ATI RN Fundamentals Proctored Exam 2026-
2027 – Complete Exam Questions with
Verified Correct Answers and Explanations
Question 1
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
Which of the following client's needs may the nurse assign to an assistive personnel
(AP)?
A. Feeding a client who was admitted 24 hrs ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Explanation: The application of a condom catheter is a non-invasive, routine
procedure that the nurse may delegate to AP. Feeding a client with aspiration
pneumonia requires assessment of swallowing safety; reinforcing teaching and sterile
dressing application require licensed nursing judgment .
Question 2
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to
an AP. Which of the following information should the nurse share with the AP? (Select
all that apply)
A. The roommate is up independently.
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Correct Answers: B, C, D
Explanation: The AP needs to know how the client ambulates (slippers over stockings,
use of walker) and when pain medication was given (30 min ago indicates peak effect).
Roommate status, allergies, and food intake are not relevant to the ambulation task .
Question 3
pg. 1
,An RN is making assignments for client care to a LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
Explanation: The RN is responsible for the PCA pump. Replacing cartridge and tubing
on a PCA pump is typically an RN responsibility because it involves controlled
substances and requires assessment of pain and sedation levels. The LPN should
question this assignment .
Question 4
A nurse is preparing an in-service program about delegation. Which of the following
elements should she identify when presenting the 5 rights of delegation? (Select all that
apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, E
Explanation: The five rights of delegation are: right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. Right client
and right time are not among them; they are rights of medication administration .
Question 5
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming
shift. A client is awaiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP
pg. 2
,Correct Answer: B
Explanation: A client returning from surgery following thoracic surgery requires
assessment and establishment of a plan of care. RNs are responsible for this, especially
if the client is potentially unstable. Charge nurse has other responsibilities; LPN and AP
cannot perform initial post-op assessments .
Question 6
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP
tells him she will put a diaper on him if he does not use the urinal more carefully next
time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
Correct Answer: A
Explanation: By threatening the client, the AP is committing assault. Assault is the
threat of harmful or offensive contact without consent. Battery would be actual physical
contact. False imprisonment is unlawful restraint; invasion of privacy is breach of
confidentiality .
Question 7
An adult client who is competent tells the nurse that he is thinking about leaving the
hospital against medical advice. The nurse believes that this is not in the client's best
interest, so she administers a PRN sedative medication that the client has not requested
along with his usual meds. Which of the following torts has the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
Correct Answer: B
Explanation: The nurse gave the medication as a chemical restraint to keep the client
from leaving the facility against medical advice. The client did not consent. This
constitutes false imprisonment—the unlawful restraint of a person's freedom of
movement .
Question 8
pg. 3
, A client who will undergo neurosurgery the following week tells the nurse in the
surgeon's office that he will prepare his advance directives before he goes to the hospital.
Which of the following statements by the client indicates to the nurse that he
understands advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I plan to write down which medical procedures I want if I am unable to speak for
myself."
C. "I'll talk to my lawyer about drawing up a living will."
D. "I'll make sure my children know what I want done if I am dying."
Correct Answer: B
Explanation: A living will specifies the client's wishes regarding medical treatment if
they become incapacitated. The statement about writing down which procedures he
wants indicates understanding. Option A discusses surrogate decision-maker (durable
power of attorney for health care). Option C is about legal documentation but not
specific; Option D is about verbal communication .
Question 9
A client is about to undergo an elective surgical procedure. Which of the following
actions are appropriate for the nurse who is providing pre-op care regarding informed
consent? (Select all that apply)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery
Correct Answers: A, B
Explanation: The nurse's role in informed consent includes ensuring the surgeon
obtained consent and witnessing the client's signature. Explaining risks, benefits,
consequences, and alternatives is the surgeon's responsibility, not the nurse's .
Question 10
A nurse has noticed several occasions in the past week when another nurse on the unit
seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse
asleep in a chair in the break room when she was not on break. Which of the following
actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
pg. 4
2027 – Complete Exam Questions with
Verified Correct Answers and Explanations
Question 1
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
Which of the following client's needs may the nurse assign to an assistive personnel
(AP)?
A. Feeding a client who was admitted 24 hrs ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Explanation: The application of a condom catheter is a non-invasive, routine
procedure that the nurse may delegate to AP. Feeding a client with aspiration
pneumonia requires assessment of swallowing safety; reinforcing teaching and sterile
dressing application require licensed nursing judgment .
Question 2
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to
an AP. Which of the following information should the nurse share with the AP? (Select
all that apply)
A. The roommate is up independently.
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Correct Answers: B, C, D
Explanation: The AP needs to know how the client ambulates (slippers over stockings,
use of walker) and when pain medication was given (30 min ago indicates peak effect).
Roommate status, allergies, and food intake are not relevant to the ambulation task .
Question 3
pg. 1
,An RN is making assignments for client care to a LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
Explanation: The RN is responsible for the PCA pump. Replacing cartridge and tubing
on a PCA pump is typically an RN responsibility because it involves controlled
substances and requires assessment of pain and sedation levels. The LPN should
question this assignment .
Question 4
A nurse is preparing an in-service program about delegation. Which of the following
elements should she identify when presenting the 5 rights of delegation? (Select all that
apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, E
Explanation: The five rights of delegation are: right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. Right client
and right time are not among them; they are rights of medication administration .
Question 5
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming
shift. A client is awaiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP
pg. 2
,Correct Answer: B
Explanation: A client returning from surgery following thoracic surgery requires
assessment and establishment of a plan of care. RNs are responsible for this, especially
if the client is potentially unstable. Charge nurse has other responsibilities; LPN and AP
cannot perform initial post-op assessments .
Question 6
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP
tells him she will put a diaper on him if he does not use the urinal more carefully next
time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
Correct Answer: A
Explanation: By threatening the client, the AP is committing assault. Assault is the
threat of harmful or offensive contact without consent. Battery would be actual physical
contact. False imprisonment is unlawful restraint; invasion of privacy is breach of
confidentiality .
Question 7
An adult client who is competent tells the nurse that he is thinking about leaving the
hospital against medical advice. The nurse believes that this is not in the client's best
interest, so she administers a PRN sedative medication that the client has not requested
along with his usual meds. Which of the following torts has the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
Correct Answer: B
Explanation: The nurse gave the medication as a chemical restraint to keep the client
from leaving the facility against medical advice. The client did not consent. This
constitutes false imprisonment—the unlawful restraint of a person's freedom of
movement .
Question 8
pg. 3
, A client who will undergo neurosurgery the following week tells the nurse in the
surgeon's office that he will prepare his advance directives before he goes to the hospital.
Which of the following statements by the client indicates to the nurse that he
understands advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I plan to write down which medical procedures I want if I am unable to speak for
myself."
C. "I'll talk to my lawyer about drawing up a living will."
D. "I'll make sure my children know what I want done if I am dying."
Correct Answer: B
Explanation: A living will specifies the client's wishes regarding medical treatment if
they become incapacitated. The statement about writing down which procedures he
wants indicates understanding. Option A discusses surrogate decision-maker (durable
power of attorney for health care). Option C is about legal documentation but not
specific; Option D is about verbal communication .
Question 9
A client is about to undergo an elective surgical procedure. Which of the following
actions are appropriate for the nurse who is providing pre-op care regarding informed
consent? (Select all that apply)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery
Correct Answers: A, B
Explanation: The nurse's role in informed consent includes ensuring the surgeon
obtained consent and witnessing the client's signature. Explaining risks, benefits,
consequences, and alternatives is the surgeon's responsibility, not the nurse's .
Question 10
A nurse has noticed several occasions in the past week when another nurse on the unit
seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse
asleep in a chair in the break room when she was not on break. Which of the following
actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
pg. 4
