ATI RN Fundamentals Proctored
Exam 2023/2025 | Actual Exam with
70 Verified Q&A
EXAM
1. A nurse is preparing to admit a patient who requires isolation
precautions for a contagious respiratory illness. What is the
nurse's priority action?
Answer: Follow standard and appropriate transmission
precautions.
Rationale: This ensures infection control and protects patients,
staff, and visitors.
2. A nurse is preparing to administer 0.5 mL of oral single-dose
liquid medication to a client. Which action should the nurse take?
Answer: Gently shake the container of medication prior to
administration.
Rationale: The nurse should gently shake the liquid medication to
ensure that the medication is mixed.
3. A child weighing 13 kg is prescribed amoxicillin 50 mg/kg/day
divided into 3 doses. The suspension is 250 mg/5 mL. What is the
dose per administration in mL?
Answer: 4.33 mL/dose
Rationale: Total daily dose = 13 kg × 50 mg = 650 mg. Per dose
= 650 mg ÷ 3 = 216.67 mg. Volume = (216.67 mg × 5 mL) ÷ 250
mg = 4.33 mL.
4. A nurse is caring for a patient with chronic heart failure who has
3+ pitting edema and SpO₂ of 88%. Which intervention should be
,implemented first?
Answer: Administer prescribed intravenous diuretics and monitor
urine output.
Rationale: The priority is to reduce acute fluid overload, which is
causing pulmonary congestion and hypoxia.
5. A nurse is caring for a patient with a chest tube drainage
system. What is a fundamental responsibility?
Answer: Monitor the water seal chamber and keep the system
below chest level.
Rationale: This ensures effective drainage by gravity and prevents
fluid from re-entering the chest.
6. A nurse manager should intervene for a violation of HIPAA
guidelines in which situation?
Answer: A nurse asks a nurse from another unit to assist with
documentation for a client.
Rationale: Only healthcare professionals directly caring for a
client should have access to their medical information.
7. A nurse is caring for a client who has a surgical wound. Which
laboratory value places the client at risk for poor wound healing?
Answer: Serum albumin 3 g/dL
Rationale: Normal albumin range is 3.5 to 5.5 g/dL. Low albumin
indicates poor nutritional status, which impairs wound healing.
8. A nurse is preparing to check a client's blood pressure. Which
action should the nurse take?
Answer: Apply the cuff above the client's antecubital fossa.
Rationale: The cuff should be applied 2.5 cm (1 inch) above the
antecubital space with the brachial artery in line with the marking
on the cuff.
, 9. A nurse is preparing to perform nasal tracheal suctioning for a
client. Which is an appropriate action?
Answer: Use surgical asepsis when performing the procedure.
Rationale: Sterile technique is required for tracheal suctioning to
prevent infection. Suction should be applied for no more than 10-
15 seconds to avoid hypoxemia.
10. A nurse is explaining the use of written consent forms to a
newly licensed nurse. For which client must a written consent form
be signed?
Answer: A client who has a prescription for a transfusion of
packed RBCs
Rationale: Administration of blood is a procedure that carries risk;
therefore, the client must sign a consent form prior to the
procedure.
11. A nurse is providing teaching to a client about a surgical
procedure scheduled for later in the day. The client states that no
one has spoken to her about the procedure before. What should
the nurse do?
Answer: Stop the teaching and check with the surgeon about
informed consent.
Rationale: The client's statement indicates she has not given
informed consent; the nurse should interrupt the teaching and
notify the surgeon.
12. A home health nurse is visiting an older adult client with
severe dementia. The client's son reports being exhausted from
caring for his mother. What should the nurse suggest?
Answer: Respite care
Rationale: Respite care is a service for caregivers who need time
Exam 2023/2025 | Actual Exam with
70 Verified Q&A
EXAM
1. A nurse is preparing to admit a patient who requires isolation
precautions for a contagious respiratory illness. What is the
nurse's priority action?
Answer: Follow standard and appropriate transmission
precautions.
Rationale: This ensures infection control and protects patients,
staff, and visitors.
2. A nurse is preparing to administer 0.5 mL of oral single-dose
liquid medication to a client. Which action should the nurse take?
Answer: Gently shake the container of medication prior to
administration.
Rationale: The nurse should gently shake the liquid medication to
ensure that the medication is mixed.
3. A child weighing 13 kg is prescribed amoxicillin 50 mg/kg/day
divided into 3 doses. The suspension is 250 mg/5 mL. What is the
dose per administration in mL?
Answer: 4.33 mL/dose
Rationale: Total daily dose = 13 kg × 50 mg = 650 mg. Per dose
= 650 mg ÷ 3 = 216.67 mg. Volume = (216.67 mg × 5 mL) ÷ 250
mg = 4.33 mL.
4. A nurse is caring for a patient with chronic heart failure who has
3+ pitting edema and SpO₂ of 88%. Which intervention should be
,implemented first?
Answer: Administer prescribed intravenous diuretics and monitor
urine output.
Rationale: The priority is to reduce acute fluid overload, which is
causing pulmonary congestion and hypoxia.
5. A nurse is caring for a patient with a chest tube drainage
system. What is a fundamental responsibility?
Answer: Monitor the water seal chamber and keep the system
below chest level.
Rationale: This ensures effective drainage by gravity and prevents
fluid from re-entering the chest.
6. A nurse manager should intervene for a violation of HIPAA
guidelines in which situation?
Answer: A nurse asks a nurse from another unit to assist with
documentation for a client.
Rationale: Only healthcare professionals directly caring for a
client should have access to their medical information.
7. A nurse is caring for a client who has a surgical wound. Which
laboratory value places the client at risk for poor wound healing?
Answer: Serum albumin 3 g/dL
Rationale: Normal albumin range is 3.5 to 5.5 g/dL. Low albumin
indicates poor nutritional status, which impairs wound healing.
8. A nurse is preparing to check a client's blood pressure. Which
action should the nurse take?
Answer: Apply the cuff above the client's antecubital fossa.
Rationale: The cuff should be applied 2.5 cm (1 inch) above the
antecubital space with the brachial artery in line with the marking
on the cuff.
, 9. A nurse is preparing to perform nasal tracheal suctioning for a
client. Which is an appropriate action?
Answer: Use surgical asepsis when performing the procedure.
Rationale: Sterile technique is required for tracheal suctioning to
prevent infection. Suction should be applied for no more than 10-
15 seconds to avoid hypoxemia.
10. A nurse is explaining the use of written consent forms to a
newly licensed nurse. For which client must a written consent form
be signed?
Answer: A client who has a prescription for a transfusion of
packed RBCs
Rationale: Administration of blood is a procedure that carries risk;
therefore, the client must sign a consent form prior to the
procedure.
11. A nurse is providing teaching to a client about a surgical
procedure scheduled for later in the day. The client states that no
one has spoken to her about the procedure before. What should
the nurse do?
Answer: Stop the teaching and check with the surgeon about
informed consent.
Rationale: The client's statement indicates she has not given
informed consent; the nurse should interrupt the teaching and
notify the surgeon.
12. A home health nurse is visiting an older adult client with
severe dementia. The client's son reports being exhausted from
caring for his mother. What should the nurse suggest?
Answer: Respite care
Rationale: Respite care is a service for caregivers who need time
