ATI RN Fundamentals
Proctored Exam 2026/2027
70 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Safety & Infection Control
2 Vital Signs & Assessment
3 Medication Administration
4 Documentation & Reporting
5 Mobility & Immobility
6 Hygiene & Personal Care
7 Nutrition & Elimination
8 Wound Care & Sterile Technique
9 Oxygenation
10 Perioperative Care
11 Prioritization & Delegation
Page 1
,Q1
A nurse is caring for a client with Clostridium difficile infection. Which action should the
nurse take to prevent the spread of infection?
A) Wear a surgical mask when entering the room
B) Use an alcohol-based hand rub after removing gloves
C) *Wear a gown and gloves and wash hands with soap and water CORRECT
D) Place the client in a negative-pressure room
Rationale
C. diff requires contact precautions; alcohol does not kill spores, so soap and water is
essential.
Q2
A nurse is preparing to administer a medication to a client who has difficulty swallowing
pills. Which action should the nurse take first?
A) *Check with the pharmacist about crushing the medication CORRECT
B) Crush all medications and mix with applesauce
C) Withhold the medication and document the refusal
D) Give the medication with a small sip of water
Rationale
Some medications are extended-release or enteric-coated and cannot be crushed; verify
before altering the form.
Q3
A nurse is delegating tasks to a UAP. Which task is most appropriate to delegate?
A) Assess a client’s surgical incision
B) Administer a PRN pain medication
C) Change a sterile dressing
Page 2
, D) *Assist a client with a bed bath CORRECT
Rationale
Hygiene tasks are within UAP scope. Assessment, medication administration, and sterile
procedures require licensed staff.
Q4
A client is found unresponsive on the floor next to the bed. Which action should the
nurse take first?
A) Help the client back to bed
B) *Check for responsiveness and assess breathing CORRECT
C) Notify the provider
D) Complete an incident report
Rationale
Assess airway, breathing, and circulation first before moving the client or documenting.
Q5
A nurse is measuring a client’s blood pressure. Which action indicates correct
technique?
A) Place the cuff over the client’s sleeve
B) Position the arm below heart level
C) *Use a cuff whose bladder width is about 40% of the arm
CORRECT
circumference
D) Deflate the cuff as rapidly as possible
Rationale
Correct cuff size prevents false readings. Arm should be at heart level; deflate slowly.
Page 3
Proctored Exam 2026/2027
70 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Safety & Infection Control
2 Vital Signs & Assessment
3 Medication Administration
4 Documentation & Reporting
5 Mobility & Immobility
6 Hygiene & Personal Care
7 Nutrition & Elimination
8 Wound Care & Sterile Technique
9 Oxygenation
10 Perioperative Care
11 Prioritization & Delegation
Page 1
,Q1
A nurse is caring for a client with Clostridium difficile infection. Which action should the
nurse take to prevent the spread of infection?
A) Wear a surgical mask when entering the room
B) Use an alcohol-based hand rub after removing gloves
C) *Wear a gown and gloves and wash hands with soap and water CORRECT
D) Place the client in a negative-pressure room
Rationale
C. diff requires contact precautions; alcohol does not kill spores, so soap and water is
essential.
Q2
A nurse is preparing to administer a medication to a client who has difficulty swallowing
pills. Which action should the nurse take first?
A) *Check with the pharmacist about crushing the medication CORRECT
B) Crush all medications and mix with applesauce
C) Withhold the medication and document the refusal
D) Give the medication with a small sip of water
Rationale
Some medications are extended-release or enteric-coated and cannot be crushed; verify
before altering the form.
Q3
A nurse is delegating tasks to a UAP. Which task is most appropriate to delegate?
A) Assess a client’s surgical incision
B) Administer a PRN pain medication
C) Change a sterile dressing
Page 2
, D) *Assist a client with a bed bath CORRECT
Rationale
Hygiene tasks are within UAP scope. Assessment, medication administration, and sterile
procedures require licensed staff.
Q4
A client is found unresponsive on the floor next to the bed. Which action should the
nurse take first?
A) Help the client back to bed
B) *Check for responsiveness and assess breathing CORRECT
C) Notify the provider
D) Complete an incident report
Rationale
Assess airway, breathing, and circulation first before moving the client or documenting.
Q5
A nurse is measuring a client’s blood pressure. Which action indicates correct
technique?
A) Place the cuff over the client’s sleeve
B) Position the arm below heart level
C) *Use a cuff whose bladder width is about 40% of the arm
CORRECT
circumference
D) Deflate the cuff as rapidly as possible
Rationale
Correct cuff size prevents false readings. Arm should be at heart level; deflate slowly.
Page 3
