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Nursing Fundamentals Exam Tips

Jun 10, 2025

Overview

This lecture provides a five-step strategy to help students achieve Level 3 on the ATI Fundamentals Comprehensive Exam, focusing on effective studying approaches and key exam topics.

Tip 1: Master Your Approach to Fundamentals

  • Fundamentals covers basic nursing principles and procedures and is foundational for all other nursing areas.
  • Focus on critical thinking, evidence-based practice, patient-centered care, clinical application, the nursing process, and therapeutic communication.
  • Always approach questions by thinking and acting like a nurse, prioritizing patient safety and professional standards.

Tip 2: Do Hella Practice Questions

  • Practice 50–75 questions daily using dynamic quizzes, standard quizzes, and practice assessments A & B.
  • Simulate exam conditions with practice to identify question patterns and core fundamentals content.
  • In study mode, flag questions you get wrong, guess on, or want to review again.

Tip 3: Read Every Rationale

  • Read the rationale for every question and every answer choice, not just the correct one.
  • Rationales explain why answers are right or wrong, helping you understand content deeply and avoid similar mistakes on the real exam.

Tip 4: Use the Study Guide and Supplemental Resources

  • Use a consolidated study guide (such as the 41-page guide discussed) alongside practice questions and any books or online resources.
  • Focus reading on challenging subjects, rather than reading the entire textbook.

Tip 5: Focus on Likely Exam Topics

  • Know the nursing process steps: assessment, diagnosis, planning, implementation, and evaluation.
  • Understand transmission precautions (airborne, droplet, contact, immunocompromised) and related patient care.
  • Review ergonomic principles for safe lifting, moving, and transferring.
  • Know patient education for ambulation with canes/crutches.
  • Understand legal responsibilities like informed consent and advance directives (living will, durable power of attorney).
  • Master therapeutic communication—avoid "why" questions, invite the patient to share more.
  • Review tracheostomy care, suctioning, airway management, and basic oxygen therapy.
  • Refresh knowledge of cranial nerves for possible anatomy questions.

Key Terms & Definitions

  • Fundamentals — Basic nursing principles and procedures forming the foundation for advanced practice.
  • Nursing Process — A systematic approach: assessment, diagnosis, planning, implementation, evaluation.
  • Evidence-based Practice — Using current research and evidence to inform patient care.
  • Patient-centered Care — Prioritizing the patient’s needs, preferences, and values in all care decisions.
  • Therapeutic Communication — Techniques that encourage patients to express feelings and information for better care.
  • Transmission Precautions — Safety measures (airborne, droplet, contact) to prevent infection spread.
  • Advance Directives — Legal documents stating a patient's care preferences if unable to communicate (living will, power of attorney).

Action Items / Next Steps

  • Practice 50–75 ATI fundamentals questions daily, flag and review weak areas.
  • Read rationales for all practice questions and answer choices.
  • Use the ultimate study guide and focus on personal challenging topics.
  • Review and memorize procedures for nursing process, transmission precautions, and therapeutic communication.
  • Revisit ergonomic principles and patient safety measures.