ATI NCLEX EXAM FUNDAMENTALS ACTUAL
PRACTICE EXAM WITH WELL ELABORATED AND
MOST TESTED REAL PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER KEY
2026-2027 Q&A 100% GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
SECTION 1: Management of Care
1. A nurse is caring for four clients. Which client
should the nurse prioritize first using the ABCs
framework?
A) A client requesting assistance with oral hygiene
B) A client who needs discharge teaching about
wound care
C) A client with a heart rate of 38 beats per
minute reporting dizziness
D) A client with a blood glucose of 200 mg/dL
requesting insulin
,Rationale: A heart rate of 38 beats per minute
indicates severe bradycardia, which compromises
cardiac output and circulation. Using the ABCs
framework, circulation problems that are
immediately life-threatening take priority over
comfort, education, and stable glucose
management.
2. A nurse is delegating morning care tasks. Which
task is most appropriate to assign to unlicensed
assistive personnel (UAP)?
A) Evaluating a client's response to a new pain
medication
B) Teaching a client how to use an incentive
spirometer
C) Assisting a stable client with bathing and oral
hygiene
D) Performing a focused assessment on a client with
chest pain
Rationale: UAP can safely perform basic hygiene
tasks such as bathing and oral hygiene for stable
clients. Evaluation, teaching, and assessment
,require clinical judgment and must be performed
by a licensed nurse.
3. A nurse witnesses a client sign an informed
consent form but suspects the client does not
fully understand the procedure. What is the most
appropriate action?
A) Allow the procedure to proceed since the form
has been signed
B) Notify the physician that the client may not
fully understand the procedure
C) Explain the procedure to the client on behalf of
the physician
D) Document that consent was obtained and take no
further action
Rationale: The nurse's role includes ensuring the
client has adequate understanding before signing
consent. If the nurse suspects the client does not
understand, the physician must be notified so they
can re-explain the procedure. The nurse cannot
provide the clinical explanation on behalf of the
physician.
, 4. A client's adult child calls the nursing unit
requesting information about their parent's
condition. The client has not provided
authorization to share information. What should
the nurse do?
A) Provide a general update since the caller is a
family member
B) Explain that information cannot be shared
without the client's authorization per HIPAA
C) Transfer the call to the charge nurse to handle
D) Ask the caller to come in person before sharing
any information
Rationale: HIPAA protects the client's right to
control who receives their protected health
information. Without explicit authorization from
the client, the nurse cannot share any health
information with family members.
5. A nurse is planning care for a group of clients.
Which of the following tasks should the nurse
delegate to assistive personnel?
PRACTICE EXAM WITH WELL ELABORATED AND
MOST TESTED REAL PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER KEY
2026-2027 Q&A 100% GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
SECTION 1: Management of Care
1. A nurse is caring for four clients. Which client
should the nurse prioritize first using the ABCs
framework?
A) A client requesting assistance with oral hygiene
B) A client who needs discharge teaching about
wound care
C) A client with a heart rate of 38 beats per
minute reporting dizziness
D) A client with a blood glucose of 200 mg/dL
requesting insulin
,Rationale: A heart rate of 38 beats per minute
indicates severe bradycardia, which compromises
cardiac output and circulation. Using the ABCs
framework, circulation problems that are
immediately life-threatening take priority over
comfort, education, and stable glucose
management.
2. A nurse is delegating morning care tasks. Which
task is most appropriate to assign to unlicensed
assistive personnel (UAP)?
A) Evaluating a client's response to a new pain
medication
B) Teaching a client how to use an incentive
spirometer
C) Assisting a stable client with bathing and oral
hygiene
D) Performing a focused assessment on a client with
chest pain
Rationale: UAP can safely perform basic hygiene
tasks such as bathing and oral hygiene for stable
clients. Evaluation, teaching, and assessment
,require clinical judgment and must be performed
by a licensed nurse.
3. A nurse witnesses a client sign an informed
consent form but suspects the client does not
fully understand the procedure. What is the most
appropriate action?
A) Allow the procedure to proceed since the form
has been signed
B) Notify the physician that the client may not
fully understand the procedure
C) Explain the procedure to the client on behalf of
the physician
D) Document that consent was obtained and take no
further action
Rationale: The nurse's role includes ensuring the
client has adequate understanding before signing
consent. If the nurse suspects the client does not
understand, the physician must be notified so they
can re-explain the procedure. The nurse cannot
provide the clinical explanation on behalf of the
physician.
, 4. A client's adult child calls the nursing unit
requesting information about their parent's
condition. The client has not provided
authorization to share information. What should
the nurse do?
A) Provide a general update since the caller is a
family member
B) Explain that information cannot be shared
without the client's authorization per HIPAA
C) Transfer the call to the charge nurse to handle
D) Ask the caller to come in person before sharing
any information
Rationale: HIPAA protects the client's right to
control who receives their protected health
information. Without explicit authorization from
the client, the nurse cannot share any health
information with family members.
5. A nurse is planning care for a group of clients.
Which of the following tasks should the nurse
delegate to assistive personnel?
