ATI CMS Fundamentals Proctored Mock
Exam
Description
This mock exam consists of 50 questions designed to simulate the content and format of
the ATI CMS Fundamentals Proctored Exam. It covers essential nursing concepts
including safety, infection control, the nursing process, and client care. Correct answers
are highlighted in bold.
1. A nurse is caring for a client who is having a seizure. Which of the following actions
should the nurse take first? A. Loosen the client’s clothing. B. Lower the client to
the floor. C. Turn the client onto their side. D. Move nearby furniture away from the
client.
2. A nurse is preparing to administer an intermittent enteral feeding to a client who has
an NG tube. Which of the following actions should the nurse take to prevent clogging
of the tube? A. Flush the tube with 30 mL of water before and after the feeding.
B. Dilute the formula with water before administration. C. Use a small-bore syringe to
administer the feeding. D. Administer the feeding at a rapid rate.
3. A nurse is teaching a newly licensed nurse about tracheostomy care. Which of the
following instructions should the nurse include? A. Use a quick-release knot to
secure the ties. B. Cut the old ties before securing the new ones. C. Allow space for
one to two fingers under the ties. D. Clean the inner cannula with full-strength
hydrogen peroxide.
4. A nurse is assessing a client for dysphagia. Which of the following findings should
the nurse identify as a manifestation of dysphagia? A. Increased appetite. B.
Hoarseness after swallowing. C. Clear lung sounds. D. Rapid eating.
5. A nurse is caring for a client who has a prescription for a 24-hour urine collection.
Which of the following actions should the nurse take? A. Discard the first voiding
, and start the timer. B. Keep the urine container at room temperature. C. Include the
first voiding in the collection. D. Restart the collection if one voiding is missed.
6. A nurse is teaching a client about home safety. Which of the following instructions
should the nurse include? A. Set the hot water heater to 140°F (60°C). B. Use a
nightlight in the hallway. C. Place throw rugs on hardwood floors. D. Store
medications in a kitchen cabinet.
7. A nurse is reviewing the nursing process with a group of newly licensed nurses.
Which of the following statements should the nurse identify as the planning step? A.
“I will collect data about the client’s pain level.” B. “I will prioritize the client’s
nursing diagnoses.” C. “I will administer the prescribed pain medication.” D. “I will
evaluate the client’s response to the medication.”
8. A nurse is caring for a client who is at risk for pressure injuries. Which of the following
interventions should the nurse include in the plan of care? A. Massage bony
prominences. B. Reposition the client every 2 hours. C. Keep the head of the bed
elevated at 45°. D. Use a donut-shaped cushion when the client is sitting.
9. A nurse is preparing to administer a medication to a client. Which of the following
actions should the nurse take to ensure the right client? A. Ask the client’s roommate
to identify the client. B. Check the client’s identification band and ask the client
to state their name. C. Use the client’s room number as an identifier. D. Rely on the
nurse’s memory of the client.
10. A nurse is teaching a client about the use of a cane. Which of the following
instructions should the nurse include? A. Hold the cane on the weaker side. B. Move
the cane forward first, then the weaker leg. C. Keep the elbow straight when
holding the cane. D. Advance the stronger leg forward with the cane.
11. A nurse is caring for a client who has a prescription for wrist restraints. Which of the
following actions should the nurse take? A. Secure the restraints to the side rails of
the bed. B. Check the client’s peripheral pulses every 2 hours. C. Use a square
knot to secure the restraints. D. Remove the restraints every 4 hours for range-of-
motion exercises.
12. A nurse is teaching a client about a low-sodium diet. Which of the following food
choices should the nurse recommend? A. Canned soup. B. Fresh vegetables. C.
Processed meats. D. Pickled vegetables.
Exam
Description
This mock exam consists of 50 questions designed to simulate the content and format of
the ATI CMS Fundamentals Proctored Exam. It covers essential nursing concepts
including safety, infection control, the nursing process, and client care. Correct answers
are highlighted in bold.
1. A nurse is caring for a client who is having a seizure. Which of the following actions
should the nurse take first? A. Loosen the client’s clothing. B. Lower the client to
the floor. C. Turn the client onto their side. D. Move nearby furniture away from the
client.
2. A nurse is preparing to administer an intermittent enteral feeding to a client who has
an NG tube. Which of the following actions should the nurse take to prevent clogging
of the tube? A. Flush the tube with 30 mL of water before and after the feeding.
B. Dilute the formula with water before administration. C. Use a small-bore syringe to
administer the feeding. D. Administer the feeding at a rapid rate.
3. A nurse is teaching a newly licensed nurse about tracheostomy care. Which of the
following instructions should the nurse include? A. Use a quick-release knot to
secure the ties. B. Cut the old ties before securing the new ones. C. Allow space for
one to two fingers under the ties. D. Clean the inner cannula with full-strength
hydrogen peroxide.
4. A nurse is assessing a client for dysphagia. Which of the following findings should
the nurse identify as a manifestation of dysphagia? A. Increased appetite. B.
Hoarseness after swallowing. C. Clear lung sounds. D. Rapid eating.
5. A nurse is caring for a client who has a prescription for a 24-hour urine collection.
Which of the following actions should the nurse take? A. Discard the first voiding
, and start the timer. B. Keep the urine container at room temperature. C. Include the
first voiding in the collection. D. Restart the collection if one voiding is missed.
6. A nurse is teaching a client about home safety. Which of the following instructions
should the nurse include? A. Set the hot water heater to 140°F (60°C). B. Use a
nightlight in the hallway. C. Place throw rugs on hardwood floors. D. Store
medications in a kitchen cabinet.
7. A nurse is reviewing the nursing process with a group of newly licensed nurses.
Which of the following statements should the nurse identify as the planning step? A.
“I will collect data about the client’s pain level.” B. “I will prioritize the client’s
nursing diagnoses.” C. “I will administer the prescribed pain medication.” D. “I will
evaluate the client’s response to the medication.”
8. A nurse is caring for a client who is at risk for pressure injuries. Which of the following
interventions should the nurse include in the plan of care? A. Massage bony
prominences. B. Reposition the client every 2 hours. C. Keep the head of the bed
elevated at 45°. D. Use a donut-shaped cushion when the client is sitting.
9. A nurse is preparing to administer a medication to a client. Which of the following
actions should the nurse take to ensure the right client? A. Ask the client’s roommate
to identify the client. B. Check the client’s identification band and ask the client
to state their name. C. Use the client’s room number as an identifier. D. Rely on the
nurse’s memory of the client.
10. A nurse is teaching a client about the use of a cane. Which of the following
instructions should the nurse include? A. Hold the cane on the weaker side. B. Move
the cane forward first, then the weaker leg. C. Keep the elbow straight when
holding the cane. D. Advance the stronger leg forward with the cane.
11. A nurse is caring for a client who has a prescription for wrist restraints. Which of the
following actions should the nurse take? A. Secure the restraints to the side rails of
the bed. B. Check the client’s peripheral pulses every 2 hours. C. Use a square
knot to secure the restraints. D. Remove the restraints every 4 hours for range-of-
motion exercises.
12. A nurse is teaching a client about a low-sodium diet. Which of the following food
choices should the nurse recommend? A. Canned soup. B. Fresh vegetables. C.
Processed meats. D. Pickled vegetables.
