ATI Fundamentals Proctored Exam | COMPREHENSIVE
TEST BANK 2026/2027
180 Verified Questions & Rationales | Latest Edition | Graded
A+
UNIT 1: NURSING FOUNDATIONS & ETHICS (Questions 1-30)
Q1. A client with terminal cancer tells the nurse, "I've made peace with it. I'm ready to
stop treatment and go home." The family insists the nurse "do everything possible" and
continue aggressive therapy. What is the nurse's primary role in this situation?
A. Advocate for the family's wishes, as they are the decision-makers.
B. Explain the medical futility of further treatment to the family.
C. Facilitate a care conference to discuss the client's wishes and the family's concerns.
[CORRECT]
D. Document the client's statement and notify the provider of the family's conflict.
Correct Answer: C
Rationale: The nurse's primary role is as a client advocate. The competent client's
wishes are paramount (autonomy). The nurse must facilitate communication between
the client, family, and provider to ensure the client's autonomy is respected while
addressing the family's emotional distress. Simply documenting (D) is passive.
Advocating for the family (A) violates the client's autonomy. Explaining futility (B) is the
provider's role and may be perceived as dismissive.
,Core Concept: Advocacy & Ethical Principles (Autonomy, Beneficence, Nonmaleficence)
Q2. A nurse observes a colleague documenting care that was not provided. According
to the ANA Code of Ethics, the nurse's responsibility is to:
A. Ignore the incident to maintain collegial relationships.
B. Report the behavior to the appropriate authority. [CORRECT]
C. Confront the colleague publicly to ensure accountability.
D. Document the observation in the client's medical record.
Correct Answer: B
Rationale: Provision 5.3 of the ANA Code of Ethics requires nurses to protect clients
from harm, including reporting incompetent, unethical, or illegal practice. Falsification of
documentation is fraud and jeopardizes client safety. The nurse must report through
proper channels (nurse manager, compliance officer). Public confrontation (C) violates
professional standards. Ignoring (A) makes the observer complicit. Documentation in
the record (D) is inappropriate and non-confidential.
Core Concept: Professional Accountability & Ethics
Q3. Which action demonstrates a nurse practicing within the scope of practice defined
by the state's Nurse Practice Act?
A. Administering prescribed medications and monitoring for adverse effects.
[CORRECT]
B. Diagnosing a client's illness and prescribing treatment.
,C. Performing surgery under the supervision of a physician.
D. Interpreting diagnostic test results and making medical diagnoses.
Correct Answer: A
Rationale: Nursing scope of practice includes administering medications, monitoring,
assessing, planning, implementing, and evaluating care. Diagnosis (B, D) and surgery
(C) are medical acts requiring physician licensure. Advanced practice nurses have
expanded scope, but this question refers to registered nursing practice.
Core Concept: Legal Foundations of Nursing Practice
Q4. A client refuses a blood transfusion based on religious beliefs (Jehovah's Witness).
The provider orders the transfusion as "life-saving." What is the nurse's best action?
A. Respect the client's refusal and notify the provider to discuss alternatives. [CORRECT]
B. Administer the transfusion because it is life-saving.
C. Ask the family to override the client's decision.
D. Obtain a court order to administer the transfusion.
Correct Answer: A
Rationale: Competent adults have the right to refuse treatment (autonomy, informed
consent). The nurse must respect the refusal, ensure the client understands
consequences, and advocate for alternative treatments (volume expanders,
erythropoietin, iron, cell saver). Forcing treatment (B), seeking family override (C), or
court order (D) violate autonomy unless the client is incompetent or a minor.
Core Concept: Informed Consent & Client Rights
, Q5. A nurse is caring for a client who is an undocumented immigrant. The nurse should:
A. Provide the same standard of care as any other client. [CORRECT]
B. Refuse care until immigration status is verified.
C. Report the client to immigration authorities.
D. Provide only emergency stabilization.
Correct Answer: A
Rationale: EMTALA and nursing ethics require unconditional care regardless of
immigration status, ability to pay, or other factors. Provision 1 of the ANA Code
mandates respect for human dignity. Reporting (C) or refusing care (B, D) violates
ethical and legal obligations and exposes the nurse to liability.
Core Concept: Ethical Practice & Access to Care
Q6. [Select All That Apply] Which actions demonstrate therapeutic communication?
Select all that apply.
A. [CORRECT] "Tell me more about how you're feeling."
B. "Don't worry, everything will be fine."
C. [CORRECT] "It sounds like you're frustrated with your progress."
D. "I know exactly how you feel—my mother had the same surgery."
E. [CORRECT] Sitting in silence while the client gathers thoughts.
Correct Answers: A, C, E
TEST BANK 2026/2027
180 Verified Questions & Rationales | Latest Edition | Graded
A+
UNIT 1: NURSING FOUNDATIONS & ETHICS (Questions 1-30)
Q1. A client with terminal cancer tells the nurse, "I've made peace with it. I'm ready to
stop treatment and go home." The family insists the nurse "do everything possible" and
continue aggressive therapy. What is the nurse's primary role in this situation?
A. Advocate for the family's wishes, as they are the decision-makers.
B. Explain the medical futility of further treatment to the family.
C. Facilitate a care conference to discuss the client's wishes and the family's concerns.
[CORRECT]
D. Document the client's statement and notify the provider of the family's conflict.
Correct Answer: C
Rationale: The nurse's primary role is as a client advocate. The competent client's
wishes are paramount (autonomy). The nurse must facilitate communication between
the client, family, and provider to ensure the client's autonomy is respected while
addressing the family's emotional distress. Simply documenting (D) is passive.
Advocating for the family (A) violates the client's autonomy. Explaining futility (B) is the
provider's role and may be perceived as dismissive.
,Core Concept: Advocacy & Ethical Principles (Autonomy, Beneficence, Nonmaleficence)
Q2. A nurse observes a colleague documenting care that was not provided. According
to the ANA Code of Ethics, the nurse's responsibility is to:
A. Ignore the incident to maintain collegial relationships.
B. Report the behavior to the appropriate authority. [CORRECT]
C. Confront the colleague publicly to ensure accountability.
D. Document the observation in the client's medical record.
Correct Answer: B
Rationale: Provision 5.3 of the ANA Code of Ethics requires nurses to protect clients
from harm, including reporting incompetent, unethical, or illegal practice. Falsification of
documentation is fraud and jeopardizes client safety. The nurse must report through
proper channels (nurse manager, compliance officer). Public confrontation (C) violates
professional standards. Ignoring (A) makes the observer complicit. Documentation in
the record (D) is inappropriate and non-confidential.
Core Concept: Professional Accountability & Ethics
Q3. Which action demonstrates a nurse practicing within the scope of practice defined
by the state's Nurse Practice Act?
A. Administering prescribed medications and monitoring for adverse effects.
[CORRECT]
B. Diagnosing a client's illness and prescribing treatment.
,C. Performing surgery under the supervision of a physician.
D. Interpreting diagnostic test results and making medical diagnoses.
Correct Answer: A
Rationale: Nursing scope of practice includes administering medications, monitoring,
assessing, planning, implementing, and evaluating care. Diagnosis (B, D) and surgery
(C) are medical acts requiring physician licensure. Advanced practice nurses have
expanded scope, but this question refers to registered nursing practice.
Core Concept: Legal Foundations of Nursing Practice
Q4. A client refuses a blood transfusion based on religious beliefs (Jehovah's Witness).
The provider orders the transfusion as "life-saving." What is the nurse's best action?
A. Respect the client's refusal and notify the provider to discuss alternatives. [CORRECT]
B. Administer the transfusion because it is life-saving.
C. Ask the family to override the client's decision.
D. Obtain a court order to administer the transfusion.
Correct Answer: A
Rationale: Competent adults have the right to refuse treatment (autonomy, informed
consent). The nurse must respect the refusal, ensure the client understands
consequences, and advocate for alternative treatments (volume expanders,
erythropoietin, iron, cell saver). Forcing treatment (B), seeking family override (C), or
court order (D) violate autonomy unless the client is incompetent or a minor.
Core Concept: Informed Consent & Client Rights
, Q5. A nurse is caring for a client who is an undocumented immigrant. The nurse should:
A. Provide the same standard of care as any other client. [CORRECT]
B. Refuse care until immigration status is verified.
C. Report the client to immigration authorities.
D. Provide only emergency stabilization.
Correct Answer: A
Rationale: EMTALA and nursing ethics require unconditional care regardless of
immigration status, ability to pay, or other factors. Provision 1 of the ANA Code
mandates respect for human dignity. Reporting (C) or refusing care (B, D) violates
ethical and legal obligations and exposes the nurse to liability.
Core Concept: Ethical Practice & Access to Care
Q6. [Select All That Apply] Which actions demonstrate therapeutic communication?
Select all that apply.
A. [CORRECT] "Tell me more about how you're feeling."
B. "Don't worry, everything will be fine."
C. [CORRECT] "It sounds like you're frustrated with your progress."
D. "I know exactly how you feel—my mother had the same surgery."
E. [CORRECT] Sitting in silence while the client gathers thoughts.
Correct Answers: A, C, E
