ATI FUNDAMENTALS CMS LVN MIDTERM
EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| LVN CMS FUNDAMENTALS
ATI MIDTERM EXAM REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Question 1
A nurse is caring for a client who has a new prescription for wrist
restraints. Which of the following actions should the nurse take first?
A) Tie the restraints to the side rail of the bed.
B) Ensure the restraints are applied snugly.
C) Remove the restraints every 2 hours.
D) Pad the client’s wrist under the restraint.
Correct ,,,answer,,,: D
Rationale: Padding prevents skin breakdown and nerve damage. Safety
and skin integrity are the first priority. Restraints should never be tied to
side rails (A) because movement of the rail can tighten them. They
should allow 1–2 fingers of space (not snug – B). Removal every 2
hours (C) is correct but not the first action.
,Question 2
A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which of the following actions should the nurse take?
A) Clean the meatus with antiseptic solution using a circular motion
from the outer to inner area.
B) Use sterile gloves and a sterile field.
C) Insert the catheter 2.5 cm (1 inch) into the urethra.
D) Inflate the balloon before inserting the catheter.
Correct ,,,answer,,,: B
Rationale: Indwelling catheter insertion requires sterile technique to
prevent infection. Cleaning should be from inner to outer (A). Catheter
is inserted 5–7.5 cm (2–3 inches) until urine flows (C). Balloon is
inflated after insertion (D).
Question 3
A nurse is administering an enteral feeding via a nasogastric tube.
Which of the following actions should the nurse take first?
A) Flush the tube with 30 mL of water.
B) Elevate the head of the bed to 30°–45°.
C) Verify tube placement by checking the pH of aspirate.
D) Connect the feeding bag to the tube.
Correct ,,,answer,,,: C
Rationale: Before any feeding, the nurse must verify correct tube
placement to prevent aspiration. Elevating the head (B) is important but
done after verification. Flushing (A) and connecting (D) come later.
,Question 4
A nurse is caring for a client who has a prescription for a clear liquid
diet. Which of the following items should the nurse provide?
A) Orange juice with pulp
B) Vanilla ice cream
C) Chicken broth
D) Cream of wheat
Correct ,,,answer,,,: C
Rationale: Clear liquids are transparent at room temperature (broth,
apple juice, gelatin). Orange juice with pulp (A) and ice cream (B) are
full liquids. Cream of wheat (D) is a mechanical soft food.
Question 5
A nurse is assessing a client’s peripheral IV site. Which of the following
findings should the nurse report to the provider?
A) Slight erythema at the insertion site
B) A palpable cord along the vein
C) A small amount of clear drainage
D) The client reports pain of 2 on a 0–10 scale
Correct ,,,answer,,,: B
Rationale: A palpable cord indicates phlebitis or thrombosis, a serious
complication. Slight erythema (A) and mild pain (D) can occur with
irritation but are less urgent. Clear drainage (C) may be serous but not
typical for phlebitis.
, Question 6
A nurse is preparing to measure a client’s blood pressure. Which of the
following actions should the nurse take?
A) Use a cuff that covers 40% of the client’s upper arm.
B) Place the client’s arm at heart level.
C) Deflate the cuff rapidly at 5–10 mm Hg per second.
D) Apply the cuff over clothing.
Correct ,,,answer,,,: B
Rationale: Arm at heart level ensures accurate reading. Cuff bladder
should cover 80% of arm circumference (not 40% – A). Deflation
should be 2–3 mm Hg per second (C). Cuff should be on bare skin (D).
Question 7
A nurse is reinforcing teaching with a client who has a new diagnosis of
type 2 diabetes mellitus about foot care. Which statement by the client
indicates understanding?
A) “I’ll soak my feet in warm water every evening.”
B) “I’ll use a heating pad to warm my cold feet.”
C) “I’ll trim my toenails straight across.”
D) “I’ll go barefoot at home to air out my feet.”
Correct ,,,answer,,,: C
Rationale: Trim nails straight across to prevent ingrown nails and
injury. Soaking (A) can macerate skin, increasing infection risk. Heating
pads (B) can cause burns due to decreased sensation. Barefoot (D) risks
injury.
EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| LVN CMS FUNDAMENTALS
ATI MIDTERM EXAM REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Question 1
A nurse is caring for a client who has a new prescription for wrist
restraints. Which of the following actions should the nurse take first?
A) Tie the restraints to the side rail of the bed.
B) Ensure the restraints are applied snugly.
C) Remove the restraints every 2 hours.
D) Pad the client’s wrist under the restraint.
Correct ,,,answer,,,: D
Rationale: Padding prevents skin breakdown and nerve damage. Safety
and skin integrity are the first priority. Restraints should never be tied to
side rails (A) because movement of the rail can tighten them. They
should allow 1–2 fingers of space (not snug – B). Removal every 2
hours (C) is correct but not the first action.
,Question 2
A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which of the following actions should the nurse take?
A) Clean the meatus with antiseptic solution using a circular motion
from the outer to inner area.
B) Use sterile gloves and a sterile field.
C) Insert the catheter 2.5 cm (1 inch) into the urethra.
D) Inflate the balloon before inserting the catheter.
Correct ,,,answer,,,: B
Rationale: Indwelling catheter insertion requires sterile technique to
prevent infection. Cleaning should be from inner to outer (A). Catheter
is inserted 5–7.5 cm (2–3 inches) until urine flows (C). Balloon is
inflated after insertion (D).
Question 3
A nurse is administering an enteral feeding via a nasogastric tube.
Which of the following actions should the nurse take first?
A) Flush the tube with 30 mL of water.
B) Elevate the head of the bed to 30°–45°.
C) Verify tube placement by checking the pH of aspirate.
D) Connect the feeding bag to the tube.
Correct ,,,answer,,,: C
Rationale: Before any feeding, the nurse must verify correct tube
placement to prevent aspiration. Elevating the head (B) is important but
done after verification. Flushing (A) and connecting (D) come later.
,Question 4
A nurse is caring for a client who has a prescription for a clear liquid
diet. Which of the following items should the nurse provide?
A) Orange juice with pulp
B) Vanilla ice cream
C) Chicken broth
D) Cream of wheat
Correct ,,,answer,,,: C
Rationale: Clear liquids are transparent at room temperature (broth,
apple juice, gelatin). Orange juice with pulp (A) and ice cream (B) are
full liquids. Cream of wheat (D) is a mechanical soft food.
Question 5
A nurse is assessing a client’s peripheral IV site. Which of the following
findings should the nurse report to the provider?
A) Slight erythema at the insertion site
B) A palpable cord along the vein
C) A small amount of clear drainage
D) The client reports pain of 2 on a 0–10 scale
Correct ,,,answer,,,: B
Rationale: A palpable cord indicates phlebitis or thrombosis, a serious
complication. Slight erythema (A) and mild pain (D) can occur with
irritation but are less urgent. Clear drainage (C) may be serous but not
typical for phlebitis.
, Question 6
A nurse is preparing to measure a client’s blood pressure. Which of the
following actions should the nurse take?
A) Use a cuff that covers 40% of the client’s upper arm.
B) Place the client’s arm at heart level.
C) Deflate the cuff rapidly at 5–10 mm Hg per second.
D) Apply the cuff over clothing.
Correct ,,,answer,,,: B
Rationale: Arm at heart level ensures accurate reading. Cuff bladder
should cover 80% of arm circumference (not 40% – A). Deflation
should be 2–3 mm Hg per second (C). Cuff should be on bare skin (D).
Question 7
A nurse is reinforcing teaching with a client who has a new diagnosis of
type 2 diabetes mellitus about foot care. Which statement by the client
indicates understanding?
A) “I’ll soak my feet in warm water every evening.”
B) “I’ll use a heating pad to warm my cold feet.”
C) “I’ll trim my toenails straight across.”
D) “I’ll go barefoot at home to air out my feet.”
Correct ,,,answer,,,: C
Rationale: Trim nails straight across to prevent ingrown nails and
injury. Soaking (A) can macerate skin, increasing infection risk. Heating
pads (B) can cause burns due to decreased sensation. Barefoot (D) risks
injury.
