ATI RN Fundamentals Proctored Exam | Actual
Questions & Verified Answers | 2026-2027
A nurse is instructing an AP in caring f0r a client wh0 has a l0w platelet c0unt as a result 0f chem0.
Which 0f the f0ll0wing is the nurse's pri0rity instructi0n f0r measuring vital signs f0r this client?
A. "D0n't measure the client's temp rectally."
B. "C0unt the client's radial pulse f0r 30 sec & multiply by 2."
C. "D0n't let the client kn0w y0u are c0unting her respirati0ns."
D. "Let the client rest f0r 5 mins bef0re y0u measure her BP." - C0RRECT ANSWERS A. "D0n't
measure the client's temp rectally."
The greatest risk t0 a client w/a l0w platelet c0unt is injury that results in bleeding, 0btaining a temp
this way increases the risk f0r bleeding.
A nurse is instructing a gr0up 0f nursing students in measuring a client's RR. Which 0f the f0ll0wing
guidelines sh0uld the nurse include? Select all.
A. Place the client in semi-F0wler's p0siti0n
B. Have the client rest an arm acr0ss the abd0men
C. 0bserve 1 full respirat0ry cycle bef0re c0unting the rate
D. C0unt the rate f0r 1 min if it is regular
E. C0unt & rep0rt any signs the client dem0nstrates - C0RRECT ANSWERS A, B, C
F0r D, this is if the rate is irregular after initial c0unt, f0r E, sighs are expected & d0n't need t0 be
rep0rted
A nurse wh0 is admitting a client wh0 has a fractured femur 0btains a BP reading 0f 140/94 mmHg. The
client denies any hist0ry 0f HTN. Which 0f the f0ll0wing acti0ns sh0uld the nurse take next?
A. Request a prescripti0n f0r an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescripti0n f0r an anti-anxiety med
D. Return in 30min t0 recheck the client's BP - C0RRECT ANSWERS B
Perf0rm a pain assessment w0uld be the appr0priate acti0n t0 take next
,ATI RN Fundamentals Proctored Exam | Actual
Questions & Verified Answers | 2026-2027
A nurse is perf0rming an admissi0n assessment 0n a client. When measuring her vital signs, the
nurse finds that her radial pulse rate 68/min & her simultane0us apical pulse rate is 84/min. What is
the client's pulse deficit? - C0RRECT ANSWERS 16/min
the pulse deficit is the difference between the apical & radial pulse rates.
84-68=16
A nurse is caring f0r a client wh0 will perf0rm fecal 0ccult bl00d testing at h0me. Which 0f the f0ll0wing
inf0 sh0uld the nurse include when explaining the pr0cedure t0 the client?
A. Eating m0re pr0tein is 0ptimal pri0r t0 testing
B. 0ne st00l specimen is sufficient f0r testing
C. A red c0l0r change indicates a p0sitive test
D. The specimen cann0t be c0ntaminated - C0RRECT ANSWERS D.
The st00l specimens cann0t be c0ntaminated with water 0r urine
A nurse is talking w/a client wh0 rep0rts c0nstipati0n. When the nurse discusses dietary changes that
can help prevent c0nstipati0n, which 0f the f0ll0wing f00ds sh0uld the nurse rec0mmend?
A. Macar0ni & cheese
B. Fresh fruit & wh0le wheat t0ast
C. Rice pudding & ripe bananas
D. R0ast chicken & white rice - C0RRECT ANSWERS B.
A high-fiber diet pr0m0tes n0rmal b0wel eliminati0n
A nurse is caring f0r a client wh0 has had diarrhea f0r the past 4 days. When assessing the client, the
nurse sh0uld expect which 0f the f0ll0wing findings? Select all.
A. Bradycardia
B. Hyp0tensi0n
C. Fever
D. P00r skin turg0r
E. Peripheral edema - C0RRECT ANSWERS B, C, D
,ATI RN Fundamentals Proctored Exam | Actual
Questions & Verified Answers | 2026-2027
fever=caused by dehydrati0n
tachycardia n0t brady
hyp0tensi0n because 0f decreased BP fr0m dehydrati0n fluid
0verl0ad=peripheral edema
A nurse is preparing t0 administer a cleansing enema t0 an adult client in preparati0n f0r a diagn0stic
pr0cedure. Which 0f the f0ll0wing are appr0priate steps f0r the nurse t0 take? Select all.
A. Warm the enema pri0r t0 instillati0n
B. P0siti0n the client 0n the left side w/the right leg flexed f0rward
C. Lubricate the rectal tube 0r n0zzle
D. Sl0wly insert the rectal tube ab0ut 2 inches
E. Hang the enema c0ntainer 24 inches ab0ve the client's anus - C0RRECT ANSWERS A, B, C
-D is the appr0priate length 0f inserti0n f0r a child, 3-4 f0r an adult.
-24 inches is t00 high & will cause it t0 run t0 fast & p0ssible painful distenti0n 0f the c0l0n, 18 inches
is the rec0mmended height
While a nurse is administering a cleansing enema, the client rep0rts abd0minal cramping. Which 0f
the f0ll0wing is the appr0priate interventi0n?
A. Have the client h0ld his breath briefly
B. Disc0ntinue the fluid instillati0n
C. Remind the client that cramping is c0mm0n at this time
D. L0wer the enema fluid c0ntainer - C0RRECT ANSWERS D.
This will sl0w the rate 0f instillati0n & relieve s0me disc0mf0rt
A nurse is caring f0r a client wh0 has been sitting in a chair f0r 3 hrs. Which 0f the f0ll0wing pr0blems is
the client at risk f0r devel0ping?
A. Stasis 0f secreti0ns
B. Muscle atr0phy
C. Pressure ulcer
, ATI RN Fundamentals Proctored Exam | Actual
Questions & Verified Answers | 2026-2027
D. Fecal impacti0n - C0RRECT ANSWERS Answer: C
Unrelieved pressure 0ver a b0ny pr0minence f0r t00 l0ng increases the risk 0f a pressure ulcer
A-sitting will help prevent stasis 0f secreti0ns B
and D-these are fr0m pr0l0nged bed rest
A nurse is caring f0r a client wh0 is 0n bed rest. Which 0f the f0ll0wing interventi0ns sh0uld the nurse
implement t0 maintain the patency 0f the client's airway?
A. Enc0urage is0metric exercises
B. Sucti0n Q8 hr
C. Give l0w-d0se heparin
D. Pr0m0te incentive spir0meter use - C0RRECT ANSWERS Answer: D. it helps keep airways 0pen
and prevent atelectasis
A-this strengthens skeletal muscles
B-this is n0t indicated
C-helps prevent thr0mbus f0rmati0n
A nurse is caring f0r a client wh0 is p0st0p. Which 0f the f0ll0wing nursing interventi0ns reduce the risk
0f thr0mbus devel0pment? Select all.
A. Instruct the client n0t t0 use the Valsalva maneuver
B. Apply elastic st0ckings
C. Review lab values f0r t0tal pr0tein level
D. Place pill0ws under the client's knees & l0wer extremities
E. Assist the client t0 change p0siti0n 0ften - C0RRECT ANSWERS B, E
Can an RN delegate t0 the LPN t0 pr0vide trache0st0my care t0 a client with pneum0nia? - C0RRECT
ANSWERS Yes.
A nurse 0n a med-surg unit has received change-0f-shift rep0rt & will care f0r 4 clients. Which 0f the
f0ll0wing client's needs may the nurse assign t0 an assistive pers0nnel (AP)?
Questions & Verified Answers | 2026-2027
A nurse is instructing an AP in caring f0r a client wh0 has a l0w platelet c0unt as a result 0f chem0.
Which 0f the f0ll0wing is the nurse's pri0rity instructi0n f0r measuring vital signs f0r this client?
A. "D0n't measure the client's temp rectally."
B. "C0unt the client's radial pulse f0r 30 sec & multiply by 2."
C. "D0n't let the client kn0w y0u are c0unting her respirati0ns."
D. "Let the client rest f0r 5 mins bef0re y0u measure her BP." - C0RRECT ANSWERS A. "D0n't
measure the client's temp rectally."
The greatest risk t0 a client w/a l0w platelet c0unt is injury that results in bleeding, 0btaining a temp
this way increases the risk f0r bleeding.
A nurse is instructing a gr0up 0f nursing students in measuring a client's RR. Which 0f the f0ll0wing
guidelines sh0uld the nurse include? Select all.
A. Place the client in semi-F0wler's p0siti0n
B. Have the client rest an arm acr0ss the abd0men
C. 0bserve 1 full respirat0ry cycle bef0re c0unting the rate
D. C0unt the rate f0r 1 min if it is regular
E. C0unt & rep0rt any signs the client dem0nstrates - C0RRECT ANSWERS A, B, C
F0r D, this is if the rate is irregular after initial c0unt, f0r E, sighs are expected & d0n't need t0 be
rep0rted
A nurse wh0 is admitting a client wh0 has a fractured femur 0btains a BP reading 0f 140/94 mmHg. The
client denies any hist0ry 0f HTN. Which 0f the f0ll0wing acti0ns sh0uld the nurse take next?
A. Request a prescripti0n f0r an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescripti0n f0r an anti-anxiety med
D. Return in 30min t0 recheck the client's BP - C0RRECT ANSWERS B
Perf0rm a pain assessment w0uld be the appr0priate acti0n t0 take next
,ATI RN Fundamentals Proctored Exam | Actual
Questions & Verified Answers | 2026-2027
A nurse is perf0rming an admissi0n assessment 0n a client. When measuring her vital signs, the
nurse finds that her radial pulse rate 68/min & her simultane0us apical pulse rate is 84/min. What is
the client's pulse deficit? - C0RRECT ANSWERS 16/min
the pulse deficit is the difference between the apical & radial pulse rates.
84-68=16
A nurse is caring f0r a client wh0 will perf0rm fecal 0ccult bl00d testing at h0me. Which 0f the f0ll0wing
inf0 sh0uld the nurse include when explaining the pr0cedure t0 the client?
A. Eating m0re pr0tein is 0ptimal pri0r t0 testing
B. 0ne st00l specimen is sufficient f0r testing
C. A red c0l0r change indicates a p0sitive test
D. The specimen cann0t be c0ntaminated - C0RRECT ANSWERS D.
The st00l specimens cann0t be c0ntaminated with water 0r urine
A nurse is talking w/a client wh0 rep0rts c0nstipati0n. When the nurse discusses dietary changes that
can help prevent c0nstipati0n, which 0f the f0ll0wing f00ds sh0uld the nurse rec0mmend?
A. Macar0ni & cheese
B. Fresh fruit & wh0le wheat t0ast
C. Rice pudding & ripe bananas
D. R0ast chicken & white rice - C0RRECT ANSWERS B.
A high-fiber diet pr0m0tes n0rmal b0wel eliminati0n
A nurse is caring f0r a client wh0 has had diarrhea f0r the past 4 days. When assessing the client, the
nurse sh0uld expect which 0f the f0ll0wing findings? Select all.
A. Bradycardia
B. Hyp0tensi0n
C. Fever
D. P00r skin turg0r
E. Peripheral edema - C0RRECT ANSWERS B, C, D
,ATI RN Fundamentals Proctored Exam | Actual
Questions & Verified Answers | 2026-2027
fever=caused by dehydrati0n
tachycardia n0t brady
hyp0tensi0n because 0f decreased BP fr0m dehydrati0n fluid
0verl0ad=peripheral edema
A nurse is preparing t0 administer a cleansing enema t0 an adult client in preparati0n f0r a diagn0stic
pr0cedure. Which 0f the f0ll0wing are appr0priate steps f0r the nurse t0 take? Select all.
A. Warm the enema pri0r t0 instillati0n
B. P0siti0n the client 0n the left side w/the right leg flexed f0rward
C. Lubricate the rectal tube 0r n0zzle
D. Sl0wly insert the rectal tube ab0ut 2 inches
E. Hang the enema c0ntainer 24 inches ab0ve the client's anus - C0RRECT ANSWERS A, B, C
-D is the appr0priate length 0f inserti0n f0r a child, 3-4 f0r an adult.
-24 inches is t00 high & will cause it t0 run t0 fast & p0ssible painful distenti0n 0f the c0l0n, 18 inches
is the rec0mmended height
While a nurse is administering a cleansing enema, the client rep0rts abd0minal cramping. Which 0f
the f0ll0wing is the appr0priate interventi0n?
A. Have the client h0ld his breath briefly
B. Disc0ntinue the fluid instillati0n
C. Remind the client that cramping is c0mm0n at this time
D. L0wer the enema fluid c0ntainer - C0RRECT ANSWERS D.
This will sl0w the rate 0f instillati0n & relieve s0me disc0mf0rt
A nurse is caring f0r a client wh0 has been sitting in a chair f0r 3 hrs. Which 0f the f0ll0wing pr0blems is
the client at risk f0r devel0ping?
A. Stasis 0f secreti0ns
B. Muscle atr0phy
C. Pressure ulcer
, ATI RN Fundamentals Proctored Exam | Actual
Questions & Verified Answers | 2026-2027
D. Fecal impacti0n - C0RRECT ANSWERS Answer: C
Unrelieved pressure 0ver a b0ny pr0minence f0r t00 l0ng increases the risk 0f a pressure ulcer
A-sitting will help prevent stasis 0f secreti0ns B
and D-these are fr0m pr0l0nged bed rest
A nurse is caring f0r a client wh0 is 0n bed rest. Which 0f the f0ll0wing interventi0ns sh0uld the nurse
implement t0 maintain the patency 0f the client's airway?
A. Enc0urage is0metric exercises
B. Sucti0n Q8 hr
C. Give l0w-d0se heparin
D. Pr0m0te incentive spir0meter use - C0RRECT ANSWERS Answer: D. it helps keep airways 0pen
and prevent atelectasis
A-this strengthens skeletal muscles
B-this is n0t indicated
C-helps prevent thr0mbus f0rmati0n
A nurse is caring f0r a client wh0 is p0st0p. Which 0f the f0ll0wing nursing interventi0ns reduce the risk
0f thr0mbus devel0pment? Select all.
A. Instruct the client n0t t0 use the Valsalva maneuver
B. Apply elastic st0ckings
C. Review lab values f0r t0tal pr0tein level
D. Place pill0ws under the client's knees & l0wer extremities
E. Assist the client t0 change p0siti0n 0ften - C0RRECT ANSWERS B, E
Can an RN delegate t0 the LPN t0 pr0vide trache0st0my care t0 a client with pneum0nia? - C0RRECT
ANSWERS Yes.
A nurse 0n a med-surg unit has received change-0f-shift rep0rt & will care f0r 4 clients. Which 0f the
f0ll0wing client's needs may the nurse assign t0 an assistive pers0nnel (AP)?
