ATI Fundamentals Exam V2 | 2026 Q&A
with Rationale (ATI Fundamentals Exam
2026)
1. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer the client?
A. Vanilla pudding
B. Orange juice with pulp
C. Apple juice
D. Sherbet
Correct Answer: C
Rationale: Apple juice is considered a clear liquid because it is transparent and liquid at
room temperature. Vanilla pudding and sherbet are part of a full liquid diet because they
contain dairy or are opaque. Orange juice with pulp is also considered full liquid due to the
solid sediment.
2. A nurse is preparing to transfer a client from a bed to a chair. Which of the following
actions should the nurse take to demonstrate proper body mechanics?
A. Bend at the waist when lifting.
B. Stand as close to the client as possible.
C. Keep the feet close together for stability.
,D. Twist the torso to turn toward the chair.
Correct Answer: B
Rationale: Standing close to the client shifts the center of gravity closer to the load, which
reduces the strain on the nurse’s back. The nurse should bend at the knees rather than the
waist to use the large muscle groups of the legs. Maintaining a wide base of support with
feet apart and avoiding twisting the spine are also essential components of safe body
mechanics.
3. A nurse is documenting in a client’s medical record. Which of the following entries should
the nurse identify as an objective finding?
A. Client states, ‘I feel nauseated.’
B. Client appears anxious during the procedure.
C. Client reports sharp pain in the right hip.
D. Client’s skin is warm and dry to the touch.
Correct Answer: D
Rationale: Objective data are observable and measurable findings obtained through
physical examination or diagnostic tests, such as skin temperature or moisture. Subjective
data, such as reports of nausea or pain, are what the client describes but cannot be directly
measured by the nurse. Describing a client as ‘anxious’ is an interpretation of behavior
rather than a purely objective observation.
,4. A nurse is caring for a client who is on contact precautions for Clostridium difficile (C. diff).
Which of the following hand hygiene actions should the nurse perform?
A. Use an alcohol-based hand rub before exiting the room.
B. Wash hands with non-antimicrobial soap and water.
C. Rinse hands with hot water for 5 seconds.
D. Use soap and water to create friction for at least 15 seconds.
Correct Answer: D
Rationale: Clostridium difficile produces spores that are resistant to alcohol-based
sanitizers, requiring mechanical removal through handwashing. The nurse should use soap
and water, creating friction for a minimum of 15 to 20 seconds to effectively remove the
spores. Proper hand hygiene is the most critical intervention for preventing the healthcare-
associated transmission of C. diff.
5. A nurse is preparing to administer an intramuscular (IM) injection to an adult client. Which
of the following sites is the preferred location for this injection?
A. Dorsogluteal
B. Ventrogluteal
C. Deltoid
D. Vastus lateralis
Correct Answer: B
, Rationale: The ventrogluteal site is the preferred and safest site for IM injections in adults
because it lacks major nerves and blood vessels. The dorsogluteal site is no longer
recommended due to the high risk of injury to the sciatic nerve. While the deltoid and
vastus lateralis are acceptable for certain volumes and medications, the ventrogluteal is
considered the standard for larger volumes.
6. A nurse is assessing a client’s risk for falls. Which of the following factors should the nurse
identify as increasing the risk? (Select all that apply.)
A. History of falls
B. Age 40
C. Urinary urgency
D. Use of orthostatic medications
E. Standardized gait
F. Impaired vision
Correct Answer: A, C, D, F
Rationale: A history of falls is one of the strongest predictors of future falls in clinical
settings. Conditions like urinary urgency cause clients to rush to the bathroom, while
certain medications and visual impairments further compromise balance and safety. Age
40 is not typically considered a high-risk factor, and a standardized (normal) gait reduces
rather than increases risk.
with Rationale (ATI Fundamentals Exam
2026)
1. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer the client?
A. Vanilla pudding
B. Orange juice with pulp
C. Apple juice
D. Sherbet
Correct Answer: C
Rationale: Apple juice is considered a clear liquid because it is transparent and liquid at
room temperature. Vanilla pudding and sherbet are part of a full liquid diet because they
contain dairy or are opaque. Orange juice with pulp is also considered full liquid due to the
solid sediment.
2. A nurse is preparing to transfer a client from a bed to a chair. Which of the following
actions should the nurse take to demonstrate proper body mechanics?
A. Bend at the waist when lifting.
B. Stand as close to the client as possible.
C. Keep the feet close together for stability.
,D. Twist the torso to turn toward the chair.
Correct Answer: B
Rationale: Standing close to the client shifts the center of gravity closer to the load, which
reduces the strain on the nurse’s back. The nurse should bend at the knees rather than the
waist to use the large muscle groups of the legs. Maintaining a wide base of support with
feet apart and avoiding twisting the spine are also essential components of safe body
mechanics.
3. A nurse is documenting in a client’s medical record. Which of the following entries should
the nurse identify as an objective finding?
A. Client states, ‘I feel nauseated.’
B. Client appears anxious during the procedure.
C. Client reports sharp pain in the right hip.
D. Client’s skin is warm and dry to the touch.
Correct Answer: D
Rationale: Objective data are observable and measurable findings obtained through
physical examination or diagnostic tests, such as skin temperature or moisture. Subjective
data, such as reports of nausea or pain, are what the client describes but cannot be directly
measured by the nurse. Describing a client as ‘anxious’ is an interpretation of behavior
rather than a purely objective observation.
,4. A nurse is caring for a client who is on contact precautions for Clostridium difficile (C. diff).
Which of the following hand hygiene actions should the nurse perform?
A. Use an alcohol-based hand rub before exiting the room.
B. Wash hands with non-antimicrobial soap and water.
C. Rinse hands with hot water for 5 seconds.
D. Use soap and water to create friction for at least 15 seconds.
Correct Answer: D
Rationale: Clostridium difficile produces spores that are resistant to alcohol-based
sanitizers, requiring mechanical removal through handwashing. The nurse should use soap
and water, creating friction for a minimum of 15 to 20 seconds to effectively remove the
spores. Proper hand hygiene is the most critical intervention for preventing the healthcare-
associated transmission of C. diff.
5. A nurse is preparing to administer an intramuscular (IM) injection to an adult client. Which
of the following sites is the preferred location for this injection?
A. Dorsogluteal
B. Ventrogluteal
C. Deltoid
D. Vastus lateralis
Correct Answer: B
, Rationale: The ventrogluteal site is the preferred and safest site for IM injections in adults
because it lacks major nerves and blood vessels. The dorsogluteal site is no longer
recommended due to the high risk of injury to the sciatic nerve. While the deltoid and
vastus lateralis are acceptable for certain volumes and medications, the ventrogluteal is
considered the standard for larger volumes.
6. A nurse is assessing a client’s risk for falls. Which of the following factors should the nurse
identify as increasing the risk? (Select all that apply.)
A. History of falls
B. Age 40
C. Urinary urgency
D. Use of orthostatic medications
E. Standardized gait
F. Impaired vision
Correct Answer: A, C, D, F
Rationale: A history of falls is one of the strongest predictors of future falls in clinical
settings. Conditions like urinary urgency cause clients to rush to the bathroom, while
certain medications and visual impairments further compromise balance and safety. Age
40 is not typically considered a high-risk factor, and a standardized (normal) gait reduces
rather than increases risk.
