2025 ATI Fundamentals Proctored Exam: 50
Actual Questions with Correct Answers and
Rationales | Graded A+
1. Multiple-Choice
Question: A nurse is collaborating with a risk management team about potential legal
issues. Which situation is an example of negligence?
A) Administering medication without identifying the client
B) Discussing client care in the cafeteria with visitors present
C) Beginning a blood transfusion without obtaining consent
D) Preventing a client from leaving the facility
Answer: C) Beginning a blood transfusion without obtaining consent
Rationale: Negligence involves failure to meet the standard of care, causing harm.
Starting a transfusion without consent violates client autonomy and is a legal risk.
2. Multiple-Response
Question: Which actions should the nurse take when preparing to obtain informed
consent from a client who speaks a different language? (Select all that apply.)
A) Request assistive personnel to interpret
B) Use proper medical terms
C) Offer written information in the client’s language
D) Avoid using gestures
Answers: C
Rationale: Providing written information in the client’s language ensures understanding.
Assistive personnel are not trained interpreters, medical terms may confuse, and gestures
can aid communication.
3. Fill-in-the-Blank
Question: The nurse adjusts the room temperature for a client’s comfort. The thermostat
should be set to __________ °F.
Answer: 68–74
Rationale: A temperature range of 68–74°F promotes client comfort per environmental
safety standards.
4. Drag-and-Drop
Question: Place the steps for inserting a peripheral IV catheter in order:
A) Dangle the client’s arm over the edge of the bed
B) Apply a tourniquet
C) Cleanse the insertion site
D) Insert the catheter
E) Secure the catheter
Answer: B, A, C, D, E
Rationale: Apply the tourniquet to visualize veins, dangle the arm to dilate veins, cleanse
the site to prevent infection, insert the catheter, and secure it to maintain placement.
, 5. NGN Case Study - Bow-Tie
Question: A client with pneumonia requires tracheostomy suctioning. Complete the bow-
tie diagram for actions, monitoring, and complications.
o Actions: Hyperoxygenate for 30–60 seconds, apply intermittent suction, monitor
oxygen saturation.
o Monitor: Respiratory rate, oxygen saturation, airway patency.
o Complications: Hypoxia, tracheal trauma, infection.
Rationale: Hyperoxygenation prevents hypoxia, intermittent suction avoids
trauma, and monitoring ensures airway stability. Complications arise from
improper technique.
6. Multiple-Choice
Question: Which client need can the nurse assign to assistive personnel (AP)?
A) Feeding a client with aspiration pneumonia
B) Teaching a client to use a quad cane
C) Reapplying a condom catheter
D) Applying a sterile dressing
Answer: C) Reapplying a condom catheter
Rationale: APs can perform non-invasive tasks like reapplying a condom catheter.
Feeding with aspiration risk, teaching, and sterile procedures require RN skills.
7. Multiple-Response
Question: Which information should the nurse share when delegating ambulation of a
client post-knee arthroplasty to an AP? (Select all that apply.)
A) The roommate is independent
B) Client wears slippers over antiembolic stockings
C) Client uses a front-wheeled walker
D) Client received pain medication 30 minutes ago
E) Client is allergic to codeine
Answers: B, C, D
Rationale: Slippers, walker use, and recent pain medication are relevant for safe
ambulation. Roommate status and allergies are unrelated to the task.
8. Multiple-Choice
Question: A client reports insomnia. Which action should the nurse perform before
bedtime?
A) Provide a late supper
B) Offer a wet washcloth for face washing
C) Perform range-of-motion exercises
D) Prepare hot cocoa
Answer: B) Offer a wet washcloth for face washing
Rationale: A washcloth promotes relaxation without stimulating digestion or activity,
unlike a supper, exercises, or cocoa.
9. Fill-in-the-Blank
Question: The nurse administers morphine sulfate 2 mg IV, available as 4 mg/mL. The
nurse should administer __________ mL.
Answer: 0.5
Rationale: Dose calculation: 2 mg ÷ 4 mg/mL = 0.5 mL.
Actual Questions with Correct Answers and
Rationales | Graded A+
1. Multiple-Choice
Question: A nurse is collaborating with a risk management team about potential legal
issues. Which situation is an example of negligence?
A) Administering medication without identifying the client
B) Discussing client care in the cafeteria with visitors present
C) Beginning a blood transfusion without obtaining consent
D) Preventing a client from leaving the facility
Answer: C) Beginning a blood transfusion without obtaining consent
Rationale: Negligence involves failure to meet the standard of care, causing harm.
Starting a transfusion without consent violates client autonomy and is a legal risk.
2. Multiple-Response
Question: Which actions should the nurse take when preparing to obtain informed
consent from a client who speaks a different language? (Select all that apply.)
A) Request assistive personnel to interpret
B) Use proper medical terms
C) Offer written information in the client’s language
D) Avoid using gestures
Answers: C
Rationale: Providing written information in the client’s language ensures understanding.
Assistive personnel are not trained interpreters, medical terms may confuse, and gestures
can aid communication.
3. Fill-in-the-Blank
Question: The nurse adjusts the room temperature for a client’s comfort. The thermostat
should be set to __________ °F.
Answer: 68–74
Rationale: A temperature range of 68–74°F promotes client comfort per environmental
safety standards.
4. Drag-and-Drop
Question: Place the steps for inserting a peripheral IV catheter in order:
A) Dangle the client’s arm over the edge of the bed
B) Apply a tourniquet
C) Cleanse the insertion site
D) Insert the catheter
E) Secure the catheter
Answer: B, A, C, D, E
Rationale: Apply the tourniquet to visualize veins, dangle the arm to dilate veins, cleanse
the site to prevent infection, insert the catheter, and secure it to maintain placement.
, 5. NGN Case Study - Bow-Tie
Question: A client with pneumonia requires tracheostomy suctioning. Complete the bow-
tie diagram for actions, monitoring, and complications.
o Actions: Hyperoxygenate for 30–60 seconds, apply intermittent suction, monitor
oxygen saturation.
o Monitor: Respiratory rate, oxygen saturation, airway patency.
o Complications: Hypoxia, tracheal trauma, infection.
Rationale: Hyperoxygenation prevents hypoxia, intermittent suction avoids
trauma, and monitoring ensures airway stability. Complications arise from
improper technique.
6. Multiple-Choice
Question: Which client need can the nurse assign to assistive personnel (AP)?
A) Feeding a client with aspiration pneumonia
B) Teaching a client to use a quad cane
C) Reapplying a condom catheter
D) Applying a sterile dressing
Answer: C) Reapplying a condom catheter
Rationale: APs can perform non-invasive tasks like reapplying a condom catheter.
Feeding with aspiration risk, teaching, and sterile procedures require RN skills.
7. Multiple-Response
Question: Which information should the nurse share when delegating ambulation of a
client post-knee arthroplasty to an AP? (Select all that apply.)
A) The roommate is independent
B) Client wears slippers over antiembolic stockings
C) Client uses a front-wheeled walker
D) Client received pain medication 30 minutes ago
E) Client is allergic to codeine
Answers: B, C, D
Rationale: Slippers, walker use, and recent pain medication are relevant for safe
ambulation. Roommate status and allergies are unrelated to the task.
8. Multiple-Choice
Question: A client reports insomnia. Which action should the nurse perform before
bedtime?
A) Provide a late supper
B) Offer a wet washcloth for face washing
C) Perform range-of-motion exercises
D) Prepare hot cocoa
Answer: B) Offer a wet washcloth for face washing
Rationale: A washcloth promotes relaxation without stimulating digestion or activity,
unlike a supper, exercises, or cocoa.
9. Fill-in-the-Blank
Question: The nurse administers morphine sulfate 2 mg IV, available as 4 mg/mL. The
nurse should administer __________ mL.
Answer: 0.5
Rationale: Dose calculation: 2 mg ÷ 4 mg/mL = 0.5 mL.
