ATI PN FUNDAMENTALS PROCTORED EXAM STUDY
GUIDE |QUESTIONS AND ANSWERS
Question 1
A nurse is reinforcing teaching with a client about hand hygiene. Which of the following
statements indicates the client understands the teaching?
A. "I only need to wash my hands if they look dirty."
B. "I should wash my hands for at least 20 seconds."
C. "Hand sanitizer is always better than soap and water."
D. "I don’t need to wash my hands after removing gloves."
Correct Answer: B. "I should wash my hands for at least 20 seconds."
Rationale: The CDC recommends washing hands with soap and water for at least 20
seconds to effectively remove pathogens. Gloves do not replace hand hygiene, and
sanitizer is not always superior (e.g., when hands are visibly soiled).
Question 2
A nurse is caring for a client who is at risk for falls. Which action should the nurse take?
A. Place the bed in the highest position.
B. Keep the call light within reach.
C. Encourage the client to walk without assistance.
D. Turn off the night light to promote sleep.
Correct Answer: B. Keep the call light within reach.
Rationale: Ensuring the call light is accessible allows the client to request assistance,
reducing fall risk. Beds should be kept low, night lights should remain on for visibility,
and clients at risk should not ambulate alone.
Question 3
A nurse is reinforcing teaching about fire safety in the hospital. Which acronym helps
staff remember the steps to take during a fire?
A. SOAP
B. RACE
C. PASS
D. ABC
Correct Answer: B. RACE
Rationale: RACE stands for Rescue, Alarm, Contain, Extinguish/Evacuate. PASS is
used for fire extinguisher operation (Pull, Aim, Squeeze, Sweep). SOAP and ABC are
unrelated to fire safety.
,Question 4
A nurse is preparing to administer medication to a client. Which of the following is the
first action the nurse should take?
A. Document the medication administration.
B. Verify the client’s identity.
C. Explain the purpose of the medication.
D. Check the client’s vital signs.
Correct Answer: B. Verify the client’s identity.
Rationale: The nurse must confirm the client’s identity before administering medication
to ensure safety and prevent errors. Documentation and explanation occur afterward,
and vital signs are checked only if relevant to the medication.
Question 5
A nurse is reinforcing teaching with a client about preventing urinary tract infections.
Which statement indicates understanding?
A. "I should wipe from back to front."
B. "I should drink 2–3 liters of fluid daily."
C. "I should avoid urinating after intercourse."
D. "I should limit my fluid intake to reduce frequency."
Correct Answer: B. "I should drink 2–3 liters of fluid daily."
Rationale: Adequate hydration helps flush bacteria from the urinary tract. Wiping should
be front to back, and urinating after intercourse is recommended.
Question 6
A nurse is caring for a client with restraints. Which action is appropriate?
A. Tie restraints to the side rails.
B. Remove restraints every 2 hours.
C. Keep restraints continuously for 24 hours.
D. Apply restraints without provider order.
Correct Answer: B. Remove restraints every 2 hours.
Rationale: Restraints must be removed at least every 2 hours to assess circulation, skin
integrity, and provide ROM exercises. They should never be tied to side rails and
require a provider’s order.
Question 7
A nurse is reinforcing teaching about the use of incentive spirometry. Which instruction
should be included?
A. "Exhale forcefully into the device."
B. "Inhale slowly to raise the piston."
, C. "Use the device once daily."
D. "Hold your breath for 1 second after inhalation."
Correct Answer: B. "Inhale slowly to raise the piston."
Rationale: Incentive spirometry promotes lung expansion by encouraging slow, deep
inhalation. The client should hold their breath for 3–5 seconds, not exhale into the
device.
Question 8
A nurse is preparing to insert an indwelling urinary catheter. Which action should be
taken first?
A. Lubricate the catheter tip.
B. Position the client.
C. Inflate the balloon.
D. Clean the urinary meatus.
Correct Answer: B. Position the client.
Rationale: Proper positioning is the initial step to ensure safe and effective catheter
insertion. Cleaning and lubrication follow, and the balloon is inflated only after insertion.
Question 9
A nurse is reinforcing teaching about proper body mechanics. Which instruction should
be included?
A. Bend at the waist when lifting.
B. Keep feet close together.
C. Lift with the legs, not the back.
D. Twist the torso when moving objects.
Correct Answer: C. Lift with the legs, not the back.
Rationale: Using leg muscles reduces strain on the back. Feet should be shoulder-width
apart, and twisting should be avoided.
Question 10
A nurse is caring for a client with dysphagia. Which intervention is appropriate?
A. Offer thin liquids.
B. Place food on the unaffected side of the mouth.
C. Encourage the client to eat quickly.
D. Provide large bites of food.
Correct Answer: B. Place food on the unaffected side of the mouth.
Rationale: This promotes safer swallowing. Thin liquids and large bites increase
aspiration risk, and clients should eat slowly.
GUIDE |QUESTIONS AND ANSWERS
Question 1
A nurse is reinforcing teaching with a client about hand hygiene. Which of the following
statements indicates the client understands the teaching?
A. "I only need to wash my hands if they look dirty."
B. "I should wash my hands for at least 20 seconds."
C. "Hand sanitizer is always better than soap and water."
D. "I don’t need to wash my hands after removing gloves."
Correct Answer: B. "I should wash my hands for at least 20 seconds."
Rationale: The CDC recommends washing hands with soap and water for at least 20
seconds to effectively remove pathogens. Gloves do not replace hand hygiene, and
sanitizer is not always superior (e.g., when hands are visibly soiled).
Question 2
A nurse is caring for a client who is at risk for falls. Which action should the nurse take?
A. Place the bed in the highest position.
B. Keep the call light within reach.
C. Encourage the client to walk without assistance.
D. Turn off the night light to promote sleep.
Correct Answer: B. Keep the call light within reach.
Rationale: Ensuring the call light is accessible allows the client to request assistance,
reducing fall risk. Beds should be kept low, night lights should remain on for visibility,
and clients at risk should not ambulate alone.
Question 3
A nurse is reinforcing teaching about fire safety in the hospital. Which acronym helps
staff remember the steps to take during a fire?
A. SOAP
B. RACE
C. PASS
D. ABC
Correct Answer: B. RACE
Rationale: RACE stands for Rescue, Alarm, Contain, Extinguish/Evacuate. PASS is
used for fire extinguisher operation (Pull, Aim, Squeeze, Sweep). SOAP and ABC are
unrelated to fire safety.
,Question 4
A nurse is preparing to administer medication to a client. Which of the following is the
first action the nurse should take?
A. Document the medication administration.
B. Verify the client’s identity.
C. Explain the purpose of the medication.
D. Check the client’s vital signs.
Correct Answer: B. Verify the client’s identity.
Rationale: The nurse must confirm the client’s identity before administering medication
to ensure safety and prevent errors. Documentation and explanation occur afterward,
and vital signs are checked only if relevant to the medication.
Question 5
A nurse is reinforcing teaching with a client about preventing urinary tract infections.
Which statement indicates understanding?
A. "I should wipe from back to front."
B. "I should drink 2–3 liters of fluid daily."
C. "I should avoid urinating after intercourse."
D. "I should limit my fluid intake to reduce frequency."
Correct Answer: B. "I should drink 2–3 liters of fluid daily."
Rationale: Adequate hydration helps flush bacteria from the urinary tract. Wiping should
be front to back, and urinating after intercourse is recommended.
Question 6
A nurse is caring for a client with restraints. Which action is appropriate?
A. Tie restraints to the side rails.
B. Remove restraints every 2 hours.
C. Keep restraints continuously for 24 hours.
D. Apply restraints without provider order.
Correct Answer: B. Remove restraints every 2 hours.
Rationale: Restraints must be removed at least every 2 hours to assess circulation, skin
integrity, and provide ROM exercises. They should never be tied to side rails and
require a provider’s order.
Question 7
A nurse is reinforcing teaching about the use of incentive spirometry. Which instruction
should be included?
A. "Exhale forcefully into the device."
B. "Inhale slowly to raise the piston."
, C. "Use the device once daily."
D. "Hold your breath for 1 second after inhalation."
Correct Answer: B. "Inhale slowly to raise the piston."
Rationale: Incentive spirometry promotes lung expansion by encouraging slow, deep
inhalation. The client should hold their breath for 3–5 seconds, not exhale into the
device.
Question 8
A nurse is preparing to insert an indwelling urinary catheter. Which action should be
taken first?
A. Lubricate the catheter tip.
B. Position the client.
C. Inflate the balloon.
D. Clean the urinary meatus.
Correct Answer: B. Position the client.
Rationale: Proper positioning is the initial step to ensure safe and effective catheter
insertion. Cleaning and lubrication follow, and the balloon is inflated only after insertion.
Question 9
A nurse is reinforcing teaching about proper body mechanics. Which instruction should
be included?
A. Bend at the waist when lifting.
B. Keep feet close together.
C. Lift with the legs, not the back.
D. Twist the torso when moving objects.
Correct Answer: C. Lift with the legs, not the back.
Rationale: Using leg muscles reduces strain on the back. Feet should be shoulder-width
apart, and twisting should be avoided.
Question 10
A nurse is caring for a client with dysphagia. Which intervention is appropriate?
A. Offer thin liquids.
B. Place food on the unaffected side of the mouth.
C. Encourage the client to eat quickly.
D. Provide large bites of food.
Correct Answer: B. Place food on the unaffected side of the mouth.
Rationale: This promotes safer swallowing. Thin liquids and large bites increase
aspiration risk, and clients should eat slowly.
