bold and green with detailed rationales and
nursing best practice references.
ATI CMS Fundamentals Proctored Exam Questions
1. A nurse is preparing to measure a client’s vital signs. Which of the
following actions should the nurse take first?
a) Ensure the client has been resting for at least 10 minutes
b) Use a tympanic thermometer for accuracy
c) Check the client’s chart for previous readings
d) Explain the procedure to the client
d) Explain the procedure to the client
Rationale: Explaining the procedure promotes client comfort and cooperation, aligning with
client-centered care principles.
2. A client is at risk for pressure ulcers. Which intervention should the
nurse implement?
a) Keep the head of the bed elevated at 45 degrees
b) Reposition the client every 2 hours
c) Apply a heating pad to the affected area
,d) Limit fluid intake to reduce skin moisture
b) Reposition the client every 2 hours
Rationale: Repositioning every 2 hours reduces pressure on bony prominences, preventing
ulcer formation.
3. Which of the following is an appropriate infection control measure for
a client with MRSA?
a) Use alcohol-based hand sanitizer only
b) Place the client in a private room with contact precautions
c) Allow visitors without restrictions
d) Share equipment with other clients after wiping it down
b) Place the client in a private room with contact precautions
Rationale: MRSA requires contact precautions, including a private room and PPE, to prevent
transmission.
4. A nurse is teaching a client about proper body mechanics. Which
statement by the client indicates understanding?
a) “I should bend at the waist to lift heavy objects.”
b) “I should keep objects close to my body when lifting.”
c) “I should twist my torso while carrying heavy loads.”
d) “I should lift with my arms fully extended.”
b) I should keep objects close to my body when lifting.
Rationale: Keeping objects close reduces strain on the back, promoting safe body mechanics.
5. A nurse is documenting in a client’s medical record. Which of the
following entries is appropriate?
a) Client seems anxious and upset
b) Client reports pain at 8/10 at 0900; morphine 2 mg IV administered
c) Client looks better today
d) Client is difficult to manage
b) Client reports pain at 8/10 at 0900; morphine 2 mg IV administered
Rationale: Documentation must be objective, specific, and include time and interventions.
6. A client refuses a prescribed medication. What is the nurse’s best
action?
, a) Administer the medication anyway
b) Document the refusal and notify the provider
c) Convince the client to take the medication
d) Discard the medication in the sharps container
b) Document the refusal and notify the provider
Rationale: Respecting client autonomy, the nurse should document the refusal and inform the
provider.
7. Which of the following is a normal range for an adult’s oral
temperature?
a) 35.5°C to 36.5°C
b) 36.6°C to 38.0°C
c) 38.1°C to 39.0°C
d) 39.1°C to 40.0°C
b) 36.6°C to 38.0°C
Rationale: Normal adult oral temperature ranges from 36.6°C to 38.0°C (97.8°F to 100.4°F).
8. A nurse is assisting a client with ambulation. What should the nurse
do to ensure safety?
a) Allow the client to walk independently
b) Use a gait belt and provide support as needed
c) Encourage the client to walk quickly to build strength
d) Position the client’s wheelchair behind them
b) Use a gait belt and provide support as needed
Rationale: A gait belt ensures safety by providing support and preventing falls during
ambulation.
9. A nurse is providing oral care for a client who is unconscious. Which
action is appropriate?
a) Use a hard-bristled toothbrush
b) Position the client in a supine position
c) Use a foam swab to clean the oral cavity
d) Apply alcohol-based mouthwash
c) Use a foam swab to clean the oral cavity
Exam 2025/2026
70 Comprehensive Questions with Verified Answers | 100% Accuracy | Nursing
Fundamentals Certification | Graded A+
Introduction
This essential resource contains 70 verified questions and correct answers from the actual
ATI CMS Fundamentals Proctored Exam for 2025/2026. Covers all critical nursing
fundamentals including basic care, infection control, vital signs, documentation, and
ethical/legal considerations - updated to reflect the 2025/2026 test blueprint.
Answer Format
All correct answers are clearly marked in bold and green with detailed rationales and
nursing best practice references.
ATI CMS Fundamentals Proctored Exam Questions
1. A nurse is preparing to measure a client’s vital signs. Which of the
following actions should the nurse take first?
a) Ensure the client has been resting for at least 10 minutes
b) Use a tympanic thermometer for accuracy
c) Check the client’s chart for previous readings
d) Explain the procedure to the client
d) Explain the procedure to the client
Rationale: Explaining the procedure promotes client comfort and cooperation, aligning with
client-centered care principles.
2. A client is at risk for pressure ulcers. Which intervention should the
nurse implement?
a) Keep the head of the bed elevated at 45 degrees
b) Reposition the client every 2 hours
c) Apply a heating pad to the affected area
,d) Limit fluid intake to reduce skin moisture
b) Reposition the client every 2 hours
Rationale: Repositioning every 2 hours reduces pressure on bony prominences, preventing
ulcer formation.
3. Which of the following is an appropriate infection control measure for
a client with MRSA?
a) Use alcohol-based hand sanitizer only
b) Place the client in a private room with contact precautions
c) Allow visitors without restrictions
d) Share equipment with other clients after wiping it down
b) Place the client in a private room with contact precautions
Rationale: MRSA requires contact precautions, including a private room and PPE, to prevent
transmission.
4. A nurse is teaching a client about proper body mechanics. Which
statement by the client indicates understanding?
a) “I should bend at the waist to lift heavy objects.”
b) “I should keep objects close to my body when lifting.”
c) “I should twist my torso while carrying heavy loads.”
d) “I should lift with my arms fully extended.”
b) I should keep objects close to my body when lifting.
Rationale: Keeping objects close reduces strain on the back, promoting safe body mechanics.
5. A nurse is documenting in a client’s medical record. Which of the
following entries is appropriate?
a) Client seems anxious and upset
b) Client reports pain at 8/10 at 0900; morphine 2 mg IV administered
c) Client looks better today
d) Client is difficult to manage
b) Client reports pain at 8/10 at 0900; morphine 2 mg IV administered
Rationale: Documentation must be objective, specific, and include time and interventions.
6. A client refuses a prescribed medication. What is the nurse’s best
action?
, a) Administer the medication anyway
b) Document the refusal and notify the provider
c) Convince the client to take the medication
d) Discard the medication in the sharps container
b) Document the refusal and notify the provider
Rationale: Respecting client autonomy, the nurse should document the refusal and inform the
provider.
7. Which of the following is a normal range for an adult’s oral
temperature?
a) 35.5°C to 36.5°C
b) 36.6°C to 38.0°C
c) 38.1°C to 39.0°C
d) 39.1°C to 40.0°C
b) 36.6°C to 38.0°C
Rationale: Normal adult oral temperature ranges from 36.6°C to 38.0°C (97.8°F to 100.4°F).
8. A nurse is assisting a client with ambulation. What should the nurse
do to ensure safety?
a) Allow the client to walk independently
b) Use a gait belt and provide support as needed
c) Encourage the client to walk quickly to build strength
d) Position the client’s wheelchair behind them
b) Use a gait belt and provide support as needed
Rationale: A gait belt ensures safety by providing support and preventing falls during
ambulation.
9. A nurse is providing oral care for a client who is unconscious. Which
action is appropriate?
a) Use a hard-bristled toothbrush
b) Position the client in a supine position
c) Use a foam swab to clean the oral cavity
d) Apply alcohol-based mouthwash
c) Use a foam swab to clean the oral cavity
