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ATI Fundamentals Retake Exam 2023 - Actual Questions and Revised Answers - 100% Pass, Exams of Nursing

Cerritos CollegeNursing

ATI Fundamentals Retake Exam 2023 - Actual Questions and Revised Answers - 100% Pass Assured

Typology: Exams

2024/2025

Available from 06/08/2025

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ATI RETAKE
FUNDAMENTALS
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Exam has 70 FUNDAMENTALS nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
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Download ATI Fundamentals Retake Exam 2023 - Actual Questions and Revised Answers - 100% Pass and more Exams Nursing in PDF only on Docsity!

ATI RETAKE

FUNDAMENTALS

PROCTORED EXAM

(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)

Actual Qs & Ans to Pass the Exam

This ATI test contains:

 Passing Score Guarantee

 Exam has 70 FUNDAMENTALS nursing questions

 multiple-choice format (A, B, C, D) with correct answers

 structured rationales.

 incorporate Next Generation NCLEX (NGN)-style.

 Some questions feature brief “scenario” elements and rationales.

  1. (Duplicate Scenario for Practice) A nurse is caring for a post-operative client who needs a high-protein diet to promote wound healing. The client’s religious practice prohibits consumption of certain meats during specific days. Which of the following nursing actions is most appropriate?

A. Encourage the client to eat meat to speed recovery. B. Advise the client to skip the meat and eat the rest of the meal. C. Suggest high-protein enteral feedings be ordered. D. Ask the dietitian to recommend alternative protein choices.

Answer: D. Ask the dietitian to recommend alternative protein choices.

Expert-Verified Explanation:

  • Collaboration with the dietitian respects the client’s beliefs while still promoting nutritional needs.
  • This client-centered approach helps ensure optimal protein intake from acceptable food sources.
  1. (Mini Case Study) A nurse is collecting data from a client who is 2 days postoperative following a colostomy. During assessment, the nurse inspects the stoma and notes the following findings:
  • Location: mid-abdominal
  • Color: purple
  • Small amount of bleeding present
  • Protrusion above the skin level
  • This method also prevents cross-contamination.
  1. (NGN-Style: Initial Step in Teaching) A nurse is reinforcing teaching about carbohydrate counting with a client newly diagnosed with diabetes mellitus. Which of the following actions should the nurse take first?

A. Use pictures of different food groups to help the client plan a daily menu. B. Ask the client what they already know about meal planning. C. Provide a brochure with sample menus for breakfast, lunch, and dinner. D. Involve the family in the discussion of the client’s meal plan.

Answer: B. Ask the client what they already know about meal planning.

Expert-Verified Explanation:

  • Assessing the client’s current knowledge level is the first step to provide individualized and effective teaching.
  • It helps the nurse identify omissions or misconceptions and tailor the instruction accordingly.
  1. (NGN-Style Clinical Judgment) A nurse is assisting with the care of a client who is about to start intravenous (IV) therapy. The client states, “I have so many allergies, I’m worried about the materials used.” Which of the following allergies should the nurse immediately report to the charge nurse prior to initiating IV therapy?

A. Eggs

B. Latex C. Seafood D. Bee stings

Answer: B. Latex

Expert-Verified Explanation:

  • Clients with a latex allergy can experience severe anaphylactic reactions when exposed to latex in IV tubing, tourniquets, or gloves.
  • Latex-free equipment needs to be used for this client.

6. A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing following surgery. The client states, “My religious practices do not allow me to eat meat on certain days.” Which of the following actions should the nurse take?

A. Encourage the client to eat meat anyway to promote healing. B. Advise the client to eat everything on the tray except the meat. C. Suggest the client receive high-protein enteral feedings. D. Ask the dietitian to recommend alternative food choices for the client.

Answer: D. Ask the dietitian to recommend alternative food choices for the client.

Expert-Verified Explanation:

  • Respecting cultural and religious dietary restrictions is part of client-centered care.
  • The dietitian can help identify protein-rich alternatives (e.g., dairy, legumes, eggs, or soy).

D. “Advance directives from one state are valid in all other states.”

Answer: B. “I know that I can change my advance directives if I need to in the future.”

Expert-Verified Explanation:

  • Advance directives can be revised or revoked by the client at any time.
  • They only become active when the client is deemed unable to make or communicate decisions.

9. A nurse is preparing a client for a Romberg test to evaluate balance. Which of the following statements should the nurse make?

A. “Stand with your feet together and your arms at your sides.” B. “After I place the tuning fork, tell me when you no longer hear the sound.” C. “I’m going to stroke the lateral side of the bottom of your foot.” D. “Touch each fingertip as quickly as possible with your thumb.”

Answer: A. “Stand with your feet together and your arms at your sides.”

Expert-Verified Explanation:

  • The Romberg test assesses balance and proprioception by having the client stand with feet close together and arms at sides, eyes open, then eyes closed.
  1. (Select All That Apply Format Converted to Multiple Choice) A nurse is contributing to the plan of care for a client who is dying. The nurse wants to involve the client’s family. Which of the following interventions is the most appropriate initial action?

A. Suggest the family leave at night so the client can rest undisturbed. B. Keep the client’s status confidential and update them only if asked. C. Encourage the family to participate, for example by combing the client’s hair. D. Ask the family to convince the client to eat.

Answer: C. Encourage the family to participate, for example by combing the client’s hair.

Expert-Verified Explanation:

  • Encouraging the family to perform comfort measures (such as hair care) helps them remain involved in the client’s care.
  • Family can also be kept updated on the client’s status and prepared for end-of-life changes.
  1. (NGN-Style: Coordinating Care) A nurse detects an irregular heart rate in a client. To check for a pulse deficit, which action should the nurse take?

A. Count the client’s radial pulse for 30 seconds and multiply by 2. B. Assist the client to a side-lying position before auscultating the heart. C. Auscultate Erb’s point on the client’s chest. D. Count the apical and radial pulses simultaneously with another nurse.

Answer: D. Count the apical and radial pulses simultaneously with another nurse.

Expert-Verified Explanation:

  • A pulse deficit is the difference between the apical and radial rate. Checking both at the same time helps identify any deficit accurately.

Expert-Verified Explanation:

  • Placing the lid upside down safely on a nonsterile surface helps maintain sterility of the container’s inner rim.
  • The first flap should be opened away from the nurse, and the sterile field must be above waist level.
  1. (Mini Case Study) A client has been experiencing excessive vomiting and diarrhea for 2 days. Current lab results and vital signs are as follows:
  • BUN: 18 mg/dL
  • Pulse: 118/min (thready)
  • Urine specific gravity: 1.
  • Blood pressure: 88/54 mm Hg

Which of the following findings best indicates a fluid volume deficit?

A. BUN of 18 mg/dL B. Bounding pulse C. Urine specific gravity of 1. D. Prominent neck veins

Answer: C. Urine specific gravity of 1.

Expert-Verified Explanation:

  • A high urine specific gravity (>1.030) suggests significant concentration of the urine and is consistent with fluid volume deficit.
  • Tachycardia and low blood pressure also support volume depletion.

15. A nurse is caring for four clients in an acute care setting. Which of the following client statements presents an ethical dilemma requiring further action?

A. “I might file a lawsuit because of how my surgery went.” B. “Please don’t tell my doctor, but I’m taking my partner’s oxycodone.” C. “Please don’t get me out of bed this morning. It hurts too much.” D. “I don’t want to take my medication because it makes me nauseous.”

Answer: B. “Please don’t tell my doctor, but I’m taking my partner’s oxycodone.”

Expert-Verified Explanation:

  • A client’s request to conceal information about illegal or unauthorized medication use creates an ethical conflict related to honesty, safety, and the standard of care.

16. A nurse is documenting the assessment of a client’s lower legs, which display 6 mm edema. Which of the following should the nurse record in the client’s chart?

A. 1+ pitting edema B. 2+ pitting edema C. 3+ pitting edema D. 4+ pitting edema

Answer: C. 3+ pitting edema

Expert-Verified Explanation:

  • Edema of 6 mm depth typically corresponds to 3+ pitting edema based on standard edema grading scales.

Answer: C. Expect the staple’s center to bend and each side to lift free.

Expert-Verified Explanation:

  • Proper staple removal involves positioning the staple remover so that when squeezed, the staple bends in the middle and each prong lifts out of the skin.
  • The staple should be fully disengaged before lifting away.

19. A nurse is reinforcing teaching with a client who has hypertension and must measure blood pressure (BP) daily at home. Which client statement indicates proper understanding of the teaching?

A. “I will wait 15 minutes after drinking coffee to measure my BP.” B. “I will measure my BP with my arm elevated above my heart.” C. “I should remove constrictive clothing prior to measuring my BP.” D. “I should measure my BP immediately after eating breakfast.”

Answer: C. “I should remove constrictive clothing prior to measuring my BP.”

Expert-Verified Explanation:

  • Tight clothing can impede circulation or falsely elevate readings.
  • The client should also rest quietly for at least 5 minutes prior to measurement and keep the arm supported at heart level.

20. A nurse is contributing to the plan of care for a client who requires isolation precautions. For which of the following conditions should the nurse recommend airborne precautions?

A. Pneumonia B. Measles (Rubeola) C. Pertussis D. Methicillin-resistant Staphylococcus aureus (MRSA)

Answer: B. Measles (Rubeola)

Expert-Verified Explanation:

  • Measles is spread via airborne transmission.
  • Airborne precautions include N95 or equivalent respirator use, a private room with negative-pressure airflow, and limited transport.
  1. (Religious Preference Assessment) A nurse is caring for a client who practices Islam. Which of the following questions should the nurse ask to clarify the client’s dietary preferences?

A. “Do you receive Holy Communion? ” B. “Do you follow a kosher diet? ” C. “Do you consume pork products? ” D. “Do you oppose blood transfusions if needed? ”

Answer: C. “Do you consume pork products? ”

Expert-Verified Explanation:

  • Practicing Muslims typically avoid pork and pork products for religious reasons.
  • Clarifying dietary requirements is an important step in providing culturally competent care.

Expert-Verified Explanation:

  • Humidification of oxygen flow rates ≥4 L/min helps prevent drying of the mucous membranes and reduces the risk of nasal irritation.
  • Petroleum-based products are contraindicated near oxygen sources due to flammability concerns.

24. A nurse is caring for four clients. Which client scenario would most benefit from the therapeutic communication technique of silence?

A. A client who plans to leave the facility against medical advice B. A client who shares plans for funeral arrangements C. A client who complains that the night nurse delayed medication D. A client who has just learned of the death of a child

Answer: D. A client who has just learned of the death of a child

Expert-Verified Explanation:

  • Silence can be therapeutic by allowing the client time to process feelings and grieve.
  • It communicates empathy and presence without forcing conversation.

25. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to reduce infection risk?

A. Clean the perineal area at least once every 24 hours. B. Empty the drainage bag when it is completely full. C. Flush the catheter daily with sterile water. D. Keep the drainage bag connected when emptying urine.

Answer: D. Keep the drainage bag connected when emptying urine.

Expert-Verified Explanation:

  • Maintaining a closed drainage system is key to preventing infection.
  • The perineal area should be cleansed regularly (e.g., at least once per shift or if soiled).

26. A nurse is caring for a client receiving chemotherapy who has developed stomatitis. Which of the following actions should the nurse take to reduce oral discomfort?

A. Offer lemon-glycerin swabs. B. Encourage the client to drink hot tea. C. Rinse the mouth with 0.9% sodium chloride solution. D. Provide a commercial alcohol-based mouthwash.

Answer: C. Rinse the mouth with 0.9% sodium chloride solution.

Expert-Verified Explanation:

  • Normal saline rinses are less irritating to inflamed oral mucosa.
  • Lemon-glycerin swabs or alcohol-based mouthwashes can cause additional dryness and discomfort.
  1. (NGN-Style: Teaching a Family Caregiver)
  • Liquid stool can seep around an impaction and is a classic sign of fecal impaction in older adults.
  • Asking about diet and laxative use is also important, but identifying liquid stools is a critical first step.
  1. (NGN-Style: Professional Behavior and Confidentiality) A nurse is standing in a hospital elevator and overhears a coworker discussing a client’s personal health details with another nurse. Which of the following actions should the nurse take?

A. Inform the nurses that the neighbor’s dog actually caused the wound. B. Tell the coworkers that this discussion is inappropriate for a public space. C. Complete an incident report when returning to the unit. D. Report the conversation to the client’s provider.

Answer: B. Tell the coworkers that this discussion is inappropriate for a public space.

Expert-Verified Explanation:

  • Immediately addressing breach of confidentiality (i.e., discussing private health information in public) is professional and protects client privacy.
  • Further action, such as reporting or incident documentation, may also be taken, but stopping the conversation is the priority.
  1. (Mini Case Study) A client with a history of chronic kidney disease (CKD) has the following data:
  • Urinary output: 60 mL/3 hr
  • WBC: 11,000/mm³
  • Voiding frequency: three times/night
  • Burning sensation upon urination

Which of the following findings is the priority for the nurse to report to the provider?

A. Nocturia (voiding three times during the night) B. Burning and discomfort with urination C. WBC count of 11,000/mm³ D. Urinary output of 60 mL over the past 3 hours

Answer: D. Urinary output of 60 mL over the past 3 hours

Expert-Verified Explanation:

  • Urine output less than 30 mL/hr (i.e., 60 mL in 3 hours) is a critical sign of decreased kidney perfusion or potential kidney failure.
  • This is especially concerning for a client with CKD and must be reported immediately.

31. A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which of the following actions should the nurse take to prevent transmission of this infection?

A. Perform hand hygiene with an alcohol-based rub after removing gloves. B. Place the client in a negative-pressure airflow room. C. Wear a mask when giving oral medications. D. Remove and discard the cover gown in the client’s room after providing care.

Answer: D. Remove and discard the cover gown in the client’s room after providing care.