ATI FUNDAMENTALS PROCTORED
EXAM 2026–2027: 300 NCLEX-STYLE
PRACTICE QUESTIONS WITH
ANSWERS & DETAILED RATIONALES
| RETAKE | GRADED A+ |
GUARANTEED PASS | NEWEST!!
1. A nurse is assessing a client who reports shortness of breath. Which
finding requires the nurse to intervene first?
A. Respiratory rate of 24/min
B. Oxygen saturation of 84%
C. Heart rate of 102/min
D. Temperature of 37.4°C (99.3°F)
Answer: B. Oxygen saturation of 84%
Rationale: An oxygen saturation of 84% indicates significant hypoxemia and
requires immediate attention. The nurse should prioritize airway and breathing
before less urgent findings.
2. A nurse is preparing to administer a medication. Which action is
appropriate for client identification?
A. Use the client's room number and diagnosis
B. Ask the client to state their name and date of birth
C. Verify the client's name with a visitor
D. Use the client's room number and age
Answer: B. Ask the client to state their name and date of birth
Rationale: Two approved client identifiers, such as name and date of birth,
should be used before medication administration. A room number is not an
acceptable identifier.
,3. A nurse is caring for a client who is at risk for falls. Which intervention
should the nurse implement?
A. Keep all four side rails raised
B. Place the call light within the client's reach
C. Keep the bed in the highest position
D. Encourage the client to ambulate independently
Answer: B. Place the call light within the client's reach
Rationale: Keeping the call light accessible allows the client to request
assistance before attempting to get out of bed. Four raised side rails can
function as a restraint and are not routinely appropriate.
4. A nurse is teaching a client about hand hygiene. Which statement by the
client indicates understanding?
A. “I only need to wash my hands when they look dirty.”
B. “Alcohol-based hand sanitizer can be used when my hands are not visibly
soiled.”
C. “Gloves eliminate the need for hand hygiene.”
D. “I should wash my hands only after providing care.”
Answer: B. “Alcohol-based hand sanitizer can be used when my hands are not
visibly soiled.”
Rationale: Alcohol-based hand sanitizer is appropriate for routine hand
hygiene when hands are not visibly soiled. Hand hygiene remains necessary
before and after client care, including when gloves are used.
5. A nurse is using the nursing process. Which action represents the
evaluation phase?
A. Collecting the client's vital signs
B. Identifying a nursing diagnosis
C. Implementing prescribed interventions
D. Determining whether the client's goal was achieved
Answer: D. Determining whether the client's goal was achieved
,Rationale: Evaluation involves determining the client's response to
interventions and whether established goals and expected outcomes have been
met.
6. A nurse is documenting care provided to a client. Which documentation
entry is appropriate?
A. “Client seems much better today.”
B. “Client is difficult and uncooperative.”
C. “Client reports pain as 7/10 in the right knee.”
D. “Client had a good night's sleep.”
Answer: C. “Client reports pain as 7/10 in the right knee.”
Rationale: Documentation should be objective, specific, and based on
observable findings or the client's exact report. Vague or judgmental statements
should be avoided.
7. A nurse is caring for a client with dysphagia. Which intervention is
appropriate during meals?
A. Place the client in a supine position
B. Encourage the client to eat rapidly
C. Position the client upright
D. Provide thin liquids routinely
Answer: C. Position the client upright
Rationale: Upright positioning during meals helps reduce the risk of aspiration.
The nurse should also follow the prescribed dietary consistency and swallowing
recommendations.
8. A nurse enters a client's room and discovers that the client has fallen.
What should the nurse do first?
A. Complete an incident report
B. Assess the client for injury
C. Notify the family
D. Document the fall in the medical record
, Answer: B. Assess the client for injury
Rationale: The client's immediate safety and condition are the priority. The
nurse should assess for injury before completing documentation or notification
procedures.
9. A nurse is caring for a client who has a prescription for a medication
that the nurse believes is unsafe. What should the nurse do?
A. Administer the medication because it was prescribed
B. Ask another nurse to administer it
C. Withhold the medication and clarify the prescription
D. Document that the provider made an error
Answer: C. Withhold the medication and clarify the prescription
Rationale: Nurses have a responsibility to question prescriptions that appear
unsafe. The medication should not be administered until the concern has been
clarified.
10. A client says, “I am really frightened about my surgery tomorrow.”
Which response by the nurse is therapeutic?
A. “There is nothing to worry about.”
B. “Everyone feels nervous before surgery.”
C. “Tell me more about what concerns you.”
D. “You should try not to think about it.”
Answer: C. “Tell me more about what concerns you.”
Rationale: This response encourages the client to express feelings and
concerns. Therapeutic communication avoids minimizing feelings or offering
false reassurance.
11. A nurse is assessing a client who reports dizziness when standing.
Which finding should the nurse recognize as a possible cause?
A. Orthostatic hypotension
B. Bradycardia while sleeping
C. Increased appetite
D. Hyperactive bowel sounds
EXAM 2026–2027: 300 NCLEX-STYLE
PRACTICE QUESTIONS WITH
ANSWERS & DETAILED RATIONALES
| RETAKE | GRADED A+ |
GUARANTEED PASS | NEWEST!!
1. A nurse is assessing a client who reports shortness of breath. Which
finding requires the nurse to intervene first?
A. Respiratory rate of 24/min
B. Oxygen saturation of 84%
C. Heart rate of 102/min
D. Temperature of 37.4°C (99.3°F)
Answer: B. Oxygen saturation of 84%
Rationale: An oxygen saturation of 84% indicates significant hypoxemia and
requires immediate attention. The nurse should prioritize airway and breathing
before less urgent findings.
2. A nurse is preparing to administer a medication. Which action is
appropriate for client identification?
A. Use the client's room number and diagnosis
B. Ask the client to state their name and date of birth
C. Verify the client's name with a visitor
D. Use the client's room number and age
Answer: B. Ask the client to state their name and date of birth
Rationale: Two approved client identifiers, such as name and date of birth,
should be used before medication administration. A room number is not an
acceptable identifier.
,3. A nurse is caring for a client who is at risk for falls. Which intervention
should the nurse implement?
A. Keep all four side rails raised
B. Place the call light within the client's reach
C. Keep the bed in the highest position
D. Encourage the client to ambulate independently
Answer: B. Place the call light within the client's reach
Rationale: Keeping the call light accessible allows the client to request
assistance before attempting to get out of bed. Four raised side rails can
function as a restraint and are not routinely appropriate.
4. A nurse is teaching a client about hand hygiene. Which statement by the
client indicates understanding?
A. “I only need to wash my hands when they look dirty.”
B. “Alcohol-based hand sanitizer can be used when my hands are not visibly
soiled.”
C. “Gloves eliminate the need for hand hygiene.”
D. “I should wash my hands only after providing care.”
Answer: B. “Alcohol-based hand sanitizer can be used when my hands are not
visibly soiled.”
Rationale: Alcohol-based hand sanitizer is appropriate for routine hand
hygiene when hands are not visibly soiled. Hand hygiene remains necessary
before and after client care, including when gloves are used.
5. A nurse is using the nursing process. Which action represents the
evaluation phase?
A. Collecting the client's vital signs
B. Identifying a nursing diagnosis
C. Implementing prescribed interventions
D. Determining whether the client's goal was achieved
Answer: D. Determining whether the client's goal was achieved
,Rationale: Evaluation involves determining the client's response to
interventions and whether established goals and expected outcomes have been
met.
6. A nurse is documenting care provided to a client. Which documentation
entry is appropriate?
A. “Client seems much better today.”
B. “Client is difficult and uncooperative.”
C. “Client reports pain as 7/10 in the right knee.”
D. “Client had a good night's sleep.”
Answer: C. “Client reports pain as 7/10 in the right knee.”
Rationale: Documentation should be objective, specific, and based on
observable findings or the client's exact report. Vague or judgmental statements
should be avoided.
7. A nurse is caring for a client with dysphagia. Which intervention is
appropriate during meals?
A. Place the client in a supine position
B. Encourage the client to eat rapidly
C. Position the client upright
D. Provide thin liquids routinely
Answer: C. Position the client upright
Rationale: Upright positioning during meals helps reduce the risk of aspiration.
The nurse should also follow the prescribed dietary consistency and swallowing
recommendations.
8. A nurse enters a client's room and discovers that the client has fallen.
What should the nurse do first?
A. Complete an incident report
B. Assess the client for injury
C. Notify the family
D. Document the fall in the medical record
, Answer: B. Assess the client for injury
Rationale: The client's immediate safety and condition are the priority. The
nurse should assess for injury before completing documentation or notification
procedures.
9. A nurse is caring for a client who has a prescription for a medication
that the nurse believes is unsafe. What should the nurse do?
A. Administer the medication because it was prescribed
B. Ask another nurse to administer it
C. Withhold the medication and clarify the prescription
D. Document that the provider made an error
Answer: C. Withhold the medication and clarify the prescription
Rationale: Nurses have a responsibility to question prescriptions that appear
unsafe. The medication should not be administered until the concern has been
clarified.
10. A client says, “I am really frightened about my surgery tomorrow.”
Which response by the nurse is therapeutic?
A. “There is nothing to worry about.”
B. “Everyone feels nervous before surgery.”
C. “Tell me more about what concerns you.”
D. “You should try not to think about it.”
Answer: C. “Tell me more about what concerns you.”
Rationale: This response encourages the client to express feelings and
concerns. Therapeutic communication avoids minimizing feelings or offering
false reassurance.
11. A nurse is assessing a client who reports dizziness when standing.
Which finding should the nurse recognize as a possible cause?
A. Orthostatic hypotension
B. Bradycardia while sleeping
C. Increased appetite
D. Hyperactive bowel sounds
