2023 ATI Fundamentals Exam - 70 Questions with
100% CORRECT ANSWERS
Comprehensive Examination
1. A nurse is reinforcing information with a client who wishes to complete their advance directives.
Which of the following statements should the nurse make?
A) "You must have advance directives in place in order to refuse recommended treatment."
B) "An attorney is needed in order for you to name a designee in your health care proxy."
C) "You can decline to have certain medical procedures performed in your living will."
D) "A living will can be an oral statement that you agree upon with your provider."
Correct ANSWER: C
Rationale:
A) Incorrect - Clients have the right to refuse treatment without advance directives. Advance directives
formalize wishes but are not required to refuse care.
B) Incorrect - An attorney is not required to name a designee in a healthcare proxy. The client can
complete the necessary forms with witnesses.
,C) Correct - A living will is a written document that allows clients to specify which medical procedures
they would decline if they become incapacitated.
D) Incorrect - A living will must be a written document, not an oral statement, to be legally valid and
enforceable.
2. A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements
by the client indicates understanding of the teaching?
A) "I should stop receiving Papanicolaou tests once I reach menopause."
B) "The best time to perform a breast self-examination is on the first day of my period."
C) "I can expect to have regular periods until I am in menopause."
D) "I might have headaches due to a decline in my estrogen levels."
Correct ANSWER: D
Rationale:
A) Incorrect - Papanicolaou (Pap) tests should continue after menopause as recommended by
healthcare providers, typically every 3-5 years depending on age and risk factors.
B) Incorrect - The best time to perform breast self-examination is 5-7 days after the first day of the
menstrual period, not on the first day.
C) Incorrect - During perimenopause, menstrual cycles often become irregular and unpredictable, not
regular.
,D) Correct - Declining estrogen levels during perimenopause and menopause can cause vasomotor
symptoms including headaches.
3. A nurse in a provider's office is calculating a client's BMI. Which of the following pieces of the client
data should the nurse use as a part of the calculation?
A) Daily calorie intake
B) Height
C) Abdominal girth
D) Blood pressure
Correct ANSWER: B
Rationale:
A) Incorrect - Daily calorie intake is not used in BMI calculation; it is used for dietary assessment.
B) Correct - BMI is calculated using weight in kilograms divided by height in meters squared (kg/m²).
Height is an essential component.
C) Incorrect - Abdominal girth measures central obesity but is not part of the BMI formula.
D) Incorrect - Blood pressure is not used in BMI calculation; it is a separate vital sign measurement.
4. A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the
following actions should the nurse take first?
, A) Determine the client's knowledge of the use of the peak flow meter.
B) Show the client a video demonstration of peak flow meter use.
C) Observe the client using the peak flow meter.
D) Emphasize the importance of the daily use of the peak flow meter.
Correct ANSWER: A
Rationale:
A) Correct - The nurse should first assess the client's current knowledge and understanding to establish a
baseline and tailor teaching appropriately.
B) Incorrect - Demonstrating before assessing knowledge may skip important learning needs or
misconceptions the client already has.
C) Incorrect - Observation of return demonstration should occur after teaching, not as the first action.
D) Incorrect - Emphasizing importance should occur after determining the client's baseline knowledge
and during the teaching process.
5. A nurse is collecting data about a client's oral care. The client wears dentures and reports having
mouth sores. The nurse should identify which of the following oral care practices by the client as a
possible cause of the mouth sores?
A) Soaks dentures in water after removal.
B) Applies an adhesive to seal dentures in place.
100% CORRECT ANSWERS
Comprehensive Examination
1. A nurse is reinforcing information with a client who wishes to complete their advance directives.
Which of the following statements should the nurse make?
A) "You must have advance directives in place in order to refuse recommended treatment."
B) "An attorney is needed in order for you to name a designee in your health care proxy."
C) "You can decline to have certain medical procedures performed in your living will."
D) "A living will can be an oral statement that you agree upon with your provider."
Correct ANSWER: C
Rationale:
A) Incorrect - Clients have the right to refuse treatment without advance directives. Advance directives
formalize wishes but are not required to refuse care.
B) Incorrect - An attorney is not required to name a designee in a healthcare proxy. The client can
complete the necessary forms with witnesses.
,C) Correct - A living will is a written document that allows clients to specify which medical procedures
they would decline if they become incapacitated.
D) Incorrect - A living will must be a written document, not an oral statement, to be legally valid and
enforceable.
2. A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements
by the client indicates understanding of the teaching?
A) "I should stop receiving Papanicolaou tests once I reach menopause."
B) "The best time to perform a breast self-examination is on the first day of my period."
C) "I can expect to have regular periods until I am in menopause."
D) "I might have headaches due to a decline in my estrogen levels."
Correct ANSWER: D
Rationale:
A) Incorrect - Papanicolaou (Pap) tests should continue after menopause as recommended by
healthcare providers, typically every 3-5 years depending on age and risk factors.
B) Incorrect - The best time to perform breast self-examination is 5-7 days after the first day of the
menstrual period, not on the first day.
C) Incorrect - During perimenopause, menstrual cycles often become irregular and unpredictable, not
regular.
,D) Correct - Declining estrogen levels during perimenopause and menopause can cause vasomotor
symptoms including headaches.
3. A nurse in a provider's office is calculating a client's BMI. Which of the following pieces of the client
data should the nurse use as a part of the calculation?
A) Daily calorie intake
B) Height
C) Abdominal girth
D) Blood pressure
Correct ANSWER: B
Rationale:
A) Incorrect - Daily calorie intake is not used in BMI calculation; it is used for dietary assessment.
B) Correct - BMI is calculated using weight in kilograms divided by height in meters squared (kg/m²).
Height is an essential component.
C) Incorrect - Abdominal girth measures central obesity but is not part of the BMI formula.
D) Incorrect - Blood pressure is not used in BMI calculation; it is a separate vital sign measurement.
4. A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the
following actions should the nurse take first?
, A) Determine the client's knowledge of the use of the peak flow meter.
B) Show the client a video demonstration of peak flow meter use.
C) Observe the client using the peak flow meter.
D) Emphasize the importance of the daily use of the peak flow meter.
Correct ANSWER: A
Rationale:
A) Correct - The nurse should first assess the client's current knowledge and understanding to establish a
baseline and tailor teaching appropriately.
B) Incorrect - Demonstrating before assessing knowledge may skip important learning needs or
misconceptions the client already has.
C) Incorrect - Observation of return demonstration should occur after teaching, not as the first action.
D) Incorrect - Emphasizing importance should occur after determining the client's baseline knowledge
and during the teaching process.
5. A nurse is collecting data about a client's oral care. The client wears dentures and reports having
mouth sores. The nurse should identify which of the following oral care practices by the client as a
possible cause of the mouth sores?
A) Soaks dentures in water after removal.
B) Applies an adhesive to seal dentures in place.
