ATI PN Fundamentals Proctored Exam (Version 1) (150 Q&As) Latest 2024/2025
Update Actual Exam
1.
A nurse is preparing to perform mouth care for an unconscious client. Which
action is correct?
A) Place the client in a supine position
B) Use a soft toothbrush and minimal water
C) Turn the client’s head to the side
D) Use hydrogen peroxide for cleaning
Answer: C
Rationale: Turning the client’s head to the side prevents aspiration.
2.
A client asks about advance directives. The nurse should respond:
A) "You need to speak to your doctor only."
B) "Advance directives are not legally binding."
C) "They allow you to state your wishes for care."
D) "We require one before treatment."
Answer: C
Rationale: Advance directives document a client’s care preferences.
3.
A nurse is caring for a client with a temperature of 102°F. Which action is
appropriate?
,A) Apply warm blankets
B) Provide antipyretic medication
C) Encourage low fluid intake
D) Limit physical activity
Answer: B
Rationale: Antipyretics help reduce fever.
4.
Which of the following is an example of primary prevention?
A) Administering antibiotics
B) Conducting a cancer screening
C) Providing immunizations
D) Performing physical therapy
Answer: C
Rationale: Immunizations prevent disease before it occurs.
5.
A nurse notes a client has a stage 2 pressure injury. What should the nurse expect
to see?
A) Non-blanchable redness
B) Intact skin with bruising
C) Partial-thickness skin loss
D) Full-thickness tissue loss
Answer: C
Rationale: Stage 2 involves partial-thickness skin loss.
6.
,When using crutches, the client should:
A) Place crutches 12 inches to the side
B) Support weight on the axillae
C) Use arms to bear weight
D) Keep elbows fully extended
Answer: C
Rationale: Arms, not axillae, should bear weight to prevent nerve injury.
7.
A nurse is reinforcing teaching about home oxygen use. Which statement indicates
understanding?
A) "I will keep the oxygen tank near the stove."
B) "I will not smoke while using oxygen."
C) "I can use petroleum jelly for dry lips."
D) "I will place cords under rugs to prevent tripping."
Answer: B
Rationale: Smoking is contraindicated with oxygen therapy due to fire risk.
8.
The nurse is preparing to insert an indwelling urinary catheter. Which step should
be performed first?
A) Lubricate the catheter
B) Cleanse the perineal area
C) Insert the catheter
D) Inflate the balloon
Answer: B
Rationale: Cleaning prevents infection.
, 9.
A client with dysphagia should be positioned:
A) Supine
B) Side-lying
C) High-Fowler’s
D) Trendelenburg
Answer: C
Rationale: High-Fowler’s reduces aspiration risk.
10.
When washing hands, the nurse should:
A) Use cold water only
B) Rub hands for at least 20 seconds
C) Use alcohol-based sanitizer for visibly soiled hands
D) Dry hands with a shared towel
Answer: B
Rationale: Proper hand hygiene involves at least 20 seconds of rubbing.
11.
Which of the following is an ethical principle related to telling the truth?
A) Nonmaleficence
B) Beneficence
C) Veracity
D) Fidelity
Answer: C
Rationale: Veracity means truthfulness.
Update Actual Exam
1.
A nurse is preparing to perform mouth care for an unconscious client. Which
action is correct?
A) Place the client in a supine position
B) Use a soft toothbrush and minimal water
C) Turn the client’s head to the side
D) Use hydrogen peroxide for cleaning
Answer: C
Rationale: Turning the client’s head to the side prevents aspiration.
2.
A client asks about advance directives. The nurse should respond:
A) "You need to speak to your doctor only."
B) "Advance directives are not legally binding."
C) "They allow you to state your wishes for care."
D) "We require one before treatment."
Answer: C
Rationale: Advance directives document a client’s care preferences.
3.
A nurse is caring for a client with a temperature of 102°F. Which action is
appropriate?
,A) Apply warm blankets
B) Provide antipyretic medication
C) Encourage low fluid intake
D) Limit physical activity
Answer: B
Rationale: Antipyretics help reduce fever.
4.
Which of the following is an example of primary prevention?
A) Administering antibiotics
B) Conducting a cancer screening
C) Providing immunizations
D) Performing physical therapy
Answer: C
Rationale: Immunizations prevent disease before it occurs.
5.
A nurse notes a client has a stage 2 pressure injury. What should the nurse expect
to see?
A) Non-blanchable redness
B) Intact skin with bruising
C) Partial-thickness skin loss
D) Full-thickness tissue loss
Answer: C
Rationale: Stage 2 involves partial-thickness skin loss.
6.
,When using crutches, the client should:
A) Place crutches 12 inches to the side
B) Support weight on the axillae
C) Use arms to bear weight
D) Keep elbows fully extended
Answer: C
Rationale: Arms, not axillae, should bear weight to prevent nerve injury.
7.
A nurse is reinforcing teaching about home oxygen use. Which statement indicates
understanding?
A) "I will keep the oxygen tank near the stove."
B) "I will not smoke while using oxygen."
C) "I can use petroleum jelly for dry lips."
D) "I will place cords under rugs to prevent tripping."
Answer: B
Rationale: Smoking is contraindicated with oxygen therapy due to fire risk.
8.
The nurse is preparing to insert an indwelling urinary catheter. Which step should
be performed first?
A) Lubricate the catheter
B) Cleanse the perineal area
C) Insert the catheter
D) Inflate the balloon
Answer: B
Rationale: Cleaning prevents infection.
, 9.
A client with dysphagia should be positioned:
A) Supine
B) Side-lying
C) High-Fowler’s
D) Trendelenburg
Answer: C
Rationale: High-Fowler’s reduces aspiration risk.
10.
When washing hands, the nurse should:
A) Use cold water only
B) Rub hands for at least 20 seconds
C) Use alcohol-based sanitizer for visibly soiled hands
D) Dry hands with a shared towel
Answer: B
Rationale: Proper hand hygiene involves at least 20 seconds of rubbing.
11.
Which of the following is an ethical principle related to telling the truth?
A) Nonmaleficence
B) Beneficence
C) Veracity
D) Fidelity
Answer: C
Rationale: Veracity means truthfulness.