ATI FUNDAMENTALS EXAM BANK 200+ Questions with Answers & Rationales

ATI FUNDAMENTALS EXAM BANK 200+
Questions with Answers & Rationales


ATI FUNDAMENTALS EXAM BANK
200+ Questions with Answers & Rationales
Based on ATI Content Mastery Series – Fundamentals of Nursing




SECTION 1: SAFETY AND INFECTION CONTROL (Questions 1-40)




1. A nurse is planning care for a group of clients. Which of the following tasks
should the nurse delegate to an assistive personnel (AP)?
A) Changing the dressing for a client who has a stage 3 pressure injury
B) Determining a client's response to a diuretic
C) Comparing radial pulses for a client who is postoperative
D) Providing postmortem care to a client


Answer: D
Rationale: Providing postmortem care is a routine, noninvasive task that can be
delegated to AP. Dressing changes, assessment, and evaluation require
licensed nursing judgment and cannot be delegated [citation:1].


2. A nurse is caring for a client who has influenza and is on isolation
precautions. Which action should the nurse take to prevent the spread of
infection?
A) Wear a mask when working within 3 feet of the client
B) Administer metronidazole
C) Don protective eyewear before entering the room

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,D) Place the client in a negative airflow room


Answer: A
Rationale: Influenza requires droplet precautions. A mask should be worn when
within 3 feet of the client. Negative airflow is for airborne precautions (TB,
measles). Metronidazole treats bacterial infections, not viral influenza
[citation:1].


3. A nurse obtains a prescription for wrist restraints for a client who is trying to
pull out his NG tube. Which action should the nurse take?
A) Attach the restraints securely to the side rails of the client's bed
B) Tie restraints with a quick-release knot to the bed frame
C) Remove restraints every 4 hours
D) Apply restraints tightly to prevent movement


Answer: B
Rationale: Restraints must be tied to the bed frame (not side rails) with a quick-
release knot to allow rapid removal in an emergency. Restraints should be
removed every 2 hours for range of motion and circulation checks, not every 4
hours [citation:2].


4. A nurse is preparing to use a fire extinguisher. Which of the following actions
should the nurse take? (Select all that apply)
A) Pull the pin
B) Aim at the base of the fire
C) Squeeze the handle
D) Sweep from side to side
E) Aim at the top of the fire


Answer: A, B, C, D
Rationale: PASS technique: Pull pin, Aim at base of fire, Squeeze handle, Sweep
side to side. Never aim at the top of the fire [citation:2].


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,5. In the event of a fire, which action should the nurse take first?
A) Extinguish the fire
B) Activate the alarm
C) Rescue clients in immediate danger
D) Close doors and windows


Answer: C
Rationale: RACE: Rescue clients in immediate danger first, then Activate alarm,
Contain fire, Extinguish. Client safety is the priority [citation:2].


6. A nurse is caring for a client who has Clostridium difficile infection and is on
contact isolation. Which action should the nurse take?
A) Wear gloves when changing the client's gown
B) Use alcohol-based hand sanitizer to cleanse hands
C) Wear a mask when assisting with meals
D) Place the client on complete bed rest


Answer: A
Rationale: C. diff requires contact precautions. Gloves and gown are required.
Alcohol-based sanitizers are ineffective against C. diff spores; soap and water
must be used [citation:4].


7. A nurse is providing oral care for a client who is unconscious. Which action
should the nurse take?
A) Place the client in a side-lying position
B) Brush the client's teeth daily
C) Apply mineral oil to the client's lips
D) Rinse the client's mouth with alcohol-based mouthwash


Answer: A

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, Rationale: Side-lying position prevents aspiration of fluids. Oral care should be
performed every 2 hours, not just daily. Water-based lubricant should be used
on lips (mineral oil can be aspirated). Alcohol-based mouthwash can dry
mucous membranes [citation:1].


8. A nurse is caring for a client who is receiving oxygen therapy via nasal
cannula. Which of the following actions should the nurse take?
A) Apply petroleum jelly to the client's nares
B) Remove the nasal cannula during meals
C) Check the oxygen delivery rate at least once per shift
D) Avoid using wool blankets near the client


Answer: D
Rationale: Oxygen supports combustion; wool blankets can create static
electricity. Water-based lubricant should be used (not petroleum jelly, which is
flammable). Oxygen should remain in place during meals unless prescribed
otherwise [citation:1].


9. A nurse is assessing the body temperature of an adult client using a temporal
artery thermometer. Which actions should the nurse take? (Select all that apply)
A) Slide the probe across the client's forehead
B) Pull the client's pinna up and back
C) Hold the client's hair aside while performing the procedure
D) Document with "AX" next to the value
E) Move the probe in a circular motion


Answer: A, C
Rationale: Temporal artery thermometer requires sliding the probe across the
forehead. Hair should be moved aside. "AX" indicates axillary temperature, not
temporal. Moving in a circular motion is incorrect [citation:1].


10. Which factors increase a client's risk for falls? (Select all that apply)
A) Decreased visual acuity

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