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ATI Fundamentals Practice Exam B 2026/2027 A+ Grade Edition

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The ATI Fundamentals Practice Exam B is designed to test foundational nursing knowledge, including patient safety, infection control, communication, and basic clinical skills. Below is a practice set of exam‑style questions with answers and rationales to help you prepare for top performance.

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ATI Fundamentals Practice 2026 B questions and
answers 2026\2027 A+ Grade


A nurse is caring for a female client.



Exhibit 1

Medical history

Client is receiving chemotherapy for treatment of breast cancer.



Exhibit 2

Diagnostic Results

Week 1:

Hct 42% (37% to 47%)

Hgb 15 g/dL (12 to 16 g/dL)

WBC count 8,000/mm3 (5,000 to 10,000/mm3)

Platelet count 350,000/mm3 (150,000 to 400,000/mm3)

Potassium 3.7 mEq/L (3.5 to 5 mEq/L)



Week 2:

Hct 37% (37% to 47%)

Hgb 12 g/dL (12 to 16 g/dL)

WBC count 6,000/mm3 (5,000 to 10,000/mm3)

Platelet count 100,000/mm3 (150,000 to 400,000/mm3)

Potassium 3.6 mEq/L (3.5 to 5 mEq/L)
- correct answer The client is at risk for BLEEDING as evidenced by the client's PLATELET COUNT.

,Explanation:

Drop Down 1:

- Dysrhythmias is incorrect. The client's potassium level is within the expected reference range.
Therefore, the client is not at an increased risk for dysrhythmias.

- BLEEDING is correct. The client's platelet count is less than the expected reference range. Therefore,
the client is at risk for bleeding.

- Infection is incorrect. The client's WBC count is within the expected reference range. Therefore, the
client is not at an increased risk for infection.



Drop Down 2:

- PLATELET count is correct. The client's platelet count is less than the expected reference range.
Therefore, the client is at risk for bleeding.

- WBC count is incorrect. The client's WBC count is within the expected reference range. Therefore, the
client is not at an increased risk for infection.

- Potassium level is incorrect. The client's potassium level is within the expected reference range.
Therefore, the client is not at an increased risk for dysrhythmias.



A nurse is teaching a client and their family how to care for the client's tracheostomy at home. Which of
the following instructions should the nurse include in the teaching?
- correct answer Use Tracheostomy covers when outside.



Explanation: Tracheostomy covers protect the client's airway from cold air, dust, and other airborne
particles.



A nurse is caring for a client who asks about the purpose of advance directives. Which of the following
statements should the nurse make?
- correct answer "They indicate the form of treatment a client is willing to accept in the event of a
serious illness."



Explanation: Advance directives include a living will, which permits clients to direct the treatment they
will receive in the event of a medical emergency or serious illness.

, A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of
the following findings should the nurse identify as a potential indication of a skin malignancy?
- correct answer A mole with an asymmetrical appearance



Explanation: An uneven or asymmetrical shape is a potential indication of a skin malignancy. This is
manifested when part of a lesion or mole looks different from the other part.



A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the
following statements should the nurse identify as an indication that the client understands the use of
this assistive device?
- correct answer "I will be sure to remove my hearing aid before taking a shower."



Explanation: Clients should remove any hearing devices before showering because exposure to water
can damage them.



A home health nurse is completing an admission assessment of an older adult client who has their
caregiver present. Which of the following findings should the nurse identify as a potential indication of
elder abuse?
- correct answer The caregiver insists on remaining in the room.



Explanation: A caregiver who refuses to leave the room during an admission assessment can be an
indication of potential mistreatment of the client who is receiving care. The nurse should evaluate the
client for additional signs of potential mistreatment throughout the admission assessment.



A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as
an indication of correct use?
- correct answer The client holds the cane on the stronger side of their body.



Explanation: The client should hold the cane on the stronger side of their body to increase support and
maintain alignment.



A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of
regular physical activity. Which of the following types of activity should the nurse recommend?
- correct answer Walking briskly

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