ATI FUNDAMENTALS 2026 PROCTORED EXAM
COMPREHENSIVE ATI PROCTORED EXAM QUESTIONS
WITH ANSWERS ALREADY GRADED
A nurse is caring for a client who has left lower atelectasis. in which of the following positions should the nurseplace the
client for postural drainage?
a. Supine and low-Fowler's position
b. Right lateral in Trendelenburg position
c. Side lying with the right side of the chest elevated
d. Prone with pillows under the extremities
2. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The
client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
a. “This test will indicate if you are at risk for developing blood clots
b. “This test will determine if your heart is performing properly”
c. “This test will provide information about the function of your liver”
Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver
Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN measure your
kidney function
d. “This test is used to check how your kidneys are working”
3. . A nurse is caring for a client who has left lower atelectasis. in which of the following positions should the
nurseplace the client for postural drainage? Chapter 53 Airway Management page 562
a. Supine and low-Fowler's position
b. Right lateral in Trendelenburg position
c. Side lying with the right side of the chest elevated
d. Prone with pillows under the extremities
4. A nurse is receiving the prescription for a client who is experiencing dysphagia following a stroke. Which of the
following prescriptions should the nurse clarify?
a. Dietitian consult
b. Speech therapy referral
1
, c. Oral suction at the bedside
d. Clear liquids- liquids must be THICK. Clear liquids can cause aspiration
Rationale: ATI MS. Pg. 83 food levels for dysphagia include pureed, mechanically altered,
advanced/mechanically soft, and regular.
5. A nurse is administering a large volume enema to a client. Identify the sequence of steps the nurse should follow
after preparation and lubricating the enema set.(ati funds video enema)
1. Administer the enema solution.(2)
2. Remove the enema tube from the clients rectum.(4)
3. Wrap the end of the enema tube with a disposable tissue.(5)
4. Insert the enema tube into the client's rectum.(1)
5. Clamp the enema tube.(3)
16.A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the following actions
should the nurse take to verify proper placement of the tube?
a. Place the end of the NG tube in water to observe for bubbling.
b. Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 mL of sterile water. AIR NOT WATER OR
BY ASPIRATING GASTRIC FOR PH.
c. Assess the client's gag reflex.
d. Measure the pH of the gastric aspirate.
6. A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally administers the whole 10
mg from the single-dose vial. Which of the following actions should the nurse take first?
a. Notify the client‟s provider.
b. Report the incident to the pharmacy.
c. Complete an incident report.
d. Measure the client’s respiratory rate.
Rationale: morphine OD = pulmonary edema fills lungs w/ fluid leading cause of death for OD
Rationale: Morphine can cause respiratory depression if given too much. Also you should ALWAYS
ASSESS the patient first when a med error is performed to make sure med error doesn‟t put the client‟s
health in risk.
2
, 7. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has difficulty
swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup. Which of the following images shows
the correct # of mL the nurse should administer? (Round the answer to the nearest whole number.)
Click on the syringe that has 8 mL of med.
20 mg x (5mL/12.5mg) = 8 mL
8. A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80 mg/kg/day administered
intravenously every 6 hour. The child weighs 20 kg. How much cefoxitin should the nurse administer with each
dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
So it says each dose for the final answer, but we are given 80 mg/kg/day.
80 x 20 = (dose is given every 6 hours a day) =400 mg
Rationale: 80 mg x 20 kg = 1,600 1,600/4 x day (q6h) = 400 mg
9. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump.
Which of the following actions should the nurse take first?
a. Label the pump with a defective equipment sticker.
b. Unplug the pump.
c. Obtain a replacement pump.
d. Notified the biomedical department to fix the pump.
Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV pump to avoid causing a fire.
10. A nurse is caring for a client who has a surgical wound. Which of the following laboratory values places the
clientat risk for poor wound healing?
a. Serum albumin 3 g/dL
b. Total lymphocyte count 2400 mm3
c. HCT 42%
d. HGB 16g/dL
Rationale: Albumin in low. Normal range is 3.5 to 5.5 g/dL. Low albumin places the client at risk forpoor
wound healing. The other lab values are within normal limits.
11. A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?
Chapter 27 Vitals signs page 244
a. Apply the cuff above the client‟s antecubital fossa.
b. Use a cuff with a width that is about 60% of the client's arm circumference. - width of the cuff should be 40 %
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COMPREHENSIVE ATI PROCTORED EXAM QUESTIONS
WITH ANSWERS ALREADY GRADED
A nurse is caring for a client who has left lower atelectasis. in which of the following positions should the nurseplace the
client for postural drainage?
a. Supine and low-Fowler's position
b. Right lateral in Trendelenburg position
c. Side lying with the right side of the chest elevated
d. Prone with pillows under the extremities
2. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The
client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
a. “This test will indicate if you are at risk for developing blood clots
b. “This test will determine if your heart is performing properly”
c. “This test will provide information about the function of your liver”
Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver
Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN measure your
kidney function
d. “This test is used to check how your kidneys are working”
3. . A nurse is caring for a client who has left lower atelectasis. in which of the following positions should the
nurseplace the client for postural drainage? Chapter 53 Airway Management page 562
a. Supine and low-Fowler's position
b. Right lateral in Trendelenburg position
c. Side lying with the right side of the chest elevated
d. Prone with pillows under the extremities
4. A nurse is receiving the prescription for a client who is experiencing dysphagia following a stroke. Which of the
following prescriptions should the nurse clarify?
a. Dietitian consult
b. Speech therapy referral
1
, c. Oral suction at the bedside
d. Clear liquids- liquids must be THICK. Clear liquids can cause aspiration
Rationale: ATI MS. Pg. 83 food levels for dysphagia include pureed, mechanically altered,
advanced/mechanically soft, and regular.
5. A nurse is administering a large volume enema to a client. Identify the sequence of steps the nurse should follow
after preparation and lubricating the enema set.(ati funds video enema)
1. Administer the enema solution.(2)
2. Remove the enema tube from the clients rectum.(4)
3. Wrap the end of the enema tube with a disposable tissue.(5)
4. Insert the enema tube into the client's rectum.(1)
5. Clamp the enema tube.(3)
16.A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the following actions
should the nurse take to verify proper placement of the tube?
a. Place the end of the NG tube in water to observe for bubbling.
b. Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 mL of sterile water. AIR NOT WATER OR
BY ASPIRATING GASTRIC FOR PH.
c. Assess the client's gag reflex.
d. Measure the pH of the gastric aspirate.
6. A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally administers the whole 10
mg from the single-dose vial. Which of the following actions should the nurse take first?
a. Notify the client‟s provider.
b. Report the incident to the pharmacy.
c. Complete an incident report.
d. Measure the client’s respiratory rate.
Rationale: morphine OD = pulmonary edema fills lungs w/ fluid leading cause of death for OD
Rationale: Morphine can cause respiratory depression if given too much. Also you should ALWAYS
ASSESS the patient first when a med error is performed to make sure med error doesn‟t put the client‟s
health in risk.
2
, 7. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has difficulty
swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup. Which of the following images shows
the correct # of mL the nurse should administer? (Round the answer to the nearest whole number.)
Click on the syringe that has 8 mL of med.
20 mg x (5mL/12.5mg) = 8 mL
8. A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80 mg/kg/day administered
intravenously every 6 hour. The child weighs 20 kg. How much cefoxitin should the nurse administer with each
dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
So it says each dose for the final answer, but we are given 80 mg/kg/day.
80 x 20 = (dose is given every 6 hours a day) =400 mg
Rationale: 80 mg x 20 kg = 1,600 1,600/4 x day (q6h) = 400 mg
9. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump.
Which of the following actions should the nurse take first?
a. Label the pump with a defective equipment sticker.
b. Unplug the pump.
c. Obtain a replacement pump.
d. Notified the biomedical department to fix the pump.
Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV pump to avoid causing a fire.
10. A nurse is caring for a client who has a surgical wound. Which of the following laboratory values places the
clientat risk for poor wound healing?
a. Serum albumin 3 g/dL
b. Total lymphocyte count 2400 mm3
c. HCT 42%
d. HGB 16g/dL
Rationale: Albumin in low. Normal range is 3.5 to 5.5 g/dL. Low albumin places the client at risk forpoor
wound healing. The other lab values are within normal limits.
11. A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?
Chapter 27 Vitals signs page 244
a. Apply the cuff above the client‟s antecubital fossa.
b. Use a cuff with a width that is about 60% of the client's arm circumference. - width of the cuff should be 40 %
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