ATI Fundamentals Practice 2026 A verified
questions 2026\2027 A+ Grade
A nurse is caring for a client who is postoperative following abdominal surgery.
Exhibit 1
Nurses' Notes 1100:Client received from PACU; initial vital signs recorded. Client drowsy but responds to
verbal stimuli. Client is oriented to person, place, and time. Client can move all extremities. Hypoactive
bowel sounds. Abdominal dressing intact with drainage noted and marked. Indwelling urinary catheter
in place and draining yellow urine. Infusing lactated Ringer's at 100 mL/hr to the right forearm. Client
positioned for comfort, side rails raised x 2, call light in the client's reach.1115:Provider prescriptions
reviewed.1200:Upon waking, client reports nausea and rates pain as a 6 on a scale of 0 to 10. Abdominal
dressing intact, no further drainage noted.
- correct answer Click to highlight the assessment findings below that the nurse should report to the
provider. To deselect a finding, click on the finding again.
***Urinary output***
***Reported pain level***
***Vital signs***
Neurological assessment is incorrect. The client is oriented to person, place, and time. They are able to
move all extremities and have no obvious indication of neurological compromise.
Incisional drainage is incorrect. While the initial assessment indicated drainage on the dressing, there
has been no further drainage since that time. A small amount of drainage following abdominal surgery is
an expected finding and does not need to be reported to the provider unless drainage continues or
increases over time.
Urinary output is correct. A client who has an indwelling urinary catheter should produce at least 30 to
50 mL/hr of urine. The client's output is less than the expected volume. The nurse should assess the
catheter's placement and potential for blockage due to their reduced urine output. This finding should
be reported to the provider.
Reported pain level is correct. The client's pain has not been relieved with the administration of
morphine. According to the client's report, their pain level is increasing. This finding should be reported
to the provider.
,Gastrointestinal assessment is incorrect. While nausea and hypoactive bowel sounds were initially
noted, the client reports relief after the administration of metoclopramide.
Vital signs is correct. The client's heart rate and respiratory rate have increased, and their blood
pressure and oxygen saturation levels have decreased. These findings should be reported to the
provider.
A nurse is caring for a client who reports difficulty falling asleep. Which of the following
recommendations should the nurse make?
- correct answer "Maintain a consistent time to wake up each day."
Explanation: The client should maintain a consistent time for waking up and going to sleep. This helps to
establish an internal sense of sleep and waking on a daily basis and helps to maintain it over time. This
will help promote sleep for the client.
A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should
the nurse implement for this client?
- correct answer Wear a gown when caring for the client.
Explanation: The nurse should implement contact precautions for a client who has shigella to prevent
the transmission of the bacteria. The nurse should wear a gown when providing care for a client who
requires contact precautions due to the risk of contact with bodily fluids and contaminated surfaces.
A nurse is assessing a client who reports increased pain following physical therapy. Which of the
following questions should the nurse ask when assessing the quality of the client's pain?
- correct answer "Is your pain sharp or dull?"
Explanation: Asking the client whether the pain is sharp, dull, crushing, throbbing, aching, burning,
electric-like, or shooting helps determine the quality of the pain.
A nurse in a surgical suite notes documentation on a client's medical record that they have a latex
allergy. In preparation for the client's procedure, which of the following precautions should the nurse
take?
- correct answer Wrap monitoring cords with stockinette and tape them in place.
, Explanation: Many monitoring devices and cords contain latex. The nurse should prevent any contact of
these cords and devices with the client's skin by covering them with a nonlatex barrier material, such as
stockinette, and using nonlatex tape to secure them.
A nurse is caring for a client who has a sodium level of 125 mEq/L (136 to 145 mEq/L). Which of the
following findings should the nurse expect?
- correct answer Abdominal cramping
Explanation: This client has hyponatremia, which is a low sodium level. Manifestations include
abdominal cramping, weakness, confusion, lethargy, headache, and nausea.
A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage.
Which of the following types of transmission precautions should the nurse initiate?
- correct answer Contact precautions
Explanation: Major wound infections require contact precautions, which means the nurse should admit
the client to a private room. All caregivers should wear a gown and gloves during direct contact with this
client.
A nurse is caring for a client with a diagnosis of terminal cancer. Which of the following statements by
the client should indicate to the nurse that the client is ready to hear information regarding palliative
care?
- correct answer "I want you to tell me about measures available to keep me comfortable."
Explanation: This statement would indicate that the client has accepted that their diagnosis is terminal
and is focusing on the goals of palliative care, which are comfort and manifestation control.
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
(Select all that apply.)
- correct answer Correct:
***Place the client in a room with negative-pressure airflow***
Explanation: The nurse should place the client in a room with negative-pressure airflow to meet the
requirements of airborne precautions.
***Wear gloves when assisting the client with oral care***
questions 2026\2027 A+ Grade
A nurse is caring for a client who is postoperative following abdominal surgery.
Exhibit 1
Nurses' Notes 1100:Client received from PACU; initial vital signs recorded. Client drowsy but responds to
verbal stimuli. Client is oriented to person, place, and time. Client can move all extremities. Hypoactive
bowel sounds. Abdominal dressing intact with drainage noted and marked. Indwelling urinary catheter
in place and draining yellow urine. Infusing lactated Ringer's at 100 mL/hr to the right forearm. Client
positioned for comfort, side rails raised x 2, call light in the client's reach.1115:Provider prescriptions
reviewed.1200:Upon waking, client reports nausea and rates pain as a 6 on a scale of 0 to 10. Abdominal
dressing intact, no further drainage noted.
- correct answer Click to highlight the assessment findings below that the nurse should report to the
provider. To deselect a finding, click on the finding again.
***Urinary output***
***Reported pain level***
***Vital signs***
Neurological assessment is incorrect. The client is oriented to person, place, and time. They are able to
move all extremities and have no obvious indication of neurological compromise.
Incisional drainage is incorrect. While the initial assessment indicated drainage on the dressing, there
has been no further drainage since that time. A small amount of drainage following abdominal surgery is
an expected finding and does not need to be reported to the provider unless drainage continues or
increases over time.
Urinary output is correct. A client who has an indwelling urinary catheter should produce at least 30 to
50 mL/hr of urine. The client's output is less than the expected volume. The nurse should assess the
catheter's placement and potential for blockage due to their reduced urine output. This finding should
be reported to the provider.
Reported pain level is correct. The client's pain has not been relieved with the administration of
morphine. According to the client's report, their pain level is increasing. This finding should be reported
to the provider.
,Gastrointestinal assessment is incorrect. While nausea and hypoactive bowel sounds were initially
noted, the client reports relief after the administration of metoclopramide.
Vital signs is correct. The client's heart rate and respiratory rate have increased, and their blood
pressure and oxygen saturation levels have decreased. These findings should be reported to the
provider.
A nurse is caring for a client who reports difficulty falling asleep. Which of the following
recommendations should the nurse make?
- correct answer "Maintain a consistent time to wake up each day."
Explanation: The client should maintain a consistent time for waking up and going to sleep. This helps to
establish an internal sense of sleep and waking on a daily basis and helps to maintain it over time. This
will help promote sleep for the client.
A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should
the nurse implement for this client?
- correct answer Wear a gown when caring for the client.
Explanation: The nurse should implement contact precautions for a client who has shigella to prevent
the transmission of the bacteria. The nurse should wear a gown when providing care for a client who
requires contact precautions due to the risk of contact with bodily fluids and contaminated surfaces.
A nurse is assessing a client who reports increased pain following physical therapy. Which of the
following questions should the nurse ask when assessing the quality of the client's pain?
- correct answer "Is your pain sharp or dull?"
Explanation: Asking the client whether the pain is sharp, dull, crushing, throbbing, aching, burning,
electric-like, or shooting helps determine the quality of the pain.
A nurse in a surgical suite notes documentation on a client's medical record that they have a latex
allergy. In preparation for the client's procedure, which of the following precautions should the nurse
take?
- correct answer Wrap monitoring cords with stockinette and tape them in place.
, Explanation: Many monitoring devices and cords contain latex. The nurse should prevent any contact of
these cords and devices with the client's skin by covering them with a nonlatex barrier material, such as
stockinette, and using nonlatex tape to secure them.
A nurse is caring for a client who has a sodium level of 125 mEq/L (136 to 145 mEq/L). Which of the
following findings should the nurse expect?
- correct answer Abdominal cramping
Explanation: This client has hyponatremia, which is a low sodium level. Manifestations include
abdominal cramping, weakness, confusion, lethargy, headache, and nausea.
A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage.
Which of the following types of transmission precautions should the nurse initiate?
- correct answer Contact precautions
Explanation: Major wound infections require contact precautions, which means the nurse should admit
the client to a private room. All caregivers should wear a gown and gloves during direct contact with this
client.
A nurse is caring for a client with a diagnosis of terminal cancer. Which of the following statements by
the client should indicate to the nurse that the client is ready to hear information regarding palliative
care?
- correct answer "I want you to tell me about measures available to keep me comfortable."
Explanation: This statement would indicate that the client has accepted that their diagnosis is terminal
and is focusing on the goals of palliative care, which are comfort and manifestation control.
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
(Select all that apply.)
- correct answer Correct:
***Place the client in a room with negative-pressure airflow***
Explanation: The nurse should place the client in a room with negative-pressure airflow to meet the
requirements of airborne precautions.
***Wear gloves when assisting the client with oral care***
