ATI B PROCTORED EXAM 2025-2026 WITH 100% VERIFIED QUESTIONS &
ANSWERS  ..
Section 1: Professional Nursing and Ethics (Questions 1-30)
1. A nurse is discussing the concept of professional identity with nursing students.
Which statement indicates an accurate understanding?
A) "Professional identity is solely about wearing a uniform and having a nursing
license."
B) "Professional identity is the internalized values, beliefs, and attributes that
shape a nurse's self-concept and practice."
C) "Professional identity is determined only by the nurse's years of experience."
D) "Professional identity is the same for every nurse and does not change over
time."
Correct Answer: B
Rationale: Professional identity is a complex, evolving sense of self that integrates
nursing's core values (caring, integrity, advocacy) and influences how a nurse
thinks, acts, and feels. It is not static or determined solely by external factors .
2. According to the ANA Code of Ethics, the nurse's primary commitment is to:
,A) The healthcare institution
B) The physician
C) The patient, whether an individual, family, group, community, or population
D) Other nurses
Correct Answer: C
Rationale: Provision 2 of the ANA Code states that the nurse's primary
commitment is to the patient. All other interests are secondary .
3. A nurse is caring for a patient who refuses a life-saving blood transfusion due to
religious beliefs. What is the most appropriate action?
A) Administer the blood transfusion because it is medically necessary
B) Respect the patient's decision and explore alternative treatments
C) Contact the patient's family to override the decision
D) Document the refusal and leave the patient alone
Correct Answer: B
,Rationale: Respect for patient autonomy is a core ethical principle. The nurse
must respect the patient's informed refusal, provide alternative care, and
document the refusal .
4. A nurse is explaining ethics and values to a newly licensed nurse. Allowing a
client to make a decision about treatment is an example of which ethical
principle?
A) Beneficence
B) Nonmaleficence
C) Justice
D) Autonomy
Correct Answer: D
Rationale: Autonomy is the right of the client to make their own personal
decisions, even if those decisions might not be in their best biological interest .
, 5. A nurse is caring for a client who is a member of a culture that values family
decision-making. The patient's family wants to make all healthcare decisions.
What is the nurse's best action?
A) Insist that the patient make their own decisions
B) Respect the family's cultural values while assessing the patient's preferences
C) Report the family to the ethics committee
D) Ignore the family and speak directly to the patient
Correct Answer: B
Rationale: Culturally competent care requires respecting family decision-making
values while ensuring the patient's voice is heard. The nurse should assess the
patient's preferences within their cultural context .
6. A nurse is explaining advance directives to a patient. Which statement by the
patient indicates understanding?
A) "An advance directive is only for elderly patients."
B) "Once I sign an advance directive, it cannot be changed."
ANSWERS  ..
Section 1: Professional Nursing and Ethics (Questions 1-30)
1. A nurse is discussing the concept of professional identity with nursing students.
Which statement indicates an accurate understanding?
A) "Professional identity is solely about wearing a uniform and having a nursing
license."
B) "Professional identity is the internalized values, beliefs, and attributes that
shape a nurse's self-concept and practice."
C) "Professional identity is determined only by the nurse's years of experience."
D) "Professional identity is the same for every nurse and does not change over
time."
Correct Answer: B
Rationale: Professional identity is a complex, evolving sense of self that integrates
nursing's core values (caring, integrity, advocacy) and influences how a nurse
thinks, acts, and feels. It is not static or determined solely by external factors .
2. According to the ANA Code of Ethics, the nurse's primary commitment is to:
,A) The healthcare institution
B) The physician
C) The patient, whether an individual, family, group, community, or population
D) Other nurses
Correct Answer: C
Rationale: Provision 2 of the ANA Code states that the nurse's primary
commitment is to the patient. All other interests are secondary .
3. A nurse is caring for a patient who refuses a life-saving blood transfusion due to
religious beliefs. What is the most appropriate action?
A) Administer the blood transfusion because it is medically necessary
B) Respect the patient's decision and explore alternative treatments
C) Contact the patient's family to override the decision
D) Document the refusal and leave the patient alone
Correct Answer: B
,Rationale: Respect for patient autonomy is a core ethical principle. The nurse
must respect the patient's informed refusal, provide alternative care, and
document the refusal .
4. A nurse is explaining ethics and values to a newly licensed nurse. Allowing a
client to make a decision about treatment is an example of which ethical
principle?
A) Beneficence
B) Nonmaleficence
C) Justice
D) Autonomy
Correct Answer: D
Rationale: Autonomy is the right of the client to make their own personal
decisions, even if those decisions might not be in their best biological interest .
, 5. A nurse is caring for a client who is a member of a culture that values family
decision-making. The patient's family wants to make all healthcare decisions.
What is the nurse's best action?
A) Insist that the patient make their own decisions
B) Respect the family's cultural values while assessing the patient's preferences
C) Report the family to the ethics committee
D) Ignore the family and speak directly to the patient
Correct Answer: B
Rationale: Culturally competent care requires respecting family decision-making
values while ensuring the patient's voice is heard. The nurse should assess the
patient's preferences within their cultural context .
6. A nurse is explaining advance directives to a patient. Which statement by the
patient indicates understanding?
A) "An advance directive is only for elderly patients."
B) "Once I sign an advance directive, it cannot be changed."
