ATI Fundamentals 2.0 Proctored | ATI Testing |
Academic Year 2026/2027 | Comprehensive
Proctored
Section I: Management of Care
Q1. A nurse is caring for a competent adult client who refuses a blood transfusion
based on religious beliefs. The client's adult child insists that the nurse proceed
with the transfusion to save the client's life. Which action should the nurse take?
A. Administer the blood transfusion as requested by the family
B. Respect the client's refusal and document the decision in the medical record
C. Ask the provider to obtain a court order to override the client's refusal
D. Delay the transfusion until the client becomes unconscious, then administer it
Correct Answer: B
Rationale: A competent adult has the legal right to refuse any treatment,
including life-saving interventions, under the principle of autonomy and informed
consent. The nurse must respect the client's informed decision, document the
refusal, and notify the provider. Administering blood against the client's will
constitutes battery. A court order is only appropriate when the client lacks
decision-making capacity. Delaying until unconsciousness is unethical and illegal.
Q2. A nurse is delegating tasks to assistive personnel (AP) on a medical-surgical
unit. Which task should the nurse delegate to the AP? (Select all that apply.)
A. Measuring and recording a client's intake and output
B. Assessing a client's wound for signs of infection
C. Ambulating a stable client who has been on bed rest
D. Evaluating a client's response to pain medication
E. Obtaining a client's vital signs after a stable blood transfusion
Correct Answers: A, C, E
, Rationale: Measuring I&O, ambulating stable clients, and obtaining vital signs
on stable clients are standardized, non-invasive tasks within the AP scope of
practice. Assessment, evaluation, and clinical judgment require RN-level
education and cannot be delegated to AP. The nurse retains accountability for all
delegated tasks.
Q3. A nurse is caring for a client who has just been informed of a terminal
diagnosis. The client states, "I want to make sure nobody keeps me alive on
machines." Which document should the nurse recommend?
A. Informed consent form
B. Living will
C. HIPAA authorization
D. Incident report
Correct Answer: B
Rationale: A living will is an advance directive that specifies a client's wishes
regarding end-of-life care, including the desire to withhold or withdraw life-
sustaining treatment. Informed consent relates to procedures, HIPAA protects
privacy, and an incident report documents unusual occurrences.
Q4. A nurse is preparing to administer medications to a client. Which action
should the nurse take first to ensure client safety?
A. Verify the client's identity using two identifiers
B. Check the medication against the medication administration record (MAR)
C. Assess the client's allergy status
D. Explain the purpose of each medication to the client
Correct Answer: A
Rationale: The first priority in medication administration is confirming the
right client using two unique identifiers (e.g., name and date of birth) per National
Patient Safety Goals. This prevents administration errors before any other step.
,Checking allergies, verifying the MAR, and providing education follow client
identification in the safety sequence.
Q5. A nurse is caring for a client who is scheduled for surgery. While witnessing
the client's signature on the consent form, the client states, "I trust my doctor,
but I don't understand what resecting my intestines means." Which action should
the nurse take?
A. Describe the surgery to the client in simple terms
B. Notify the provider
C. Complete an incident report
D. Provide a brochure about the procedure
Correct Answer: B
Rationale: Informed consent requires that the client understand the
procedure, risks, benefits, and alternatives. The provider is responsible for
explaining the procedure and answering questions. The nurse's role is to witness
the signature and ensure the client understands. If the client expresses lack of
understanding, the nurse must notify the provider. The nurse should not describe
the surgery (outside scope) or provide brochures as a substitute for provider
explanation.
Q6. A nurse is reviewing a client's advance directives. Which statement by the
client indicates correct understanding of a durable power of attorney for health
care (DPOAHC)?
A. "My family will automatically make decisions for me if I become unable to."
B. "I can appoint someone to make healthcare decisions for me if I lose capacity."
C. "A DPOAHC only applies if I am terminally ill."
D. "Once I sign a DPOAHC, I can never change it."
Correct Answer: B
Rationale: A DPOAHC allows a competent adult to designate a healthcare
proxy to make medical decisions if the client loses decision-making capacity. It
, applies in various situations, not only terminal illness. The client can revoke or
change the DPOAHC at any time while competent. Family members do not
automatically have decision-making authority without legal designation.
Q7. A nurse is assigning tasks to an LPN and an AP. Which task is most appropriate
for the LPN?
A. Administering oral medications to a stable client
B. Performing an initial admission assessment on a new client
C. Teaching a client about insulin self-administration
D. Developing a plan of care for a client with complex needs
Correct Answer: A
Rationale: LPNs can administer medications to stable clients under the
supervision of an RN. Initial assessments, client teaching, and care planning
require RN-level education and clinical judgment. The RN retains accountability
for assessment, planning, evaluation, and teaching.
Q8. A nurse is caring for a client who speaks limited English. Which action should
the nurse take to ensure informed consent?
A. Have the client's family member interpret the consent form
B. Use a certified medical interpreter
C. Provide written materials in the client's native language only
D. Proceed with the consent because the client signed it
Correct Answer: B
Rationale: Informed consent requires that the client fully understand the
procedure. A certified medical interpreter ensures accurate communication and
understanding. Family members should not interpret consent forms due to
potential conflicts of interest, lack of medical terminology knowledge, and
confidentiality concerns. Written materials alone do not ensure comprehension.
Academic Year 2026/2027 | Comprehensive
Proctored
Section I: Management of Care
Q1. A nurse is caring for a competent adult client who refuses a blood transfusion
based on religious beliefs. The client's adult child insists that the nurse proceed
with the transfusion to save the client's life. Which action should the nurse take?
A. Administer the blood transfusion as requested by the family
B. Respect the client's refusal and document the decision in the medical record
C. Ask the provider to obtain a court order to override the client's refusal
D. Delay the transfusion until the client becomes unconscious, then administer it
Correct Answer: B
Rationale: A competent adult has the legal right to refuse any treatment,
including life-saving interventions, under the principle of autonomy and informed
consent. The nurse must respect the client's informed decision, document the
refusal, and notify the provider. Administering blood against the client's will
constitutes battery. A court order is only appropriate when the client lacks
decision-making capacity. Delaying until unconsciousness is unethical and illegal.
Q2. A nurse is delegating tasks to assistive personnel (AP) on a medical-surgical
unit. Which task should the nurse delegate to the AP? (Select all that apply.)
A. Measuring and recording a client's intake and output
B. Assessing a client's wound for signs of infection
C. Ambulating a stable client who has been on bed rest
D. Evaluating a client's response to pain medication
E. Obtaining a client's vital signs after a stable blood transfusion
Correct Answers: A, C, E
, Rationale: Measuring I&O, ambulating stable clients, and obtaining vital signs
on stable clients are standardized, non-invasive tasks within the AP scope of
practice. Assessment, evaluation, and clinical judgment require RN-level
education and cannot be delegated to AP. The nurse retains accountability for all
delegated tasks.
Q3. A nurse is caring for a client who has just been informed of a terminal
diagnosis. The client states, "I want to make sure nobody keeps me alive on
machines." Which document should the nurse recommend?
A. Informed consent form
B. Living will
C. HIPAA authorization
D. Incident report
Correct Answer: B
Rationale: A living will is an advance directive that specifies a client's wishes
regarding end-of-life care, including the desire to withhold or withdraw life-
sustaining treatment. Informed consent relates to procedures, HIPAA protects
privacy, and an incident report documents unusual occurrences.
Q4. A nurse is preparing to administer medications to a client. Which action
should the nurse take first to ensure client safety?
A. Verify the client's identity using two identifiers
B. Check the medication against the medication administration record (MAR)
C. Assess the client's allergy status
D. Explain the purpose of each medication to the client
Correct Answer: A
Rationale: The first priority in medication administration is confirming the
right client using two unique identifiers (e.g., name and date of birth) per National
Patient Safety Goals. This prevents administration errors before any other step.
,Checking allergies, verifying the MAR, and providing education follow client
identification in the safety sequence.
Q5. A nurse is caring for a client who is scheduled for surgery. While witnessing
the client's signature on the consent form, the client states, "I trust my doctor,
but I don't understand what resecting my intestines means." Which action should
the nurse take?
A. Describe the surgery to the client in simple terms
B. Notify the provider
C. Complete an incident report
D. Provide a brochure about the procedure
Correct Answer: B
Rationale: Informed consent requires that the client understand the
procedure, risks, benefits, and alternatives. The provider is responsible for
explaining the procedure and answering questions. The nurse's role is to witness
the signature and ensure the client understands. If the client expresses lack of
understanding, the nurse must notify the provider. The nurse should not describe
the surgery (outside scope) or provide brochures as a substitute for provider
explanation.
Q6. A nurse is reviewing a client's advance directives. Which statement by the
client indicates correct understanding of a durable power of attorney for health
care (DPOAHC)?
A. "My family will automatically make decisions for me if I become unable to."
B. "I can appoint someone to make healthcare decisions for me if I lose capacity."
C. "A DPOAHC only applies if I am terminally ill."
D. "Once I sign a DPOAHC, I can never change it."
Correct Answer: B
Rationale: A DPOAHC allows a competent adult to designate a healthcare
proxy to make medical decisions if the client loses decision-making capacity. It
, applies in various situations, not only terminal illness. The client can revoke or
change the DPOAHC at any time while competent. Family members do not
automatically have decision-making authority without legal designation.
Q7. A nurse is assigning tasks to an LPN and an AP. Which task is most appropriate
for the LPN?
A. Administering oral medications to a stable client
B. Performing an initial admission assessment on a new client
C. Teaching a client about insulin self-administration
D. Developing a plan of care for a client with complex needs
Correct Answer: A
Rationale: LPNs can administer medications to stable clients under the
supervision of an RN. Initial assessments, client teaching, and care planning
require RN-level education and clinical judgment. The RN retains accountability
for assessment, planning, evaluation, and teaching.
Q8. A nurse is caring for a client who speaks limited English. Which action should
the nurse take to ensure informed consent?
A. Have the client's family member interpret the consent form
B. Use a certified medical interpreter
C. Provide written materials in the client's native language only
D. Proceed with the consent because the client signed it
Correct Answer: B
Rationale: Informed consent requires that the client fully understand the
procedure. A certified medical interpreter ensures accurate communication and
understanding. Family members should not interpret consent forms due to
potential conflicts of interest, lack of medical terminology knowledge, and
confidentiality concerns. Written materials alone do not ensure comprehension.
