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ATI Fundamentals 2026

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ATI Fundamentals 2026

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ATI FUNDAMENTAL
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ATI FUNDAMENTAL

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ATI Fundamentals 2026
A nurse at a provider's office is talking about routine screenings with a 45-year-
old female client who has no specific family history of cancer or diabetes
mellitus. Which of the following client statements indicates that the client
understands how to proceed?
A. "I'll need a colonoscopy in 5 years."
B. "For now, I should continue to have a clinical breast exam each year."
C. "Because the doctor just did a Pap smear, I'll come back next year for another
one."
D. "I had my blood glucose test last year, so I won't need it again for 4 years."
B. "For now, I should continue to have a clinical breast exam each year."
The female client who is between the ages of 40 and 49 should have a clinical breast
exam annually, and they should consult with their provider about the frequency of
mammograms.
The nurse should identify that the female client who has no specific family or personal
history of colorectal cancer should have a colonoscopy every 10 years beginning at age
45.
The female client who is between the ages of 30 and 65, with no family or personal
history of cervical cancer, should have either a Pap smear and human papilloma virus
test every 5 years, or a Pap test every 3 years.
The client who is age 45 should have a blood glucose test at least every 3 years.
Unless there is a specific family or personal history of diabetes mellitus, annual blood
glucose determinations are not necessary.
A nurse is caring for a young adult at a college health clinic. Which of the
following actions should the nurse take first?
A. Give the client information about immunization against meningitis.
B. Tell the client to have a TB skin test every 2 years.
C. Determine the client's health risks.
D. Teach the client about exercise recommendations.
C. Determine the client's health risks.
The first action that should be taken using the nursing process is assessment. Talk with
the client first to determine what risk factors the client might have before initiating the
health promotion and disease prevention measures.
A. The nurse should plan to give the client information on the meningococcal vaccine as
part of the primary disease prevention; however, there is another action the nurse
should take first.
B. The nurse should recommend TB screening depending on the client's occupation
and exposure to TB as part of secondary disease prevention; however, there is another
action the nurse should take first.
D. The nurse should instruct the client about exercise and activity recommendations as
part of health promotion; however, there is another action the nurse should take first.

A nurse in a health clinic is caring for a 21-year-old client who tells the nurse that
their last physical exam was in high school. Which of the following health

,screenings should the nurse expect the provider to perform for this client?
A Testicular Examination
B Blood Glucose
C Fecal Occult Blood
D Prostate-specific antigen
A. Testicular examination
The nurse should identify that starting at puberty, the client should have examinations
for testicular cancer, along with blood pressure and body mass index, and cholesterol
measurements. Testicular cancer is most common in males 15 to 34 years of age.
Blood glucose testing begins at age 45.
Testing for fecal occult blood usually begins at age 45.
Testing for prostate-specific antigen usually begins at age 55.

A nurse at a health department is planning strategies related to heart disease.
Which of the following activities should the nurse include as part of primary
prevention?
A. Providing cholesterol screening
B. Teaching about a healthy diet
C.Providing information about antihypertensive medications
D. Developing a list of cardiac rehabilitation programs
B. Teaching about a healthy diet
Primary prevention encompasses strategies that help prevent illness or injury. This level
of prevention includes health information about nutrition, exercise, stress management,
and protection from injuries and illness.
Cholesterol screening is an example of secondary prevention.
Taking medication to lower blood pressure is part of secondary prevention.
Cardiac rehabilitation is an example of tertiary prevention.
A nurse in a clinic is planning health promotion and disease prevention strategies
for a client who has multiple risk factors for cardiovascular disease. Which of the
following interventions should the nurse include?
(Select all that apply.)
A. Help the client see the benefits of their actions.
B. Identify the client's support systems.
C. Suggest and recommend community resources.
D. Devise and set goals for the client.
E. Teach stress management strategies.
A, B, C, & E are correct
Help the client see the benefits of their actions.
The nurse should plan to assist the client to recognize the benefits of their health-
promoting actions while also overcoming barriers to implementing actions.

Identify the client's support systems.
The nurse should plan to collect information about who can help the client change
unhealthy behaviors, and then suggest steps to have friends and family to become
involved and supportive.

,Suggest and recommend community resources.
The nurse should plan to promote the client's use of any available community or online
resources that can help the client progress toward meeting set goals.

Teach stress management strategies.
The nurse should plan to teach that stress is a contributing factor to cardiovascular
disease, as well as many other specific and systemic disorders.

Devise and set goals for the client.
The nurse and the client should work together to devise and set mutually agreeable
goals that are also realistic and achievable.
The ostomy nurse is providing preoperative education for the client who is
scheduled for a sigmoid colostomy. The nurse should identify that which of the
following client statements is an indication that the client is ready to learn?

A."I will not look at my incision after the surgery."
B. "Will you give me pain medicine after the surgery?"
C. "Can you tell me about how long the surgery will take?"
D. "I can't remember what my doctor told me about the surgery."
C. "Can you tell me about how long the surgery will take?"
When recognizing cues, the ostomy nurse should identify that asking a concrete
question about the procedure indicates that the client is ready to learn about the
surgery.
The ostomy nurse is preparing to educate the client about caring for the new
colostomy. Place the following actions the ostomy nurse should take in the
correct order.

1. Demonstrate how to care for the colostomy.
2. Select instructional materials about colostomy care to give to the client.
3. Ask the client to explain how to care for their colostomy.
4. Determine what the client knows about colostomies.
4, 2, 1, 3
When taking action, the ostomy nurse uses the nursing process to educate the client
about caring for the colostomy. The first action the nurse should take is to determine
what the client knows about colostomies. The ostomy nurse can base the education for
the client on preexisting knowledge. The second action the ostomy nurse should take
using the nursing process is to plan to use instructional materials to educate the client
about colostomy care. The third action the ostomy nurse should take using the nursing
process is implementation. The ostomy nurse demonstrates how to care for the
colostomy. The fourth action the ostomy nurse should take using the nursing process is
evaluation. The ostomy nurse evaluates the client's understanding of how to care for
their colostomy. NCLEX Connection: Reduction of Risk Potential, Therapeutic
Procedures
The ostomy nurse is educating the client about the new colostomy. Sort the
nursing actions into the cognitive, affective, or psychomotor domains of learning.
Cognitive -

, Affective -
Psychomotor-

The ostomy nurse encourages the client to share their feelings about their
colostomy.
The client performs a return demonstration of emptying the colostomy pouch.
The ostomy nurse provides the client with a list of foods they can eat and foods
they should avoid in their diet.
Cognitive - The ostomy nurse provides the client with a list of foods they can eat and
foods they should avoid in their diet.

Affective - The ostomy nurse encourages the client to share their feelings about their
colostomy.

Psychomotor- The client performs a return demonstration of emptying the colostomy
pouch.

When taking actions, the ostomy nurse is using the cognitive domain of learning when
providing the client with a list of foods they can eat and foods they should avoid in their
diet. The ostomy nurse is encouraging the client to ask questions to promote
understanding about the teaching. The ostomy nurse is using the affective domain of
learning when encouraging the client to share their feelings about their colostomy. The
affective domain promotes the expression of feelings and encourages support from
others. The ostomy nurse is using the psychomotor domain of learning when
demonstrating how to empty the ostomy pouch and asking the client to perform a return
demonstration of the procedure. The psychomotor domain of learning involves
performing a physical task.
The ostomy nurse is educating the client about how to empty their ostomy pouch.
Which of the following actions by the client indicates that psychomotor learning
has taken place?
A. The client states how often the ostomy pouch should be emptied.
B. The client demonstrates emptying the ostomy pouch.
C. The client writes the steps of how to empty the ostomy pouch on a piece of
paper.
D. The client states they understand how to empty their ostomy pouch.
B. The client demonstrates emptying the ostomy pouch.

When evaluating outcomes, the ostomy nurse should identify that the client
demonstrating that they can empty the ostomy pouch indicates psychomotor learning
has taken place. The psychomotor domain of learning involves performing a physical
task.
The ostomy nurse is educating the client about diet. Which of the following
actions should the nurse take to evaluate the client's learning?
A. Encourage the client to ask questions about their diet.
B. Ask the client to list foods to include in their diet.
C. Encourage the client to fill out an evaluation form about how the nurse

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ATI FUNDAMENTAL

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Uploaded on
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Number of pages
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Written in
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