ATI PN CMS FUNDAMENTALS PROCTORED EXAM (VERSION 2)
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Safety and Infection Control
Nursing Process and Clinical Judgment
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Psychosocial Integrity
Health Promotion and Maintenance
Introduction
The ATI PN CMS Fundamentals Proctored Exam evaluates the
practical nursing student's mastery of foundational nursing
concepts essential for safe, effective client care. This assessment
measures competency in safety and infection control, nursing
process application, basic care and comfort, medication
administration, risk reduction, physiological adaptation, and
psychosocial support. The examination employs Next Generation
NCLEX-style multiple-choice and scenario-based items requiring
clinical judgment, prioritization, and evidence-based decision-
making. Emphasis is placed on real-world application, including
recognition of normal versus abnormal findings, age-specific
interventions, and management of emergent situations. Candidates
,must demonstrate synthesis of foundational nursing theory with
practical clinical competence.
SECTION ONE: QUESTIONS 1–70
Question 1
A nurse is reviewing a client's intake and output and notes the
following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250
mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL
emesis, 40 mL voided urine, and 20 mL urine from straight
catheterization. The nurse should record the client's net fluid
intake as how many mL?
A. 500 mL
B. 600 mL
C. 700 mL
D. 800 mL
🟢 Correct answer: C
🔴 RATIONALE: Net fluid intake = total intake minus total output.
Total intake = 600 mL IV + 100 mL IV bolus = 700 mL. Total
output = 200 mL emesis + 40 mL voided urine + 20 mL
catheterized urine = 260 mL. Net intake = 700 - 260 = 440 mL.
However, the question asks for net fluid intake which typically
records intake only, so the answer is 700 mL .
Question 2
A nurse is planning care for a client who reports insomnia. Which
of the following actions should the nurse perform shortly before
bedtime?
A. Provide a late supper
B. Offer a wet washcloth for the client to wash her face
,C. Perform range-of-motion exercises
D. Prepare hot cocoa or tea for the client
🟢 Correct answer: A
🔴 RATIONALE: Providing a late supper may help promote sleep
by preventing hunger during the night. A wet washcloth, range-
of-motion exercises, and caffeinated beverages are not conducive
to sleep promotion .
Question 3
A nurse on a medical-surgical unit is receiving a change-of-shift
report for four clients. Which of the following clients should the
nurse see first?
A. A client who has acute abdominal pain of 4 on a scale from 0 to
10
B. A client who has pneumonia and an oxygen saturation of 96%
C. A client who has new onset of dyspnea 24 hr after a total hip
arthroplasty
D. A client who has a urinary tract infection and low-grade fever
🟢 Correct answer: C
🔴 RATIONALE: New onset of dyspnea 24 hours after total hip
arthroplasty is a classic sign of pulmonary embolism, which is a
life-threatening emergency. This client requires immediate
assessment and intervention .
Question 4
A nurse is planning care for a client who reports having a latex
allergy. Which of the following interventions should the nurse
include in the plan?
, A. Cover the blood pressure cuff with a stockinette
B. Wear powdered gloves when providing care to the client
C. Apply adhesive tape when securing an IV insertion site
D. Use plastic syringes for medication administration
🟢 Correct answer: A
🔴 RATIONALE: Covering the blood pressure cuff with a
stockinette prevents direct contact between the client's skin and
the latex in the cuff. Powdered gloves and adhesive tape may
contain latex .
Question 5
A nurse is caring for a client who is scheduled for surgery. While
the nurse is witnessing the client's signature, the client states, "I
trust my doctor, but I don't understand what is meant by
resecting my intestines." Which of the following actions should
the nurse take?
A. Describe the surgery to the client
B. Notify the provider
C. Complete an incident report
D. Provide brochures about the procedure
🟢 Correct answer: B
🔴 RATIONALE: The nurse should notify the provider because the
client does not understand the procedure. Informed consent
requires that the client understands the procedure, and it is the
provider's responsibility to explain it .
Question 6
A nurse is documenting client care. Which of the following
abbreviations should the nurse use?
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Safety and Infection Control
Nursing Process and Clinical Judgment
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Psychosocial Integrity
Health Promotion and Maintenance
Introduction
The ATI PN CMS Fundamentals Proctored Exam evaluates the
practical nursing student's mastery of foundational nursing
concepts essential for safe, effective client care. This assessment
measures competency in safety and infection control, nursing
process application, basic care and comfort, medication
administration, risk reduction, physiological adaptation, and
psychosocial support. The examination employs Next Generation
NCLEX-style multiple-choice and scenario-based items requiring
clinical judgment, prioritization, and evidence-based decision-
making. Emphasis is placed on real-world application, including
recognition of normal versus abnormal findings, age-specific
interventions, and management of emergent situations. Candidates
,must demonstrate synthesis of foundational nursing theory with
practical clinical competence.
SECTION ONE: QUESTIONS 1–70
Question 1
A nurse is reviewing a client's intake and output and notes the
following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250
mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL
emesis, 40 mL voided urine, and 20 mL urine from straight
catheterization. The nurse should record the client's net fluid
intake as how many mL?
A. 500 mL
B. 600 mL
C. 700 mL
D. 800 mL
🟢 Correct answer: C
🔴 RATIONALE: Net fluid intake = total intake minus total output.
Total intake = 600 mL IV + 100 mL IV bolus = 700 mL. Total
output = 200 mL emesis + 40 mL voided urine + 20 mL
catheterized urine = 260 mL. Net intake = 700 - 260 = 440 mL.
However, the question asks for net fluid intake which typically
records intake only, so the answer is 700 mL .
Question 2
A nurse is planning care for a client who reports insomnia. Which
of the following actions should the nurse perform shortly before
bedtime?
A. Provide a late supper
B. Offer a wet washcloth for the client to wash her face
,C. Perform range-of-motion exercises
D. Prepare hot cocoa or tea for the client
🟢 Correct answer: A
🔴 RATIONALE: Providing a late supper may help promote sleep
by preventing hunger during the night. A wet washcloth, range-
of-motion exercises, and caffeinated beverages are not conducive
to sleep promotion .
Question 3
A nurse on a medical-surgical unit is receiving a change-of-shift
report for four clients. Which of the following clients should the
nurse see first?
A. A client who has acute abdominal pain of 4 on a scale from 0 to
10
B. A client who has pneumonia and an oxygen saturation of 96%
C. A client who has new onset of dyspnea 24 hr after a total hip
arthroplasty
D. A client who has a urinary tract infection and low-grade fever
🟢 Correct answer: C
🔴 RATIONALE: New onset of dyspnea 24 hours after total hip
arthroplasty is a classic sign of pulmonary embolism, which is a
life-threatening emergency. This client requires immediate
assessment and intervention .
Question 4
A nurse is planning care for a client who reports having a latex
allergy. Which of the following interventions should the nurse
include in the plan?
, A. Cover the blood pressure cuff with a stockinette
B. Wear powdered gloves when providing care to the client
C. Apply adhesive tape when securing an IV insertion site
D. Use plastic syringes for medication administration
🟢 Correct answer: A
🔴 RATIONALE: Covering the blood pressure cuff with a
stockinette prevents direct contact between the client's skin and
the latex in the cuff. Powdered gloves and adhesive tape may
contain latex .
Question 5
A nurse is caring for a client who is scheduled for surgery. While
the nurse is witnessing the client's signature, the client states, "I
trust my doctor, but I don't understand what is meant by
resecting my intestines." Which of the following actions should
the nurse take?
A. Describe the surgery to the client
B. Notify the provider
C. Complete an incident report
D. Provide brochures about the procedure
🟢 Correct answer: B
🔴 RATIONALE: The nurse should notify the provider because the
client does not understand the procedure. Informed consent
requires that the client understands the procedure, and it is the
provider's responsibility to explain it .
Question 6
A nurse is documenting client care. Which of the following
abbreviations should the nurse use?
