2026 ATI Fundamentals Practice
Assessment A Practice Exam
Questions, Verified Answers, and
Rationales Nursing Examination
1. A nurse is preparing to identify a client before administering
medication. Which action is appropriate?
A. Ask the client to state their room number.
B. Ask another nurse if the client is correct.
C. Compare two client identifiers with the medication
administration record.
D. Use the client's diagnosis as identification.
Answer: C. Compare two client identifiers with the medication
administration record.
Using two approved identifiers, such as the client's name and
date of birth, reduces the risk of medication errors.
2. Which finding requires immediate nursing intervention?
,A. Blood pressure 122/76 mm Hg
B. Respiratory rate 8/min
C. Temperature 37.2°C (99°F)
D. Heart rate 84/min
Answer: B. Respiratory rate 8/min
Respiratory depression can rapidly compromise oxygenation
and requires prompt assessment and intervention.
3. A nurse is caring for a client receiving oxygen therapy.
Which safety measure is essential?
A. Apply petroleum jelly to the client's lips.
B. Place the oxygen tank near a heat source.
C. Keep open flames away from the oxygen source.
D. Turn off oxygen during meals.
Answer: C. Keep open flames away from the oxygen source.
Oxygen supports combustion and significantly increases fire risk.
4. Which action demonstrates proper hand hygiene?
A. Wash hands only after client contact.
B. Rub hands for at least 20 seconds when washing with soap
and water.
,C. Wear gloves instead of washing hands.
D. Wash hands only when visibly soiled.
Answer: B. Rub hands for at least 20 seconds when washing
with soap and water.
Proper duration effectively removes microorganisms and
reduces transmission.
5. Which client is at greatest risk for developing pressure
injuries?
A. Ambulatory client with hypertension
B. Client on prolonged bed rest
C. Client with seasonal allergies
D. Client recovering from a minor laceration
Answer: B. Client on prolonged bed rest.
Immobility increases prolonged pressure over bony
prominences, impairing tissue perfusion.
6. A nurse observes redness over a client's sacrum that does
not blanch. This finding indicates:
A. Stage 1 pressure injury
B. Stage 2 pressure injury
, C. Stage 3 pressure injury
D. Deep tissue injury
Answer: A. Stage 1 pressure injury.
Non-blanchable erythema over intact skin defines Stage 1
pressure injury.
7. Which intervention best prevents falls in hospitalized
clients?
A. Raise all four side rails.
B. Keep frequently used items within reach.
C. Restrict fluid intake.
D. Apply restraints routinely.
Answer: B. Keep frequently used items within reach.
Easy access to personal items reduces unnecessary attempts to
get out of bed.
8. Which action is appropriate when transferring a client from
bed to wheelchair?
A. Lock the wheelchair brakes.
B. Leave the footrests down.
C. Pull the client by the arms.
D. Position the wheelchair far from the bed.
Assessment A Practice Exam
Questions, Verified Answers, and
Rationales Nursing Examination
1. A nurse is preparing to identify a client before administering
medication. Which action is appropriate?
A. Ask the client to state their room number.
B. Ask another nurse if the client is correct.
C. Compare two client identifiers with the medication
administration record.
D. Use the client's diagnosis as identification.
Answer: C. Compare two client identifiers with the medication
administration record.
Using two approved identifiers, such as the client's name and
date of birth, reduces the risk of medication errors.
2. Which finding requires immediate nursing intervention?
,A. Blood pressure 122/76 mm Hg
B. Respiratory rate 8/min
C. Temperature 37.2°C (99°F)
D. Heart rate 84/min
Answer: B. Respiratory rate 8/min
Respiratory depression can rapidly compromise oxygenation
and requires prompt assessment and intervention.
3. A nurse is caring for a client receiving oxygen therapy.
Which safety measure is essential?
A. Apply petroleum jelly to the client's lips.
B. Place the oxygen tank near a heat source.
C. Keep open flames away from the oxygen source.
D. Turn off oxygen during meals.
Answer: C. Keep open flames away from the oxygen source.
Oxygen supports combustion and significantly increases fire risk.
4. Which action demonstrates proper hand hygiene?
A. Wash hands only after client contact.
B. Rub hands for at least 20 seconds when washing with soap
and water.
,C. Wear gloves instead of washing hands.
D. Wash hands only when visibly soiled.
Answer: B. Rub hands for at least 20 seconds when washing
with soap and water.
Proper duration effectively removes microorganisms and
reduces transmission.
5. Which client is at greatest risk for developing pressure
injuries?
A. Ambulatory client with hypertension
B. Client on prolonged bed rest
C. Client with seasonal allergies
D. Client recovering from a minor laceration
Answer: B. Client on prolonged bed rest.
Immobility increases prolonged pressure over bony
prominences, impairing tissue perfusion.
6. A nurse observes redness over a client's sacrum that does
not blanch. This finding indicates:
A. Stage 1 pressure injury
B. Stage 2 pressure injury
, C. Stage 3 pressure injury
D. Deep tissue injury
Answer: A. Stage 1 pressure injury.
Non-blanchable erythema over intact skin defines Stage 1
pressure injury.
7. Which intervention best prevents falls in hospitalized
clients?
A. Raise all four side rails.
B. Keep frequently used items within reach.
C. Restrict fluid intake.
D. Apply restraints routinely.
Answer: B. Keep frequently used items within reach.
Easy access to personal items reduces unnecessary attempts to
get out of bed.
8. Which action is appropriate when transferring a client from
bed to wheelchair?
A. Lock the wheelchair brakes.
B. Leave the footrests down.
C. Pull the client by the arms.
D. Position the wheelchair far from the bed.
