ATI RN FUNDAMENTALS PROCTORED EXAM (2026/2027) | ACTUAL EXAM QUESTIONS BOOK WITH
CORRECT DETAILED ANSWERS | LATEST UPDATE - JUST RELEASED
ATI RN Fundamentals Proctored Examination Comprehensive Preparation | Core Domains: Basic Nursing Care,
Infection Control, Safety & Mobility, Health Assessment & Vital Signs, Medication Administration Fundamentals,
Nutrition & Elimination, Comfort, Rest & Pain Management, and Legal/Ethical Foundations of Nursing | Foundational
Nursing Competency & NCLEX-RN® Focus | High-Stakes Proctored Exam Format
Exam Structure
The ATI RN Fundamentals Proctored Exam for the 2026/2027 academic cycle is a comprehensive, 60-question proctored
assessment designed as a high-stakes predictor of foundational nursing competency and NCLEX-RN® readiness. This
book contains the latest actual exam questions with verified answers.
Introduction
This ATI RN Fundamentals Proctored Exam Questions Book for the 2026/2027 academic year is the newly released,
definitive resource. It provides the most current actual exam content, complete with correct, detailed answers and
rationales. This guide is essential for mastering the core principles of nursing practice and achieving the benchmark score
required by nursing programs to progress.
I. Safety & Infection Control
1. A nurse is admitting a client who has been coughing and sneezing frequently. The client is diagnosed
with influenza. Which of the following types of transmission-based precautions should the nurse
initiate?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective environment
Answer: B. Droplet precautions
Rationale: Influenza is transmitted via large-particle droplets that are generated when an infected
person coughs, sneezes, or talks. These droplets travel short distances (typically up to 3 feet) and can
be deposited on the mucous membranes of a susceptible person. Droplet precautions require wearing
a surgical mask when within 3 feet of the client, and dedicated patient-care equipment. Airborne
precautions are for smaller particles that remain infectious over long distances (e.g., tuberculosis,
measles). Contact precautions are for pathogens spread by direct or indirect contact (e.g., C. difficile,
MRSA). A protective environment is for immunocompromised clients to protect them from pathogens.
2. A home health nurse is teaching a client about home safety. Which of the following statements by the
client indicates an understanding of the teaching? (Select all that apply.)
A. “I need to set my hot water heater to 140 degrees Fahrenheit.”
B. “I will use the grab bars when getting in and out of the bathtub.”
,C. “I will apply tape over any frayed areas on my electrical cords.”
D. “I need to have a fire escape plan with my family.”
E. “I need to check my medications for expiration dates.”
Answer: B, D, E
Rationale: Safe home practices are critical for preventing injury. Using grab bars enhances stability
and prevents falls in the bathroom. Developing a fire escape plan is a crucial safety measure for all
household members. Regularly checking medications for expiration dates ensures they are safe and
effective to use. Setting the hot water heater to 140°F (60°C) is incorrect and poses a significant burn
risk; the recommended maximum temperature is 120°F (48.9°C). Applying tape over frayed electrical
cords is a fire hazard; they should be replaced immediately.
3. A nurse is caring for a client who has an infected wound. When entering the client's room to change
the dressing, the nurse notes the client is coughing and sneezing. Which of the following infection
control actions should the nurse take?
A. Place a mask on the client to limit the spread of microorganisms into the air.
B. Wear a gown and gloves when changing the dressing.
C. Explain to the client that the dressing change will have to wait.
D. Postpone the dressing change until the coughing and sneezing have stopped.
Answer: A. Place a mask on the client to limit the spread of microorganisms into the air.
Rationale: The nurse's priority is to protect the client's open wound from contamination. When a
client is coughing or sneezing, they are expelling respiratory droplets that can contaminate the sterile
field and the wound itself. Placing a mask on the client is a simple and effective intervention to contain
these droplets. While the nurse should wear appropriate PPE (like a gown and gloves) for the dressing
change based on the wound's status (contact precautions), the immediate action to protect the wound
from airborne contamination from the client is to mask the client. Postponing the care is not
appropriate as the dressing change may be necessary.
4. A nurse is assessing a patient's fall risk. Which of the following is a key component of the "Timed
Get-up and Go Test" (TUG)?
A. Having the patient walk for 6 minutes continuously.
B. Asking the patient to stand, walk 10 feet, turn, and sit back down.
C. Testing the patient's ability to balance on one leg for 30 seconds.
D. Measuring the patient's grip strength using a dynamometer.
Answer: B. Asking the patient to stand, walk 10 feet, turn, and sit back down.
Rationale: The Timed Get-up and Go (TUG) test is a standard assessment for mobility and fall risk. The
procedure involves timing the patient as they rise from a chair, walk 10 feet (3 meters), turn around,
walk back to the chair, and sit down. It assesses balance, gait speed, and functional mobility. The other
options describe different assessments (6-minute walk test, single-leg stance test, and grip strength
test).
, 5. A nurse is providing discharge teaching to a client who has a new prescription for a home oxygen
concentrator. Which of the following instructions is a priority?
A. "Check the cord routinely for frays or tearing."
B. ";Consider purchasing a generator for power backup."
C. ";Observe for signs of hypoxia."
D. "Post 'No Smoking' signs in a prominent location."
Answer: D. "Post 'No Smoking' signs in a prominent location."
Rationale: Oxygen is highly combustible, and the presence of an open flame or smoking poses a severe
fire and safety hazard. The absolute priority is to ensure a fire-safe environment. While checking cords
(A), having a backup power source (B), and monitoring for hypoxia (C) are all important instructions,
preventing a fire is the most immediate and critical safety action.
6. A nurse is caring for a client who has Clostridium difficile. In addition to standard precautions,
which of the following transmission-based precautions should the nurse initiate?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective precautions
Answer: C. Contact precautions
Rationale: C. difficile is spread through contact with the feces of an infected person or contaminated
surfaces. Therefore, contact precautions are required. This includes wearing a gown and gloves for all
interactions that may involve contact with the patient or potentially contaminated surfaces. It is also
critical to wash hands with soap and water, as alcohol-based sanitizers are not effective against C.
difficile spores.
7. A nurse is assessing a client who has required bed rest for the past month. Which of the following
findings should the nurse identify as an indication of a complication of immobility?
A. Increased joint flexibility
B. Swelling in the lower extremities
C. Increased appetite
D. Lowered heart rate
Answer: B. Swelling in the lower extremities
Rationale: Immobility impairs venous return from the lower extremities, leading to venous stasis,
which can cause dependent edema (swelling). This swelling is also a warning sign for a more serious
complication of immobility: deep vein thrombosis (DVT). Immobility leads to decreased joint
CORRECT DETAILED ANSWERS | LATEST UPDATE - JUST RELEASED
ATI RN Fundamentals Proctored Examination Comprehensive Preparation | Core Domains: Basic Nursing Care,
Infection Control, Safety & Mobility, Health Assessment & Vital Signs, Medication Administration Fundamentals,
Nutrition & Elimination, Comfort, Rest & Pain Management, and Legal/Ethical Foundations of Nursing | Foundational
Nursing Competency & NCLEX-RN® Focus | High-Stakes Proctored Exam Format
Exam Structure
The ATI RN Fundamentals Proctored Exam for the 2026/2027 academic cycle is a comprehensive, 60-question proctored
assessment designed as a high-stakes predictor of foundational nursing competency and NCLEX-RN® readiness. This
book contains the latest actual exam questions with verified answers.
Introduction
This ATI RN Fundamentals Proctored Exam Questions Book for the 2026/2027 academic year is the newly released,
definitive resource. It provides the most current actual exam content, complete with correct, detailed answers and
rationales. This guide is essential for mastering the core principles of nursing practice and achieving the benchmark score
required by nursing programs to progress.
I. Safety & Infection Control
1. A nurse is admitting a client who has been coughing and sneezing frequently. The client is diagnosed
with influenza. Which of the following types of transmission-based precautions should the nurse
initiate?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective environment
Answer: B. Droplet precautions
Rationale: Influenza is transmitted via large-particle droplets that are generated when an infected
person coughs, sneezes, or talks. These droplets travel short distances (typically up to 3 feet) and can
be deposited on the mucous membranes of a susceptible person. Droplet precautions require wearing
a surgical mask when within 3 feet of the client, and dedicated patient-care equipment. Airborne
precautions are for smaller particles that remain infectious over long distances (e.g., tuberculosis,
measles). Contact precautions are for pathogens spread by direct or indirect contact (e.g., C. difficile,
MRSA). A protective environment is for immunocompromised clients to protect them from pathogens.
2. A home health nurse is teaching a client about home safety. Which of the following statements by the
client indicates an understanding of the teaching? (Select all that apply.)
A. “I need to set my hot water heater to 140 degrees Fahrenheit.”
B. “I will use the grab bars when getting in and out of the bathtub.”
,C. “I will apply tape over any frayed areas on my electrical cords.”
D. “I need to have a fire escape plan with my family.”
E. “I need to check my medications for expiration dates.”
Answer: B, D, E
Rationale: Safe home practices are critical for preventing injury. Using grab bars enhances stability
and prevents falls in the bathroom. Developing a fire escape plan is a crucial safety measure for all
household members. Regularly checking medications for expiration dates ensures they are safe and
effective to use. Setting the hot water heater to 140°F (60°C) is incorrect and poses a significant burn
risk; the recommended maximum temperature is 120°F (48.9°C). Applying tape over frayed electrical
cords is a fire hazard; they should be replaced immediately.
3. A nurse is caring for a client who has an infected wound. When entering the client's room to change
the dressing, the nurse notes the client is coughing and sneezing. Which of the following infection
control actions should the nurse take?
A. Place a mask on the client to limit the spread of microorganisms into the air.
B. Wear a gown and gloves when changing the dressing.
C. Explain to the client that the dressing change will have to wait.
D. Postpone the dressing change until the coughing and sneezing have stopped.
Answer: A. Place a mask on the client to limit the spread of microorganisms into the air.
Rationale: The nurse's priority is to protect the client's open wound from contamination. When a
client is coughing or sneezing, they are expelling respiratory droplets that can contaminate the sterile
field and the wound itself. Placing a mask on the client is a simple and effective intervention to contain
these droplets. While the nurse should wear appropriate PPE (like a gown and gloves) for the dressing
change based on the wound's status (contact precautions), the immediate action to protect the wound
from airborne contamination from the client is to mask the client. Postponing the care is not
appropriate as the dressing change may be necessary.
4. A nurse is assessing a patient's fall risk. Which of the following is a key component of the "Timed
Get-up and Go Test" (TUG)?
A. Having the patient walk for 6 minutes continuously.
B. Asking the patient to stand, walk 10 feet, turn, and sit back down.
C. Testing the patient's ability to balance on one leg for 30 seconds.
D. Measuring the patient's grip strength using a dynamometer.
Answer: B. Asking the patient to stand, walk 10 feet, turn, and sit back down.
Rationale: The Timed Get-up and Go (TUG) test is a standard assessment for mobility and fall risk. The
procedure involves timing the patient as they rise from a chair, walk 10 feet (3 meters), turn around,
walk back to the chair, and sit down. It assesses balance, gait speed, and functional mobility. The other
options describe different assessments (6-minute walk test, single-leg stance test, and grip strength
test).
, 5. A nurse is providing discharge teaching to a client who has a new prescription for a home oxygen
concentrator. Which of the following instructions is a priority?
A. "Check the cord routinely for frays or tearing."
B. ";Consider purchasing a generator for power backup."
C. ";Observe for signs of hypoxia."
D. "Post 'No Smoking' signs in a prominent location."
Answer: D. "Post 'No Smoking' signs in a prominent location."
Rationale: Oxygen is highly combustible, and the presence of an open flame or smoking poses a severe
fire and safety hazard. The absolute priority is to ensure a fire-safe environment. While checking cords
(A), having a backup power source (B), and monitoring for hypoxia (C) are all important instructions,
preventing a fire is the most immediate and critical safety action.
6. A nurse is caring for a client who has Clostridium difficile. In addition to standard precautions,
which of the following transmission-based precautions should the nurse initiate?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective precautions
Answer: C. Contact precautions
Rationale: C. difficile is spread through contact with the feces of an infected person or contaminated
surfaces. Therefore, contact precautions are required. This includes wearing a gown and gloves for all
interactions that may involve contact with the patient or potentially contaminated surfaces. It is also
critical to wash hands with soap and water, as alcohol-based sanitizers are not effective against C.
difficile spores.
7. A nurse is assessing a client who has required bed rest for the past month. Which of the following
findings should the nurse identify as an indication of a complication of immobility?
A. Increased joint flexibility
B. Swelling in the lower extremities
C. Increased appetite
D. Lowered heart rate
Answer: B. Swelling in the lower extremities
Rationale: Immobility impairs venous return from the lower extremities, leading to venous stasis,
which can cause dependent edema (swelling). This swelling is also a warning sign for a more serious
complication of immobility: deep vein thrombosis (DVT). Immobility leads to decreased joint
