1
NURSING ATI FUNDAMENTAL COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS
NOTE: THIS STUDY GUIDE IS SPECIFIC TO ACTUAL 2025/26 EXAM
• A nurse manager is updating protocols for belt restraints. Which of the following guidelines should
thenurse include?
a. Document the client's conditions every 15 minutes
b. Attach the restraints to the beds side rails
c. Request a PRN restraints prescription for clients who are aggressive
d. Remove the client restraints every 4 hours
• A nurse in emergency department is caring for a client who has full thickness burn of the thorax and
uppertorso. After securing the client's airway, which of the following is the nurse's priority intervention?
P. 482 Ch. 75 CONFIRMED
a. Providing pain management
b. Offering emotional support
c. Preventing infection
d. Initiating IV fluid resuscitation - they are at risk for hypovolemic shock d/t 3rd spacing
• A nurse is caring for a client who has cancer and is being transferred to hospice care. The client’s
daughtertells the nurse, “I’m not sure what to say to my mom if she asks me about dying.” Which of the
following responses by the nurse is appropriate? (SATA)
A. Hospice will take good care of your mom, so I wouldn’t worry about that.
B. Let's talk about your mom’s cancer and how things will progress from here.
C. Tell me how you are feeling about your mom dying.
D. Tell her not to worry. She still has plenty of time left.
E. You sound like you have questions about your mom dying. Let’s talk about it.
Rationale:
• A nurse is reviewing the medical records of four clients. The nurse should identify that which of
thefollowing client findings follow up care?
a. A client who is taking bumetanide and has potassium level of 3.6 mEq/L
,2
b. A client who is scheduled for colonoscopy and taking sodium
phosphatec. A client who received a Mantoux test 48 hours ago and has
induration
d. A client who is taking warfarin and has INR of 1.8
• A community health nurse receives a referral for a family home visit. Which of the following tasks should
the nurse perform first?
a. Clarify the source of the referral
b. Implement the nursing process
c. Schedule a time for the home visit
d. Contact the family by phone
• A nurse is caring for a client who will undergo a procedure. The client states he does not want the
provider to discuss the results with his partner. Which of the following is an appropriate response for the
nurse to make?
a. You have the right to decide who receives information - HIPPA rules
b. Your partner can be a great source of support for you at this time
c. Is there a reason you don’t want your partner to know about your procedure?
d. The provider will be tactful when talking to your partner
• A nurse is discussing a weight loss with a client who is concerned about losing 6.8 kg (15lb) from an
original weight of 9o.7 (200 lbs.). The nurse should identify the weight of the following total
percentage?
a. 7.5%
b. 15%
c. 8.1%
d. 13.3%
• A nurse is caring for a client who is 4 hrs. postpartum and reports that she cannot urinate. Which of
thefollowing interventions should the nurse implement?
a. Perform fundal massage
b. Pour water from a squeeze bottle over the client’s perineal area.
,3
c. Insert an indwelling urinary catheter.
d. Apply cold therapy to the client’s perineal area.
• A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl
25mcg/hr. transdermal patch. Which of the following instructions should the nurse include in the
teaching?
a. Avoid hot tub while wearing the patch
b. Apply patch to your forearm
c. Avoid high-fiber foods while taking this medication
d. Remove the patch for 8 hours every day to reduce the risk for tolerance.
, 4
*48. A nurse working on a surgical unit is developing a care plan for a client who has paraplegia. The client has
an area of non-blanchable erythema over his ischium. Which of the following interventions should the nurse
include in the care plan?
a. Teach the client to shift his weight every 15 min while sitting (cannot do this because he is paraplegic)
b. Place the client upright on a donut-shaped cushion
c. Assess pressure points every 24 hr.
d. Turn and reposition the client every 3 hrs. while in bed.
Rationale: impairment or loss of motor or sensory function in areas of the body served by the thoracic,
lumbar,or sacral neurological segments owing to damage of neural elements in those parts of the spinal
column. It spares the upper limbs but, depending on the level, may involve the trunk, pelvic organs, or lower
limbs.
• A nurse is working with a client who has an anxiety disorder and is in the orientation phase of
thetherapeutic relationship. Which of the following statements should the nurse make during this
phase?
a. We should discuss resources to implement in your daily life
b. Let me show you simple relaxation exercises to manage stress.
c. Let’s talk about how you can change your response to
stressd. We should establish our roles in the initial session.
• A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The
nurseshould instruct the client that it is safe to eat which of the following foods while taking this
medication?
a. Avocados
b. Whole grain bread
c. Pepperoni pizza
d. Smoked salmon
Rationale: MAOIs = antidepressants; avoid foods with high tyramine content (egg, aged cheeses, sour
cream,red wines, beer, bologna, pepperoni, salami, summer sausage, pickled herring, liver, meat prepared
with tenderizers, canned figs, raisins, bananas, avocados, soy sauce, fava beans, yeast extracts), drink
alcohol, or consume large quantities of caffeine (coffee, tea, chocolate, or cola)
• A nurse enters a client’s room and sees a small fire in the client’s bathroom. Identify the sequence of
NURSING ATI FUNDAMENTAL COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS
NOTE: THIS STUDY GUIDE IS SPECIFIC TO ACTUAL 2025/26 EXAM
• A nurse manager is updating protocols for belt restraints. Which of the following guidelines should
thenurse include?
a. Document the client's conditions every 15 minutes
b. Attach the restraints to the beds side rails
c. Request a PRN restraints prescription for clients who are aggressive
d. Remove the client restraints every 4 hours
• A nurse in emergency department is caring for a client who has full thickness burn of the thorax and
uppertorso. After securing the client's airway, which of the following is the nurse's priority intervention?
P. 482 Ch. 75 CONFIRMED
a. Providing pain management
b. Offering emotional support
c. Preventing infection
d. Initiating IV fluid resuscitation - they are at risk for hypovolemic shock d/t 3rd spacing
• A nurse is caring for a client who has cancer and is being transferred to hospice care. The client’s
daughtertells the nurse, “I’m not sure what to say to my mom if she asks me about dying.” Which of the
following responses by the nurse is appropriate? (SATA)
A. Hospice will take good care of your mom, so I wouldn’t worry about that.
B. Let's talk about your mom’s cancer and how things will progress from here.
C. Tell me how you are feeling about your mom dying.
D. Tell her not to worry. She still has plenty of time left.
E. You sound like you have questions about your mom dying. Let’s talk about it.
Rationale:
• A nurse is reviewing the medical records of four clients. The nurse should identify that which of
thefollowing client findings follow up care?
a. A client who is taking bumetanide and has potassium level of 3.6 mEq/L
,2
b. A client who is scheduled for colonoscopy and taking sodium
phosphatec. A client who received a Mantoux test 48 hours ago and has
induration
d. A client who is taking warfarin and has INR of 1.8
• A community health nurse receives a referral for a family home visit. Which of the following tasks should
the nurse perform first?
a. Clarify the source of the referral
b. Implement the nursing process
c. Schedule a time for the home visit
d. Contact the family by phone
• A nurse is caring for a client who will undergo a procedure. The client states he does not want the
provider to discuss the results with his partner. Which of the following is an appropriate response for the
nurse to make?
a. You have the right to decide who receives information - HIPPA rules
b. Your partner can be a great source of support for you at this time
c. Is there a reason you don’t want your partner to know about your procedure?
d. The provider will be tactful when talking to your partner
• A nurse is discussing a weight loss with a client who is concerned about losing 6.8 kg (15lb) from an
original weight of 9o.7 (200 lbs.). The nurse should identify the weight of the following total
percentage?
a. 7.5%
b. 15%
c. 8.1%
d. 13.3%
• A nurse is caring for a client who is 4 hrs. postpartum and reports that she cannot urinate. Which of
thefollowing interventions should the nurse implement?
a. Perform fundal massage
b. Pour water from a squeeze bottle over the client’s perineal area.
,3
c. Insert an indwelling urinary catheter.
d. Apply cold therapy to the client’s perineal area.
• A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl
25mcg/hr. transdermal patch. Which of the following instructions should the nurse include in the
teaching?
a. Avoid hot tub while wearing the patch
b. Apply patch to your forearm
c. Avoid high-fiber foods while taking this medication
d. Remove the patch for 8 hours every day to reduce the risk for tolerance.
, 4
*48. A nurse working on a surgical unit is developing a care plan for a client who has paraplegia. The client has
an area of non-blanchable erythema over his ischium. Which of the following interventions should the nurse
include in the care plan?
a. Teach the client to shift his weight every 15 min while sitting (cannot do this because he is paraplegic)
b. Place the client upright on a donut-shaped cushion
c. Assess pressure points every 24 hr.
d. Turn and reposition the client every 3 hrs. while in bed.
Rationale: impairment or loss of motor or sensory function in areas of the body served by the thoracic,
lumbar,or sacral neurological segments owing to damage of neural elements in those parts of the spinal
column. It spares the upper limbs but, depending on the level, may involve the trunk, pelvic organs, or lower
limbs.
• A nurse is working with a client who has an anxiety disorder and is in the orientation phase of
thetherapeutic relationship. Which of the following statements should the nurse make during this
phase?
a. We should discuss resources to implement in your daily life
b. Let me show you simple relaxation exercises to manage stress.
c. Let’s talk about how you can change your response to
stressd. We should establish our roles in the initial session.
• A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The
nurseshould instruct the client that it is safe to eat which of the following foods while taking this
medication?
a. Avocados
b. Whole grain bread
c. Pepperoni pizza
d. Smoked salmon
Rationale: MAOIs = antidepressants; avoid foods with high tyramine content (egg, aged cheeses, sour
cream,red wines, beer, bologna, pepperoni, salami, summer sausage, pickled herring, liver, meat prepared
with tenderizers, canned figs, raisins, bananas, avocados, soy sauce, fava beans, yeast extracts), drink
alcohol, or consume large quantities of caffeine (coffee, tea, chocolate, or cola)
• A nurse enters a client’s room and sees a small fire in the client’s bathroom. Identify the sequence of
