WEST COAST UNIVERSITY ATI FUNDAMENTALS
PROCTORED EXAM 3 QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATION LATEST 2025-2026
1. A nurse enters a client’s room and finds the client unresponsive. What is the nurse’s first
action?
A. Call the provider
B. Check for responsiveness
C. Start oxygen
D. Obtain vital signs
Answer: B
Rationale: The nurse must first assess responsiveness before initiating emergency interventions.
2. Which action demonstrates proper hand hygiene?
A. Wash hands for 5 seconds
B. Use cold water only
C. Rub all hand surfaces for at least 20 seconds
D. Dry hands on uniform
Answer: C
Rationale: Effective handwashing requires friction for at least 20 seconds.
3. A nurse should identify which finding as a sign of hypoxia?
A. Pink skin
B. Bradycardia
C. Cyanosis
D. Increased appetite
Answer: C
Rationale: Cyanosis indicates decreased oxygenation of tissues.
,4. What is the normal adult respiratory rate?
A. 6–10/min
B. 12–20/min
C. 24–30/min
D. 30–40/min
Answer: B
Rationale: Normal adult respirations are 12–20 breaths per minute.
5. Which client should the nurse assess first?
A. Client with headache
B. Client requesting pain medication
C. Client with chest pain and shortness of breath
D. Client needing discharge instructions
Answer: C
Rationale: Airway and breathing concerns are priority according to ABCs.
6. Which electrolyte imbalance places a client at greatest risk for dysrhythmias?
A. Calcium imbalance
B. Sodium imbalance
C. Potassium imbalance
D. Magnesium imbalance
Answer: C
Rationale: Potassium directly affects cardiac conduction.
7. What is the best method to identify a patient before medication administration?
A. Room number
B. Ask another nurse
C. Use two identifiers
D. Check bed number
Answer: C
Rationale: Two identifiers reduce medication errors.
, 8. Which position is best for a client experiencing dyspnea?
A. Supine
B. Prone
C. High Fowler’s
D. Trendelenburg
Answer: C
Rationale: High Fowler’s promotes maximum lung expansion.
9. A nurse should place a client in which position for an enema administration?
A. Supine
B. Sims’ position
C. Prone
D. Lithotomy
Answer: B
Rationale: Sims’ position follows the natural curve of the colon.
10. Which finding indicates dehydration?
A. Edema
B. Moist mucous membranes
C. Poor skin turgor
D. Bounding pulse
Answer: C
Rationale: Poor skin turgor is a classic sign of fluid deficit.
11. A nurse should identify which as a sterile procedure?
A. Oral hygiene
B. Bed bath
C. Foley catheter insertion
D. Feeding assistance
PROCTORED EXAM 3 QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATION LATEST 2025-2026
1. A nurse enters a client’s room and finds the client unresponsive. What is the nurse’s first
action?
A. Call the provider
B. Check for responsiveness
C. Start oxygen
D. Obtain vital signs
Answer: B
Rationale: The nurse must first assess responsiveness before initiating emergency interventions.
2. Which action demonstrates proper hand hygiene?
A. Wash hands for 5 seconds
B. Use cold water only
C. Rub all hand surfaces for at least 20 seconds
D. Dry hands on uniform
Answer: C
Rationale: Effective handwashing requires friction for at least 20 seconds.
3. A nurse should identify which finding as a sign of hypoxia?
A. Pink skin
B. Bradycardia
C. Cyanosis
D. Increased appetite
Answer: C
Rationale: Cyanosis indicates decreased oxygenation of tissues.
,4. What is the normal adult respiratory rate?
A. 6–10/min
B. 12–20/min
C. 24–30/min
D. 30–40/min
Answer: B
Rationale: Normal adult respirations are 12–20 breaths per minute.
5. Which client should the nurse assess first?
A. Client with headache
B. Client requesting pain medication
C. Client with chest pain and shortness of breath
D. Client needing discharge instructions
Answer: C
Rationale: Airway and breathing concerns are priority according to ABCs.
6. Which electrolyte imbalance places a client at greatest risk for dysrhythmias?
A. Calcium imbalance
B. Sodium imbalance
C. Potassium imbalance
D. Magnesium imbalance
Answer: C
Rationale: Potassium directly affects cardiac conduction.
7. What is the best method to identify a patient before medication administration?
A. Room number
B. Ask another nurse
C. Use two identifiers
D. Check bed number
Answer: C
Rationale: Two identifiers reduce medication errors.
, 8. Which position is best for a client experiencing dyspnea?
A. Supine
B. Prone
C. High Fowler’s
D. Trendelenburg
Answer: C
Rationale: High Fowler’s promotes maximum lung expansion.
9. A nurse should place a client in which position for an enema administration?
A. Supine
B. Sims’ position
C. Prone
D. Lithotomy
Answer: B
Rationale: Sims’ position follows the natural curve of the colon.
10. Which finding indicates dehydration?
A. Edema
B. Moist mucous membranes
C. Poor skin turgor
D. Bounding pulse
Answer: C
Rationale: Poor skin turgor is a classic sign of fluid deficit.
11. A nurse should identify which as a sterile procedure?
A. Oral hygiene
B. Bed bath
C. Foley catheter insertion
D. Feeding assistance
