ATI Fundamentals Proctored Exam
ATI Fundamentals Proctored
Examination 2026 Latest Edition A
Comprehensive Study Guide
Incorporating Exam-Focused
Questions, Validated Answers, and
Evidence-Based Clinical Rationales
A nurse on a medical-surgical unit is receiving a change- c
of-shift report for four clients. Which of the following
clients should the nurse see first?
a. A client who has acute abdominal pain of 4 on a scale
from 0 to 10
b. A client who has pneumonia and an oxygen saturation
of 96%
c. A client who has new onset of dyspnea 24hr after a
total hip arthroplasty •
d. A client who
has a urinary tract infection and low-grade fever
A nurse is planning care for a group of clients. Which of d
the following tasks should the nurse delegate to an
assistive personnel?
a. Changing the dressing for a client who has a stage 3
pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is
postoperative d.Providing postmortem care to a client
,A nurse is caring for a client who has influenza and a
isolation precautions in place. Which of the following
actions should the nurse take to prevent the spread of
infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room.
A nurse obtains a prescription for wrist restraints for a c
client who is trying to pull out his NG tube. Which of the
following actions should the nurse take?
A. Attach the restraints securely to the side rails of the
client's bed.
B. Apply the restraints to allow as little movement as
possible
C. Allow room for two fingers to fit between the clients
skin and the restraints
d. remove the restraints every 4 hours
A nurse is admitting a client who has tuberculosis. Which b
of the following types of transmission precautions should
the nurse plan to initiate?
A. Droplet
B. Airbornes
c. protective environment
d. contact
A nurse in a well-child clinic receives a telephone call a
from a parent who states that their child accidentally
swallowed paint thinner. The child is awake and alert.
Which of the following responses should the nurse
make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac.
A nurse is documenting a client's medical record. Which b
of the following entries should the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals.
A nurse is providing oral care for a client who is a
unconscious. Which of the following actions should the
nurse take?
A. Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client's lips
D. Rinse the client's mouth with an alcohol-based
mouthwash
,A nurse is collaborating with a risk management team c
about potential legal issues involving client care. The
nurse should identify which of the following situations is
an example of negligence?
A. A nurse administers a medication without first
identifying the client.
B. An assistive personnel discusses client care in the
facility cafeteria with visitors
present.
C. A nurse begins a blood transfusion without obtaining
consent.
D. An assistive personnel prevents a client from leaving
the facility.
A nurse is collecting a sputum specimen for culture from b
a client who has a respiratory infection. Which of the
following actions should the nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum.
A nurse is assessing an older client. Which of the a
following findings should the nurse expect?
a. Decreased sense of balanced
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence
A nurse is completing discharge teaching about ostomy a, b, c, d
care with a client who has a new stoma. Which of the
following instructions should the nurse include in the
teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger
than the stoma "
b. "Place a piece a gauze over the stoma while changing
the pouch"
c. "Use povidone-iodine to clean around the stoma"
d. "Empty the ostomy pouch when it becomes one-third
full of contents"
e. expect the stoma to turn a purple-blue color as its
heals"
A nurse is preparing to obtain informed consent from a c
client who speaks a different language than the nurse.
Which of the following actions should the nurse take?
a. "Request that an assistive personnel interpret the
information for the client"
b. "Use proper medical terms when giving information to
the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client"
, A nurse is teaching a client about home care equipment. a, b, c
Which of the following information should the nurse
include in the teaching? (select all that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the
line of the prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from
any heat source"
e. "Lay the oxygen tank flat when storing"
A nurse is conducting a health assessment for a client c
who takes herbal supplements. Which of the following
statements by the client indicates an understanding of
the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
A nurse is planning care for a client who reports a
insomnia. Which of the following actions should the nurse
perform shortly before bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client
A nurse is reviewing a client's intake and output and notes 700 mL
the following: 0.9% sodium chloride 600mL IV infusion,
cefazolin 250 mg in dextrose 5% in water 100mL
intermittent IV bolus, 200mL emesis, 40mL voided urine,
and 20mL urine from straight catheterization. The nurse
should record the client's net fluid intake as how many
mL? (Round the answer to the nearest whole number. Use
a leading zero if it applies. Do not use a trailing zero.)
DOSAGE CALCULATION
A nurse is discussing incident reports with a group of a
newly licensed nurses. The nurse should include that
which if the following requires the completion of an
incident report?
a. A client's prescribed laboratory testing was not
obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr.
ATI Fundamentals Proctored
Examination 2026 Latest Edition A
Comprehensive Study Guide
Incorporating Exam-Focused
Questions, Validated Answers, and
Evidence-Based Clinical Rationales
A nurse on a medical-surgical unit is receiving a change- c
of-shift report for four clients. Which of the following
clients should the nurse see first?
a. A client who has acute abdominal pain of 4 on a scale
from 0 to 10
b. A client who has pneumonia and an oxygen saturation
of 96%
c. A client who has new onset of dyspnea 24hr after a
total hip arthroplasty •
d. A client who
has a urinary tract infection and low-grade fever
A nurse is planning care for a group of clients. Which of d
the following tasks should the nurse delegate to an
assistive personnel?
a. Changing the dressing for a client who has a stage 3
pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is
postoperative d.Providing postmortem care to a client
,A nurse is caring for a client who has influenza and a
isolation precautions in place. Which of the following
actions should the nurse take to prevent the spread of
infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room.
A nurse obtains a prescription for wrist restraints for a c
client who is trying to pull out his NG tube. Which of the
following actions should the nurse take?
A. Attach the restraints securely to the side rails of the
client's bed.
B. Apply the restraints to allow as little movement as
possible
C. Allow room for two fingers to fit between the clients
skin and the restraints
d. remove the restraints every 4 hours
A nurse is admitting a client who has tuberculosis. Which b
of the following types of transmission precautions should
the nurse plan to initiate?
A. Droplet
B. Airbornes
c. protective environment
d. contact
A nurse in a well-child clinic receives a telephone call a
from a parent who states that their child accidentally
swallowed paint thinner. The child is awake and alert.
Which of the following responses should the nurse
make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac.
A nurse is documenting a client's medical record. Which b
of the following entries should the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals.
A nurse is providing oral care for a client who is a
unconscious. Which of the following actions should the
nurse take?
A. Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client's lips
D. Rinse the client's mouth with an alcohol-based
mouthwash
,A nurse is collaborating with a risk management team c
about potential legal issues involving client care. The
nurse should identify which of the following situations is
an example of negligence?
A. A nurse administers a medication without first
identifying the client.
B. An assistive personnel discusses client care in the
facility cafeteria with visitors
present.
C. A nurse begins a blood transfusion without obtaining
consent.
D. An assistive personnel prevents a client from leaving
the facility.
A nurse is collecting a sputum specimen for culture from b
a client who has a respiratory infection. Which of the
following actions should the nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum.
A nurse is assessing an older client. Which of the a
following findings should the nurse expect?
a. Decreased sense of balanced
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence
A nurse is completing discharge teaching about ostomy a, b, c, d
care with a client who has a new stoma. Which of the
following instructions should the nurse include in the
teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger
than the stoma "
b. "Place a piece a gauze over the stoma while changing
the pouch"
c. "Use povidone-iodine to clean around the stoma"
d. "Empty the ostomy pouch when it becomes one-third
full of contents"
e. expect the stoma to turn a purple-blue color as its
heals"
A nurse is preparing to obtain informed consent from a c
client who speaks a different language than the nurse.
Which of the following actions should the nurse take?
a. "Request that an assistive personnel interpret the
information for the client"
b. "Use proper medical terms when giving information to
the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client"
, A nurse is teaching a client about home care equipment. a, b, c
Which of the following information should the nurse
include in the teaching? (select all that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the
line of the prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from
any heat source"
e. "Lay the oxygen tank flat when storing"
A nurse is conducting a health assessment for a client c
who takes herbal supplements. Which of the following
statements by the client indicates an understanding of
the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
A nurse is planning care for a client who reports a
insomnia. Which of the following actions should the nurse
perform shortly before bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client
A nurse is reviewing a client's intake and output and notes 700 mL
the following: 0.9% sodium chloride 600mL IV infusion,
cefazolin 250 mg in dextrose 5% in water 100mL
intermittent IV bolus, 200mL emesis, 40mL voided urine,
and 20mL urine from straight catheterization. The nurse
should record the client's net fluid intake as how many
mL? (Round the answer to the nearest whole number. Use
a leading zero if it applies. Do not use a trailing zero.)
DOSAGE CALCULATION
A nurse is discussing incident reports with a group of a
newly licensed nurses. The nurse should include that
which if the following requires the completion of an
incident report?
a. A client's prescribed laboratory testing was not
obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr.
