ATI FUNDAMENTALS CMS PROCTORED EXAM
2025/ 2026 LATEST!!! QUESTIONS AND
VERIFIED ANSWERS| 100% CORRECT
a nurse is assessing the heart sounds of a client who has developed chest pain that
becomes worse with inspiration. the nurse auscultates a high-pitched scratching
sound during both systole and diastole with the diaphragm of the stethoscope
positioned at the left sternal border. which heart sounds should the nurse
document? - ANSWER pericardial friction rub
a nurse is obtaining the blood pressure in a clients lower extremity. which action
should the nurse take? - ANSWER place the bladder of the cuff over
the posterior aspect of the thigh
a charge nurse is teaching adult CPR to a group of new nurses. which actions
should the charge nurse teach as the first response in CPR? - ANSWER
confirm unresponsiveness
a nurse is caring for a client who requires a chest xray. prior to the client being
transported for the procedure, which actions should the nurse take first? -
ANSWER identify the client using two identifiers
a nurse is caring for a child who is postop following a tonsillectomy. which actions
should the nurse take? - ANSWER administer analgesics to the child
on a routine schedule throughout the day and night
,a nurse is providing teaching to a client who has heart failure about how to reduce
his daily intake of sodium. which factors is the most important in determining the
clients ability to learn new dietary habits? - ANSWER the
involvement of the client in planning the change
a charge nurse is observing a new nurse perform tracheostomy care for a client.
which actions by the new nurse requires intervention? - ANSWER
obtaining cotton balls for the trach care
a nurse is preparing to perform mouth care for an unresponsive client. which
actions should the nurse plan to take? - ANSWER raise the level of the
bed
a nurse is witnessing a client sign an informed consent form for surgery. which
describes what the nurse is affirming by this action? - ANSWER the
signature on the preop consent form is the clients
a nurse is preparing to provide tracheostomy care for a client. which actions should
the nurse take first? - ANSWER perform hand hygiene
a nurse is caring for an older adult client who becomes agitated when the nurse
requests that the clients dentures be removed prior to surgery. which responses
should the nurse make? - ANSWER what worries you about being
without your teeth?
a nurse in an oncology clinic is assessing a client who is undergoing treatment for
ovarian cancer. which assessment statements by the client indicates she is
, experiencing psychological distress? - ANSWER i keep having
nightmares about my upcoming surgery
a nurse on a med surg unit is caring for a client. which actions should the nurse
take first when using the nursing process? - ANSWER obtain client
information
a nurse is caring for an older adult client who is violent and attempting to
disconnect her IV lines. the provider prescribes soft wrist restraints. which actions
should the nurse take while the client is in restraints? - ANSWER
remove the restraints one at a time
a nurse is planning care for a client who reports abdominal pain. an assessment by
the nurse reveals the client has a temp of 102.6, HR of 105, a soft nontender
abdomen, and menses overdue by 2 days. which findings should be the nurses
priority? - ANSWER temperature
a nurse is inserting an IV catheter for a client that results in a blood spill on her
gloved hand. the client has no documented bloodstream infection. which action
should the nurse take? - ANSWER carefully remove the gloves and
follow with hand hygiene
a nurse is caring for a client who is post op and has paralytic ileum. which
abdominal assessments should the nurse expect? - ANSWER absent
bowel sounds with distention
2025/ 2026 LATEST!!! QUESTIONS AND
VERIFIED ANSWERS| 100% CORRECT
a nurse is assessing the heart sounds of a client who has developed chest pain that
becomes worse with inspiration. the nurse auscultates a high-pitched scratching
sound during both systole and diastole with the diaphragm of the stethoscope
positioned at the left sternal border. which heart sounds should the nurse
document? - ANSWER pericardial friction rub
a nurse is obtaining the blood pressure in a clients lower extremity. which action
should the nurse take? - ANSWER place the bladder of the cuff over
the posterior aspect of the thigh
a charge nurse is teaching adult CPR to a group of new nurses. which actions
should the charge nurse teach as the first response in CPR? - ANSWER
confirm unresponsiveness
a nurse is caring for a client who requires a chest xray. prior to the client being
transported for the procedure, which actions should the nurse take first? -
ANSWER identify the client using two identifiers
a nurse is caring for a child who is postop following a tonsillectomy. which actions
should the nurse take? - ANSWER administer analgesics to the child
on a routine schedule throughout the day and night
,a nurse is providing teaching to a client who has heart failure about how to reduce
his daily intake of sodium. which factors is the most important in determining the
clients ability to learn new dietary habits? - ANSWER the
involvement of the client in planning the change
a charge nurse is observing a new nurse perform tracheostomy care for a client.
which actions by the new nurse requires intervention? - ANSWER
obtaining cotton balls for the trach care
a nurse is preparing to perform mouth care for an unresponsive client. which
actions should the nurse plan to take? - ANSWER raise the level of the
bed
a nurse is witnessing a client sign an informed consent form for surgery. which
describes what the nurse is affirming by this action? - ANSWER the
signature on the preop consent form is the clients
a nurse is preparing to provide tracheostomy care for a client. which actions should
the nurse take first? - ANSWER perform hand hygiene
a nurse is caring for an older adult client who becomes agitated when the nurse
requests that the clients dentures be removed prior to surgery. which responses
should the nurse make? - ANSWER what worries you about being
without your teeth?
a nurse in an oncology clinic is assessing a client who is undergoing treatment for
ovarian cancer. which assessment statements by the client indicates she is
, experiencing psychological distress? - ANSWER i keep having
nightmares about my upcoming surgery
a nurse on a med surg unit is caring for a client. which actions should the nurse
take first when using the nursing process? - ANSWER obtain client
information
a nurse is caring for an older adult client who is violent and attempting to
disconnect her IV lines. the provider prescribes soft wrist restraints. which actions
should the nurse take while the client is in restraints? - ANSWER
remove the restraints one at a time
a nurse is planning care for a client who reports abdominal pain. an assessment by
the nurse reveals the client has a temp of 102.6, HR of 105, a soft nontender
abdomen, and menses overdue by 2 days. which findings should be the nurses
priority? - ANSWER temperature
a nurse is inserting an IV catheter for a client that results in a blood spill on her
gloved hand. the client has no documented bloodstream infection. which action
should the nurse take? - ANSWER carefully remove the gloves and
follow with hand hygiene
a nurse is caring for a client who is post op and has paralytic ileum. which
abdominal assessments should the nurse expect? - ANSWER absent
bowel sounds with distention
