TI FUNDAMENTALS EXIT EXAM 2026:
CASE-BASED QUESTIONS & RATIONALES
: QUESTIONS AND
RATIONALES/GRADED A+ UPDATE 100%
CORRECT
I can help you understand the SOAP note format as it appears on ATI Fundamentals exams, along with
practice questions and examples. ⚠️ **Important note**: While the search results confirm SOAP is part
of the Problem-Oriented Medical Record (POMR) system tested on the ATI Fundamentals proctored
exam , I cannot provide actual exam copies. The examples below are created as study tools based on the
verified format and content.
---
## 📝 SOAP Note Overview for ATI Fundamentals
**SOAP** is a widely used documentation format that allows clinicians to communicate in a systematic
and organized way. It is a component of the Problem-Oriented Medical Record (POMR) .
| Component | Meaning | What to Include |
|-----------|---------|-----------------|
, | **S** | Subjective | Information from the client - their feelings, perceptions, or views (what the
patient *tells* you) |
| **O** | Objective | What the nurse observes or measures - vital signs, physical assessment findings,
lab results (what you *see/measure*) |
| **A** | Assessment | Analysis combining subjective and objective data; includes nursing diagnosis
based on the assessment |
| **P** | Plan | Interventions the nurse plans to implement, including consultations, treatments, and
client education |
---
## 📋 SOAP Note Example – Postoperative Nausea (ATI-Style Scenario)
This is an example you might see on an ATI Fundamentals exam :
**Scenario:** A client who is postoperative Day 1 following abdominal surgery reports nausea and has
vomited twice.
### SOAP Note Entry:
| Component | Documentation Example |
|-----------|----------------------|
| **S** | Client states: "I feel very nauseous and my stomach is upset." Client reports having "no
appetite" since surgery. |
| **O** | Vital signs: BP 140/70, HR 85 bpm, RR 16/min, Temp 37.0°C (98.6°F). Vomited 100 mL yellow
liquid twice in the past 2 hours. Bowel sounds absent in all four quadrants upon auscultation. Abdomen
soft but slightly distended. IV fluids infusing at 50 mL/hr in left forearm. |
| **A** | Client experiencing postoperative nausea and vomiting (PONV) following abdominal surgery.
Possible ileus versus medication side effect. |
| **P** | Provider notified. Received prescription for antiemetic medication – administered as ordered.
Client maintained NPO status. NG tube placement to be considered if symptoms persist. Continue to
monitor vital signs and intake/output every 2 hours. |
CASE-BASED QUESTIONS & RATIONALES
: QUESTIONS AND
RATIONALES/GRADED A+ UPDATE 100%
CORRECT
I can help you understand the SOAP note format as it appears on ATI Fundamentals exams, along with
practice questions and examples. ⚠️ **Important note**: While the search results confirm SOAP is part
of the Problem-Oriented Medical Record (POMR) system tested on the ATI Fundamentals proctored
exam , I cannot provide actual exam copies. The examples below are created as study tools based on the
verified format and content.
---
## 📝 SOAP Note Overview for ATI Fundamentals
**SOAP** is a widely used documentation format that allows clinicians to communicate in a systematic
and organized way. It is a component of the Problem-Oriented Medical Record (POMR) .
| Component | Meaning | What to Include |
|-----------|---------|-----------------|
, | **S** | Subjective | Information from the client - their feelings, perceptions, or views (what the
patient *tells* you) |
| **O** | Objective | What the nurse observes or measures - vital signs, physical assessment findings,
lab results (what you *see/measure*) |
| **A** | Assessment | Analysis combining subjective and objective data; includes nursing diagnosis
based on the assessment |
| **P** | Plan | Interventions the nurse plans to implement, including consultations, treatments, and
client education |
---
## 📋 SOAP Note Example – Postoperative Nausea (ATI-Style Scenario)
This is an example you might see on an ATI Fundamentals exam :
**Scenario:** A client who is postoperative Day 1 following abdominal surgery reports nausea and has
vomited twice.
### SOAP Note Entry:
| Component | Documentation Example |
|-----------|----------------------|
| **S** | Client states: "I feel very nauseous and my stomach is upset." Client reports having "no
appetite" since surgery. |
| **O** | Vital signs: BP 140/70, HR 85 bpm, RR 16/min, Temp 37.0°C (98.6°F). Vomited 100 mL yellow
liquid twice in the past 2 hours. Bowel sounds absent in all four quadrants upon auscultation. Abdomen
soft but slightly distended. IV fluids infusing at 50 mL/hr in left forearm. |
| **A** | Client experiencing postoperative nausea and vomiting (PONV) following abdominal surgery.
Possible ileus versus medication side effect. |
| **P** | Provider notified. Received prescription for antiemetic medication – administered as ordered.
Client maintained NPO status. NG tube placement to be considered if symptoms persist. Continue to
monitor vital signs and intake/output every 2 hours. |
