ATI Fundamentals Proctored Exam 100%
Correct. Exam – Practice Questions,
Answers & Rationales (2026/2027
Edition)
1. A nurse is performing an admission assessment for a client
who has asthma and several food allergies. Which of the
following actions should the nurse take first?
o D. Ask the client to identify the specific food allergies.
o Rationale: The nurse should first apply the nursing process
and collect adequate data from the client to assess their
allergies and identify specific allergens before formulating a
plan of action..
2. Which of the following clients should the nurse assess first
after receiving change-of-shift report?
o D. A client with pneumonia who has an oxygen saturation
of 88% on room air.
o Rationale: An oxygen saturation of 88% is below the
expected reference range and indicates hypoxemia. Using the
ABC (airway, breathing, circulation) framework, this client's
breathing is compromised and poses an immediate life-
threatening risk..
,3. A nurse is planning care for a group of clients. Which of the
following tasks should the nurse delegate to an assistive
personnel (AP)?
o A. Measuring a client's intake and output.
o Rationale: Measuring I&O is a routine, noninvasive task that
is within an AP's scope of practice..
4. A nurse is delegating a task to a licensed practical nurse
(LPN). Which of the following tasks is within the LPN's scope
of practice?
o C. Reinforcing teaching previously provided by the RN.
o Rationale: LPNs can reinforce teaching, collect data, and
perform stable, predictable procedures. They cannot perform
initial assessments, create care plans, or administer IV push
medications..
5. Which of the following client's needs may the nurse assign to
an assistive personnel (AP)?
o C. Reapplying a condom catheter for a client who has
urinary incontinence.
o Rationale: The application of a condom catheter is a
noninvasive, routine procedure that the nurse may delegate
to the AP..
6. An RN is making assignments for client care to an LPN at the
beginning of the shift. Which of the following assignments
should the LPN question?
o D. Replacing the cartridge and tubing on a PCA pump.
o Rationale: The RN is responsible for the management and
replacement of a PCA pump..
,7. A nurse is preparing an in-service program about delegation.
Which of the following elements should she identify when
presenting the five rights of delegation? (Select all that apply)
o B. Right supervision/evaluation, C. Right
direction/communication, E. Right circumstances.
o Rationale: The "Five Rights" of delegation are: right task,
right circumstance, right person, right
direction/communication, and right supervision/evaluation.
The rights of medication administration are right client, right
time, right dose, right route, and right medication..
8. A nurse is planning to collect a stool specimen for ova and
parasites from a client who has diarrhea. Which of the
following actions should the nurse take when collecting the
specimen?
o D. Place the stool specimen collection container in a
biohazard bag.
o Rationale: The nurse should place the specimen container in
a biohazard bag with the client label on both the container
and the bag for easy identification and to prevent
contamination..
9. A nurse is caring for a client who has a tracheostomy and
requires suctioning. Which of the following actions should
the nurse take?
o A. Hyper-oxygenate the client before suctioning.
o Rationale: The nurse should use a manual resuscitation bag
to hyper-oxygenate the client for several minutes prior to
suctioning to prevent hypoxemia..
10.A nurse is providing oral care for a client who is unconscious.
Which of the following actions should the nurse take?
, o A. Place the client in a side-lying position before
beginning the procedure.
o Rationale: Placing the client in a side-lying (lateral) position
with the head turned to the side helps prevent aspiration of
fluids into the lungs..
11.A nurse is admitting a client who has tuberculosis. Which of
the following types of transmission precautions should the
nurse plan to initiate?
o B. Airborne.
o Rationale: Pulmonary tuberculosis (TB) requires airborne
precautions, which include a negative-pressure room and an
N95 respirator..
12.A nurse is caring for a client who has influenza and isolation
precautions in place. Which of the following actions should
the nurse take to prevent the spread of infection?
o A. Wear a mask when working within 3 feet of the client.
o Rationale: Influenza is spread via droplet transmission, which
requires the nurse to wear a mask when within 3 to 6 feet of
the client. Standard precautions, including hand hygiene,
should also be used..
13.A nurse is caring for a client who has a Clostridium
difficile infection. Which of the following actions should the
nurse take? (Select all that apply)
o A. Wear a gown and gloves when providing client care; D.
Wash hands with soap and water after contact with the
client.
o Rationale: C. diff requires contact precautions (gown and
gloves). Alcohol-based hand rub does not kill C. diff spores;
soap and water must be used..
Correct. Exam – Practice Questions,
Answers & Rationales (2026/2027
Edition)
1. A nurse is performing an admission assessment for a client
who has asthma and several food allergies. Which of the
following actions should the nurse take first?
o D. Ask the client to identify the specific food allergies.
o Rationale: The nurse should first apply the nursing process
and collect adequate data from the client to assess their
allergies and identify specific allergens before formulating a
plan of action..
2. Which of the following clients should the nurse assess first
after receiving change-of-shift report?
o D. A client with pneumonia who has an oxygen saturation
of 88% on room air.
o Rationale: An oxygen saturation of 88% is below the
expected reference range and indicates hypoxemia. Using the
ABC (airway, breathing, circulation) framework, this client's
breathing is compromised and poses an immediate life-
threatening risk..
,3. A nurse is planning care for a group of clients. Which of the
following tasks should the nurse delegate to an assistive
personnel (AP)?
o A. Measuring a client's intake and output.
o Rationale: Measuring I&O is a routine, noninvasive task that
is within an AP's scope of practice..
4. A nurse is delegating a task to a licensed practical nurse
(LPN). Which of the following tasks is within the LPN's scope
of practice?
o C. Reinforcing teaching previously provided by the RN.
o Rationale: LPNs can reinforce teaching, collect data, and
perform stable, predictable procedures. They cannot perform
initial assessments, create care plans, or administer IV push
medications..
5. Which of the following client's needs may the nurse assign to
an assistive personnel (AP)?
o C. Reapplying a condom catheter for a client who has
urinary incontinence.
o Rationale: The application of a condom catheter is a
noninvasive, routine procedure that the nurse may delegate
to the AP..
6. An RN is making assignments for client care to an LPN at the
beginning of the shift. Which of the following assignments
should the LPN question?
o D. Replacing the cartridge and tubing on a PCA pump.
o Rationale: The RN is responsible for the management and
replacement of a PCA pump..
,7. A nurse is preparing an in-service program about delegation.
Which of the following elements should she identify when
presenting the five rights of delegation? (Select all that apply)
o B. Right supervision/evaluation, C. Right
direction/communication, E. Right circumstances.
o Rationale: The "Five Rights" of delegation are: right task,
right circumstance, right person, right
direction/communication, and right supervision/evaluation.
The rights of medication administration are right client, right
time, right dose, right route, and right medication..
8. A nurse is planning to collect a stool specimen for ova and
parasites from a client who has diarrhea. Which of the
following actions should the nurse take when collecting the
specimen?
o D. Place the stool specimen collection container in a
biohazard bag.
o Rationale: The nurse should place the specimen container in
a biohazard bag with the client label on both the container
and the bag for easy identification and to prevent
contamination..
9. A nurse is caring for a client who has a tracheostomy and
requires suctioning. Which of the following actions should
the nurse take?
o A. Hyper-oxygenate the client before suctioning.
o Rationale: The nurse should use a manual resuscitation bag
to hyper-oxygenate the client for several minutes prior to
suctioning to prevent hypoxemia..
10.A nurse is providing oral care for a client who is unconscious.
Which of the following actions should the nurse take?
, o A. Place the client in a side-lying position before
beginning the procedure.
o Rationale: Placing the client in a side-lying (lateral) position
with the head turned to the side helps prevent aspiration of
fluids into the lungs..
11.A nurse is admitting a client who has tuberculosis. Which of
the following types of transmission precautions should the
nurse plan to initiate?
o B. Airborne.
o Rationale: Pulmonary tuberculosis (TB) requires airborne
precautions, which include a negative-pressure room and an
N95 respirator..
12.A nurse is caring for a client who has influenza and isolation
precautions in place. Which of the following actions should
the nurse take to prevent the spread of infection?
o A. Wear a mask when working within 3 feet of the client.
o Rationale: Influenza is spread via droplet transmission, which
requires the nurse to wear a mask when within 3 to 6 feet of
the client. Standard precautions, including hand hygiene,
should also be used..
13.A nurse is caring for a client who has a Clostridium
difficile infection. Which of the following actions should the
nurse take? (Select all that apply)
o A. Wear a gown and gloves when providing client care; D.
Wash hands with soap and water after contact with the
client.
o Rationale: C. diff requires contact precautions (gown and
gloves). Alcohol-based hand rub does not kill C. diff spores;
soap and water must be used..
