ATI FUNDAMENTALS PROCTORED EXAMINATION NEWEST
2026-2027 EXAM PREPARATION WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS WITH RATIONALES | ALREADY
GRADED A+||BRAND NEW VERSION!!
1.
A nurse is preparing to administer medication to a client. Which action is most
important for preventing medication errors?
A. Compare the medication label with the medication administration record three
times.
B. Ask another nurse to verify every medication.
C. Prepare all medications for the entire shift at once.
D. Document the medication before administering it.
Correct answer: A. Compare the medication label with the medication
administration record three times.
Rationale: Comparing the medication label with the medication administration
record during preparation, retrieval, and administration helps reduce medication
errors.
2.
A nurse is assessing a client who reports shortness of breath. Which finding
requires immediate intervention?
A. Respiratory rate of 20/min
B. Oxygen saturation of 88%
C. Heart rate of 82/min
D. Temperature of 37.1°C (98.8°F)
Correct answer: B. Oxygen saturation of 88%.
,Rationale: An oxygen saturation of 88% indicates hypoxemia and requires prompt
assessment and intervention.
3.
Which action should a nurse take when performing hand hygiene with soap and
water?
A. Rinse hands before applying soap.
B. Keep hands above the elbows while rinsing.
C. Rub hands together for at least 20 seconds.
D. Dry hands from the fingertips toward the wrists.
Correct answer: C. Rub hands together for at least 20 seconds.
Rationale: Vigorous friction for at least 20 seconds helps remove microorganisms
from the hands.
4.
A nurse is caring for a client who has Clostridioides difficile infection. Which action
is appropriate?
A. Use alcohol-based hand sanitizer after removing gloves.
B. Place the client in a negative-pressure room.
C. Wash hands with soap and water after client care.
D. Wear an N95 respirator when entering the room.
Correct answer: C. Wash hands with soap and water after client care.
Rationale: C. difficile spores are not reliably eliminated by alcohol-based hand
sanitizers, so soap-and-water handwashing is required.
5.
A nurse is repositioning a client who is immobile. Which intervention is most
effective for preventing pressure injuries?
,A. Massage reddened areas.
B. Reposition the client at regular intervals.
C. Keep the head of the bed elevated at 45°.
D. Place a donut-shaped device beneath the sacrum.
Correct answer: B. Reposition the client at regular intervals.
Rationale: Regular repositioning relieves prolonged pressure and promotes tissue
perfusion.
6.
A nurse is assessing a client's pain. Which question best assesses pain intensity?
A. "What makes your pain worse?"
B. "Can you describe the pain?"
C. "Where does the pain occur?"
D. "On a scale of 0 to 10, what is your pain level?"
Correct answer: D. "On a scale of 0 to 10, what is your pain level?"
Rationale: A numerical rating scale allows the client to quantify pain intensity.
7.
A nurse is transferring a client from the bed to a wheelchair. Which action should
the nurse take first?
A. Lock the wheelchair brakes.
B. Place the wheelchair several feet from the bed.
C. Raise the bed to its highest position.
D. Remove the client's nonskid footwear.
Correct answer: A. Lock the wheelchair brakes.
Rationale: Locking the wheelchair prevents it from moving during transfer and
reduces the risk of falls.
, 8.
Which position is appropriate for a client experiencing difficulty breathing?
A. Supine
B. Trendelenburg
C. High-Fowler's
D. Sims'
Correct answer: C. High-Fowler's.
Rationale: High-Fowler's positioning promotes lung expansion and can improve
ventilation.
9.
A nurse is teaching a client how to use an incentive spirometer. Which instruction
should the nurse provide?
A. "Exhale forcefully into the device."
B. "Inhale slowly and deeply through the mouthpiece."
C. "Use the device once every 8 hours."
D. "Lie flat while using the device."
Correct answer: B. "Inhale slowly and deeply through the mouthpiece."
Rationale: Slow, deep inhalation through an incentive spirometer promotes
alveolar expansion and helps prevent atelectasis.
10.
A nurse is preparing to insert an indwelling urinary catheter. Which technique is
required?
A. Medical asepsis
B. Surgical asepsis
C. Clean technique
D. Standard precautions only
2026-2027 EXAM PREPARATION WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS WITH RATIONALES | ALREADY
GRADED A+||BRAND NEW VERSION!!
1.
A nurse is preparing to administer medication to a client. Which action is most
important for preventing medication errors?
A. Compare the medication label with the medication administration record three
times.
B. Ask another nurse to verify every medication.
C. Prepare all medications for the entire shift at once.
D. Document the medication before administering it.
Correct answer: A. Compare the medication label with the medication
administration record three times.
Rationale: Comparing the medication label with the medication administration
record during preparation, retrieval, and administration helps reduce medication
errors.
2.
A nurse is assessing a client who reports shortness of breath. Which finding
requires immediate intervention?
A. Respiratory rate of 20/min
B. Oxygen saturation of 88%
C. Heart rate of 82/min
D. Temperature of 37.1°C (98.8°F)
Correct answer: B. Oxygen saturation of 88%.
,Rationale: An oxygen saturation of 88% indicates hypoxemia and requires prompt
assessment and intervention.
3.
Which action should a nurse take when performing hand hygiene with soap and
water?
A. Rinse hands before applying soap.
B. Keep hands above the elbows while rinsing.
C. Rub hands together for at least 20 seconds.
D. Dry hands from the fingertips toward the wrists.
Correct answer: C. Rub hands together for at least 20 seconds.
Rationale: Vigorous friction for at least 20 seconds helps remove microorganisms
from the hands.
4.
A nurse is caring for a client who has Clostridioides difficile infection. Which action
is appropriate?
A. Use alcohol-based hand sanitizer after removing gloves.
B. Place the client in a negative-pressure room.
C. Wash hands with soap and water after client care.
D. Wear an N95 respirator when entering the room.
Correct answer: C. Wash hands with soap and water after client care.
Rationale: C. difficile spores are not reliably eliminated by alcohol-based hand
sanitizers, so soap-and-water handwashing is required.
5.
A nurse is repositioning a client who is immobile. Which intervention is most
effective for preventing pressure injuries?
,A. Massage reddened areas.
B. Reposition the client at regular intervals.
C. Keep the head of the bed elevated at 45°.
D. Place a donut-shaped device beneath the sacrum.
Correct answer: B. Reposition the client at regular intervals.
Rationale: Regular repositioning relieves prolonged pressure and promotes tissue
perfusion.
6.
A nurse is assessing a client's pain. Which question best assesses pain intensity?
A. "What makes your pain worse?"
B. "Can you describe the pain?"
C. "Where does the pain occur?"
D. "On a scale of 0 to 10, what is your pain level?"
Correct answer: D. "On a scale of 0 to 10, what is your pain level?"
Rationale: A numerical rating scale allows the client to quantify pain intensity.
7.
A nurse is transferring a client from the bed to a wheelchair. Which action should
the nurse take first?
A. Lock the wheelchair brakes.
B. Place the wheelchair several feet from the bed.
C. Raise the bed to its highest position.
D. Remove the client's nonskid footwear.
Correct answer: A. Lock the wheelchair brakes.
Rationale: Locking the wheelchair prevents it from moving during transfer and
reduces the risk of falls.
, 8.
Which position is appropriate for a client experiencing difficulty breathing?
A. Supine
B. Trendelenburg
C. High-Fowler's
D. Sims'
Correct answer: C. High-Fowler's.
Rationale: High-Fowler's positioning promotes lung expansion and can improve
ventilation.
9.
A nurse is teaching a client how to use an incentive spirometer. Which instruction
should the nurse provide?
A. "Exhale forcefully into the device."
B. "Inhale slowly and deeply through the mouthpiece."
C. "Use the device once every 8 hours."
D. "Lie flat while using the device."
Correct answer: B. "Inhale slowly and deeply through the mouthpiece."
Rationale: Slow, deep inhalation through an incentive spirometer promotes
alveolar expansion and helps prevent atelectasis.
10.
A nurse is preparing to insert an indwelling urinary catheter. Which technique is
required?
A. Medical asepsis
B. Surgical asepsis
C. Clean technique
D. Standard precautions only
