ATI RN Fundamentals Proctored 2026 Exam Test Bank: 200 Questions with Rationales PDF /ATI RN Fundamentals Proctored Exam Test Bank PDF

ATI RN Fundamentals Proctored 2026 Exam Test Bank: 200
Questions with Rationales PDF /ATI RN Fundamentals
Proctored Exam Test Bank PDF

SECTION 1: Safety & Infection Control
1. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of
the following techniques should the nurse use to maintain surgical aseptic
technique?

 A) Wear clean gloves and a mask
 B) Open the outer packaging of the sterile kit before washing hands
 C) Set up the sterile field after applying sterile gloves
 D) Keep sterile objects above waist level
Answer: D) Keep sterile objects above waist level
***Rationale👉 Surgical aseptic technique requires maintaining a sterile field. Sterile
objects held below waist level are considered contaminated. Options A and B violate sterile
technique; sterile gloves are donned after setting up the sterile field.
2. A nurse is caring for a client on contact precautions. Which of the following
actions is appropriate?

 A) Wear an N95 respirator when entering the room
 B) Place the client in a negative pressure room
 C) Wear a gown and gloves when providing care
 D) Keep the client's door closed at all times
Answer: C) Wear a gown and gloves when providing care
***Rationale👉 Contact precautions require gown and gloves for all interactions. N95
respirators are for airborne precautions, negative pressure rooms are for airborne, and door
closure is for airborne/droplet.*
3. A nurse is applying restraints to a client who is agitated. Which of the following
actions is appropriate?

 A) Tie restraints to the side rail

, B) Remove restraints every 4 hours for range of motion
 C) Obtain a prescription within 4 hours of application
 D) Use a knot that can be easily released in an emergency

Answer: D) Use a knot that can be easily released in an emergency
***Rationale👉 Restraints must be tied with a quick-release knot. They should never be
tied to side rails (tie to bed frame), removed every 2 hours for ROM, and require a
prescription within 1 hour (or immediately in emergency).*

4. A nurse is educating a client about fire safety in the home. Which of the following
statements indicates understanding?

 A) "I will use a space heater in the bedroom at night"
 B) "I should replace my smoke detector batteries annually"
 C) "I will keep a fire extinguisher in the kitchen"
 D) "I should have my chimney cleaned every 10 years"
Answer: C) "I will keep a fire extinguisher in the kitchen"
***Rationale👉 Fire extinguishers should be kept in the kitchen and inspected regularly.
Smoke detector batteries should be replaced twice yearly, space heaters should never be
left unattended, and chimneys should be cleaned annually.
5. A nurse is caring for a client with a central venous catheter. Which of the following
actions is most important to prevent infection?

 A) Changing the dressing every 72 hours
 B) Using sterile technique during dressing changes
 C) Flushing the line with heparin
 D) Placing a transparent dressing over the site
Answer: B) Using sterile technique during dressing changes
***Rationale👉 Strict sterile technique during central line care is the most critical
intervention to prevent catheter-related bloodstream infections. Transparent dressings are
changed every 7 days or sooner if soiled.*
6. A nurse is preparing to administer a tuberculin skin test. Which of the following
actions is correct?

 A) Use a 25-gauge, 1-inch needle
 B) Insert the needle at a 45-degree angle
 C) Administer the injection intradermally

, D) Massage the site after administration

Answer: C) Administer the injection intradermally
***Rationale👉 Tuberculin skin tests are administered intradermally using a 1/4 to 1/2
inch, 26- or 27-gauge needle at a 5- to 15-degree angle. The site should not be massaged.*

7. A nurse is caring for a client on airborne precautions. Which of the following
personal protective equipment (PPE) is required?

 A) Surgical mask
 B) N95 respirator
 C) Gown and gloves only
 D) Face shield
Answer: B) N95 respirator
***Rationale👉 Airborne precautions require an N95 respirator (or higher) for diseases
like tuberculosis, measles, and varicella. Surgical masks are for droplet precautions.
8. A nurse discovers a small fire in a client's trash can. Which of the following actions
should the nurse take first?

 A) Pull the fire alarm
 B) Use a fire extinguisher
 C) Evacuate the client from the room
 D) Close the door to the room
Answer: C) Evacuate the client from the room
***Rationale👉 RACE protocol: Rescue (evacuate clients in immediate danger), Alarm
(pull alarm), Contain (close doors), Extinguish (use extinguisher). Client safety is the priority.
9. A nurse is applying wrist restraints to a client. Which of the following indicates
proper use?

 A) The restraint is secured to the bed frame
 B) Two fingers can fit between the restraint and the wrist
 C) The restraint is tied in a double knot
 D) The restraint is applied for 4 hours before reassessment
Answer: A) The restraint is secured to the bed frame
***Rationale👉 Restraints should be tied to the bed frame (not side rails) with a quick-

, release knot. One to two fingers should fit between the restraint and skin. Restraints require
reassessment every 2 hours and a prescription every 24 hours.*
10. A nurse is caring for a client with Clostridium difficile. Which of the following
hand hygiene methods is appropriate?

 A) Alcohol-based hand rub
 B) Soap and water
 C) Hand sanitizer with 60% alcohol
 D) Chlorhexidine wipes

Answer: B) Soap and water
***Rationale👉 C. diff spores are not killed by alcohol-based hand rubs. Soap and water
with mechanical friction is required to physically remove spores.
11. A nurse is preparing a sterile field. Which of the following actions contaminates
the field?

 A) Placing the sterile drape on a dry surface
 B) Opening the sterile kit away from the body
 C) Reaching across the sterile field to retrieve an item
 D) Adding sterile items to the field using sterile forceps

Answer: C) Reaching across the sterile field to retrieve an item
***Rationale👉 Reaching across a sterile field contaminates it. Sterile fields must be
maintained with the sterile area facing up and only approached from the sides.
12. A nurse is caring for a client with a new diagnosis of tuberculosis. Which of the
following precautions should the nurse implement?

 A) Contact precautions
 B) Droplet precautions
 C) Airborne precautions
 D) Protective environment

Answer: C) Airborne precautions
***Rationale👉 Tuberculosis requires airborne precautions with an N95 respirator and
negative pressure room. Droplet precautions are for influenza, meningitis; contact for
MRSA, VRE.