ATI CMS FUNDAMENTALS PROCTORED
EXAM 2025/2026 COMPREHENSIVE STUDY
GUIDE WITH VERIFIED Q&A
This guide includes 90+ priority questions covering the core content areas of the exam:
Management of Care, Safety & Infection Control, Health Promotion, Psychosocial Integrity,
Basic Care & Comfort, and Pharmacology. Questions are formatted to mirror the actual
proctored assessment.
SECTION 1: PRIORITIZATION, DELEGATION, &
MANAGEMENT OF CARE
(Questions 1-40)
Q1. A nurse on a medical-surgical unit has received change-of-shift report. Which
of the following clients should the nurse assess first?
• A) A client with diabetes mellitus who has a blood glucose level of 150
mg/dL
• B) A client with heart failure who has 2+ pitting edema in the lower
extremities
• C) A client who is 2 days postoperative and reports pain of 4 on a 0-10
scale
, • D) A client with pneumonia who has an oxygen saturation of 88% on room
air
Correct Answer: D
Rationale: Oxygen saturation of 88% indicates hypoxemia and is a priority because it
affects airway and breathing. The ABC (airway, breathing, circulation) framework
guides prioritization. The other findings are important but not immediately life-
threatening.
Q2. A nurse is discussing restorative health care with a newly licensed nurse.
Which of the following examples should the nurse include in the teaching? (Select
all that apply.)
• A) Home health care
• B) Rehabilitation facilities
• C) Diagnostic centers
• D) Skilled nursing facilities
• E) Oncology centers
Correct Answer: A, B, D
Rationale: Restorative health care involves intermediate follow-up care for restoring
health and promoting self-care. Home health care, rehabilitation facilities, and skilled
nursing facilities are all types of restorative health care. Diagnostic centers and oncology
centers are examples of secondary health care.
,Q3. A nurse is explaining the various levels of health care services to a group of
newly licensed nurses. Which of the following examples of care or care settings
should the nurse classify as tertiary care? (Select all that apply.)
• A) Intensive care unit
• B) Oncology treatment center
• C) Burn center
• D) Cardiac rehabilitation
• E) Home health care
Correct Answer: A, B, C
Rationale: Tertiary health care involves the provision of specialized and highly technical
care. Intensive care units, oncology treatment centers, and burn centers provide this
level of specialized care. Cardiac rehabilitation and home health care are examples of
restorative care.
Q4. A nurse is explaining the various types of health care coverage to a group of
nurses. Which of the following health care financing mechanisms should the nurse
include as federally funded? (Select all that apply.)
• A) Preferred provider organization (PPO)
• B) Medicare
• C) Long-term care insurance
• D) Medicaid
• E) Exclusive provider organization (EPO)
Correct Answer: B, D
, Rationale: Medicare (for clients over age 65 and/or with permanent disabilities) and
Medicaid (for clients with low incomes) are both federally funded health care financing
mechanisms. PPOs, long-term care insurance, and EPOs are private insurance plans.
Q5. A nurse is caring for a client who tells the nurse, "I am leaving the hospital this
morning whether the doctor discharges me or not." The nurse believes that this is
not in the client's best interest. Which of the following types of tort is the nurse
about to commit if the nurse prepares to administer a PRN sedative medication
the client has not requested?
• A) Assault
• B) Battery
• C) False imprisonment
• D) Invasion of privacy
Correct Answer: A
Rationale: Assault is the intentional threat to cause bodily harm to another person. By
threatening to administer a medication the client has not requested, the nurse is
committing assault. Battery is the actual physical harm, false imprisonment is unlawful
restraint, and invasion of privacy is a violation of confidentiality.
Q6. A nurse observes an assistive personnel (AP) reprimanding a client for not
using the urinal properly. The AP tells the client that diapers will be used next time
the urinal is used improperly. Which of the following torts is the AP committing?
• A) Assault
EXAM 2025/2026 COMPREHENSIVE STUDY
GUIDE WITH VERIFIED Q&A
This guide includes 90+ priority questions covering the core content areas of the exam:
Management of Care, Safety & Infection Control, Health Promotion, Psychosocial Integrity,
Basic Care & Comfort, and Pharmacology. Questions are formatted to mirror the actual
proctored assessment.
SECTION 1: PRIORITIZATION, DELEGATION, &
MANAGEMENT OF CARE
(Questions 1-40)
Q1. A nurse on a medical-surgical unit has received change-of-shift report. Which
of the following clients should the nurse assess first?
• A) A client with diabetes mellitus who has a blood glucose level of 150
mg/dL
• B) A client with heart failure who has 2+ pitting edema in the lower
extremities
• C) A client who is 2 days postoperative and reports pain of 4 on a 0-10
scale
, • D) A client with pneumonia who has an oxygen saturation of 88% on room
air
Correct Answer: D
Rationale: Oxygen saturation of 88% indicates hypoxemia and is a priority because it
affects airway and breathing. The ABC (airway, breathing, circulation) framework
guides prioritization. The other findings are important but not immediately life-
threatening.
Q2. A nurse is discussing restorative health care with a newly licensed nurse.
Which of the following examples should the nurse include in the teaching? (Select
all that apply.)
• A) Home health care
• B) Rehabilitation facilities
• C) Diagnostic centers
• D) Skilled nursing facilities
• E) Oncology centers
Correct Answer: A, B, D
Rationale: Restorative health care involves intermediate follow-up care for restoring
health and promoting self-care. Home health care, rehabilitation facilities, and skilled
nursing facilities are all types of restorative health care. Diagnostic centers and oncology
centers are examples of secondary health care.
,Q3. A nurse is explaining the various levels of health care services to a group of
newly licensed nurses. Which of the following examples of care or care settings
should the nurse classify as tertiary care? (Select all that apply.)
• A) Intensive care unit
• B) Oncology treatment center
• C) Burn center
• D) Cardiac rehabilitation
• E) Home health care
Correct Answer: A, B, C
Rationale: Tertiary health care involves the provision of specialized and highly technical
care. Intensive care units, oncology treatment centers, and burn centers provide this
level of specialized care. Cardiac rehabilitation and home health care are examples of
restorative care.
Q4. A nurse is explaining the various types of health care coverage to a group of
nurses. Which of the following health care financing mechanisms should the nurse
include as federally funded? (Select all that apply.)
• A) Preferred provider organization (PPO)
• B) Medicare
• C) Long-term care insurance
• D) Medicaid
• E) Exclusive provider organization (EPO)
Correct Answer: B, D
, Rationale: Medicare (for clients over age 65 and/or with permanent disabilities) and
Medicaid (for clients with low incomes) are both federally funded health care financing
mechanisms. PPOs, long-term care insurance, and EPOs are private insurance plans.
Q5. A nurse is caring for a client who tells the nurse, "I am leaving the hospital this
morning whether the doctor discharges me or not." The nurse believes that this is
not in the client's best interest. Which of the following types of tort is the nurse
about to commit if the nurse prepares to administer a PRN sedative medication
the client has not requested?
• A) Assault
• B) Battery
• C) False imprisonment
• D) Invasion of privacy
Correct Answer: A
Rationale: Assault is the intentional threat to cause bodily harm to another person. By
threatening to administer a medication the client has not requested, the nurse is
committing assault. Battery is the actual physical harm, false imprisonment is unlawful
restraint, and invasion of privacy is a violation of confidentiality.
Q6. A nurse observes an assistive personnel (AP) reprimanding a client for not
using the urinal properly. The AP tells the client that diapers will be used next time
the urinal is used improperly. Which of the following torts is the AP committing?
• A) Assault
