ATI PN Fundamentals Proctored Exam
Answers +
Rationales follow EACH question.
Question 1 (Multiple Choice
— Safety & Mobility)
A nurse is preparing to transfer a partially weight
-bearing client from the bed to a chair using a gait
belt. Which action indicates correct technique?
A. Positioning the chair on the client’s weaker side
B. Applying the gait belt loosely to allow room for hand placement
C. Instructing the client to push off the bed using their palms
D. Standing directly in front of the client hwit
feet close together
Correct Answer: C. Instructing the client to push off the bed using their palms
Rationale: The client should use the bed to assist with standing. The chair is placed on the stronger
side, gait belts are snug, and the nurse maint
ains a wide base of support, not feet close together.
Question 2 (SATA— Pharmacology & Medication Safety)
A nurse is reinforcing teaching about warfarin therapy. Which statements by the client indicate
understanding? (Select all that apply.)
A. “I’ll avoid leafy greens like spinach.”
B. “I’ll take ibuprofen if I get a headache.”
C. “I’ll use an electric razor for shaving.”
,D. “I will notify my provider if I notice bleeding gums.”
E. “I will increase my vitamin K intake to improve bone health.”
Correct Answers: A, C, D
Rationale: Warfarin requires consistent vitamin K intake (so A is correct), bleeding precautions
like electric razor and reporting bleeding are correct. Ibuprofen increases bleeding risk. Increasing
vitamin K (E) is incorrect— it reduces warfarin effectiveness.
Question 3 (Multiple Choice
— Therapeutic Communication & Cultural Competence)
A client from a different cultural background refuses a prescribed blood transfusion. What is the
nurse’s best response?
A. “This transfusion is necessary for your survival.”
B. “Can you explain your concerns so we can explore alternatives?”
C. “I’ll notify your provider that you are refusing care.”
D. “Would you like your family to convince you to proceed?”
Correct Answer: B
Rationale: Open
-ended, non-judgmental exploration respects culture and promotes shared
decision-making.
Question 4 (Ordered Response
— Basic Nursing Care & Procedures)
, Place the following steps in order when performing indwelling urinary catheter insertion for a female
client.
Lubricate the catheter tip
Perform hand hygiene and don sterile gloves
Cleanse the labia from front to back
Insert catheter until urine return is observed
Inflate balloon
Correct Order: 2→ 3 → 1 → 4 → 5
Rationale: Maintain sterility, clean, lubricate, insert, then secure.
Question 5 (Multiple Choice
— Vaccinations)
A nurse is reviewing immunization records of-month
a 4 -old infant. Which vaccines should the infant
have already received?
A. MMR, Varicella
B. Hepatitis A, Polio
C. DTaP, Hib, PCV
Answers +
Rationales follow EACH question.
Question 1 (Multiple Choice
— Safety & Mobility)
A nurse is preparing to transfer a partially weight
-bearing client from the bed to a chair using a gait
belt. Which action indicates correct technique?
A. Positioning the chair on the client’s weaker side
B. Applying the gait belt loosely to allow room for hand placement
C. Instructing the client to push off the bed using their palms
D. Standing directly in front of the client hwit
feet close together
Correct Answer: C. Instructing the client to push off the bed using their palms
Rationale: The client should use the bed to assist with standing. The chair is placed on the stronger
side, gait belts are snug, and the nurse maint
ains a wide base of support, not feet close together.
Question 2 (SATA— Pharmacology & Medication Safety)
A nurse is reinforcing teaching about warfarin therapy. Which statements by the client indicate
understanding? (Select all that apply.)
A. “I’ll avoid leafy greens like spinach.”
B. “I’ll take ibuprofen if I get a headache.”
C. “I’ll use an electric razor for shaving.”
,D. “I will notify my provider if I notice bleeding gums.”
E. “I will increase my vitamin K intake to improve bone health.”
Correct Answers: A, C, D
Rationale: Warfarin requires consistent vitamin K intake (so A is correct), bleeding precautions
like electric razor and reporting bleeding are correct. Ibuprofen increases bleeding risk. Increasing
vitamin K (E) is incorrect— it reduces warfarin effectiveness.
Question 3 (Multiple Choice
— Therapeutic Communication & Cultural Competence)
A client from a different cultural background refuses a prescribed blood transfusion. What is the
nurse’s best response?
A. “This transfusion is necessary for your survival.”
B. “Can you explain your concerns so we can explore alternatives?”
C. “I’ll notify your provider that you are refusing care.”
D. “Would you like your family to convince you to proceed?”
Correct Answer: B
Rationale: Open
-ended, non-judgmental exploration respects culture and promotes shared
decision-making.
Question 4 (Ordered Response
— Basic Nursing Care & Procedures)
, Place the following steps in order when performing indwelling urinary catheter insertion for a female
client.
Lubricate the catheter tip
Perform hand hygiene and don sterile gloves
Cleanse the labia from front to back
Insert catheter until urine return is observed
Inflate balloon
Correct Order: 2→ 3 → 1 → 4 → 5
Rationale: Maintain sterility, clean, lubricate, insert, then secure.
Question 5 (Multiple Choice
— Vaccinations)
A nurse is reviewing immunization records of-month
a 4 -old infant. Which vaccines should the infant
have already received?
A. MMR, Varicella
B. Hepatitis A, Polio
C. DTaP, Hib, PCV
