✅ ATI FUNDAMENTALS PROCTORED
EXAM – 2025/2026
Actual- Exam Practice Questions With Correct Answers & Rationales
(Original, nursing-safe, NCLEX-formatted)
1. A nurse is reinforcing teaching with a client about
preventing pressure injuries. Which statement by the
client indicates understanding?
A. “I will massage any reddened areas.”
B. “I will shift my weight every 15 minutes.”
C. “I will limit fluids so I don’t have to get up as often.”
D. “I will use a donut-shaped cushion when sitting.”
Correct Answer: B
Rationale: Frequent weight shifts improve circulation and prevent pressure. Donut cushions
and massaging reddened areas worsen tissue damage.
2. A nurse prepares to administer digoxin. Which finding
requires the nurse to withhold the medication?
A. HR 58/min
B. BP 140/88
C. Resp 18/min
D. Temp 37°C
Correct Answer: A
Rationale: Withhold digoxin if HR is <60/min in adults.
,3. A nurse finds a client on the floor. What is the FIRST
action?
A. Notify the provider
B. Assess the client for injury
C. Document the incident
D. Assist the client back to bed
Correct Answer: B
Rationale: Always assess before acting or documenting.
4. Which instruction should the nurse give a client
prescribed a metered-dose inhaler (MDI)?
A. Exhale into the inhaler before inhaling
B. Inhale slowly and deeply while pressing the canister
C. Hold breath for 2 seconds
D. Shake the inhaler only after each inhalation
Correct Answer: B
Rationale: Slow, deep inhalation ensures medication delivery.
5. A client with a new colostomy expresses
embarrassment. What is the nurse’s therapeutic
response?
A. “You’ll get used to it soon.”
B. “Many clients feel this way. Tell me more about your concerns.”
C. “Your family will understand.”
D. “It’s not something to worry about.”
Correct Answer: B
Rationale: Open-ended, empathetic communication is therapeutic.
6. Which action is appropriate for sterile gloving?
,A. Touch the outer glove surface with bare fingers
B. Insert the ungloved hand under the cuff
C. Keep hands above waist level
D. Turn away while opening the glove package
Correct Answer: C
Rationale: Sterile field must remain above waist level.
7. A nurse assists a client with dysphagia. Which
intervention is correct?
A. Offer thin liquids
B. Place food on affected side of mouth
C. Keep client NPO during meals
D. Position client in high-Fowler’s
Correct Answer: D
Rationale: Upright position reduces aspiration risk.
8. Which task can be delegated to an AP (assistive
personnel)?
A. Administer oral medications
B. Perform sterile wound irrigation
C. Obtain vital signs on a stable client
D. Educate a patient about fall prevention
Correct Answer: C
Rationale: AP can take vitals; cannot teach or perform sterile procedures.
9. A nurse prepares to apply restraints. Which is
required?
A. Apply restraints as needed without provider order
B. Secure restraints to the side rails
, C. Use the least restrictive restraint first
D. Tie restraints in a double knot
Correct Answer: C
Rationale: Least-restrictive method maintains safety and autonomy.
10. A nurse reviews oxygen safety. Which statement by
the client indicates understanding?
A. “I will use petroleum jelly around my nose.”
B. “I will keep oxygen at least 10 feet from heat sources.”
C. “I can smoke if the oxygen is off.”
D. “I will store oxygen cylinders lying flat.”
Correct Answer: B
Rationale: Oxygen must be away from heat; petroleum and smoking increase fire risk.
11. A nurse inserts an NG tube. How should correct
placement be verified?
A. Inject 20 mL of air and listen
B. Place tube in water and observe bubbling
C. X-ray confirmation
D. Ask the client to swallow
Correct Answer: C
Rationale: X-ray is the gold standard for tube placement.
12. Which action prevents catheter-associated UTI
(CAUTI)?
A. Keep drainage bag above bladder
B. Empty bag when half full
C. Disconnect catheter tubing for positioning
D. Clean perineal area with soap and water daily
EXAM – 2025/2026
Actual- Exam Practice Questions With Correct Answers & Rationales
(Original, nursing-safe, NCLEX-formatted)
1. A nurse is reinforcing teaching with a client about
preventing pressure injuries. Which statement by the
client indicates understanding?
A. “I will massage any reddened areas.”
B. “I will shift my weight every 15 minutes.”
C. “I will limit fluids so I don’t have to get up as often.”
D. “I will use a donut-shaped cushion when sitting.”
Correct Answer: B
Rationale: Frequent weight shifts improve circulation and prevent pressure. Donut cushions
and massaging reddened areas worsen tissue damage.
2. A nurse prepares to administer digoxin. Which finding
requires the nurse to withhold the medication?
A. HR 58/min
B. BP 140/88
C. Resp 18/min
D. Temp 37°C
Correct Answer: A
Rationale: Withhold digoxin if HR is <60/min in adults.
,3. A nurse finds a client on the floor. What is the FIRST
action?
A. Notify the provider
B. Assess the client for injury
C. Document the incident
D. Assist the client back to bed
Correct Answer: B
Rationale: Always assess before acting or documenting.
4. Which instruction should the nurse give a client
prescribed a metered-dose inhaler (MDI)?
A. Exhale into the inhaler before inhaling
B. Inhale slowly and deeply while pressing the canister
C. Hold breath for 2 seconds
D. Shake the inhaler only after each inhalation
Correct Answer: B
Rationale: Slow, deep inhalation ensures medication delivery.
5. A client with a new colostomy expresses
embarrassment. What is the nurse’s therapeutic
response?
A. “You’ll get used to it soon.”
B. “Many clients feel this way. Tell me more about your concerns.”
C. “Your family will understand.”
D. “It’s not something to worry about.”
Correct Answer: B
Rationale: Open-ended, empathetic communication is therapeutic.
6. Which action is appropriate for sterile gloving?
,A. Touch the outer glove surface with bare fingers
B. Insert the ungloved hand under the cuff
C. Keep hands above waist level
D. Turn away while opening the glove package
Correct Answer: C
Rationale: Sterile field must remain above waist level.
7. A nurse assists a client with dysphagia. Which
intervention is correct?
A. Offer thin liquids
B. Place food on affected side of mouth
C. Keep client NPO during meals
D. Position client in high-Fowler’s
Correct Answer: D
Rationale: Upright position reduces aspiration risk.
8. Which task can be delegated to an AP (assistive
personnel)?
A. Administer oral medications
B. Perform sterile wound irrigation
C. Obtain vital signs on a stable client
D. Educate a patient about fall prevention
Correct Answer: C
Rationale: AP can take vitals; cannot teach or perform sterile procedures.
9. A nurse prepares to apply restraints. Which is
required?
A. Apply restraints as needed without provider order
B. Secure restraints to the side rails
, C. Use the least restrictive restraint first
D. Tie restraints in a double knot
Correct Answer: C
Rationale: Least-restrictive method maintains safety and autonomy.
10. A nurse reviews oxygen safety. Which statement by
the client indicates understanding?
A. “I will use petroleum jelly around my nose.”
B. “I will keep oxygen at least 10 feet from heat sources.”
C. “I can smoke if the oxygen is off.”
D. “I will store oxygen cylinders lying flat.”
Correct Answer: B
Rationale: Oxygen must be away from heat; petroleum and smoking increase fire risk.
11. A nurse inserts an NG tube. How should correct
placement be verified?
A. Inject 20 mL of air and listen
B. Place tube in water and observe bubbling
C. X-ray confirmation
D. Ask the client to swallow
Correct Answer: C
Rationale: X-ray is the gold standard for tube placement.
12. Which action prevents catheter-associated UTI
(CAUTI)?
A. Keep drainage bag above bladder
B. Empty bag when half full
C. Disconnect catheter tubing for positioning
D. Clean perineal area with soap and water daily
