lOMoARcPSD|40206794
ATI FUNDAMENTAL PROCTORED EXAM 2024-2025 ONLINE PRACTICE 250 ACTUAL
EXAM QUESTIONS
1.A nurse is collecting data about the fluid status of four clients. Which of the following clients should the nurse identify
as being at risk for fluid volume deficit?
A. A client who has NPO status since midnight for an endoscopy
B. A client who has heart failure and is receiving diuretic therapy
C. A client who has end-stage kidney disease who will undergo dialysis
D. A client who has gastroenteritis and is receiving oral fluids
2.A nurse is preparing a client for magnetic resonance imaging (MRI). Which of the following statements should the
nurse include when reinforcing teaching?
A. "You’ll have to remove metal objects such as watches and body jewelry."
B. "Your exposure to radiation will be minimal."
C. "You will not be able to talk to the technician during the procedure."
D. "Unlike an x-ray, the MRI allows you to move around a bit."
3.A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating
solution. Which of the following actions should the nurse take to relieve the client's discomfort? A. Lower the height
of the solution container.
B. Encourage the client to bear down.
C. Allow the client to expel some fluid before continuing.
D. Stop the enema and document that the client did not tolerate the procedure.
4.A nurse is caring for a client receiving IV therapy in the left forearm and notices that the site is red, swollen, and
warm. Which of the following actions should the nurse perform first? A. Insert an IV catheter in the opposite
extremity.
B. Discontinue the existing IV infusion.
C. Apply warm, moist compresses to the site.
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D. Elevate the extremity.
5.A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the
purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following
findings in the client’s feces?
A. Bacteria
B. Parasites
C. Blood
D. Fat
6.A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with
her hands, and cannot talk. Which of the following actions should the nurse take? A. Assist the guest to the floor
and begin mouth-to-mouth resuscitation.
B. Observe the guest before taking further action.
C. Perform the Heimlich maneuver on the guest.
D. Slap the guest on the back several times.
7.A nurse is observing the IV catheter insertion site of a client who is receiving continuous IV therapy. Which of the
following manifestations should the nurse identify as an indication that the client has developed phlebitis? A.
Erythema
B. Pallor
C. Coolness
D. Drainage
8.A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to
the client’s brain, which of the following pulse sites should the nurse use?
A. Femoral
B. Carotid
C. Popliteal
D. Radial
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9.A nurse is measuring an adult client’s tympanic temperature. Which of the following actions should the nurse take?
A. Use a cotton-tipped applicator to remove cerumen.
B. Pull the pinna downward and backward.
C. Aim the probe posteriorly in the direction of the eardrum.
D. Insert the probe with a circular motion.
10.A nurse is preparing to collect a specimen from a client for a guaiac test. The client asks what the test will detect in
his stool. Which of the following responses should the nurse make?
A. Blood
B. Lipids
C. Bacteria
D. Bile
11.A nurse in a long-term care facility finds an older adult client lying on the floor next to the bed. Which of the
following actions should the nurse take?
A. Assist the client back into bed and apply restraints.
B. Call the family and ask them to make arrangements for someone to sit with the client.
C. Check the client for injuries.
D. Obtain a prescription for medication to sedate the client.
12.A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should
the nurse take?
A. Assure the client that this is an expected occurrence after surgery.
B. Apply an abdominal binder to the wound area.
C. Turn the client onto her side.
D. Cover the wound with a moist sterile dressing.
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13.A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease
the number of apneic episodes he has each night. Which of the following statements should the nurse identify as
an indication that the client understands the instructions?
A. "I'll use a humidifier beside my bed at night."
B. "I'll sleep better if I take a sleeping pill at night."
C. "I am going to try to lose about 50 pounds."
D. "I am going to have a glass of red wine before bedtime."
14.A nurse notes that the left eyelid of a client who is unconscious remains partially open. To protect the eye, which of
the following actions should the nurse take?
A. Irrigate the eye daily with 0.9% sodium chloride irrigation solution.
B. Dim the lights in the room.
C. Instill ophthalmic ointment into the lower lid.
D. Keep the client off her left side.
15.A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse
take?
A. Request that the provider prescribe a stool softener.
B. Promote active range-of-motion activities.
C. Add fluid and fiber to the diet.
D. Avoid gas-producing foods.
16.A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help
prevent an incisional infection?
A. Initiate protective isolation.
B. Allow the wound to air periodically.
C. Clean the incision with soap and water.
D. Perform hand hygiene prior to dressing changes.
Page 4
ATI FUNDAMENTAL PROCTORED EXAM 2024-2025 ONLINE PRACTICE 250 ACTUAL
EXAM QUESTIONS
1.A nurse is collecting data about the fluid status of four clients. Which of the following clients should the nurse identify
as being at risk for fluid volume deficit?
A. A client who has NPO status since midnight for an endoscopy
B. A client who has heart failure and is receiving diuretic therapy
C. A client who has end-stage kidney disease who will undergo dialysis
D. A client who has gastroenteritis and is receiving oral fluids
2.A nurse is preparing a client for magnetic resonance imaging (MRI). Which of the following statements should the
nurse include when reinforcing teaching?
A. "You’ll have to remove metal objects such as watches and body jewelry."
B. "Your exposure to radiation will be minimal."
C. "You will not be able to talk to the technician during the procedure."
D. "Unlike an x-ray, the MRI allows you to move around a bit."
3.A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating
solution. Which of the following actions should the nurse take to relieve the client's discomfort? A. Lower the height
of the solution container.
B. Encourage the client to bear down.
C. Allow the client to expel some fluid before continuing.
D. Stop the enema and document that the client did not tolerate the procedure.
4.A nurse is caring for a client receiving IV therapy in the left forearm and notices that the site is red, swollen, and
warm. Which of the following actions should the nurse perform first? A. Insert an IV catheter in the opposite
extremity.
B. Discontinue the existing IV infusion.
C. Apply warm, moist compresses to the site.
Page 1
, lOMoARcPSD|40206794
D. Elevate the extremity.
5.A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the
purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following
findings in the client’s feces?
A. Bacteria
B. Parasites
C. Blood
D. Fat
6.A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with
her hands, and cannot talk. Which of the following actions should the nurse take? A. Assist the guest to the floor
and begin mouth-to-mouth resuscitation.
B. Observe the guest before taking further action.
C. Perform the Heimlich maneuver on the guest.
D. Slap the guest on the back several times.
7.A nurse is observing the IV catheter insertion site of a client who is receiving continuous IV therapy. Which of the
following manifestations should the nurse identify as an indication that the client has developed phlebitis? A.
Erythema
B. Pallor
C. Coolness
D. Drainage
8.A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to
the client’s brain, which of the following pulse sites should the nurse use?
A. Femoral
B. Carotid
C. Popliteal
D. Radial
Page 2
, lOMoARcPSD|40206794
9.A nurse is measuring an adult client’s tympanic temperature. Which of the following actions should the nurse take?
A. Use a cotton-tipped applicator to remove cerumen.
B. Pull the pinna downward and backward.
C. Aim the probe posteriorly in the direction of the eardrum.
D. Insert the probe with a circular motion.
10.A nurse is preparing to collect a specimen from a client for a guaiac test. The client asks what the test will detect in
his stool. Which of the following responses should the nurse make?
A. Blood
B. Lipids
C. Bacteria
D. Bile
11.A nurse in a long-term care facility finds an older adult client lying on the floor next to the bed. Which of the
following actions should the nurse take?
A. Assist the client back into bed and apply restraints.
B. Call the family and ask them to make arrangements for someone to sit with the client.
C. Check the client for injuries.
D. Obtain a prescription for medication to sedate the client.
12.A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should
the nurse take?
A. Assure the client that this is an expected occurrence after surgery.
B. Apply an abdominal binder to the wound area.
C. Turn the client onto her side.
D. Cover the wound with a moist sterile dressing.
Page 3
, lOMoARcPSD|40206794
13.A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease
the number of apneic episodes he has each night. Which of the following statements should the nurse identify as
an indication that the client understands the instructions?
A. "I'll use a humidifier beside my bed at night."
B. "I'll sleep better if I take a sleeping pill at night."
C. "I am going to try to lose about 50 pounds."
D. "I am going to have a glass of red wine before bedtime."
14.A nurse notes that the left eyelid of a client who is unconscious remains partially open. To protect the eye, which of
the following actions should the nurse take?
A. Irrigate the eye daily with 0.9% sodium chloride irrigation solution.
B. Dim the lights in the room.
C. Instill ophthalmic ointment into the lower lid.
D. Keep the client off her left side.
15.A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse
take?
A. Request that the provider prescribe a stool softener.
B. Promote active range-of-motion activities.
C. Add fluid and fiber to the diet.
D. Avoid gas-producing foods.
16.A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help
prevent an incisional infection?
A. Initiate protective isolation.
B. Allow the wound to air periodically.
C. Clean the incision with soap and water.
D. Perform hand hygiene prior to dressing changes.
Page 4
