Ati-fundamentals-Exam- (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2026] 2 Practice Tests
ATI Fundamentals
1. The nurse is caring for a patient receiving a blood transfusion. What is the priority action?
A. Ask the patient about allergies
B. Monitor vital signs before transfusion
C. Document the transfusion
D. Ensure IV patency
Answer: B
Rationale: Baseline vital signs allow the nurse to detect transfusion reactions early.
2. Which action most effectively prevents the spread of infection in a hospital?
A. Wearing gloves for all procedures
B. Using hand hygiene before and after patient contact
C. Disinfecting equipment once per day
D. Using hand sanitizer after patient care
Answer: B
Rationale: Proper hand hygiene is the single most effective measure to prevent infection.
3. Which patient is at highest risk for falls?
A. 25-year-old post-appendectomy, ambulatory
B. 70-year-old with dementia
C. 40-year-old with mild dehydration
D. 30-year-old with migraine
Answer: B
Rationale: Cognitive impairment and age increase fall risk.
1
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2026 Graded A+ EXAM
, 4. The nurse should place a patient with dyspnea in which position?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Answer: B
Rationale: Upright position promotes lung expansion.
5. Which patient requires contact precautions?
A. Influenza
B. MRSA wound infection
C. Pertussis
D. Tuberculosis
Answer: B
Rationale: MRSA spreads via direct or indirect contact.
6. A patient develops sudden swelling, hives, and shortness of breath after receiving a
medication. The nurse’s first action is:
A. Call the provider
B. Administer antihistamine
C. Stop the medication and assess airway
D. Document the reaction
Answer: C
Rationale: Airway protection is the priority in anaphylaxis.
7. Which lab requires immediate attention in a patient on heparin?
A. aPTT 90 seconds
B. Sodium 140 mEq/L
C. Potassium 4.0 mEq/L
D. Hemoglobin 13 g/dL
Answer: A
2
Rationale: Elevated aPTT indicates risk of bleeding; requires intervention.
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2026 Graded A+ EXAM
, 8. A patient with COPD has SpO₂ 88% on room air. Nurse should:
A. Place supine
B. Administer oxygen and monitor
C. Restrict fluids
D. Encourage deep coughing only
Answer: B
Rationale: Supplemental oxygen improves hypoxemia safely.
9. Which sign indicates hypoglycemia?
A. Polyuria and polydipsia
B. Sweating, confusion, tachycardia
C. Fruity breath odor
D. Hypertension
Answer: B
Rationale: Adrenergic symptoms appear early in hypoglycemia.
10. A patient’s IV site is red, warm, and swollen. This indicates:
A. Infiltration
B. Phlebitis
C. Extravasation
D. Hematoma
Answer: B
Rationale: Redness, warmth, and swelling are classic phlebitis signs.
11. When administering a subcutaneous injection, which angle is appropriate?
A. 15–30°
B. 45–90° depending on tissue
C. 90° always
D. 10°
3
Answer: B
Page
Rationale: Angle depends on subcutaneous tissue thickness.
2026 Graded A+ EXAM
, 12. Priority action when a patient is found on the floor:
A. Move patient to bed
B. Call for help
C. Assess airway, breathing, and circulation
D. Document the fall
Answer: C
Rationale: ABC assessment is the first priority.
13. Patient teaching for warfarin includes:
A. Avoid monitoring labs
B. Monitor INR regularly
C. Take aspirin freely
D. Skip doses if minor bleeding
Answer: B
Rationale: INR monitoring ensures therapeutic anticoagulation and prevents complications.
14. Proper hand hygiene includes:
A. Rubbing hands for at least 15–20 seconds
B. Washing only when hands are visibly dirty
C. Using cold water
D. Rinsing once
Answer: A
Rationale: Proper duration removes pathogens effectively.
15. Which patient is at risk for pressure ulcers?
A. Ambulatory adult
B. Elderly with limited mobility
C. Teen recovering from mild infection
D. Adult post minor surgery
4
Answer: B
Page
Rationale: Immobility and age are major risk factors.
2026 Graded A+ EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2026] 2 Practice Tests
ATI Fundamentals
1. The nurse is caring for a patient receiving a blood transfusion. What is the priority action?
A. Ask the patient about allergies
B. Monitor vital signs before transfusion
C. Document the transfusion
D. Ensure IV patency
Answer: B
Rationale: Baseline vital signs allow the nurse to detect transfusion reactions early.
2. Which action most effectively prevents the spread of infection in a hospital?
A. Wearing gloves for all procedures
B. Using hand hygiene before and after patient contact
C. Disinfecting equipment once per day
D. Using hand sanitizer after patient care
Answer: B
Rationale: Proper hand hygiene is the single most effective measure to prevent infection.
3. Which patient is at highest risk for falls?
A. 25-year-old post-appendectomy, ambulatory
B. 70-year-old with dementia
C. 40-year-old with mild dehydration
D. 30-year-old with migraine
Answer: B
Rationale: Cognitive impairment and age increase fall risk.
1
Page
2026 Graded A+ EXAM
, 4. The nurse should place a patient with dyspnea in which position?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Answer: B
Rationale: Upright position promotes lung expansion.
5. Which patient requires contact precautions?
A. Influenza
B. MRSA wound infection
C. Pertussis
D. Tuberculosis
Answer: B
Rationale: MRSA spreads via direct or indirect contact.
6. A patient develops sudden swelling, hives, and shortness of breath after receiving a
medication. The nurse’s first action is:
A. Call the provider
B. Administer antihistamine
C. Stop the medication and assess airway
D. Document the reaction
Answer: C
Rationale: Airway protection is the priority in anaphylaxis.
7. Which lab requires immediate attention in a patient on heparin?
A. aPTT 90 seconds
B. Sodium 140 mEq/L
C. Potassium 4.0 mEq/L
D. Hemoglobin 13 g/dL
Answer: A
2
Rationale: Elevated aPTT indicates risk of bleeding; requires intervention.
Page
2026 Graded A+ EXAM
, 8. A patient with COPD has SpO₂ 88% on room air. Nurse should:
A. Place supine
B. Administer oxygen and monitor
C. Restrict fluids
D. Encourage deep coughing only
Answer: B
Rationale: Supplemental oxygen improves hypoxemia safely.
9. Which sign indicates hypoglycemia?
A. Polyuria and polydipsia
B. Sweating, confusion, tachycardia
C. Fruity breath odor
D. Hypertension
Answer: B
Rationale: Adrenergic symptoms appear early in hypoglycemia.
10. A patient’s IV site is red, warm, and swollen. This indicates:
A. Infiltration
B. Phlebitis
C. Extravasation
D. Hematoma
Answer: B
Rationale: Redness, warmth, and swelling are classic phlebitis signs.
11. When administering a subcutaneous injection, which angle is appropriate?
A. 15–30°
B. 45–90° depending on tissue
C. 90° always
D. 10°
3
Answer: B
Page
Rationale: Angle depends on subcutaneous tissue thickness.
2026 Graded A+ EXAM
, 12. Priority action when a patient is found on the floor:
A. Move patient to bed
B. Call for help
C. Assess airway, breathing, and circulation
D. Document the fall
Answer: C
Rationale: ABC assessment is the first priority.
13. Patient teaching for warfarin includes:
A. Avoid monitoring labs
B. Monitor INR regularly
C. Take aspirin freely
D. Skip doses if minor bleeding
Answer: B
Rationale: INR monitoring ensures therapeutic anticoagulation and prevents complications.
14. Proper hand hygiene includes:
A. Rubbing hands for at least 15–20 seconds
B. Washing only when hands are visibly dirty
C. Using cold water
D. Rinsing once
Answer: A
Rationale: Proper duration removes pathogens effectively.
15. Which patient is at risk for pressure ulcers?
A. Ambulatory adult
B. Elderly with limited mobility
C. Teen recovering from mild infection
D. Adult post minor surgery
4
Answer: B
Page
Rationale: Immobility and age are major risk factors.
2026 Graded A+ EXAM
