ATI FUNDAMENTALS PROCTORED EXAM Actual
Exam 2026/2027 – Complete Questions and
Answers with Detailed Rationales – Pass
Guaranteed - A+ Graded
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SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT Q1 – Q20
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Question 1 of 100
A nurse is caring for a 78-year-old patient with dementia who repeatedly attempts to
climb out of bed despite a physician's order for bed rest following a hip pinning. The
patient has a history of falls and becomes agitated when restrained. The nurse's safest
intervention is to:
A. Apply soft wrist restraints and check them every 15 minutes
B. Lower the bed, place floor mats, and assign a sitter for continuous observation
C. Administer PRN haloperidol to keep the patient sedated throughout the shift
D. Raise all four side rails and dim the lights to discourage climbing
Correct Answer: B
Rationale: Lowering the bed, using floor mats, and providing a sitter addresses fall risk
through environmental modification and human monitoring without restricting the
patient's freedom or causing injury. Restraints and raised side rails can actually increase
fall injuries and are considered a last resort after less restrictive measures fail.
Chemical sedation does not prevent falls and may worsen confusion and orthostatic
hypotension in elderly patients.
Question 2 of 100
,A nurse enters the room of a 45-year-old patient who is on contact precautions for
Clostridioides difficile infection. The patient needs assistance to the bathroom. The
nurse should:
A. Put on gloves and a gown before entering the room and remove them inside the room
before leaving
B. Wear an N95 respirator and eye protection for all patient contact
C. Apply clean gloves at the doorway and remove them after touching the bed rail only
D. Don a gown and gloves inside the room and keep them on while walking to the clean
supply room
Correct Answer: A
Rationale: For contact precautions, the nurse must don gloves and a gown before
entering the room and remove them inside the room before exiting to prevent carrying
pathogens into the hallway. An N95 respirator is unnecessary for contact precautions
and is reserved for airborne pathogens. Removing gloves only after touching the bed rail
fails to protect against contamination from the patient or environment, and wearing
contaminated PPE into clean areas violates basic infection control principles.
Question 3 of 100
A nurse is delegating tasks to an unlicensed assistive personnel on a busy
medical-surgical unit. The nurse appropriately assigns which task to the UAP?
A. Inserting an indwelling urinary catheter for a patient with urinary retention
B. Administering an oral antibiotic to a patient with a new feeding tube
C. Measuring and recording intake and output for a patient on fluid restrictions
D. Assessing a postoperative patient's incision for signs of infection
Correct Answer: C
Rationale: Measuring and recording intake and output is a standard, noninvasive task
that falls within the scope of practice for unlicensed assistive personnel when properly
instructed. Inserting catheters, administering medications, and performing patient
,assessments require nursing judgment and licensure, making them inappropriate to
delegate to UAPs. The nurse retains accountability for all delegated tasks and must
verify that the UAP understands the procedure.
Question 4 of 100
A nurse discovers that a patient received the wrong dose of metoprolol earlier in the
shift. The patient is currently stable with no adverse effects noted. The nurse's first
priority action is to:
A. Complete an incident report and submit it to the risk management department
B. Assess the patient thoroughly and notify the healthcare provider immediately
C. Wait until the end of the shift to document the error in the nursing notes
D. Reprimand the nurse who administered the wrong dose in front of the team
Correct Answer: B
Rationale: Patient safety is the immediate priority, so the nurse must first assess the
patient for any signs of adverse effects and notify the healthcare provider to determine
if interventions are needed. Incident reports are important but are completed after the
patient is stabilized and should never delay care. Delaying documentation violates
protocol, and reprimanding a colleague publicly creates a punitive culture that
discourages error reporting and undermines teamwork.
Question 5 of 100
A nurse is caring for a patient who is scheduled for surgery in two hours. The patient
states, "I changed my mind. I don't want the surgery anymore." The nurse should:
A. Explain that it is too late to cancel because the operating room is already prepared
B. Notify the surgeon immediately and inform the patient of the right to refuse treatment
C. Administer the preoperative sedative to reduce the patient's anxiety about the
decision
, D. Have the patient's family convince the patient to proceed with the scheduled
procedure
Correct Answer: B
Rationale: Patients have the legal and ethical right to refuse treatment at any time, and
the nurse must advocate for this right by notifying the surgeon promptly and supporting
the patient's autonomous decision. It is never too late to withdraw consent, and
premedicating a patient who has refused surgery could be considered assault. Family
pressure should not override the patient's right to self-determination, and the nurse's
role is to facilitate informed choice rather than persuasion.
Question 6 of 100
A nurse is preparing to transfer a 250-pound patient with a fractured femur from the bed
to a stretcher using a hydraulic lift. The nurse should:
A. Ask one UAP to hold the patient's shoulders while the nurse operates the lift alone
B. Check the lift's weight capacity, position the sling correctly, and use two trained staff
members
C. Have the patient bear weight on the uninjured leg and pivot to the stretcher with
minimal assistance
D. Drag the patient across the bed sheet using a draw sheet to save time in the
emergency department
Correct Answer: B
Rationale: Using a hydraulic lift requires verifying the equipment's weight limit, proper
sling placement under the patient, and assistance from at least one other trained staff
member to ensure safe transfer and prevent staff injury. Asking a single UAP to
manually support a heavy patient during mechanical lifting defeats the purpose of the
equipment and risks back injuries. A patient with a fractured femur cannot bear weight
safely, and dragging causes shearing forces that damage skin and underlying tissue.
Question 7 of 100
Exam 2026/2027 – Complete Questions and
Answers with Detailed Rationales – Pass
Guaranteed - A+ Graded
══════════════════════════════════════
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT Q1 – Q20
══════════════════════════════════════
Question 1 of 100
A nurse is caring for a 78-year-old patient with dementia who repeatedly attempts to
climb out of bed despite a physician's order for bed rest following a hip pinning. The
patient has a history of falls and becomes agitated when restrained. The nurse's safest
intervention is to:
A. Apply soft wrist restraints and check them every 15 minutes
B. Lower the bed, place floor mats, and assign a sitter for continuous observation
C. Administer PRN haloperidol to keep the patient sedated throughout the shift
D. Raise all four side rails and dim the lights to discourage climbing
Correct Answer: B
Rationale: Lowering the bed, using floor mats, and providing a sitter addresses fall risk
through environmental modification and human monitoring without restricting the
patient's freedom or causing injury. Restraints and raised side rails can actually increase
fall injuries and are considered a last resort after less restrictive measures fail.
Chemical sedation does not prevent falls and may worsen confusion and orthostatic
hypotension in elderly patients.
Question 2 of 100
,A nurse enters the room of a 45-year-old patient who is on contact precautions for
Clostridioides difficile infection. The patient needs assistance to the bathroom. The
nurse should:
A. Put on gloves and a gown before entering the room and remove them inside the room
before leaving
B. Wear an N95 respirator and eye protection for all patient contact
C. Apply clean gloves at the doorway and remove them after touching the bed rail only
D. Don a gown and gloves inside the room and keep them on while walking to the clean
supply room
Correct Answer: A
Rationale: For contact precautions, the nurse must don gloves and a gown before
entering the room and remove them inside the room before exiting to prevent carrying
pathogens into the hallway. An N95 respirator is unnecessary for contact precautions
and is reserved for airborne pathogens. Removing gloves only after touching the bed rail
fails to protect against contamination from the patient or environment, and wearing
contaminated PPE into clean areas violates basic infection control principles.
Question 3 of 100
A nurse is delegating tasks to an unlicensed assistive personnel on a busy
medical-surgical unit. The nurse appropriately assigns which task to the UAP?
A. Inserting an indwelling urinary catheter for a patient with urinary retention
B. Administering an oral antibiotic to a patient with a new feeding tube
C. Measuring and recording intake and output for a patient on fluid restrictions
D. Assessing a postoperative patient's incision for signs of infection
Correct Answer: C
Rationale: Measuring and recording intake and output is a standard, noninvasive task
that falls within the scope of practice for unlicensed assistive personnel when properly
instructed. Inserting catheters, administering medications, and performing patient
,assessments require nursing judgment and licensure, making them inappropriate to
delegate to UAPs. The nurse retains accountability for all delegated tasks and must
verify that the UAP understands the procedure.
Question 4 of 100
A nurse discovers that a patient received the wrong dose of metoprolol earlier in the
shift. The patient is currently stable with no adverse effects noted. The nurse's first
priority action is to:
A. Complete an incident report and submit it to the risk management department
B. Assess the patient thoroughly and notify the healthcare provider immediately
C. Wait until the end of the shift to document the error in the nursing notes
D. Reprimand the nurse who administered the wrong dose in front of the team
Correct Answer: B
Rationale: Patient safety is the immediate priority, so the nurse must first assess the
patient for any signs of adverse effects and notify the healthcare provider to determine
if interventions are needed. Incident reports are important but are completed after the
patient is stabilized and should never delay care. Delaying documentation violates
protocol, and reprimanding a colleague publicly creates a punitive culture that
discourages error reporting and undermines teamwork.
Question 5 of 100
A nurse is caring for a patient who is scheduled for surgery in two hours. The patient
states, "I changed my mind. I don't want the surgery anymore." The nurse should:
A. Explain that it is too late to cancel because the operating room is already prepared
B. Notify the surgeon immediately and inform the patient of the right to refuse treatment
C. Administer the preoperative sedative to reduce the patient's anxiety about the
decision
, D. Have the patient's family convince the patient to proceed with the scheduled
procedure
Correct Answer: B
Rationale: Patients have the legal and ethical right to refuse treatment at any time, and
the nurse must advocate for this right by notifying the surgeon promptly and supporting
the patient's autonomous decision. It is never too late to withdraw consent, and
premedicating a patient who has refused surgery could be considered assault. Family
pressure should not override the patient's right to self-determination, and the nurse's
role is to facilitate informed choice rather than persuasion.
Question 6 of 100
A nurse is preparing to transfer a 250-pound patient with a fractured femur from the bed
to a stretcher using a hydraulic lift. The nurse should:
A. Ask one UAP to hold the patient's shoulders while the nurse operates the lift alone
B. Check the lift's weight capacity, position the sling correctly, and use two trained staff
members
C. Have the patient bear weight on the uninjured leg and pivot to the stretcher with
minimal assistance
D. Drag the patient across the bed sheet using a draw sheet to save time in the
emergency department
Correct Answer: B
Rationale: Using a hydraulic lift requires verifying the equipment's weight limit, proper
sling placement under the patient, and assistance from at least one other trained staff
member to ensure safe transfer and prevent staff injury. Asking a single UAP to
manually support a heavy patient during mechanical lifting defeats the purpose of the
equipment and risks back injuries. A patient with a fractured femur cannot bear weight
safely, and dragging causes shearing forces that damage skin and underlying tissue.
Question 7 of 100
