ATI Fundamentals Practice A, B & Final Exam
2026/2027: Complete 200-Question Review
with Detailed Rationales, Clinical Judgement
Scenarios, and Evidence-Based Nursing
Interventions for Exam Success
Legal, Ethical, & Privacy
1. A nurse is reinforcing teaching with a client
about living wills. Which client statement
indicates understanding?
o ☑VERIFIED ANSWER: "The living will directs
my medical care when I am unable to make
decisions."
o Rationale: A living will is a legal document
that outlines the medical treatments a
client wants or refuses if they become
incapacitated. It is different from a durable
power of attorney for healthcare, which
appoints someone to make decisions .
,2. A nurse is explaining ethics to a new nurse.
Allowing a client to make a decision about
treatment is an example of which ethical
principle?
o ☑VERIFIED ANSWER: Autonomy
o Rationale: Autonomy is the client's right to
make their own decisions. Beneficence is
the duty to do good, and nonmaleficence is
the duty to avoid harm .
3. A nurse at a long-term care facility is caring for
a client who is alert. How should the nurse
protect the client's privacy?
o ☑VERIFIED ANSWER: Speak with the client
about their condition after visitors have
left.
o Rationale: Sensitive medical information
should be discussed in private or with the
client's consent to maintain confidentiality.
,4. A nurse is taking notes on a piece of paper
while receiving a report. How should the nurse
dispose of the paper?
o ☑VERIFIED ANSWER: Shred the paper in a
secure container.
o Rationale: Any paper with Protected Health
Information (PHI) must be destroyed
securely, typically by shredding, to comply
with HIPAA regulations .
5. A nurse is reinforcing teaching with a client
about smoking cessation. What is the first
stage of health behavior change?
o ☑VERIFIED ANSWER: Precontemplation
o Rationale: In the Transtheoretical Model,
precontemplation is the first stage, where
the person does not intend to take action in
the near future .
Safety & Infection Control
, 6. A nurse is preparing for a client who has a
positive throat culture for streptococci. Which
intervention should be included?
o ☑VERIFIED ANSWER: Ensure the client
wears a surgical mask during transport
throughout the facility.
o Rationale: Clients with droplet infections
(like strep) should wear a mask to prevent
transmission when outside their room.
7. A nurse is collecting data from a client who has
an NG tube set to low intermittent suction.
Which finding indicates hypomagnesemia?
o ☑VERIFIED ANSWER: Positive Chvostek's
sign
o Rationale: A positive Chvostek's sign (facial
twitching when the facial nerve is tapped)
indicates neuromuscular irritability, often
due to hypomagnesemia or hypocalcemia .
2026/2027: Complete 200-Question Review
with Detailed Rationales, Clinical Judgement
Scenarios, and Evidence-Based Nursing
Interventions for Exam Success
Legal, Ethical, & Privacy
1. A nurse is reinforcing teaching with a client
about living wills. Which client statement
indicates understanding?
o ☑VERIFIED ANSWER: "The living will directs
my medical care when I am unable to make
decisions."
o Rationale: A living will is a legal document
that outlines the medical treatments a
client wants or refuses if they become
incapacitated. It is different from a durable
power of attorney for healthcare, which
appoints someone to make decisions .
,2. A nurse is explaining ethics to a new nurse.
Allowing a client to make a decision about
treatment is an example of which ethical
principle?
o ☑VERIFIED ANSWER: Autonomy
o Rationale: Autonomy is the client's right to
make their own decisions. Beneficence is
the duty to do good, and nonmaleficence is
the duty to avoid harm .
3. A nurse at a long-term care facility is caring for
a client who is alert. How should the nurse
protect the client's privacy?
o ☑VERIFIED ANSWER: Speak with the client
about their condition after visitors have
left.
o Rationale: Sensitive medical information
should be discussed in private or with the
client's consent to maintain confidentiality.
,4. A nurse is taking notes on a piece of paper
while receiving a report. How should the nurse
dispose of the paper?
o ☑VERIFIED ANSWER: Shred the paper in a
secure container.
o Rationale: Any paper with Protected Health
Information (PHI) must be destroyed
securely, typically by shredding, to comply
with HIPAA regulations .
5. A nurse is reinforcing teaching with a client
about smoking cessation. What is the first
stage of health behavior change?
o ☑VERIFIED ANSWER: Precontemplation
o Rationale: In the Transtheoretical Model,
precontemplation is the first stage, where
the person does not intend to take action in
the near future .
Safety & Infection Control
, 6. A nurse is preparing for a client who has a
positive throat culture for streptococci. Which
intervention should be included?
o ☑VERIFIED ANSWER: Ensure the client
wears a surgical mask during transport
throughout the facility.
o Rationale: Clients with droplet infections
(like strep) should wear a mask to prevent
transmission when outside their room.
7. A nurse is collecting data from a client who has
an NG tube set to low intermittent suction.
Which finding indicates hypomagnesemia?
o ☑VERIFIED ANSWER: Positive Chvostek's
sign
o Rationale: A positive Chvostek's sign (facial
twitching when the facial nerve is tapped)
indicates neuromuscular irritability, often
due to hypomagnesemia or hypocalcemia .
