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ATI Fundamentals Exam 1 2026 Updated | 100% Correct Questions with Detailed Rationales Rated A+

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This ATI Fundamentals Exam 1 (2026 Updated) study resource features 100% correct, verified ATI-style questions with detailed answer rationales, designed to support nursing students preparing for fundamentals exams and ATI assessments. Coverage includes basic nursing concepts, safety and infection control, patient-centered care, vital signs, hygiene, mobility, documentation, and foundational clinical skills. Each question is paired with clear, in-depth explanations to strengthen understanding and improve exam performance. Ideal for ATI practice, fundamentals exams, NCLEX-style preparation, and achieving A+ results. Provided in a convenient, easy-to-study PDF format.

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FUNDAMENTALS EXAM #1 ATI Questions Detailed Answers (100% Correct) with Rationales Rated A+!!!



During a cardiovascular examination, a nurse in a provider's B, D
office places the diaphragm of the stethoscope on the left
midclavicular line at the fifth intercostal space. Which of the A. Incorrect: To auscultate a ventricular gallop (an S3 sound), the nurse places the bell of
following heart sounds is the nurse attempting to auscultate? the stethoscope at ech of the auscultatory sites.
(Select all that apply.)
B. Correct: To auscultate the closure of the mitral valve, the nurse places the diaphragm
A. Ventricular gallop of the stethoscope over the apex, or apical/mitral site, which is on the left midclavicular
line at the fifth intercostal space.
B. Closure of the mitral valve
C. Incorrect: To auscultate the closure of the pulmonic valve, the nurse places the
C. Closure of the pulmonic valve diaphragm of the stethoscope over the aortic area, which is just to the right of the sternum
at the second intercostal space.
D. Closure of the tricuspid valve
D. Correct: To auscultate the closure of the tricuspid valve, the nurse places the
E. Murmur diaphragm of the stethoscope over the apex, or apical/mitral site, which is on the left
midclavicular line at the fifth intercostal space.

E. Incorrect: To auscultate a murmur, the nurse places the bell of the stethoscope at
various auscultatory sites.




2026/02/04

,FUNDAMENTALS EXAM #1 ATI Questions Detailed Answers (100% Correct) with Rationales Rated A+!!!

During an abdominal examination, a nurse in a provider's C (with flatus, the protrusion is mainly midline, and there is no change in flanks)
office determines that a client has abdominal distention. The
protrusion is at midline, the skin over the area is taut, and the
nurse notes no involvement of the flanks. Which of the
following possible causes of distention should the nurse
suspect?

A. Fat

B. Fluid

C. Flatus

D. Hernias


During new employee orientation, a nurse is explaining how to D. "I will replace any IV catheter when I suspect contamination during insertion."
prevent IV infusions. Which of the following statements by an
oriented indicates understanding of the preventive strategies?

A. "I will leave the IV catheter in place after the client
completes the course of IV antibiotics."

B. "As long as I am working with the same client, I can use the
same IV catheter for my second insertion attempt."

C. "If my client needs to use the rest room, it would be safer to
disconnect his IV infusion as long as I clean the injection port
thoroughly with an antiseptic swab."

D. "I will replace any IV catheter when I suspect
contamination during insertion."




2026/02/04

,FUNDAMENTALS EXAM #1 ATI Questions Detailed Answers (100% Correct) with Rationales Rated A+!!!

A nurse educator is revieing with a newly hired nurse the A. fever
diferencies in manifestations of a localized versus a systemic B. malaise
infection. The nurse indicates understanding when she states E. increase in pulse and respiratory rate
that which of the following are manifestations of a systmeic
infection? (Slect all that apply.)

A. fever

B. malaise

C. edema

D. pain or tenderness

E. increase in pulse and repiratory rate




2026/02/04

, FUNDAMENTALS EXAM #1 ATI Questions Detailed Answers (100% Correct) with Rationales Rated A+!!!

A nurse educator is teaching a module on pharmacokinetics to B. CORRECT: Some medications are inactivated on their first pass through the liver and
a group of newly licensed nurses. Which of the following must be given by a nonenteral route to prevent this inactivation. These medications are
statements by a newly licensed nurse indicates an usually given by routes such as sublingual or IV.
understanding of the first-pass effect?
A. INCORRECT: This statement describes an antagonist medication, not the first pass-
A. "Some medications block normal receptor activity regulated effect.
by endogenous compounds or receptor activity caused by other
medications." C. INCORRECT: This statement describes a long half life, not the first-pass effect.

B. "Some medications may have to be administered by a D. INCORRECT: This statement describes a high therapeutic index, not the first-pass
nonenteral route to avoid inactivation as they travel through the effect.
liver."

C. "Some medications leave the body more slowly and
therefore have a greater risk for medication accumulation and
toxicity."

D. "Some medications have a wide safety margin, so there is
no need for routine serum medication level monitoring."


A nurse educator is teaching newly licensed nurses about safe -"I will observe for adverse effects"
medication administration. Which of the following statements
indicates understanding? (Select all that apply.) -"I will monitor for therapeutic effects"

-"I will observe for adverse effects." -I will refuse to give a medication if I believe it is unsafe"

-"I will monitor for therapeutic effects"

-"I will prescribe the appropriate dose"

-"I will change the dose if adverse effects occur."

-"I will refuse to give a medication if I believe it is unsafe"

2026/02/04

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