Page 1 of 35
ATI RN Fundamentals Proctored Exam 2025 EXAM 2025- 2026 Review
GRADED A+ QUESTIONS WIT H CORRECT ANSWERS GRADED A+
A nurse is talking w/a client who reports constipation. When the nurse
discusses dietary changes that can help prevent constipation, which of the
following foods should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice
B.
A high-fiber diet promotes normal bowel elimination
A nurse is caring for a client who has had diarrhea for the past 4 days. When
assessing the client, the nurse should expect which of the following findings?
Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema
B, C, D
fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
A nurse is preparing to administer a cleansing enema to an adult client in
preparation for a diagnostic procedure. Which of the following are appropriate
steps for the nurse to take? Select all.
, Page 2 of 35
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus
A, B, C
-D is the appropriate length of insertion for a child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible painful distention of the
colon, 18 inches is the recommended height
While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container
D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of
the following problems is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction
Answer: C
Unrelieved pressure over a bony prominence for too long increases the risk of a
pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
, Page 3 of 35
A nurse is caring for a client who is on bed rest. Which of the following
interventions should the nurse implement to maintain the patency of the
client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use
Answer: D. it helps keep airways open and prevent atelectasis
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following nursing
interventions reduce the risk of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often
B, E
A nurse is instructing a postop client about the sequential compression device
the provider has prescribed. Which of the following statements should indicate
to the nurse that the client understands the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
D. "This device is going to keep my joints in good shape."
B.
sequential pressure devices promote venous return in the deep veins of the legs &
thus help prevent thrombus formation
, Page 4 of 35
To promote the safe use of a cane for a client who is recovering from a minor
musculoskeletal injury of the left lower extremity, which of the following
instructions should the nurse provide? Select all.
A. Hold the cane on the right side
B. Keep 2 points of support on the floor
C. Place the cane 15in in front of the feet before advancing
D. After advancing the cane, move the weaker leg forward
E. Advance the stronger leg so that it aligns evenly w/the cane
A, B, D
C-the client should place the cane 6-10 inches in front before advancing not 15
E-the client should advance the stronger leg past the cane not aligned w/it
A nurse is assessing the pain level of a client who has come to the ER
reporting severe abd. pain. The nurse asks the client whether he has nausea &
has been vomiting. The nurse is assessing which of the following?
A. Presence of associated symptoms
B. Location of the pain
C. Pain quality
D. Aggravating & relieving factors
A.
this is a common symptom people have when experiencing pain
A nurse is assessing a client who is reporting severe pain despite analgesia.
The nurse can best assess the intensity of the client's pain by:
A. asking what precipitates the pain
B. questioning the client about the location of the pain
C. offering the client a pain scale to measure his pain
D. using open-ended questions to identify the situation
C.
pain scale can measure the amount and intensity of the pain
A nurse is obtaining hx from a client who has pain. The nurse's guiding
principle throughout this process should be that:
ATI RN Fundamentals Proctored Exam 2025 EXAM 2025- 2026 Review
GRADED A+ QUESTIONS WIT H CORRECT ANSWERS GRADED A+
A nurse is talking w/a client who reports constipation. When the nurse
discusses dietary changes that can help prevent constipation, which of the
following foods should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice
B.
A high-fiber diet promotes normal bowel elimination
A nurse is caring for a client who has had diarrhea for the past 4 days. When
assessing the client, the nurse should expect which of the following findings?
Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema
B, C, D
fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
A nurse is preparing to administer a cleansing enema to an adult client in
preparation for a diagnostic procedure. Which of the following are appropriate
steps for the nurse to take? Select all.
, Page 2 of 35
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus
A, B, C
-D is the appropriate length of insertion for a child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible painful distention of the
colon, 18 inches is the recommended height
While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container
D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of
the following problems is the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction
Answer: C
Unrelieved pressure over a bony prominence for too long increases the risk of a
pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
, Page 3 of 35
A nurse is caring for a client who is on bed rest. Which of the following
interventions should the nurse implement to maintain the patency of the
client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use
Answer: D. it helps keep airways open and prevent atelectasis
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following nursing
interventions reduce the risk of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often
B, E
A nurse is instructing a postop client about the sequential compression device
the provider has prescribed. Which of the following statements should indicate
to the nurse that the client understands the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
D. "This device is going to keep my joints in good shape."
B.
sequential pressure devices promote venous return in the deep veins of the legs &
thus help prevent thrombus formation
, Page 4 of 35
To promote the safe use of a cane for a client who is recovering from a minor
musculoskeletal injury of the left lower extremity, which of the following
instructions should the nurse provide? Select all.
A. Hold the cane on the right side
B. Keep 2 points of support on the floor
C. Place the cane 15in in front of the feet before advancing
D. After advancing the cane, move the weaker leg forward
E. Advance the stronger leg so that it aligns evenly w/the cane
A, B, D
C-the client should place the cane 6-10 inches in front before advancing not 15
E-the client should advance the stronger leg past the cane not aligned w/it
A nurse is assessing the pain level of a client who has come to the ER
reporting severe abd. pain. The nurse asks the client whether he has nausea &
has been vomiting. The nurse is assessing which of the following?
A. Presence of associated symptoms
B. Location of the pain
C. Pain quality
D. Aggravating & relieving factors
A.
this is a common symptom people have when experiencing pain
A nurse is assessing a client who is reporting severe pain despite analgesia.
The nurse can best assess the intensity of the client's pain by:
A. asking what precipitates the pain
B. questioning the client about the location of the pain
C. offering the client a pain scale to measure his pain
D. using open-ended questions to identify the situation
C.
pain scale can measure the amount and intensity of the pain
A nurse is obtaining hx from a client who has pain. The nurse's guiding
principle throughout this process should be that:
