ATI Fundamentals Proctored Exam Review
Test Bank 2026 – Complete Exam Questions
with Correct Answers, and Detailed
Explanations| Already Graded A+
Question 1
A nurse is planning care for a group of clients. Which of the following tasks should the
nurse delegate to an assistive personnel?
A. Changing the dressing for a client who has a stage 3 pressure injury
B. Determining a client's response to a diuretic
C. Comparing radial pulses for a client who is postoperative
D. Providing postmortem care to a client
Correct Answer: D
Explanation: Providing postmortem care (bathing, positioning, collecting belongings)
is a routine, non-invasive task that can be delegated to assistive personnel (AP). Wound
care, assessment of response to medication, and pulse comparison require licensed
nursing judgment. APs can perform basic care but cannot assess or evaluate .
Question 2
A nurse is conducting a health assessment for a client who takes herbal supplements.
Which of the following statements by the client indicates an understanding of the use of
the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
Correct Answer: C
Explanation: Ginger is commonly used to treat nausea and motion sickness (car
sickness). Ginkgo biloba is used for memory and circulation, not headaches. Echinacea
is for immune support, not cholesterol. Garlic is used for cardiovascular health, not
menopausal symptoms .
pg. 1
,Question 3
A nurse is caring for a client who has influenza and isolation precautions in place. Which
of the following actions should the nurse take to prevent the spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room
D. Place the client in a negative airflow room
Correct Answer: A
Explanation: Influenza is transmitted via droplets, so droplet precautions require
wearing a mask when within 3 feet of the client. Metronidazole is an antibiotic, not for
influenza (viral). Protective eyewear is not required for droplet precautions. Negative
airflow rooms are for airborne precautions (TB, measles) .
Question 4
A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his
NG tube. Which of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible.
C. Allow room for two fingers to fit between the client's skin and the restraints.
D. Remove the restraints every 4 hours.
Correct Answer: C
Explanation: Restraints should allow two fingers to fit between the restraint and the
client's skin to prevent circulation impairment. They should be attached to the bed
frame, not side rails (side rails can move). Restraints should allow some movement, not
as little as possible. Restraints should be removed every 2 hours (not 4) for range of
motion and skin assessment .
Question 5
A nurse is admitting a client who has tuberculosis. Which of the following types of
transmission precautions should the nurse plan to initiate?
A. Droplet
B. Airborne
C. Protective environment
D. Contact
Correct Answer: B
Explanation: Tuberculosis (TB) requires airborne precautions: N95 respirator,
pg. 2
,negative pressure room, and closed door. Droplet is for influenza, meningitis. Protective
environment is for immunocompromised patients. Contact is for MRSA, C. diff .
Question 6
A nurse in a well-child clinic receives a telephone call from a parent who states that their
child accidentally swallowed paint thinner. The child is awake and alert. Which of the
following responses should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac.
Correct Answer: B
Explanation: The priority is to contact a poison control center immediately. Do not
induce vomiting (paint thinner is a hydrocarbon, which can cause aspiration). Drinking
water is not indicated. Delay could worsen outcome .
Question 7
A nurse is documenting a client's medical record. Which of the following entries should
the nurse record?
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals
Correct Answer: B
Explanation: Documentation must be objective, factual, and specific. "Administered
pain medication" is clear and measurable. "Slightly elevated" is vague; "incision without
redness" is okay but not the best; "adequate amounts" is subjective. Specific times and
amounts are preferred, but among the options, B is a factual entry .
Question 8
A nurse is providing oral care for a client who is unconscious. Which of the following
actions should the nurse take?
A. Place the client in a side-lying position.
B. Brush the client's teeth daily
pg. 3
, C. Apply mineral oil to the client's lips
D. Rinse the client's mouth with an alcohol-based mouthwash
Correct Answer: A
Explanation: For an unconscious client, place them in a side-lying position to prevent
aspiration of fluids. Oral care should be performed every 2 hours, not daily. Mineral oil
is not recommended (aspiration risk). Alcohol-based mouthwash can dry mucous
membranes .
Question 9
A nurse is collaborating with a risk management team about potential legal issues
involving client care. The nurse should identify which of the following situations is an
example of negligence?
A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria with visitors
present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility.
Correct Answer: A
Explanation: Negligence is a failure to provide the standard of care that results in
harm. Administering medication without identifying the client is a breach of the
standard of care (wrong patient). Discussing care in public is breach of confidentiality;
beginning transfusion without consent is battery; preventing a client from leaving could
be false imprisonment .
Question 10
A nurse is collecting a sputum specimen for culture from a client who has a respiratory
infection. Which of the following actions should the nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection.
C. Collect the specimen in the evening.
D. Collect 1 mL of sputum.
Correct Answer: B
Explanation: Offer oral hygiene after sputum collection to remove unpleasant taste
and prevent infection. Clean gloves (not sterile) are sufficient. The best time for sputum
collection is early morning (not evening). Sputum volume should be 2-10 mL, not 1 mL .
pg. 4
Test Bank 2026 – Complete Exam Questions
with Correct Answers, and Detailed
Explanations| Already Graded A+
Question 1
A nurse is planning care for a group of clients. Which of the following tasks should the
nurse delegate to an assistive personnel?
A. Changing the dressing for a client who has a stage 3 pressure injury
B. Determining a client's response to a diuretic
C. Comparing radial pulses for a client who is postoperative
D. Providing postmortem care to a client
Correct Answer: D
Explanation: Providing postmortem care (bathing, positioning, collecting belongings)
is a routine, non-invasive task that can be delegated to assistive personnel (AP). Wound
care, assessment of response to medication, and pulse comparison require licensed
nursing judgment. APs can perform basic care but cannot assess or evaluate .
Question 2
A nurse is conducting a health assessment for a client who takes herbal supplements.
Which of the following statements by the client indicates an understanding of the use of
the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
Correct Answer: C
Explanation: Ginger is commonly used to treat nausea and motion sickness (car
sickness). Ginkgo biloba is used for memory and circulation, not headaches. Echinacea
is for immune support, not cholesterol. Garlic is used for cardiovascular health, not
menopausal symptoms .
pg. 1
,Question 3
A nurse is caring for a client who has influenza and isolation precautions in place. Which
of the following actions should the nurse take to prevent the spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room
D. Place the client in a negative airflow room
Correct Answer: A
Explanation: Influenza is transmitted via droplets, so droplet precautions require
wearing a mask when within 3 feet of the client. Metronidazole is an antibiotic, not for
influenza (viral). Protective eyewear is not required for droplet precautions. Negative
airflow rooms are for airborne precautions (TB, measles) .
Question 4
A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his
NG tube. Which of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible.
C. Allow room for two fingers to fit between the client's skin and the restraints.
D. Remove the restraints every 4 hours.
Correct Answer: C
Explanation: Restraints should allow two fingers to fit between the restraint and the
client's skin to prevent circulation impairment. They should be attached to the bed
frame, not side rails (side rails can move). Restraints should allow some movement, not
as little as possible. Restraints should be removed every 2 hours (not 4) for range of
motion and skin assessment .
Question 5
A nurse is admitting a client who has tuberculosis. Which of the following types of
transmission precautions should the nurse plan to initiate?
A. Droplet
B. Airborne
C. Protective environment
D. Contact
Correct Answer: B
Explanation: Tuberculosis (TB) requires airborne precautions: N95 respirator,
pg. 2
,negative pressure room, and closed door. Droplet is for influenza, meningitis. Protective
environment is for immunocompromised patients. Contact is for MRSA, C. diff .
Question 6
A nurse in a well-child clinic receives a telephone call from a parent who states that their
child accidentally swallowed paint thinner. The child is awake and alert. Which of the
following responses should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac.
Correct Answer: B
Explanation: The priority is to contact a poison control center immediately. Do not
induce vomiting (paint thinner is a hydrocarbon, which can cause aspiration). Drinking
water is not indicated. Delay could worsen outcome .
Question 7
A nurse is documenting a client's medical record. Which of the following entries should
the nurse record?
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals
Correct Answer: B
Explanation: Documentation must be objective, factual, and specific. "Administered
pain medication" is clear and measurable. "Slightly elevated" is vague; "incision without
redness" is okay but not the best; "adequate amounts" is subjective. Specific times and
amounts are preferred, but among the options, B is a factual entry .
Question 8
A nurse is providing oral care for a client who is unconscious. Which of the following
actions should the nurse take?
A. Place the client in a side-lying position.
B. Brush the client's teeth daily
pg. 3
, C. Apply mineral oil to the client's lips
D. Rinse the client's mouth with an alcohol-based mouthwash
Correct Answer: A
Explanation: For an unconscious client, place them in a side-lying position to prevent
aspiration of fluids. Oral care should be performed every 2 hours, not daily. Mineral oil
is not recommended (aspiration risk). Alcohol-based mouthwash can dry mucous
membranes .
Question 9
A nurse is collaborating with a risk management team about potential legal issues
involving client care. The nurse should identify which of the following situations is an
example of negligence?
A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria with visitors
present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility.
Correct Answer: A
Explanation: Negligence is a failure to provide the standard of care that results in
harm. Administering medication without identifying the client is a breach of the
standard of care (wrong patient). Discussing care in public is breach of confidentiality;
beginning transfusion without consent is battery; preventing a client from leaving could
be false imprisonment .
Question 10
A nurse is collecting a sputum specimen for culture from a client who has a respiratory
infection. Which of the following actions should the nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection.
C. Collect the specimen in the evening.
D. Collect 1 mL of sputum.
Correct Answer: B
Explanation: Offer oral hygiene after sputum collection to remove unpleasant taste
and prevent infection. Clean gloves (not sterile) are sufficient. The best time for sputum
collection is early morning (not evening). Sputum volume should be 2-10 mL, not 1 mL .
pg. 4
