ATI FUNDAMENTALS EXAM 1 | Latest Test Bank 2025/2026
ATI FUNDAMENTALS EXAM 1
Latest Test Bank Real Exam 2025/2026 with Solution
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200 Practice Questions with Detailed Rationales
10 High-Yield Clinical Sections
Aligned with ATI Proctored Assessment Blueprint
CONTENTS
1. Safety and Infection Control
2. Basic Care and Comfort
3. Pharmacological and Parenteral Therapies
4. Reduction of Risk Potential
5. Physiological Adaptation
6. Psychosocial Integrity
7. Health Promotion and Maintenance
8. Management of Care
9. Coordinated Care and Ethics
10. Clinical Judgment and Priority Setting
© 2025/2026 ATI Fundamentals Test Bank | 200 Questions with Detailed Rationales | For Educational Use Only
,ATI FUNDAMENTALS EXAM 1 | Latest Test Bank 2025/2026
HOW TO USE THIS TEST BANK
This test bank contains 200 carefully constructed practice questions aligned with the ATI Fundamentals exam blueprint for
the 2025/2026 examination cycle. Each question is followed by the correct answer and a detailed rationale explaining why
the answer is correct and why the distractors are incorrect. Questions cover all major content areas of nursing
fundamentals, applying Bloom's Taxonomy levels from knowledge recall to clinical judgment. For best results, answer each
question independently before reviewing the rationale.
SECTION 1: SAFETY AND INFECTION CONTROL
1. A nurse is caring for a client who is placed on contact precautions. Which action by the nurse is
appropriate?
A. Wearing a mask when entering the client's room
B. Wearing gloves and a gown when providing direct client care
C. Placing the client in a positive pressure room
D. Using a particulate respirator when within 3 feet of the client
✓ CORRECT ANSWER: B. Wearing gloves and a gown when providing direct client care
RATIONALE: Contact precautions require the use of gloves and a gown when providing direct client care to prevent
transmission of organisms spread by direct or indirect contact. A mask is required for droplet precautions. A positive
pressure room is used for protective/reverse isolation. A particulate respirator (N95) is used for airborne
precautions.
2. A nurse is teaching a client about hand hygiene. Which statement by the client indicates
understanding of the teaching?
A. 'I should wash my hands for at least 10 seconds.'
B. 'I can use hand sanitizer after touching blood.'
C. 'I should wash my hands for at least 20 seconds with soap and water.'
D. 'Hand sanitizer is more effective than soap and water for all situations.'
✓ CORRECT ANSWER: C. 'I should wash my hands for at least 20 seconds with soap and water.'
RATIONALE: The CDC recommends washing hands with soap and water for at least 20 seconds. Hand sanitizer is NOT
recommended after contact with blood or body fluids — soap and water must be used. Hand sanitizer is not
effective against all pathogens (e.g., C. difficile, norovirus).
3. A nurse is caring for a client with active tuberculosis (TB). Which type of precautions should the
nurse implement?
A. Standard precautions only
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
✓ CORRECT ANSWER: D. Airborne precautions
RATIONALE: Tuberculosis is transmitted through airborne droplet nuclei (particles <5 microns) that can remain
suspended in the air for long periods. Airborne precautions require a negative pressure room and N95 respirator.
Contact and droplet precautions are insufficient for TB.
4. A nurse is preparing to administer a medication. Which of the following is the correct order of
the 'rights' of medication administration?
© 2025/2026 ATI Fundamentals Test Bank | 200 Questions with Detailed Rationales | For Educational Use Only
,ATI FUNDAMENTALS EXAM 1 | Latest Test Bank 2025/2026
A. Right client, right drug, right dose, right route, right time
B. Right drug, right client, right dose, right time, right route
C. Right dose, right drug, right route, right client, right time
D. Right time, right client, right drug, right route, right dose
✓ CORRECT ANSWER: A. Right client, right drug, right dose, right route, right time
RATIONALE: The five traditional rights of medication administration are: Right client, Right drug, Right dose, Right
route, and Right time. Many institutions also include right documentation and right reason. Verifying the right client
first prevents medication errors to the wrong person.
5. A nurse notices that a colleague did not perform hand hygiene before entering a client's room.
What is the nurse's best response?
A. Report the colleague to the charge nurse immediately
B. Remind the colleague to perform hand hygiene
C. Ignore the situation as it is not the nurse's responsibility
D. Document the observation in the client's chart
✓ CORRECT ANSWER: B. Remind the colleague to perform hand hygiene
RATIONALE: Nurses are accountable for maintaining a safe environment. The best initial response is to directly and
professionally remind the colleague to perform hand hygiene. This addresses the safety concern immediately.
Reporting should occur if the behavior is repeated or the colleague refuses to comply.
6. A client is admitted with methicillin-resistant Staphylococcus aureus (MRSA) wound infection.
Which precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Standard precautions only
✓ CORRECT ANSWER: C. Contact precautions
RATIONALE: MRSA is primarily transmitted through direct and indirect contact with infected wounds or colonized
surfaces. Contact precautions (gloves and gown) are required. Standard precautions alone are insufficient for MRSA-
infected clients. Airborne and droplet precautions are not indicated for MRSA.
7. A nurse is assessing a client's fall risk. Which factor increases a client's fall risk?
A. Adequate lighting in the room
B. Use of non-skid footwear
C. A history of previous falls
D. Having the call light within reach
✓ CORRECT ANSWER: C. A history of previous falls
RATIONALE: A history of previous falls is one of the strongest predictors of future falls. Other risk factors include age
≥65, use of certain medications (diuretics, antihypertensives, sedatives), altered mental status, mobility impairment,
and urinary urgency. Adequate lighting, non-skid footwear, and accessible call lights are fall prevention
interventions.
8. A nurse is applying a physical restraint on a client. Which action should the nurse take?
© 2025/2026 ATI Fundamentals Test Bank | 200 Questions with Detailed Rationales | For Educational Use Only
, ATI FUNDAMENTALS EXAM 1 | Latest Test Bank 2025/2026
A. Tie the restraint to the side rail
B. Ensure two fingers can fit between the restraint and the client's skin
C. Check the restraint every 4 hours
D. Apply the restraint without a provider's order if necessary for safety
✓ CORRECT ANSWER: B. Ensure two fingers can fit between the restraint and the client's skin
RATIONALE: When applying a physical restraint, the nurse should ensure two fingers can be inserted between the
restraint and the client's skin to prevent impaired circulation or skin breakdown. Restraints should never be tied to
side rails (injury risk). Restraints require reassessment every 30 minutes to 2 hours. A provider's order is required
before applying restraints.
9. A nurse is caring for a client who is immunocompromised. Which type of precautions should be
implemented to protect the client from infection?
A. Contact precautions
B. Droplet precautions
C. Protective (reverse) isolation
D. Airborne precautions
✓ CORRECT ANSWER: C. Protective (reverse) isolation
RATIONALE: Protective (reverse) isolation, also called neutropenic precautions, is used to protect
immunocompromised clients from infection. This involves a positive pressure private room, HEPA filtration, and
restricting visitors with illness. The other precautions protect healthcare workers and other clients from infected
clients, not the reverse.
10. A nurse discovers a small fire in a client's room. What is the priority action?
A. Activate the fire alarm
B. Remove the client from the room
C. Attempt to extinguish the fire
D. Close all doors and windows
✓ CORRECT ANSWER: B. Remove the client from the room
RATIONALE: Using the RACE acronym: Rescue (remove the client from immediate danger) is the priority. Then:
Alarm (activate fire alarm), Confine (close doors/windows), and Extinguish/Evacuate. The client's safety is always the
first priority in a fire emergency.
11. A nurse is preparing to administer a blood transfusion. Which action should be taken first?
A. Obtain baseline vital signs
B. Verify the client's blood type with another nurse
C. Prime the IV tubing with normal saline
D. Hang the blood at room temperature for 30 minutes
✓ CORRECT ANSWER: B. Verify the client's blood type with another nurse
RATIONALE: Verifying blood compatibility is the priority before administering a transfusion. Two licensed nurses
must verify the client's identity, blood type, Rh factor, unit number, and expiration date to prevent a potentially fatal
transfusion reaction. This verification precedes other preparatory steps.
© 2025/2026 ATI Fundamentals Test Bank | 200 Questions with Detailed Rationales | For Educational Use Only
ATI FUNDAMENTALS EXAM 1
Latest Test Bank Real Exam 2025/2026 with Solution
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
200 Practice Questions with Detailed Rationales
10 High-Yield Clinical Sections
Aligned with ATI Proctored Assessment Blueprint
CONTENTS
1. Safety and Infection Control
2. Basic Care and Comfort
3. Pharmacological and Parenteral Therapies
4. Reduction of Risk Potential
5. Physiological Adaptation
6. Psychosocial Integrity
7. Health Promotion and Maintenance
8. Management of Care
9. Coordinated Care and Ethics
10. Clinical Judgment and Priority Setting
© 2025/2026 ATI Fundamentals Test Bank | 200 Questions with Detailed Rationales | For Educational Use Only
,ATI FUNDAMENTALS EXAM 1 | Latest Test Bank 2025/2026
HOW TO USE THIS TEST BANK
This test bank contains 200 carefully constructed practice questions aligned with the ATI Fundamentals exam blueprint for
the 2025/2026 examination cycle. Each question is followed by the correct answer and a detailed rationale explaining why
the answer is correct and why the distractors are incorrect. Questions cover all major content areas of nursing
fundamentals, applying Bloom's Taxonomy levels from knowledge recall to clinical judgment. For best results, answer each
question independently before reviewing the rationale.
SECTION 1: SAFETY AND INFECTION CONTROL
1. A nurse is caring for a client who is placed on contact precautions. Which action by the nurse is
appropriate?
A. Wearing a mask when entering the client's room
B. Wearing gloves and a gown when providing direct client care
C. Placing the client in a positive pressure room
D. Using a particulate respirator when within 3 feet of the client
✓ CORRECT ANSWER: B. Wearing gloves and a gown when providing direct client care
RATIONALE: Contact precautions require the use of gloves and a gown when providing direct client care to prevent
transmission of organisms spread by direct or indirect contact. A mask is required for droplet precautions. A positive
pressure room is used for protective/reverse isolation. A particulate respirator (N95) is used for airborne
precautions.
2. A nurse is teaching a client about hand hygiene. Which statement by the client indicates
understanding of the teaching?
A. 'I should wash my hands for at least 10 seconds.'
B. 'I can use hand sanitizer after touching blood.'
C. 'I should wash my hands for at least 20 seconds with soap and water.'
D. 'Hand sanitizer is more effective than soap and water for all situations.'
✓ CORRECT ANSWER: C. 'I should wash my hands for at least 20 seconds with soap and water.'
RATIONALE: The CDC recommends washing hands with soap and water for at least 20 seconds. Hand sanitizer is NOT
recommended after contact with blood or body fluids — soap and water must be used. Hand sanitizer is not
effective against all pathogens (e.g., C. difficile, norovirus).
3. A nurse is caring for a client with active tuberculosis (TB). Which type of precautions should the
nurse implement?
A. Standard precautions only
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
✓ CORRECT ANSWER: D. Airborne precautions
RATIONALE: Tuberculosis is transmitted through airborne droplet nuclei (particles <5 microns) that can remain
suspended in the air for long periods. Airborne precautions require a negative pressure room and N95 respirator.
Contact and droplet precautions are insufficient for TB.
4. A nurse is preparing to administer a medication. Which of the following is the correct order of
the 'rights' of medication administration?
© 2025/2026 ATI Fundamentals Test Bank | 200 Questions with Detailed Rationales | For Educational Use Only
,ATI FUNDAMENTALS EXAM 1 | Latest Test Bank 2025/2026
A. Right client, right drug, right dose, right route, right time
B. Right drug, right client, right dose, right time, right route
C. Right dose, right drug, right route, right client, right time
D. Right time, right client, right drug, right route, right dose
✓ CORRECT ANSWER: A. Right client, right drug, right dose, right route, right time
RATIONALE: The five traditional rights of medication administration are: Right client, Right drug, Right dose, Right
route, and Right time. Many institutions also include right documentation and right reason. Verifying the right client
first prevents medication errors to the wrong person.
5. A nurse notices that a colleague did not perform hand hygiene before entering a client's room.
What is the nurse's best response?
A. Report the colleague to the charge nurse immediately
B. Remind the colleague to perform hand hygiene
C. Ignore the situation as it is not the nurse's responsibility
D. Document the observation in the client's chart
✓ CORRECT ANSWER: B. Remind the colleague to perform hand hygiene
RATIONALE: Nurses are accountable for maintaining a safe environment. The best initial response is to directly and
professionally remind the colleague to perform hand hygiene. This addresses the safety concern immediately.
Reporting should occur if the behavior is repeated or the colleague refuses to comply.
6. A client is admitted with methicillin-resistant Staphylococcus aureus (MRSA) wound infection.
Which precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Standard precautions only
✓ CORRECT ANSWER: C. Contact precautions
RATIONALE: MRSA is primarily transmitted through direct and indirect contact with infected wounds or colonized
surfaces. Contact precautions (gloves and gown) are required. Standard precautions alone are insufficient for MRSA-
infected clients. Airborne and droplet precautions are not indicated for MRSA.
7. A nurse is assessing a client's fall risk. Which factor increases a client's fall risk?
A. Adequate lighting in the room
B. Use of non-skid footwear
C. A history of previous falls
D. Having the call light within reach
✓ CORRECT ANSWER: C. A history of previous falls
RATIONALE: A history of previous falls is one of the strongest predictors of future falls. Other risk factors include age
≥65, use of certain medications (diuretics, antihypertensives, sedatives), altered mental status, mobility impairment,
and urinary urgency. Adequate lighting, non-skid footwear, and accessible call lights are fall prevention
interventions.
8. A nurse is applying a physical restraint on a client. Which action should the nurse take?
© 2025/2026 ATI Fundamentals Test Bank | 200 Questions with Detailed Rationales | For Educational Use Only
, ATI FUNDAMENTALS EXAM 1 | Latest Test Bank 2025/2026
A. Tie the restraint to the side rail
B. Ensure two fingers can fit between the restraint and the client's skin
C. Check the restraint every 4 hours
D. Apply the restraint without a provider's order if necessary for safety
✓ CORRECT ANSWER: B. Ensure two fingers can fit between the restraint and the client's skin
RATIONALE: When applying a physical restraint, the nurse should ensure two fingers can be inserted between the
restraint and the client's skin to prevent impaired circulation or skin breakdown. Restraints should never be tied to
side rails (injury risk). Restraints require reassessment every 30 minutes to 2 hours. A provider's order is required
before applying restraints.
9. A nurse is caring for a client who is immunocompromised. Which type of precautions should be
implemented to protect the client from infection?
A. Contact precautions
B. Droplet precautions
C. Protective (reverse) isolation
D. Airborne precautions
✓ CORRECT ANSWER: C. Protective (reverse) isolation
RATIONALE: Protective (reverse) isolation, also called neutropenic precautions, is used to protect
immunocompromised clients from infection. This involves a positive pressure private room, HEPA filtration, and
restricting visitors with illness. The other precautions protect healthcare workers and other clients from infected
clients, not the reverse.
10. A nurse discovers a small fire in a client's room. What is the priority action?
A. Activate the fire alarm
B. Remove the client from the room
C. Attempt to extinguish the fire
D. Close all doors and windows
✓ CORRECT ANSWER: B. Remove the client from the room
RATIONALE: Using the RACE acronym: Rescue (remove the client from immediate danger) is the priority. Then:
Alarm (activate fire alarm), Confine (close doors/windows), and Extinguish/Evacuate. The client's safety is always the
first priority in a fire emergency.
11. A nurse is preparing to administer a blood transfusion. Which action should be taken first?
A. Obtain baseline vital signs
B. Verify the client's blood type with another nurse
C. Prime the IV tubing with normal saline
D. Hang the blood at room temperature for 30 minutes
✓ CORRECT ANSWER: B. Verify the client's blood type with another nurse
RATIONALE: Verifying blood compatibility is the priority before administering a transfusion. Two licensed nurses
must verify the client's identity, blood type, Rh factor, unit number, and expiration date to prevent a potentially fatal
transfusion reaction. This verification precedes other preparatory steps.
© 2025/2026 ATI Fundamentals Test Bank | 200 Questions with Detailed Rationales | For Educational Use Only
