Comprehensive ATI Fundamentals
Proctored Exam Prep 2025
A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He
states that it is difficult to prepare adequate nutritious meals at home for just one person. To
which of the following members of the health care team should the nurse refer him?
A. Registered dietitian
B. Occupational therapist
C. Physical therapist
D. Social worker
Rationale: A social worker can arrange meal delivery services or recommend congregate meal
sites. Dietitians provide nutrition counseling but not meal services, occupational therapists focus
on self-care skills, and physical therapists focus on mobility.
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse should initiate a referral to:
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist
Rationale: Occupational therapists specialize in adaptive devices for self-care. Dietitians focus
on diet, CNAs provide basic care but not device training, and social workers focus on resources.
A client who is postoperative following a knee arthroplasty is concerned about the adverse
effects of pain medication. Which of the following members of the interprofessional care team
may assist? (Select all that apply)
A. Provider
B. CNA
C. Pharmacist
D. RN
E. Respiratory therapist
Rationale: Providers prescribe medications, pharmacists explain drug effects, and nurses
reinforce teaching. CNAs and respiratory therapists do not provide this type of medication
education.
,A client who has had a cerebrovascular accident has persistent dysphagia. The nurse should refer
to:
A. Social worker
B. CNA
C. Occupational therapist
D. Speech-language pathologist
Rationale: Speech-language pathologists specialize in swallowing and speech difficulties.
Occupational therapists help with self-care, not swallowing.
A nursing instructor explains CNA responsibilities. Which tasks should be included? (Select all
that apply)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs
Rationale: CNAs perform basic care such as hygiene, mobility, toileting, and vital signs. Pain
assessment is a licensed nurse’s responsibility.
A nurse assessing a young adult male’s musculoskeletal system should expect: (Select all that
apply)
A. A concave thoracic spine posteriorly
B. An exaggerated lumbar curvature
C. A concave lumbar spine posteriorly
D. An exaggerated thoracic curvature
E. Muscles slightly larger on his dominant side
Rationale: Normal findings include a concave lumbar curve and slightly larger dominant
muscles. Abnormal findings are exaggerated curvatures.
To evaluate stereognosis, the nurse asks the client to:
A. Identify a whispered word
B. Identify a number traced on the hand
C. Feel vibration from a tuning fork
D. Identify a familiar object placed in the hand
,Rationale: Stereognosis is recognizing objects by touch. The other options test hearing,
graphesthesia, and vibration sense.
A nurse assesses a client who reports pain with internal rotation of the right shoulder. Which
activity will this likely affect?
A. Mopping floors
B. Brushing the back of hair
C. Fastening a bra behind the back
D. Reaching into a cabinet above the sink
Rationale: Fastening a bra requires internal rotation. Brushing and reaching involve external
rotation or abduction.
To test balance during a neurosensory exam, the nurse should perform: (Select all that apply)
A. Romberg test
B. Heel-to-toe walk
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test
Rationale: Romberg and heel-to-toe assess balance. Snellen and Rosenbaum test vision, spinal
accessory tests CN XI.
Expected neurosensory changes in aging include: (Select all that apply)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
E. Slower superficial pain sensation
Rationale: Normal aging includes sensory decline, slower fine movements, and short-term
memory loss. Light touch and pain sensation are not significantly slowed in normal aging.
Discharge teaching for safe oxygen use at home should include: (Select all that apply)
A. Family members must smoke 10 ft away
B. Avoid nail polish near oxygen
C. Place “No smoking” sign on door
, D. Replace cotton with wool bedding
E. Keep fire extinguisher at home
Rationale: Wool creates static and should be avoided; smoking must be completely outside, not
just 10 ft away.
A parenting class participant states: “Once my baby can sit up, he should be safe in the bathtub.”
This indicates:
A. Begin swimming lessons when baby can close mouth under water
B. Incorrect understanding about bathtub safety
C. Test bathwater temperature before bathing
D. Remove crib mobile when infant starts pushing up
Rationale: Sitting up does not make a baby safe in the tub. Parents should never leave a baby
unattended.
Carbon monoxide counseling should include:
A. It has a distinct odor
B. Inspect water heaters every 5 years
C. Lungs are damaged from inhalation
D. It binds with hemoglobin
Rationale: CO binds hemoglobin, preventing oxygen transport. It is odorless, invisible, and
water heaters should be inspected annually.
For heat stroke, the expected finding is:
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea
Rationale: Heat stroke presents with hypotension, tachycardia, hot dry skin, and tachypnea.
Food poisoning counseling includes: (Select all that apply)
A. Most caused by a virus
B. Immunocompromised clients are at higher risk
C. Consume only pasteurized dairy products
Proctored Exam Prep 2025
A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He
states that it is difficult to prepare adequate nutritious meals at home for just one person. To
which of the following members of the health care team should the nurse refer him?
A. Registered dietitian
B. Occupational therapist
C. Physical therapist
D. Social worker
Rationale: A social worker can arrange meal delivery services or recommend congregate meal
sites. Dietitians provide nutrition counseling but not meal services, occupational therapists focus
on self-care skills, and physical therapists focus on mobility.
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse should initiate a referral to:
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist
Rationale: Occupational therapists specialize in adaptive devices for self-care. Dietitians focus
on diet, CNAs provide basic care but not device training, and social workers focus on resources.
A client who is postoperative following a knee arthroplasty is concerned about the adverse
effects of pain medication. Which of the following members of the interprofessional care team
may assist? (Select all that apply)
A. Provider
B. CNA
C. Pharmacist
D. RN
E. Respiratory therapist
Rationale: Providers prescribe medications, pharmacists explain drug effects, and nurses
reinforce teaching. CNAs and respiratory therapists do not provide this type of medication
education.
,A client who has had a cerebrovascular accident has persistent dysphagia. The nurse should refer
to:
A. Social worker
B. CNA
C. Occupational therapist
D. Speech-language pathologist
Rationale: Speech-language pathologists specialize in swallowing and speech difficulties.
Occupational therapists help with self-care, not swallowing.
A nursing instructor explains CNA responsibilities. Which tasks should be included? (Select all
that apply)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs
Rationale: CNAs perform basic care such as hygiene, mobility, toileting, and vital signs. Pain
assessment is a licensed nurse’s responsibility.
A nurse assessing a young adult male’s musculoskeletal system should expect: (Select all that
apply)
A. A concave thoracic spine posteriorly
B. An exaggerated lumbar curvature
C. A concave lumbar spine posteriorly
D. An exaggerated thoracic curvature
E. Muscles slightly larger on his dominant side
Rationale: Normal findings include a concave lumbar curve and slightly larger dominant
muscles. Abnormal findings are exaggerated curvatures.
To evaluate stereognosis, the nurse asks the client to:
A. Identify a whispered word
B. Identify a number traced on the hand
C. Feel vibration from a tuning fork
D. Identify a familiar object placed in the hand
,Rationale: Stereognosis is recognizing objects by touch. The other options test hearing,
graphesthesia, and vibration sense.
A nurse assesses a client who reports pain with internal rotation of the right shoulder. Which
activity will this likely affect?
A. Mopping floors
B. Brushing the back of hair
C. Fastening a bra behind the back
D. Reaching into a cabinet above the sink
Rationale: Fastening a bra requires internal rotation. Brushing and reaching involve external
rotation or abduction.
To test balance during a neurosensory exam, the nurse should perform: (Select all that apply)
A. Romberg test
B. Heel-to-toe walk
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test
Rationale: Romberg and heel-to-toe assess balance. Snellen and Rosenbaum test vision, spinal
accessory tests CN XI.
Expected neurosensory changes in aging include: (Select all that apply)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
E. Slower superficial pain sensation
Rationale: Normal aging includes sensory decline, slower fine movements, and short-term
memory loss. Light touch and pain sensation are not significantly slowed in normal aging.
Discharge teaching for safe oxygen use at home should include: (Select all that apply)
A. Family members must smoke 10 ft away
B. Avoid nail polish near oxygen
C. Place “No smoking” sign on door
, D. Replace cotton with wool bedding
E. Keep fire extinguisher at home
Rationale: Wool creates static and should be avoided; smoking must be completely outside, not
just 10 ft away.
A parenting class participant states: “Once my baby can sit up, he should be safe in the bathtub.”
This indicates:
A. Begin swimming lessons when baby can close mouth under water
B. Incorrect understanding about bathtub safety
C. Test bathwater temperature before bathing
D. Remove crib mobile when infant starts pushing up
Rationale: Sitting up does not make a baby safe in the tub. Parents should never leave a baby
unattended.
Carbon monoxide counseling should include:
A. It has a distinct odor
B. Inspect water heaters every 5 years
C. Lungs are damaged from inhalation
D. It binds with hemoglobin
Rationale: CO binds hemoglobin, preventing oxygen transport. It is odorless, invisible, and
water heaters should be inspected annually.
For heat stroke, the expected finding is:
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea
Rationale: Heat stroke presents with hypotension, tachycardia, hot dry skin, and tachypnea.
Food poisoning counseling includes: (Select all that apply)
A. Most caused by a virus
B. Immunocompromised clients are at higher risk
C. Consume only pasteurized dairy products
