1
ATI FUNDAMENTALS CMS PROCTORED (REAL EXAM) EXAM
2025/ 2026 LATEST!!! 100+ QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT
1. A nurse is caring for a 72-year-old client who has been admitted to the medical-
surgical unit for pneumonia and is currently on bedrest due to fatigue and
weakness. The nurse is developing a plan of care to prevent complications related
to immobility. The client has a history of hypertension and osteoarthritis and
requires assistance for all activities of daily living. Which nursing intervention is
most appropriate to include in the plan to reduce the risk of respiratory
complications?
A. Encourage the client to increase fluid intake to 1,000 mL daily
B. Reposition the client every 4 hours and elevate the foot of the bed
C. Instruct the client to use an incentive spirometer every 1 to 2 hours while awake
D. Place the client in high Fowler’s position during meals only
Correct Answer: C. Instruct the client to use an incentive spirometer every 1 to 2
hours while awake
, 2
2. A nurse is performing discharge teaching for a client who has recently been
diagnosed with hypertension and has been prescribed a low-sodium diet. The client
lives alone, often relies on canned and frozen meals, and reports not having time to
cook due to a demanding work schedule. The client asks for specific guidance on
food choices to help manage their condition. Which food selection should the nurse
recommend as most appropriate for this client’s dietary restrictions?
A. Canned chicken soup with whole wheat crackers
B. Fresh vegetable stir-fry with brown rice
C. Frozen pepperoni pizza
D. Packaged ramen noodles with a side salad
Correct Answer: B. Fresh vegetable stir-fry with brown rice
3. A nurse is assigned to care for a client who has a history of stroke and presents
with right-sided weakness and difficulty swallowing. The client is receiving
thickened liquids and a mechanical soft diet. During breakfast, the nurse observes
the client pocketing food in the cheek and coughing intermittently. Based on these
observations, which of the following actions should the nurse take to ensure safe
oral intake and prevent aspiration?
, 3
A. Encourage the client to drink water through a straw
B. Offer small bites and alternate food with sips of thickened liquid
C. Recline the client slightly to support posture
D. Instruct the client to chew rapidly and swallow quickly
Correct Answer: B. Offer small bites and alternate food with sips of thickened
liquid
4. A nurse is preparing to insert a urinary catheter for a female client who has not
voided for 8 hours following surgery. The provider has ordered straight
catheterization for a one-time bladder scan result of 600 mL. The client states she
is nervous about the procedure and asks what the nurse is going to do. Which of
the following steps should the nurse explain will be done first before proceeding
with the catheter insertion?
A. Lubricate the catheter to allow easier insertion
B. Drape the client and position her in a supine position with legs extended
C. Perform hand hygiene and open the sterile catheter kit
D. Clean the perineal area using sterile swabs before insertion
Correct Answer: C. Perform hand hygiene and open the sterile catheter kit
, 4
5. A nurse is caring for a client who is newly admitted with a diagnosis of heart
failure and is on strict intake and output monitoring. The client is receiving IV
fluids and has consumed 240 mL of orange juice and 180 mL of coffee at
breakfast. The client has voided 360 mL and reports feeling short of breath. The
nurse assesses crackles in the lung bases and a respiratory rate of 26/min. Which of
the following is the most appropriate nursing action?
A. Decrease the rate of IV fluid and notify the provider
B. Encourage the client to ambulate in the hallway
C. Measure abdominal girth and offer a warm blanket
D. Document the findings and recheck in 4 hours
Correct Answer: A. Decrease the rate of IV fluid and notify the provider
6. A nurse is assigned to care for an older adult client who is postoperative
following hip surgery and has limited mobility. The client requires assistance with
repositioning and is at increased risk for pressure injury development due to
immobility and decreased sensory perception. The nurse is creating a care plan that
prioritizes skin integrity. Which of the following interventions is most appropriate
to reduce pressure injury risk in this client?
A. Massage the reddened area on the sacrum every shift
B. Elevate the head of the bed to 60 degrees continuously
ATI FUNDAMENTALS CMS PROCTORED (REAL EXAM) EXAM
2025/ 2026 LATEST!!! 100+ QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT
1. A nurse is caring for a 72-year-old client who has been admitted to the medical-
surgical unit for pneumonia and is currently on bedrest due to fatigue and
weakness. The nurse is developing a plan of care to prevent complications related
to immobility. The client has a history of hypertension and osteoarthritis and
requires assistance for all activities of daily living. Which nursing intervention is
most appropriate to include in the plan to reduce the risk of respiratory
complications?
A. Encourage the client to increase fluid intake to 1,000 mL daily
B. Reposition the client every 4 hours and elevate the foot of the bed
C. Instruct the client to use an incentive spirometer every 1 to 2 hours while awake
D. Place the client in high Fowler’s position during meals only
Correct Answer: C. Instruct the client to use an incentive spirometer every 1 to 2
hours while awake
, 2
2. A nurse is performing discharge teaching for a client who has recently been
diagnosed with hypertension and has been prescribed a low-sodium diet. The client
lives alone, often relies on canned and frozen meals, and reports not having time to
cook due to a demanding work schedule. The client asks for specific guidance on
food choices to help manage their condition. Which food selection should the nurse
recommend as most appropriate for this client’s dietary restrictions?
A. Canned chicken soup with whole wheat crackers
B. Fresh vegetable stir-fry with brown rice
C. Frozen pepperoni pizza
D. Packaged ramen noodles with a side salad
Correct Answer: B. Fresh vegetable stir-fry with brown rice
3. A nurse is assigned to care for a client who has a history of stroke and presents
with right-sided weakness and difficulty swallowing. The client is receiving
thickened liquids and a mechanical soft diet. During breakfast, the nurse observes
the client pocketing food in the cheek and coughing intermittently. Based on these
observations, which of the following actions should the nurse take to ensure safe
oral intake and prevent aspiration?
, 3
A. Encourage the client to drink water through a straw
B. Offer small bites and alternate food with sips of thickened liquid
C. Recline the client slightly to support posture
D. Instruct the client to chew rapidly and swallow quickly
Correct Answer: B. Offer small bites and alternate food with sips of thickened
liquid
4. A nurse is preparing to insert a urinary catheter for a female client who has not
voided for 8 hours following surgery. The provider has ordered straight
catheterization for a one-time bladder scan result of 600 mL. The client states she
is nervous about the procedure and asks what the nurse is going to do. Which of
the following steps should the nurse explain will be done first before proceeding
with the catheter insertion?
A. Lubricate the catheter to allow easier insertion
B. Drape the client and position her in a supine position with legs extended
C. Perform hand hygiene and open the sterile catheter kit
D. Clean the perineal area using sterile swabs before insertion
Correct Answer: C. Perform hand hygiene and open the sterile catheter kit
, 4
5. A nurse is caring for a client who is newly admitted with a diagnosis of heart
failure and is on strict intake and output monitoring. The client is receiving IV
fluids and has consumed 240 mL of orange juice and 180 mL of coffee at
breakfast. The client has voided 360 mL and reports feeling short of breath. The
nurse assesses crackles in the lung bases and a respiratory rate of 26/min. Which of
the following is the most appropriate nursing action?
A. Decrease the rate of IV fluid and notify the provider
B. Encourage the client to ambulate in the hallway
C. Measure abdominal girth and offer a warm blanket
D. Document the findings and recheck in 4 hours
Correct Answer: A. Decrease the rate of IV fluid and notify the provider
6. A nurse is assigned to care for an older adult client who is postoperative
following hip surgery and has limited mobility. The client requires assistance with
repositioning and is at increased risk for pressure injury development due to
immobility and decreased sensory perception. The nurse is creating a care plan that
prioritizes skin integrity. Which of the following interventions is most appropriate
to reduce pressure injury risk in this client?
A. Massage the reddened area on the sacrum every shift
B. Elevate the head of the bed to 60 degrees continuously
