ATI PROCTORED FUNDAMENTAL
FINAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
EXPLANATIONS 2026/2027
1. A nurse is preparing to administer an intramuscular injection to a client. Which of the
following actions should the nurse take to prevent injury using the Z-track technique?
A. Massage the site after injecting the medication
B. Inject the medication quickly over 5 seconds
C. Pull the skin and subcutaneous tissue 2.5 cm (1 inch) to the side
D. Aspirate for blood return before injecting
Answer: C
Conceptual Explanation: The Z-track technique involves pulling the skin and
subcutaneous tissue laterally to seal the medication within the muscle and prevent
irritation.
2. A nurse is assessing a client’s risk for pressure injuries. Which of the following findings
should the nurse identify as a risk factor?
A. Albumin level of 4.2 g/dL
B. Hemoglobin level of 15 g/dL
,C. Braden scale score of 12
D. Negative nitrogen balance
Answer: C
Conceptual Explanation: A Braden scale score of 12 indicates a high risk for pressure
injury development; scores lower than 18 typically indicate risk.
3. A nurse is caring for a client who is on a full liquid diet. Which of the following food items
should the nurse offer the client?
A. Applesauce
B. Pureed vegetables
C. Plain yogurt
D. Soft-boiled eggs
Answer: C
Conceptual Explanation: Full liquid diets include all clear liquids plus milk, puddings,
custards, and yogurt.
4. Which of the following interventions should a nurse implement to prevent plantar flexion
in a client who is immobile?
A. Foot boards
B. Hand rolls
C. Trochanter rolls
, D. Abductor pillows
Answer: A
Conceptual Explanation: Foot boards or high-top sneakers are used to keep the feet in
dorsiflexion and prevent foot drop (plantar flexion).
5. A nurse is assessing a client who has a suspected fecal impaction. Which of the following
findings is an expected manifestation?
A. Frequent loose stools
B. Increased flatulence
C. Small amounts of liquid stool seepage
D. Hard, formed stool
Answer: C
Conceptual Explanation: Liquid stool leaking around an impaction is a classic sign of fecal
impaction.
6. A nurse is caring for a client who requires airborne precautions. Which of the following
protective equipment is necessary?
A. Surgical mask
B. N95 respirator
C. Goggles
D. Face shield
FINAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
EXPLANATIONS 2026/2027
1. A nurse is preparing to administer an intramuscular injection to a client. Which of the
following actions should the nurse take to prevent injury using the Z-track technique?
A. Massage the site after injecting the medication
B. Inject the medication quickly over 5 seconds
C. Pull the skin and subcutaneous tissue 2.5 cm (1 inch) to the side
D. Aspirate for blood return before injecting
Answer: C
Conceptual Explanation: The Z-track technique involves pulling the skin and
subcutaneous tissue laterally to seal the medication within the muscle and prevent
irritation.
2. A nurse is assessing a client’s risk for pressure injuries. Which of the following findings
should the nurse identify as a risk factor?
A. Albumin level of 4.2 g/dL
B. Hemoglobin level of 15 g/dL
,C. Braden scale score of 12
D. Negative nitrogen balance
Answer: C
Conceptual Explanation: A Braden scale score of 12 indicates a high risk for pressure
injury development; scores lower than 18 typically indicate risk.
3. A nurse is caring for a client who is on a full liquid diet. Which of the following food items
should the nurse offer the client?
A. Applesauce
B. Pureed vegetables
C. Plain yogurt
D. Soft-boiled eggs
Answer: C
Conceptual Explanation: Full liquid diets include all clear liquids plus milk, puddings,
custards, and yogurt.
4. Which of the following interventions should a nurse implement to prevent plantar flexion
in a client who is immobile?
A. Foot boards
B. Hand rolls
C. Trochanter rolls
, D. Abductor pillows
Answer: A
Conceptual Explanation: Foot boards or high-top sneakers are used to keep the feet in
dorsiflexion and prevent foot drop (plantar flexion).
5. A nurse is assessing a client who has a suspected fecal impaction. Which of the following
findings is an expected manifestation?
A. Frequent loose stools
B. Increased flatulence
C. Small amounts of liquid stool seepage
D. Hard, formed stool
Answer: C
Conceptual Explanation: Liquid stool leaking around an impaction is a classic sign of fecal
impaction.
6. A nurse is caring for a client who requires airborne precautions. Which of the following
protective equipment is necessary?
A. Surgical mask
B. N95 respirator
C. Goggles
D. Face shield
