ATI Fundamentals Proctored Exam Test Bank
2024/2025 | Questions and Answers with
Rationale | Latest Edition | Already
Question 1: Delegation and Assignment
A nurse is assisting with the plan of care for four clients. Which of the following
tasks should the nurse assign to an assistive personnel (AP)?
A. Administer medication
B. Assess vital signs
C. Assist a client to get out of bed after a breathing treatment
D. Perform a wound dressing change
Answer: C. Assist a client to get out of bed after a breathing treatment
Rationale: Mobility assistance is within the AP's scope of practice, and the task is
considered stable and routine. The nurse is responsible for tasks involving
assessment, medication administration, and sterile technique .
Question 2: Crutch Walking
A nurse is reinforcing teaching with a client about the use of crutches. Which of
the following actions by the client indicates an understanding of the teaching?
A. Advance the affected leg first while climbing stairs
B. Advance the unaffected leg first while climbing stairs
C. Use crutches on the affected side
D. Lean on the crutches for full weight support
Answer: B. Advance the unaffected leg first while climbing stairs
Rationale: The mnemonic "up with the good, down with the bad" is the correct
method for using crutches on stairs. Advancing the unaffected (stronger) leg first
provides better stability and safety .
,Question 3: Living Will
A nurse is reinforcing teaching with a client about living wills. Which of the
following client statements indicates an understanding of the teaching?
A. It is only for terminal illness
B. The living will directs my medical care when I am unable to make decisions
C. It is a verbal order only
D. It overrides my family's wishes
Answer: B. The living will directs my medical care when I am unable to make
decisions
Rationale: A living will is a legal document that specifies a client's preferences for
medical treatment should they become incapacitated and unable to communicate
their decisions .
Question 4: Tuberculin Skin Test (PPD)
A nurse is preparing to administer a tuberculin skin test (PPD) to a client. Which of
the following actions is correct?
A. Insert the needle at a 45-degree angle with the bevel up
B. Massage the area after injection to disperse the solution
C. Inject 0.1 mL of purified protein derivative intradermally
D. Use a 23-gauge needle for administration
Answer: C. Inject 0.1 mL of purified protein derivative intradermally
Rationale: A PPD test is administered intradermally at a 5-15 degree angle. The
correct volume is 0.1 mL using a tuberculin syringe (25-27 gauge). Massaging the
area will disperse the solution and invalidate the test .
Question 5: Blood Transfusion Reaction
A nurse is caring for a client who is receiving a blood transfusion and reports low
back pain and chills 15 minutes after initiation. What is the priority action?
A. Slow the infusion rate
B. Stop the transfusion
,C. Cover the client with a warm blanket
D. Notify the provider
Answer: B. Stop the transfusion
Rationale: Low back pain and chills are classic signs of an acute hemolytic
transfusion reaction. The nurse's priority is to stop the transfusion immediately to
prevent further complications, then notify the provider .
Question 6: Tracheostomy Care
A nurse is caring for a client who has a new tracheostomy. Which of the following
actions is correct when providing tracheostomy care?
A. Use surgical asepsis (sterile technique) during suctioning
B. Apply suction for 20 to 30 seconds
C. Reuse the suction catheter to save supplies
D. Clean the inner cannula with tap water
Answer: A. Use surgical asepsis (sterile technique) during suctioning
Rationale: Surgical aseptic technique is required for tracheostomy care to prevent
infection. Suctioning should last 10-15 seconds maximum to avoid hypoxemia.
The catheter is single-use, and sterile normal saline should be used .
Question 7: Fire Safety
A charge nurse smells smoke, enters the visitor restroom, and sees flames in the
trash can. What is the correct sequence of actions?
A. 1. Alarm, 2. Evacuate, 3. Close, 4. Extinguish
B. 1. Evacuate client from area, 2. Pull the fire alarm, 3. Close fire doors, 4. Use a
fire extinguisher
C. 1. Extinguish, 2. Alarm, 3. Evacuate, 4. Close
D. 1. Close, 2. Evacuate, 3. Alarm, 4. Extinguish
Answer: B. 1. Evacuate client from area, 2. Pull the fire alarm, 3. Close fire doors,
4. Use a fire extinguisher
, Rationale: The RACE protocol outlines the correct sequence: Rescue (evacuate
clients), Alarm, Confine (close doors), and Extinguish (use fire extinguisher) .
Question 8: Pulse Oximetry
A charge nurse is reinforcing teaching with an assistive personnel (AP) about
performing pulse oximetry. Which of the following information should the nurse
include?
A. Polish on the nail is acceptable
B. Remove polish from the client's fingernail before applying the probe
C. The probe can be placed on the client's ear
D. Cold fingers provide accurate readings
Answer: B. Remove polish from the client's fingernail before applying the probe
Rationale: Nail polish and artificial nails interfere with the pulse oximetry reading
by blocking the light sensor, so they must be removed .
Question 9: Fire Safety at Home
A nurse is providing discharge teaching about fire safety. Which statement
indicates understanding?
A. "I will use a space heater in the bathroom"
B. "I will smoke only when I am lying down"
C. "I will set my water heater to 140 degrees Fahrenheit"
D. "I will practice a fire escape plan with my family"
Answer: D. "I will practice a fire escape plan with my family"
Rationale: Practicing an escape plan is key to fire safety. Water heaters should be
set to 120°F (48.9°C) to prevent burns; smoking in bed is a fire hazard .
Question 10: NG Tube Suction and Hypomagnesemia
A nurse is collecting data from a client who has an NG tube set to low intermittent
suction. Which of the following findings indicates hypomagnesemia?
A. Cramps
2024/2025 | Questions and Answers with
Rationale | Latest Edition | Already
Question 1: Delegation and Assignment
A nurse is assisting with the plan of care for four clients. Which of the following
tasks should the nurse assign to an assistive personnel (AP)?
A. Administer medication
B. Assess vital signs
C. Assist a client to get out of bed after a breathing treatment
D. Perform a wound dressing change
Answer: C. Assist a client to get out of bed after a breathing treatment
Rationale: Mobility assistance is within the AP's scope of practice, and the task is
considered stable and routine. The nurse is responsible for tasks involving
assessment, medication administration, and sterile technique .
Question 2: Crutch Walking
A nurse is reinforcing teaching with a client about the use of crutches. Which of
the following actions by the client indicates an understanding of the teaching?
A. Advance the affected leg first while climbing stairs
B. Advance the unaffected leg first while climbing stairs
C. Use crutches on the affected side
D. Lean on the crutches for full weight support
Answer: B. Advance the unaffected leg first while climbing stairs
Rationale: The mnemonic "up with the good, down with the bad" is the correct
method for using crutches on stairs. Advancing the unaffected (stronger) leg first
provides better stability and safety .
,Question 3: Living Will
A nurse is reinforcing teaching with a client about living wills. Which of the
following client statements indicates an understanding of the teaching?
A. It is only for terminal illness
B. The living will directs my medical care when I am unable to make decisions
C. It is a verbal order only
D. It overrides my family's wishes
Answer: B. The living will directs my medical care when I am unable to make
decisions
Rationale: A living will is a legal document that specifies a client's preferences for
medical treatment should they become incapacitated and unable to communicate
their decisions .
Question 4: Tuberculin Skin Test (PPD)
A nurse is preparing to administer a tuberculin skin test (PPD) to a client. Which of
the following actions is correct?
A. Insert the needle at a 45-degree angle with the bevel up
B. Massage the area after injection to disperse the solution
C. Inject 0.1 mL of purified protein derivative intradermally
D. Use a 23-gauge needle for administration
Answer: C. Inject 0.1 mL of purified protein derivative intradermally
Rationale: A PPD test is administered intradermally at a 5-15 degree angle. The
correct volume is 0.1 mL using a tuberculin syringe (25-27 gauge). Massaging the
area will disperse the solution and invalidate the test .
Question 5: Blood Transfusion Reaction
A nurse is caring for a client who is receiving a blood transfusion and reports low
back pain and chills 15 minutes after initiation. What is the priority action?
A. Slow the infusion rate
B. Stop the transfusion
,C. Cover the client with a warm blanket
D. Notify the provider
Answer: B. Stop the transfusion
Rationale: Low back pain and chills are classic signs of an acute hemolytic
transfusion reaction. The nurse's priority is to stop the transfusion immediately to
prevent further complications, then notify the provider .
Question 6: Tracheostomy Care
A nurse is caring for a client who has a new tracheostomy. Which of the following
actions is correct when providing tracheostomy care?
A. Use surgical asepsis (sterile technique) during suctioning
B. Apply suction for 20 to 30 seconds
C. Reuse the suction catheter to save supplies
D. Clean the inner cannula with tap water
Answer: A. Use surgical asepsis (sterile technique) during suctioning
Rationale: Surgical aseptic technique is required for tracheostomy care to prevent
infection. Suctioning should last 10-15 seconds maximum to avoid hypoxemia.
The catheter is single-use, and sterile normal saline should be used .
Question 7: Fire Safety
A charge nurse smells smoke, enters the visitor restroom, and sees flames in the
trash can. What is the correct sequence of actions?
A. 1. Alarm, 2. Evacuate, 3. Close, 4. Extinguish
B. 1. Evacuate client from area, 2. Pull the fire alarm, 3. Close fire doors, 4. Use a
fire extinguisher
C. 1. Extinguish, 2. Alarm, 3. Evacuate, 4. Close
D. 1. Close, 2. Evacuate, 3. Alarm, 4. Extinguish
Answer: B. 1. Evacuate client from area, 2. Pull the fire alarm, 3. Close fire doors,
4. Use a fire extinguisher
, Rationale: The RACE protocol outlines the correct sequence: Rescue (evacuate
clients), Alarm, Confine (close doors), and Extinguish (use fire extinguisher) .
Question 8: Pulse Oximetry
A charge nurse is reinforcing teaching with an assistive personnel (AP) about
performing pulse oximetry. Which of the following information should the nurse
include?
A. Polish on the nail is acceptable
B. Remove polish from the client's fingernail before applying the probe
C. The probe can be placed on the client's ear
D. Cold fingers provide accurate readings
Answer: B. Remove polish from the client's fingernail before applying the probe
Rationale: Nail polish and artificial nails interfere with the pulse oximetry reading
by blocking the light sensor, so they must be removed .
Question 9: Fire Safety at Home
A nurse is providing discharge teaching about fire safety. Which statement
indicates understanding?
A. "I will use a space heater in the bathroom"
B. "I will smoke only when I am lying down"
C. "I will set my water heater to 140 degrees Fahrenheit"
D. "I will practice a fire escape plan with my family"
Answer: D. "I will practice a fire escape plan with my family"
Rationale: Practicing an escape plan is key to fire safety. Water heaters should be
set to 120°F (48.9°C) to prevent burns; smoking in bed is a fire hazard .
Question 10: NG Tube Suction and Hypomagnesemia
A nurse is collecting data from a client who has an NG tube set to low intermittent
suction. Which of the following findings indicates hypomagnesemia?
A. Cramps
