ATI Fundamentals Practice Exam

    Most students meet ATI Fundamentals at the end of their first nursing course. It checks whether you can keep a client safe, prevent infection, read vital signs, and use the nursing process to decide what to do first. On NursingPlex you can try free sample questions below, then work through full question sets in Practice, Review or Exam mode.

    ATI Fundamentals Exam at a Glance

    When taken
    End of the first nursing course
    Format
    Timed, proctored, computer-based
    Question types
    Multiple choice, select all that apply, ordering
    Scoring
    Proficiency Level 1–3; most programs require Level 2

    High-yield topics to study

    • Safety and infection control
    • Nursing process and prioritization
    • Vital signs and assessment
    • Mobility, hygiene and skin integrity
    • Medication administration rights

    Exam details vary by school and test version — confirm with your program. NursingPlex is not affiliated with or endorsed by ATI.

    Free ATI Fundamentals Sample Questions with Rationales

    Try these 3 practice questions written by NursingPlex. The correct answer and rationale are shown under each one.

    1. 1. A nurse is preparing to remove personal protective equipment after caring for a client on contact precautions. Which item should the nurse remove first?

      1. A. Gown
      2. B. Gloves ✓
      3. C. Mask
      4. D. Goggles

      Rationale: Gloves are the most contaminated item, so they are removed first. The usual order is gloves, goggles or face shield, gown, then mask or respirator, followed by hand hygiene.

    2. 2. A client is at risk for falls. Which action should the nurse take first?

      1. A. Apply a vest restraint
      2. B. Place the bed in the lowest position with wheels locked ✓
      3. C. Keep all four side rails raised
      4. D. Give a sedative at bedtime

      Rationale: A low, locked bed is the least restrictive safety measure. Restraints and four raised rails increase injury risk and need specific criteria; sedatives raise fall risk.

    3. 3. Which finding should the nurse report immediately for an adult client?

      1. A. Temperature 37.4 °C (99.3 °F)
      2. B. Respiratory rate 8/min ✓
      3. C. Heart rate 88/min
      4. D. Blood pressure 118/76 mm Hg

      Rationale: A respiratory rate of 8/min is below the adult normal range of 12–20/min and signals possible respiratory depression. The other values are within expected ranges.

    ATI Fundamentals Practice Question Sets

    Every set below comes from the NursingPlex ATI Fundamentals library. Open any set to practice with answers and rationales.

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    ATI Fundamentals Exam FAQs

    Nursing Care Plans for ATI Fundamentals

    Study the care plans that go with this exam: what to assess, likely nursing diagnoses, goals and the interventions that fit each condition.

    Acute Confusion (Delirium) Care Plan

    Sudden, fluctuating change in attention and cognition, usually reversible once the trigger (infection, hypoxia, drugs, electrolytes) is corrected.

    Acute Pain & Pain Management Care Plan

    Short-lived pain from injury, surgery or disease; managed with timed assessment, multimodal analgesia and non-drug comfort measures.

    Activity Intolerance & Generalized Weakness Care Plan

    Insufficient energy to complete required activity; care focuses on paced activity, vitals response and progressive conditioning.

    Cancer (Oncology Nursing) Care Plan

    Supportive care across diagnosis, chemotherapy, radiation and survivorship, with heavy focus on symptom and infection control.

    Caregiver Role Strain Care Plan

    Physical, emotional and financial burden on family caregivers; interventions build respite, teaching and community support.

    Burn Injury Care Plan

    Thermal/chemical injury care across resuscitation, wound and rehab phases.

    Dermatitis Care Plan

    Inflammatory skin reaction; trigger avoidance, moisturizing and itch control.

    Pressure Ulcer (Bedsores) Care Plan

    Pressure-related tissue damage; repositioning, offloading, nutrition and staged wound care.

    Wound Care & Tissue Integrity Care Plan

    Acute and chronic wound healing support with assessment, dressings and nutrition.

    Osteoarthritis Care Plan

    Degenerative joint disease; pain control, joint protection and activity balance.

    Rheumatoid Arthritis Care Plan

    Autoimmune joint inflammation; morning stiffness care, DMARD teaching and deformity prevention.

    Osteomyelitis Care Plan

    Bone infection needing long IV antibiotics, immobilization and wound care.

    Osteoporosis Care Plan

    Low bone density with fracture risk; calcium, vitamin D, weight-bearing exercise and fall prevention.

    Gout Care Plan

    Uric acid crystal arthritis; acute flare relief, hydration and purine-limited diet.

    Browse the full nursing care plan library, or start with the care plan writing guide.

    This content also appears on the ATI Comprehensive Predictor, the cumulative exam taken before graduation.

    See all core ATI proctored exams or browse every test bank.