ATI FUNDAMENTALS CMS PROCTORED EXAM 2025/2026 QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT | LATEST!!!
**Q1. A nurse is prioritizing care for four clients at the start of the shift. Which client
should the nurse assess first?**
- A) A client post-operative day 2 requesting pain medication
- B) A client with new diabetes needing insulin education
- C) A client with a tracheostomy who has copious, thick secretions and is
attempting to cough
- D) A client scheduled for discharge in two hours
**Correct Answer: C**
**Rationale:** Using the **ABCs (Airway, Breathing, Circulation)** approach, the
client with a tracheostomy and thick secretions is at immediate risk for airway
obstruction. This physiological need always takes priority over comfort, teaching, or
discharge planning .
**Q2. A charge nurse is assigning tasks on a medical-surgical unit. Which task
should be assigned to the LPN?**
- A) Conduct initial admission assessment for a client with pneumonia
- B) Evaluate effectiveness of a new diuretic medication
- C) Administer a scheduled subcutaneous insulin injection to a client with stable
diabetes
- D) Create the plan of care for a client recently diagnosed with heart failure
**Correct Answer: C**
**Rationale:** LPNs function under RN supervision and can perform routine,
stable tasks like administering scheduled medications to stable clients. The RN is
legally responsible for initial assessment, evaluation of medication effectiveness,
and creation of the initial plan of care .
, **Q3. A nurse manager is teaching staff about delegation. Which statement
indicates correct understanding of the "right task"?**
- A) "I can delegate any task as long as I supervise the AP"
- B) "The right task is one that is routine and has a predictable outcome"
- C) "I am ultimately responsible for the task once delegated"
- D) "The task must be within my own scope of practice"
**Correct Answer: B**
**Rationale:** The "right task" for delegation to an AP must be routine, non-
invasive, and have a predictable, stable outcome. While the RN retains ultimate
accountability (C), the definition of the "right task" specifically refers to the nature
of the task itself being appropriate for the delegatee's role .
**Q4. A nurse receives report on four clients. Which should the nurse see first?**
- A) Client with pneumonia who has new onset confusion
- B) Client scheduled for physical therapy in 30 minutes
- C) Client requesting pain medication for headache
- D) Client ready for discharge teaching
**Correct Answer: A**
**Rationale:** New onset confusion in a client with pneumonia may indicate
**hypoxia** or declining respiratory status. This represents a change in condition
and requires immediate assessment to prevent further deterioration .
**Q5. A nurse is caring for a client who has major fecal incontinence and reports
perianal irritation. Which action should the nurse take first?**
- A) Apply a fecal collection system
- B) Apply a barrier cream
- C) Cleanse and dry the area
- D) Check the client's perineum
VERIFIED ANSWERS | 100% CORRECT | LATEST!!!
**Q1. A nurse is prioritizing care for four clients at the start of the shift. Which client
should the nurse assess first?**
- A) A client post-operative day 2 requesting pain medication
- B) A client with new diabetes needing insulin education
- C) A client with a tracheostomy who has copious, thick secretions and is
attempting to cough
- D) A client scheduled for discharge in two hours
**Correct Answer: C**
**Rationale:** Using the **ABCs (Airway, Breathing, Circulation)** approach, the
client with a tracheostomy and thick secretions is at immediate risk for airway
obstruction. This physiological need always takes priority over comfort, teaching, or
discharge planning .
**Q2. A charge nurse is assigning tasks on a medical-surgical unit. Which task
should be assigned to the LPN?**
- A) Conduct initial admission assessment for a client with pneumonia
- B) Evaluate effectiveness of a new diuretic medication
- C) Administer a scheduled subcutaneous insulin injection to a client with stable
diabetes
- D) Create the plan of care for a client recently diagnosed with heart failure
**Correct Answer: C**
**Rationale:** LPNs function under RN supervision and can perform routine,
stable tasks like administering scheduled medications to stable clients. The RN is
legally responsible for initial assessment, evaluation of medication effectiveness,
and creation of the initial plan of care .
, **Q3. A nurse manager is teaching staff about delegation. Which statement
indicates correct understanding of the "right task"?**
- A) "I can delegate any task as long as I supervise the AP"
- B) "The right task is one that is routine and has a predictable outcome"
- C) "I am ultimately responsible for the task once delegated"
- D) "The task must be within my own scope of practice"
**Correct Answer: B**
**Rationale:** The "right task" for delegation to an AP must be routine, non-
invasive, and have a predictable, stable outcome. While the RN retains ultimate
accountability (C), the definition of the "right task" specifically refers to the nature
of the task itself being appropriate for the delegatee's role .
**Q4. A nurse receives report on four clients. Which should the nurse see first?**
- A) Client with pneumonia who has new onset confusion
- B) Client scheduled for physical therapy in 30 minutes
- C) Client requesting pain medication for headache
- D) Client ready for discharge teaching
**Correct Answer: A**
**Rationale:** New onset confusion in a client with pneumonia may indicate
**hypoxia** or declining respiratory status. This represents a change in condition
and requires immediate assessment to prevent further deterioration .
**Q5. A nurse is caring for a client who has major fecal incontinence and reports
perianal irritation. Which action should the nurse take first?**
- A) Apply a fecal collection system
- B) Apply a barrier cream
- C) Cleanse and dry the area
- D) Check the client's perineum
