Page | 1
ATI Fundamentals Proctored Exam 2025 – Combo
A/B/C (210 Questions + Rationales) | Updated &
Verified
1. A nurse is providing teaching to a client who is scheduled for a
colonoscopy. Which of the following client statements indicates
understanding of the procedure preparation?
A. "I can eat solid food the night before the procedure."
B. "I will need to drink a laxative solution the day before."
C. "I will be awake but sedated during the colonoscopy."
D. "I can drive myself home afterward."
Rationale: During a colonoscopy, clients are typically sedated but
remain conscious. Solid foods are restricted, and sedation requires
someone to drive the client home.
, 2. A nurse is reinforcing teaching with a client about how to collect a
24-hour urine specimen. Which instruction should the nurse give
first?
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A. "Keep the container on ice during the collection."
B. "Discard the first urine and then start the 24-hour collection."
C. "Avoid alcohol and caffeine during the collection."
D. "Label the container with your name and room number."
Rationale: The first urine is discarded because the collection must begin
with an empty bladder. Subsequent voids are collected for the next 24
hours.
3. A client with COPD is experiencing dyspnea. Which of the
following interventions should the nurse implement first?
A. Administer a prescribed bronchodilator.
B. Place the client in high-Fowler’s position.
C. Encourage pursed-lip breathing.
D. Assess oxygen saturation.
Rationale: High-Fowler's position maximizes lung expansion and is a
noninvasive, immediate intervention for dyspnea. Assessment and
medications follow.
, 4. A nurse is preparing to perform mouth care for an unconscious
client. Which action is appropriate?
A. Use lemon-glycerin swabs to clean the mouth.
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B. Turn the client’s head to the side.
C. Place the client in supine position.
D. Brush teeth using undiluted hydrogen peroxide.
Rationale: Turning the head to the side reduces the risk of aspiration
during mouth care. Lemon-glycerin swabs are no longer recommended
due to drying effects.
5. A nurse is caring for a client who has a nasogastric (NG) tube for
intermittent feedings. Which action should the nurse take to verify
tube placement before initiating feeding?
A. Flush the tube with sterile water.
B. Aspirate gastric contents and check pH.
C. Inject air and auscultate the abdomen.
D. Ask the client to speak.
Rationale: The gold standard for bedside NG placement verification is
aspirating gastric contents and checking for a pH of 1–5, indicating
stomach contents.
, 6. A nurse is monitoring a client with restraints. Which finding
requires immediate intervention?
A. The client’s fingers are cool to the touch.
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B. Restraints are tied to the bed frame.
C. Capillary refill in the client’s hand is 4 seconds.
D. Skin under restraints is intact.
Rationale: Capillary refill greater than 2 seconds can indicate impaired
circulation and requires prompt assessment and possible restraint
adjustment.
7. Which of the following client actions indicates an understanding
of how to use a cane correctly?
A. The client holds the cane on the same side as the weak leg.
B. The client moves the strong leg first when walking.
C. The client advances the cane and weak leg together.
D. The client places the cane 18 inches forward.
Rationale: The cane and the weaker leg should move forward together,
providing support when weight is shifted to the stronger leg.
8. A nurse is providing teaching to a client about home oxygen
therapy. Which statement indicates a need for further teaching?
A. "I will apply petroleum jelly around my nose for comfort."
ATI Fundamentals Proctored Exam 2025 – Combo
A/B/C (210 Questions + Rationales) | Updated &
Verified
1. A nurse is providing teaching to a client who is scheduled for a
colonoscopy. Which of the following client statements indicates
understanding of the procedure preparation?
A. "I can eat solid food the night before the procedure."
B. "I will need to drink a laxative solution the day before."
C. "I will be awake but sedated during the colonoscopy."
D. "I can drive myself home afterward."
Rationale: During a colonoscopy, clients are typically sedated but
remain conscious. Solid foods are restricted, and sedation requires
someone to drive the client home.
, 2. A nurse is reinforcing teaching with a client about how to collect a
24-hour urine specimen. Which instruction should the nurse give
first?
Page | 2
A. "Keep the container on ice during the collection."
B. "Discard the first urine and then start the 24-hour collection."
C. "Avoid alcohol and caffeine during the collection."
D. "Label the container with your name and room number."
Rationale: The first urine is discarded because the collection must begin
with an empty bladder. Subsequent voids are collected for the next 24
hours.
3. A client with COPD is experiencing dyspnea. Which of the
following interventions should the nurse implement first?
A. Administer a prescribed bronchodilator.
B. Place the client in high-Fowler’s position.
C. Encourage pursed-lip breathing.
D. Assess oxygen saturation.
Rationale: High-Fowler's position maximizes lung expansion and is a
noninvasive, immediate intervention for dyspnea. Assessment and
medications follow.
, 4. A nurse is preparing to perform mouth care for an unconscious
client. Which action is appropriate?
A. Use lemon-glycerin swabs to clean the mouth.
Page | 3
B. Turn the client’s head to the side.
C. Place the client in supine position.
D. Brush teeth using undiluted hydrogen peroxide.
Rationale: Turning the head to the side reduces the risk of aspiration
during mouth care. Lemon-glycerin swabs are no longer recommended
due to drying effects.
5. A nurse is caring for a client who has a nasogastric (NG) tube for
intermittent feedings. Which action should the nurse take to verify
tube placement before initiating feeding?
A. Flush the tube with sterile water.
B. Aspirate gastric contents and check pH.
C. Inject air and auscultate the abdomen.
D. Ask the client to speak.
Rationale: The gold standard for bedside NG placement verification is
aspirating gastric contents and checking for a pH of 1–5, indicating
stomach contents.
, 6. A nurse is monitoring a client with restraints. Which finding
requires immediate intervention?
A. The client’s fingers are cool to the touch.
Page | 4
B. Restraints are tied to the bed frame.
C. Capillary refill in the client’s hand is 4 seconds.
D. Skin under restraints is intact.
Rationale: Capillary refill greater than 2 seconds can indicate impaired
circulation and requires prompt assessment and possible restraint
adjustment.
7. Which of the following client actions indicates an understanding
of how to use a cane correctly?
A. The client holds the cane on the same side as the weak leg.
B. The client moves the strong leg first when walking.
C. The client advances the cane and weak leg together.
D. The client places the cane 18 inches forward.
Rationale: The cane and the weaker leg should move forward together,
providing support when weight is shifted to the stronger leg.
8. A nurse is providing teaching to a client about home oxygen
therapy. Which statement indicates a need for further teaching?
A. "I will apply petroleum jelly around my nose for comfort."
