ATI NURSE LOGIC 2.0 CERTIFICATION
EVALUATION 2026 EXAM QUESTIONS AND
SOLUTIONS
◉ A nurse is caring for a client who has cancer. The client has
decided to stop treatment and requests a referral to hospice. By
making the referral as requested, the nurse is illustrating which of
the following ethical principles?
Justice
Autonomy
Veracity
Fidelity.
Answer: Autonomy
The content of this question emphasizes the concept of
professionalism by using ethical principles to guide nursing practice.
Professionalism incorporates legal and ethical principles, as well as
compliance with the standards of nursing practice in the provision
of safe, quality nursing care that exhibits both accountable and
responsible behaviors. Autonomy is respecting the client's right to
make personal health care decisions, whether or not the nurse
believes those decisions are in the best interest of the client. This is
,the ethical principle the nurse is illustrating by making the referral
as requested.
◉ A nurse on the coronary care unit is caring for a client who was
transferred from the medical floor after experiencing a myocardial
infarction. After the client is stabilized, she asks the nurse why she
had to be transferred to a unit where her family will be unable to
stay with her all the time. Which of the following responses is
appropriate?
"I know this must be frightening, but you are going to be fine."
"Let's talk for a minute about your concerns."
"You were transferred because it is i.
Answer: "Let's talk for a minute about your concerns."
The content of this question emphasizes the concept of client-
centered care through the use of therapeutic communication. Client-
centered care focuses on the client and emphasizes the client's
cultural, ethnic, and social values. The use of therapeutic
communication helps develop nurse-client relationships that foster
trust and respect. "Let's talk for a minute about your concerns" is an
appropriate response by the nurse. Discussing the client's concerns
and providing appropriate information will lower the client's
anxiety level and establish an environment of open communication.
,◉ A nurse is caring for a client following a bronchoscopy. Which of
the following findings requires immediate intervention?
Painful swallowing
Hoarse voice
Difficulty breathing
Blood-tinged sputum.
Answer: Difficulty breathing
The content of this question emphasizes the concept of priority
setting by requiring the determination of which finding requires
immediate intervention. Priority setting is the use of nursing
judgment when making decisions about the rank order in which to
take nursing actions. Various priority setting frameworks, such as
Maslow's Hierarchy of Needs, nursing process, ABC, and safety and
risk reduction, can be useful in determining the priority of needed
actions. This finding can lead to hypoxia; therefore, immediate
intervention is warranted. The difficulty in breathing can be caused
by edema in the larynx or trachea and is a serious complication.
◉ A nurse is reinforcing teaching by demonstrating deep breathing
and coughing exercises to a client who is scheduled for abdominal
surgery. For which of the following responses by the client should
the nurse postpone teaching?
, States that pain is an 8 on a scale of 0 to 10
States that her partner should be given the information
Expresses concern about the exercises causing pain when performed
after surgery
Expresses uncertainty about the benefits of the exercises.
Answer: States that pain is an 8 on a scale of 0 to 10
The content of this question emphasizes the concept of client
education by recognizing physical symptoms that can impair the
client's readiness and ability to learn. Client education is the
provision of health-related education to clients to facilitate the
acquisition of new knowledge and skills, adoption of new behaviors,
and modification of attitudes. It is important for nurses to develop
skills in identifying client learning needs, as well as client- and
educator-related barriers to learning. This response by the client
indicates the nurse should postpone teaching. Deep breathing and
coughing exercises help prevent postoperative respiratory
complications. A key principle of teaching and learning is to first
determine the client's readiness and ability to learn. Physical
symptoms, such as pain, fatigue, or anxiety, can prevent the client
from learning because of a reduced ability to focus on and
participate in education.
◉ A nurse is reinforcing teaching about transdermal nitroglycerin
(Nitro-Dur) to a client who has stable angina. Which of the following
statements by the client indicates teaching has been effective?
EVALUATION 2026 EXAM QUESTIONS AND
SOLUTIONS
◉ A nurse is caring for a client who has cancer. The client has
decided to stop treatment and requests a referral to hospice. By
making the referral as requested, the nurse is illustrating which of
the following ethical principles?
Justice
Autonomy
Veracity
Fidelity.
Answer: Autonomy
The content of this question emphasizes the concept of
professionalism by using ethical principles to guide nursing practice.
Professionalism incorporates legal and ethical principles, as well as
compliance with the standards of nursing practice in the provision
of safe, quality nursing care that exhibits both accountable and
responsible behaviors. Autonomy is respecting the client's right to
make personal health care decisions, whether or not the nurse
believes those decisions are in the best interest of the client. This is
,the ethical principle the nurse is illustrating by making the referral
as requested.
◉ A nurse on the coronary care unit is caring for a client who was
transferred from the medical floor after experiencing a myocardial
infarction. After the client is stabilized, she asks the nurse why she
had to be transferred to a unit where her family will be unable to
stay with her all the time. Which of the following responses is
appropriate?
"I know this must be frightening, but you are going to be fine."
"Let's talk for a minute about your concerns."
"You were transferred because it is i.
Answer: "Let's talk for a minute about your concerns."
The content of this question emphasizes the concept of client-
centered care through the use of therapeutic communication. Client-
centered care focuses on the client and emphasizes the client's
cultural, ethnic, and social values. The use of therapeutic
communication helps develop nurse-client relationships that foster
trust and respect. "Let's talk for a minute about your concerns" is an
appropriate response by the nurse. Discussing the client's concerns
and providing appropriate information will lower the client's
anxiety level and establish an environment of open communication.
,◉ A nurse is caring for a client following a bronchoscopy. Which of
the following findings requires immediate intervention?
Painful swallowing
Hoarse voice
Difficulty breathing
Blood-tinged sputum.
Answer: Difficulty breathing
The content of this question emphasizes the concept of priority
setting by requiring the determination of which finding requires
immediate intervention. Priority setting is the use of nursing
judgment when making decisions about the rank order in which to
take nursing actions. Various priority setting frameworks, such as
Maslow's Hierarchy of Needs, nursing process, ABC, and safety and
risk reduction, can be useful in determining the priority of needed
actions. This finding can lead to hypoxia; therefore, immediate
intervention is warranted. The difficulty in breathing can be caused
by edema in the larynx or trachea and is a serious complication.
◉ A nurse is reinforcing teaching by demonstrating deep breathing
and coughing exercises to a client who is scheduled for abdominal
surgery. For which of the following responses by the client should
the nurse postpone teaching?
, States that pain is an 8 on a scale of 0 to 10
States that her partner should be given the information
Expresses concern about the exercises causing pain when performed
after surgery
Expresses uncertainty about the benefits of the exercises.
Answer: States that pain is an 8 on a scale of 0 to 10
The content of this question emphasizes the concept of client
education by recognizing physical symptoms that can impair the
client's readiness and ability to learn. Client education is the
provision of health-related education to clients to facilitate the
acquisition of new knowledge and skills, adoption of new behaviors,
and modification of attitudes. It is important for nurses to develop
skills in identifying client learning needs, as well as client- and
educator-related barriers to learning. This response by the client
indicates the nurse should postpone teaching. Deep breathing and
coughing exercises help prevent postoperative respiratory
complications. A key principle of teaching and learning is to first
determine the client's readiness and ability to learn. Physical
symptoms, such as pain, fatigue, or anxiety, can prevent the client
from learning because of a reduced ability to focus on and
participate in education.
◉ A nurse is reinforcing teaching about transdermal nitroglycerin
(Nitro-Dur) to a client who has stable angina. Which of the following
statements by the client indicates teaching has been effective?
