ATI Fundamentals CMS
Proctored Exam QUESTIONS
AND VERIFIED ACCURATE
SOLUTION (DETAILED &
ELABORATED) |GET IT 100%
ACCURATE!! 2026 TEST
1. A nurse is preparing to transfer a client from the bed to a
chair. Which action should the nurse take first?
A. Lock the wheels of the bed and chair
B. Apply a transfer belt
C. Assess the client's ability to assist with the transfer
D. Place the chair next to the bed
Answer: C. Assess the client's ability to assist with the
transfer
Rationale: Assessment is the first step of the nursing process
and determines the safest transfer method.
2. Which finding requires immediate nursing intervention?
A. Temperature 37.2°C (99°F)
B. Blood pressure 118/74 mm Hg
,C. Respiratory rate 8/min
D. Heart rate 84/min
Answer: C. Respiratory rate 8/min
Rationale: A respiratory rate of 8/min indicates respiratory
depression and requires immediate assessment and
intervention.
3. A nurse is performing hand hygiene. Which method is
most effective in reducing microorganisms?
A. Soap and water for 5 seconds
B. Alcohol-based hand rub for 20 seconds
C. Soap and water for 15 seconds
D. Wearing gloves only
Answer: B. Alcohol-based hand rub for 20 seconds
Rationale: Alcohol-based hand rubs effectively reduce
microbial counts when hands are not visibly soiled.
4. Which action demonstrates appropriate use of standard
precautions?
A. Wearing gloves only for contact isolation clients
B. Wearing gloves when touching blood or body fluids
C. Using a gown for all client interactions
D. Wearing a mask for every procedure
Answer: B. Wearing gloves when touching blood or body
fluids
,Rationale: Standard precautions apply to all clients and
include glove use when exposure to blood or body fluids is
anticipated.
5. A nurse is caring for a client with a pressure injury. Which
intervention promotes wound healing?
A. Massage reddened areas
B. Reposition every 2 hr
C. Restrict protein intake
D. Keep skin moist at all times
Answer: B. Reposition every 2 hr
Rationale: Frequent repositioning reduces pressure and
improves circulation to tissues.
6. Which client should the nurse assess first?
A. Client with pain rated 4/10
B. Client awaiting discharge instructions
C. Client with oxygen saturation of 88%
D. Client requesting a blanket
Answer: C. Client with oxygen saturation of 88%
Rationale: Airway and oxygenation issues take priority
according to ABC principles.
, 7. A nurse is obtaining a sterile urine specimen from an
indwelling catheter. Where should the specimen be
collected?
A. Drainage bag
B. Collection container
C. Sampling port
D. Catheter tubing end
Answer: C. Sampling port
Rationale: Specimens should be obtained from the sampling
port using sterile technique to prevent contamination.
8. Which finding indicates effective pain management?
A. Client reports sleeping through the night
B. Client requests pain medication every hour
C. Client avoids movement
D. Client reports pain increased from 3/10 to 7/10
Answer: A. Client reports sleeping through the night
Rationale: Improved rest and comfort are indicators of
effective pain management.
9. A nurse is caring for a client receiving oxygen via nasal
cannula at 2 L/min. What oxygen concentration is
delivered?
A. 24% to 28%
B. 35% to 40%
Proctored Exam QUESTIONS
AND VERIFIED ACCURATE
SOLUTION (DETAILED &
ELABORATED) |GET IT 100%
ACCURATE!! 2026 TEST
1. A nurse is preparing to transfer a client from the bed to a
chair. Which action should the nurse take first?
A. Lock the wheels of the bed and chair
B. Apply a transfer belt
C. Assess the client's ability to assist with the transfer
D. Place the chair next to the bed
Answer: C. Assess the client's ability to assist with the
transfer
Rationale: Assessment is the first step of the nursing process
and determines the safest transfer method.
2. Which finding requires immediate nursing intervention?
A. Temperature 37.2°C (99°F)
B. Blood pressure 118/74 mm Hg
,C. Respiratory rate 8/min
D. Heart rate 84/min
Answer: C. Respiratory rate 8/min
Rationale: A respiratory rate of 8/min indicates respiratory
depression and requires immediate assessment and
intervention.
3. A nurse is performing hand hygiene. Which method is
most effective in reducing microorganisms?
A. Soap and water for 5 seconds
B. Alcohol-based hand rub for 20 seconds
C. Soap and water for 15 seconds
D. Wearing gloves only
Answer: B. Alcohol-based hand rub for 20 seconds
Rationale: Alcohol-based hand rubs effectively reduce
microbial counts when hands are not visibly soiled.
4. Which action demonstrates appropriate use of standard
precautions?
A. Wearing gloves only for contact isolation clients
B. Wearing gloves when touching blood or body fluids
C. Using a gown for all client interactions
D. Wearing a mask for every procedure
Answer: B. Wearing gloves when touching blood or body
fluids
,Rationale: Standard precautions apply to all clients and
include glove use when exposure to blood or body fluids is
anticipated.
5. A nurse is caring for a client with a pressure injury. Which
intervention promotes wound healing?
A. Massage reddened areas
B. Reposition every 2 hr
C. Restrict protein intake
D. Keep skin moist at all times
Answer: B. Reposition every 2 hr
Rationale: Frequent repositioning reduces pressure and
improves circulation to tissues.
6. Which client should the nurse assess first?
A. Client with pain rated 4/10
B. Client awaiting discharge instructions
C. Client with oxygen saturation of 88%
D. Client requesting a blanket
Answer: C. Client with oxygen saturation of 88%
Rationale: Airway and oxygenation issues take priority
according to ABC principles.
, 7. A nurse is obtaining a sterile urine specimen from an
indwelling catheter. Where should the specimen be
collected?
A. Drainage bag
B. Collection container
C. Sampling port
D. Catheter tubing end
Answer: C. Sampling port
Rationale: Specimens should be obtained from the sampling
port using sterile technique to prevent contamination.
8. Which finding indicates effective pain management?
A. Client reports sleeping through the night
B. Client requests pain medication every hour
C. Client avoids movement
D. Client reports pain increased from 3/10 to 7/10
Answer: A. Client reports sleeping through the night
Rationale: Improved rest and comfort are indicators of
effective pain management.
9. A nurse is caring for a client receiving oxygen via nasal
cannula at 2 L/min. What oxygen concentration is
delivered?
A. 24% to 28%
B. 35% to 40%
