ATI RN FUNDAMENTALS PROCTORED
EXAM QUESTIONS AND ANSWERS LATEST
UPDATE 2026/2027 | CORRECT VERIFIED
ANSWERS TO SCORE A+
1. A nurse is instructing an AP in caring for a client who has a low platelet count as
a result of chemo. Which of the following is the nurse's priority instruction for
measuring vital signs for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP."
Correct Answer: A. "Don't measure the client's temp rectally."
2. A nurse is instructing a group of nursing students in measuring a client's RR.
Which of the following guidelines should the nurse include? Select all.
A. Place the client in semi-Fowler's position
B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any sighs the client demonstrates
Correct Answer: A, B, C
3. A nurse who is admitting a client who has a fractured femur obtains a BP
reading of 140/94 mmHg. The client denies any history of HTN. Which of the
following actions should the nurse take next?
A. Request a prescription for an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30 min to recheck the client's BP
Correct Answer: B. Ask the client if she is having pain
,4. A nurse is performing an admission assessment on a client. When measuring her
vital signs, the nurse finds that her radial pulse rate 68/min & her simultaneous
apical pulse rate is 84/min. What is the client's pulse deficit?
A. 16/min
Correct Answer: 16/min (the difference between apical and radial)
5. A nurse is caring for a client who will perform fecal occult blood testing at home.
Which of the following info should the nurse include when explaining the
procedure to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated
Correct Answer: D. The specimen cannot be contaminated
6. A nurse is talking w/a client who reports constipation. When the nurse discusses
dietary changes that can help prevent constipation, which of the following foods
should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice
Correct Answer: B. Fresh fruit & whole wheat toast
7. A nurse is caring for a client who has had diarrhea for the past 4 days. When
assessing the client, the nurse should expect which of the following findings? Select
all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema
Correct Answer: B, C, D
, 8. A nurse is preparing to administer a cleansing enema to an adult client in
preparation for a diagnostic procedure. Which of the following are appropriate
steps for the nurse to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus
Correct Answer: A, B, C
9. While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container
Correct Answer: D. Lower the enema fluid container
10. A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of
the following problems is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction
Correct Answer: C. Pressure ulcer
11. A nurse is caring for a client who is on bed rest. Which of the following
interventions should the nurse implement to maintain the patency of the client's
airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use
Correct Answer: D. Promote incentive spirometer use
EXAM QUESTIONS AND ANSWERS LATEST
UPDATE 2026/2027 | CORRECT VERIFIED
ANSWERS TO SCORE A+
1. A nurse is instructing an AP in caring for a client who has a low platelet count as
a result of chemo. Which of the following is the nurse's priority instruction for
measuring vital signs for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP."
Correct Answer: A. "Don't measure the client's temp rectally."
2. A nurse is instructing a group of nursing students in measuring a client's RR.
Which of the following guidelines should the nurse include? Select all.
A. Place the client in semi-Fowler's position
B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any sighs the client demonstrates
Correct Answer: A, B, C
3. A nurse who is admitting a client who has a fractured femur obtains a BP
reading of 140/94 mmHg. The client denies any history of HTN. Which of the
following actions should the nurse take next?
A. Request a prescription for an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30 min to recheck the client's BP
Correct Answer: B. Ask the client if she is having pain
,4. A nurse is performing an admission assessment on a client. When measuring her
vital signs, the nurse finds that her radial pulse rate 68/min & her simultaneous
apical pulse rate is 84/min. What is the client's pulse deficit?
A. 16/min
Correct Answer: 16/min (the difference between apical and radial)
5. A nurse is caring for a client who will perform fecal occult blood testing at home.
Which of the following info should the nurse include when explaining the
procedure to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated
Correct Answer: D. The specimen cannot be contaminated
6. A nurse is talking w/a client who reports constipation. When the nurse discusses
dietary changes that can help prevent constipation, which of the following foods
should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice
Correct Answer: B. Fresh fruit & whole wheat toast
7. A nurse is caring for a client who has had diarrhea for the past 4 days. When
assessing the client, the nurse should expect which of the following findings? Select
all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema
Correct Answer: B, C, D
, 8. A nurse is preparing to administer a cleansing enema to an adult client in
preparation for a diagnostic procedure. Which of the following are appropriate
steps for the nurse to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus
Correct Answer: A, B, C
9. While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container
Correct Answer: D. Lower the enema fluid container
10. A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of
the following problems is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction
Correct Answer: C. Pressure ulcer
11. A nurse is caring for a client who is on bed rest. Which of the following
interventions should the nurse implement to maintain the patency of the client's
airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use
Correct Answer: D. Promote incentive spirometer use
