ATI FUNDAMENTALS RETAKE ACTUAL EXAM PRACTICE QUESTIONS AND 100%
VERIFIED CORRECT ANSWERS | COMPLETE EXAM PREP TESTBANK | GUARANTEED PASS
| INSTANT DOWNLOAD PDF
Core Domains
Nursing Process & Clinical Judgment
Patient Safety & Quality Improvement
Infection Prevention & Control
Basic Care & Comfort
Pharmacological Foundations
Documentation & Legal/Ethical Practice
Communication & Therapeutic Relationships
Vital Signs & Health Assessment
Mobility & Immobility
Nutrition & Hydration
Elimination
Skin Integrity & Wound Care
,Introduction
This comprehensive assessment evaluates advanced competency in fundamental nursing
principles through high-level clinical scenarios. The examination emphasizes synthesis,
critical thinking, and evidence-based decision-making in complex, real-world healthcare
environments. Each item challenges the learner to analyze patient data, prioritize care, and
select the most appropriate intervention while considering safety, ethics, and best
practices.
Questions 1–35
1. A nurse is caring for a postoperative patient who reports increasing pain despite
prescribed analgesics. The patient appears restless and diaphoretic. What is the most
appropriate initial nursing action?
A. Administer the next scheduled dose of analgesic
B. Reassess pain using a standardized pain scale
C. Notify the provider immediately
D. Encourage deep breathing exercises
Correct Answer: B. Reassess pain using a standardized pain scale
Rationale: Accurate reassessment is essential before further intervention. Administering
medication without reassessment may be inappropriate. Notifying the provider is
, premature without updated data. Nonpharmacologic methods may help but do not
address worsening symptoms first.
2. A nurse observes a colleague failing to perform hand hygiene before patient contact.
What is the best course of action?
A. Ignore the behavior to maintain teamwork
B. Report the colleague immediately
C. Remind the colleague about hand hygiene
D. Document the incident in the patient chart
Correct Answer: C. Remind the colleague about hand hygiene
Rationale: Immediate corrective action promotes patient safety. Reporting may be
necessary later but direct communication is the first step. Ignoring risks infection.
Documentation in patient chart is inappropriate.
3. A patient with limited mobility is at risk for pressure injuries. Which intervention is
most effective?
A. Reposition every 4 hours
B. Use a donut-shaped cushion
C. Reposition every 2 hours
D. Massage bony prominences
Correct Answer: C. Reposition every 2 hours
Rationale: Frequent repositioning reduces pressure injury risk. Donut cushions can
impair circulation. Massaging bony areas can cause tissue damage. Four-hour intervals
are insufficient.
, 4. A nurse is preparing to administer oral medication to a patient with dysphagia. What
should the nurse do?
A. Crush all medications
B. Administer with thin liquids
C. Verify which medications can be crushed
D. Skip the medication
Correct Answer: C. Verify which medications can be crushed
Rationale: Not all medications are safe to crush (e.g., extended-release). Thin liquids
increase aspiration risk. Skipping meds is unsafe without provider direction.
5. A nurse notes a patient’s urine output is 20 mL/hr over 3 hours. What is the priority
action?
A. Document findings
B. Encourage fluids
C. Notify the provider
D. Reassess in 1 hour
Correct Answer: C. Notify the provider
Rationale: Output below 30 mL/hr suggests possible renal impairment. Immediate
reporting is necessary. Delaying action may worsen condition.
6. A nurse is caring for a patient on contact precautions. Which action is appropriate?
A. Wear an N95 mask
B. Use sterile gloves
C. Wear gown and gloves
VERIFIED CORRECT ANSWERS | COMPLETE EXAM PREP TESTBANK | GUARANTEED PASS
| INSTANT DOWNLOAD PDF
Core Domains
Nursing Process & Clinical Judgment
Patient Safety & Quality Improvement
Infection Prevention & Control
Basic Care & Comfort
Pharmacological Foundations
Documentation & Legal/Ethical Practice
Communication & Therapeutic Relationships
Vital Signs & Health Assessment
Mobility & Immobility
Nutrition & Hydration
Elimination
Skin Integrity & Wound Care
,Introduction
This comprehensive assessment evaluates advanced competency in fundamental nursing
principles through high-level clinical scenarios. The examination emphasizes synthesis,
critical thinking, and evidence-based decision-making in complex, real-world healthcare
environments. Each item challenges the learner to analyze patient data, prioritize care, and
select the most appropriate intervention while considering safety, ethics, and best
practices.
Questions 1–35
1. A nurse is caring for a postoperative patient who reports increasing pain despite
prescribed analgesics. The patient appears restless and diaphoretic. What is the most
appropriate initial nursing action?
A. Administer the next scheduled dose of analgesic
B. Reassess pain using a standardized pain scale
C. Notify the provider immediately
D. Encourage deep breathing exercises
Correct Answer: B. Reassess pain using a standardized pain scale
Rationale: Accurate reassessment is essential before further intervention. Administering
medication without reassessment may be inappropriate. Notifying the provider is
, premature without updated data. Nonpharmacologic methods may help but do not
address worsening symptoms first.
2. A nurse observes a colleague failing to perform hand hygiene before patient contact.
What is the best course of action?
A. Ignore the behavior to maintain teamwork
B. Report the colleague immediately
C. Remind the colleague about hand hygiene
D. Document the incident in the patient chart
Correct Answer: C. Remind the colleague about hand hygiene
Rationale: Immediate corrective action promotes patient safety. Reporting may be
necessary later but direct communication is the first step. Ignoring risks infection.
Documentation in patient chart is inappropriate.
3. A patient with limited mobility is at risk for pressure injuries. Which intervention is
most effective?
A. Reposition every 4 hours
B. Use a donut-shaped cushion
C. Reposition every 2 hours
D. Massage bony prominences
Correct Answer: C. Reposition every 2 hours
Rationale: Frequent repositioning reduces pressure injury risk. Donut cushions can
impair circulation. Massaging bony areas can cause tissue damage. Four-hour intervals
are insufficient.
, 4. A nurse is preparing to administer oral medication to a patient with dysphagia. What
should the nurse do?
A. Crush all medications
B. Administer with thin liquids
C. Verify which medications can be crushed
D. Skip the medication
Correct Answer: C. Verify which medications can be crushed
Rationale: Not all medications are safe to crush (e.g., extended-release). Thin liquids
increase aspiration risk. Skipping meds is unsafe without provider direction.
5. A nurse notes a patient’s urine output is 20 mL/hr over 3 hours. What is the priority
action?
A. Document findings
B. Encourage fluids
C. Notify the provider
D. Reassess in 1 hour
Correct Answer: C. Notify the provider
Rationale: Output below 30 mL/hr suggests possible renal impairment. Immediate
reporting is necessary. Delaying action may worsen condition.
6. A nurse is caring for a patient on contact precautions. Which action is appropriate?
A. Wear an N95 mask
B. Use sterile gloves
C. Wear gown and gloves
