2025-2026 1
ATI Fundamentals Proctored Exam 2025/2026 | NCLEX-Style
Questions with Correct Answers & Rationales (Latest Test Bank)
ALREADED GRADED A+
1. A nurse is reinforcing teaching with a client about preventing urinary
tract infections (UTIs). Which statement by the client indicates a need for
further teaching?
A. “I will drink at least 2 liters of fluid daily.”
B. “I will wipe from back to front after using the toilet.”
C. “I will urinate immediately after sexual intercourse.”
D. “I will avoid using bubble baths.”
Answer: B
Rationale: Wiping back to front introduces bacteria from the rectum to
the urethra. The correct method is front to back.
2. A nurse is caring for a client who has a new prescription for a soft wrist
restraint. Which action should the nurse take first?
A. Pad the client’s bony prominences.
B. Tie the restraint to the side rail.
C. Obtain a prescription from the provider.
D. Secure the restraint with a quick-release knot.
Answer: C
Rationale: A provider’s prescription is required before applying
restraints (unless emergency). Safety and legality come first.
3. A nurse is collecting data on a client’s skin. Which finding is a priority to
report to the provider?
, 2025-2026 2
A. Small bruise on the forearm
B. Petechiae on the chest
C. Dry, flaky skin on the legs
D. Scattered freckles on the face
Answer: B
Rationale: Petechiae may indicate a bleeding disorder or
thrombocytopenia, requiring immediate evaluation.
4. A nurse is caring for a client who is postoperative and has an indwelling
urinary catheter. Which action should the nurse take?
A. Position the drainage bag on the client’s bed.
B. Keep the catheter tubing free of kinks.
C. Empty the drainage bag when it is half full.
D. Disconnect the catheter from the drainage bag daily.
Answer: B
Rationale: Kinks prevent urine drainage and increase risk of infection.
The drainage bag should stay below bladder level.
5. Which of the following is an example of using therapeutic
communication?
A. “I know exactly how you feel.”
B. “Why did you refuse your breakfast this morning?”
C. “Tell me more about what worries you at night.”
D. “You should not feel anxious; everything will be fine.”
Answer: C
Rationale: Open-ended questions encourage clients to express feelings.
Options A, B, and D are non-therapeutic.
6. A nurse is reinforcing discharge teaching with a client who has heart
failure and is prescribed a low-sodium diet. Which food should the nurse
recommend avoiding?
A. Fresh apple slices
, 2025-2026 3
B. Canned tomato soup
C. Steamed broccoli
D. Brown rice
Answer: B
Rationale: Canned and processed foods often contain high sodium,
which can worsen heart failure.
]
7. Which client finding indicates fluid volume overload?
A. Weight loss of 1 kg in 24 hours
B. Flat neck veins when supine
C. Bounding pulse and crackles in lungs
D. Hypotension and dry mucous membranes
Answer: C
Rationale: Signs of overload include bounding pulse, jugular vein
distension, and pulmonary crackles.
8. A nurse is preparing to administer an intramuscular injection into a
client’s ventrogluteal site. Which action should the nurse take?
A. Locate the greater trochanter and the iliac crest.
B. Inject the needle at a 45-degree angle.
C. Use a ½ inch needle.
D. Aspirate for 10 seconds before injecting.
Answer: A
Rationale: The ventrogluteal site is located by placing the hand on the
greater trochanter and the index finger on the anterior superior iliac spine.
9. A nurse is reinforcing teaching with a client about home oxygen safety.
Which statement indicates understanding?
A. “I will use petroleum jelly to keep my lips from drying out.”
B. “I will store the oxygen tank upright in a stand.”
C. “I can smoke in another room while using oxygen.”
D. “I will drape the oxygen tubing under the rug to prevent tripping.”
ATI Fundamentals Proctored Exam 2025/2026 | NCLEX-Style
Questions with Correct Answers & Rationales (Latest Test Bank)
ALREADED GRADED A+
1. A nurse is reinforcing teaching with a client about preventing urinary
tract infections (UTIs). Which statement by the client indicates a need for
further teaching?
A. “I will drink at least 2 liters of fluid daily.”
B. “I will wipe from back to front after using the toilet.”
C. “I will urinate immediately after sexual intercourse.”
D. “I will avoid using bubble baths.”
Answer: B
Rationale: Wiping back to front introduces bacteria from the rectum to
the urethra. The correct method is front to back.
2. A nurse is caring for a client who has a new prescription for a soft wrist
restraint. Which action should the nurse take first?
A. Pad the client’s bony prominences.
B. Tie the restraint to the side rail.
C. Obtain a prescription from the provider.
D. Secure the restraint with a quick-release knot.
Answer: C
Rationale: A provider’s prescription is required before applying
restraints (unless emergency). Safety and legality come first.
3. A nurse is collecting data on a client’s skin. Which finding is a priority to
report to the provider?
, 2025-2026 2
A. Small bruise on the forearm
B. Petechiae on the chest
C. Dry, flaky skin on the legs
D. Scattered freckles on the face
Answer: B
Rationale: Petechiae may indicate a bleeding disorder or
thrombocytopenia, requiring immediate evaluation.
4. A nurse is caring for a client who is postoperative and has an indwelling
urinary catheter. Which action should the nurse take?
A. Position the drainage bag on the client’s bed.
B. Keep the catheter tubing free of kinks.
C. Empty the drainage bag when it is half full.
D. Disconnect the catheter from the drainage bag daily.
Answer: B
Rationale: Kinks prevent urine drainage and increase risk of infection.
The drainage bag should stay below bladder level.
5. Which of the following is an example of using therapeutic
communication?
A. “I know exactly how you feel.”
B. “Why did you refuse your breakfast this morning?”
C. “Tell me more about what worries you at night.”
D. “You should not feel anxious; everything will be fine.”
Answer: C
Rationale: Open-ended questions encourage clients to express feelings.
Options A, B, and D are non-therapeutic.
6. A nurse is reinforcing discharge teaching with a client who has heart
failure and is prescribed a low-sodium diet. Which food should the nurse
recommend avoiding?
A. Fresh apple slices
, 2025-2026 3
B. Canned tomato soup
C. Steamed broccoli
D. Brown rice
Answer: B
Rationale: Canned and processed foods often contain high sodium,
which can worsen heart failure.
]
7. Which client finding indicates fluid volume overload?
A. Weight loss of 1 kg in 24 hours
B. Flat neck veins when supine
C. Bounding pulse and crackles in lungs
D. Hypotension and dry mucous membranes
Answer: C
Rationale: Signs of overload include bounding pulse, jugular vein
distension, and pulmonary crackles.
8. A nurse is preparing to administer an intramuscular injection into a
client’s ventrogluteal site. Which action should the nurse take?
A. Locate the greater trochanter and the iliac crest.
B. Inject the needle at a 45-degree angle.
C. Use a ½ inch needle.
D. Aspirate for 10 seconds before injecting.
Answer: A
Rationale: The ventrogluteal site is located by placing the hand on the
greater trochanter and the index finger on the anterior superior iliac spine.
9. A nurse is reinforcing teaching with a client about home oxygen safety.
Which statement indicates understanding?
A. “I will use petroleum jelly to keep my lips from drying out.”
B. “I will store the oxygen tank upright in a stand.”
C. “I can smoke in another room while using oxygen.”
D. “I will drape the oxygen tubing under the rug to prevent tripping.”
