FUNDAMENTALS ATI QUESTIONS EXAM 1 EXAM
SCRIPT 2026 COMPLETE QUESTIONS AND
SOLUTIONS
◉ A nurse is caring for a client who decides not to have surgery
despite significant blockages of the coronary arteries. The nurse
understands that this client's choice is an example of which of the
following ethical principles?
A.Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. Answer: B. Autonomy
The nurse identifies that in this situation, the client is exercising
their right to make their own personal decision about surgery,
regardless of others' opinions of what is "best" for them. This is an
example of autonomy.
A. Fidelity is the fulfillment of promises. The nurse has not made any
promises; this is the client's decision.
,C. Justice is fairness in care delivery and in the use of resources.
Because the client has chosen not to use them, this principle does
not apply.
D. Nonmaleficence is a commitment to do no harm. In this situation,
harm can occur whether or not the client has surgery. However,
because they choose not to, this principle does not apply.
◉ A nurse offers pain medication to a client who is postoperative
prior to ambulation. The nurse understands that this aspect of care
delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence. Answer: D. Beneficence
The nurse should identify that beneficence is action that promotes
good for others, without any self-interest. By administering pain
medication before the client attempts a potentially painful exercise
like ambulation, the nurse is taking a specific and positive action to
help the client.
A. Fidelity is the fulfillment of promises. Unless the nurse has
specifically promised the client a pain-free recovery, which is
unlikely, this principle does not apply to this action.
,B. Autonomy is the right to make personal decisions, even when they
are not necessarily in the person's best interest. In this situation, the
nurse is delivering responsible client care. This principle does not
apply.
C. Justice is fairness in care delivery and in the use of resources. Pain
management is available for all clients who are postoperative, so this
principle does not apply.
◉ A nurse is instructing a group of newly licensed nurses about the
responsibilities organ donation and procurement involve. When the
nurse explains that all clients waiting for a kidney transplant have to
meet the same qualifications, the newly licensed nurses should
understand that this aspect of care delivery is an example of which
of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. Answer: C. Justice
The nurse should identify that justice is fairness in care delivery and
in the use of resources. By applying the same qualifications to all
potential kidney transplant recipients, organ procurement
organizations demonstrate this ethical principle in determining the
allocation of these scarce resources.
, A. Fidelity is the fulfillment of promises. Because donor organs are a
scarce resource compared with the numbers of potential recipients
who need them, no one can promise anyone an organ. Thus, this
principle does not apply.
B. Autonomy is the right to make personal decisions, even when they
are not necessarily in the person's best interest. No personal
decision is involved with the qualifications for organ recipients.
D. Nonmaleficence is a commitment to do no harm. In this situation,
harm can occur to organ donors and to recipients. The requirements
of the organ procurement organizations are standard procedures
and do not address avoidance of harm or injury.
◉ A nurse questions a medication prescription as too extreme in
light of the client's advanced age and unstable status. The nurse
understands that this action is an example of which of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. Answer: D. Nonmaleficence
The nurse should identify that nonmaleficence is a commitment to
do no harm. In this situation, administering the medication could
harm the client. By questioning it, the nurse is demonstrating this
ethical principle.
SCRIPT 2026 COMPLETE QUESTIONS AND
SOLUTIONS
◉ A nurse is caring for a client who decides not to have surgery
despite significant blockages of the coronary arteries. The nurse
understands that this client's choice is an example of which of the
following ethical principles?
A.Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. Answer: B. Autonomy
The nurse identifies that in this situation, the client is exercising
their right to make their own personal decision about surgery,
regardless of others' opinions of what is "best" for them. This is an
example of autonomy.
A. Fidelity is the fulfillment of promises. The nurse has not made any
promises; this is the client's decision.
,C. Justice is fairness in care delivery and in the use of resources.
Because the client has chosen not to use them, this principle does
not apply.
D. Nonmaleficence is a commitment to do no harm. In this situation,
harm can occur whether or not the client has surgery. However,
because they choose not to, this principle does not apply.
◉ A nurse offers pain medication to a client who is postoperative
prior to ambulation. The nurse understands that this aspect of care
delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence. Answer: D. Beneficence
The nurse should identify that beneficence is action that promotes
good for others, without any self-interest. By administering pain
medication before the client attempts a potentially painful exercise
like ambulation, the nurse is taking a specific and positive action to
help the client.
A. Fidelity is the fulfillment of promises. Unless the nurse has
specifically promised the client a pain-free recovery, which is
unlikely, this principle does not apply to this action.
,B. Autonomy is the right to make personal decisions, even when they
are not necessarily in the person's best interest. In this situation, the
nurse is delivering responsible client care. This principle does not
apply.
C. Justice is fairness in care delivery and in the use of resources. Pain
management is available for all clients who are postoperative, so this
principle does not apply.
◉ A nurse is instructing a group of newly licensed nurses about the
responsibilities organ donation and procurement involve. When the
nurse explains that all clients waiting for a kidney transplant have to
meet the same qualifications, the newly licensed nurses should
understand that this aspect of care delivery is an example of which
of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. Answer: C. Justice
The nurse should identify that justice is fairness in care delivery and
in the use of resources. By applying the same qualifications to all
potential kidney transplant recipients, organ procurement
organizations demonstrate this ethical principle in determining the
allocation of these scarce resources.
, A. Fidelity is the fulfillment of promises. Because donor organs are a
scarce resource compared with the numbers of potential recipients
who need them, no one can promise anyone an organ. Thus, this
principle does not apply.
B. Autonomy is the right to make personal decisions, even when they
are not necessarily in the person's best interest. No personal
decision is involved with the qualifications for organ recipients.
D. Nonmaleficence is a commitment to do no harm. In this situation,
harm can occur to organ donors and to recipients. The requirements
of the organ procurement organizations are standard procedures
and do not address avoidance of harm or injury.
◉ A nurse questions a medication prescription as too extreme in
light of the client's advanced age and unstable status. The nurse
understands that this action is an example of which of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. Answer: D. Nonmaleficence
The nurse should identify that nonmaleficence is a commitment to
do no harm. In this situation, administering the medication could
harm the client. By questioning it, the nurse is demonstrating this
ethical principle.
