ATI FUNDAMENTALS PROCTORED EXAM
BUNDLE – 150 PRACTICE QUESTIONS Latest
2026 Updated Versions | RN & PN Students
📋 EXAM OVERVIEW
| Detail | Information |
|:|:|
| Exam | ATI Fundamentals Proctored Exam (CMS) |
| Latest Version | 2026 Updated |
| Question Count | 70 questions per exam (multiple versions) |
| Format | Multiple-choice + NGN-style case scenarios |
| Key Topics | Safety, Infection Control, Basic Care, Pharmacology, Communication, Delegation,
Clinical Judgment |
| Passing Score | Varies by nursing program (typically Level 1 or 2 proficiency) |
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1–25)
QUESTION 1
A nurse is caring for a client with active pulmonary tuberculosis. Which type of precautions
should the nurse implement?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
Correct Answer: C
Rationale: Tuberculosis is transmitted via airborne droplet nuclei. Airborne precautions require
an N95 respirator and a negative pressure room.
QUESTION 2
,A nurse sustains a needlestick injury from a client known to be HIV positive. Which action
should the nurse take first?
A) Report the injury to occupational health
B) Wash the site with soap and water
C) Start post-exposure prophylaxis
D) Test the client for viral load
Correct Answer: B
Rationale: Immediate wound care (washing with soap and water) is the first step to reduce viral
transmission risk. Then report the injury, then initiate PEP within 72 hours.
QUESTION 3
A client with Clostridioides difficile (C. diff) has frequent watery diarrhea. Which type of
precautions is required?
A) Airborne precautions
B) Droplet precautions
C) Contact precautions
D) Standard precautions only
Correct Answer: C
Rationale: C. diff is transmitted via contact with contaminated surfaces or feces. Contact
precautions include gown and gloves, and handwashing with soap and water (alcohol-based
hand sanitizer is ineffective against C. diff spores).
QUESTION 4
The nurse is wearing personal protective equipment (PPE) while caring for a client. When
exiting the room, which PPE should be removed first?
A) Mask
B) Gown
C) Gloves
D) Goggles
Correct Answer: C
Rationale: Gloves are considered the most contaminated PPE and should be removed first to
prevent contamination of other PPE. The order of removal is: gloves, goggles/face shield, gown,
then mask.
,QUESTION 5
A client is placed in isolation for methicillin-resistant Staphylococcus aureus (MRSA). Which
infection control measure is most important?
A) Wearing a mask when entering the room
B) Placing the client in a negative pressure room
C) Using dedicated equipment for the client
D) Restricting visitors
Correct Answer: C
Rationale: MRSA requires contact precautions. Using dedicated equipment (stethoscope, blood
pressure cuff) for the client prevents transmission to others.
QUESTION 6
A client with varicella (chickenpox) is admitted. Which roommate assignment is appropriate?
A) A client with pneumonia
B) A client with a fractured hip
C) A client who has had chickenpox previously
D) A client who is immunocompromised
Correct Answer: C
Rationale: Clients who have had chickenpox are immune to varicella and can safely room with
an infected client. Immunocompromised clients and those without immunity are at risk for
infection.
QUESTION 7
A client is receiving a blood transfusion and develops chills, fever, and back pain. What is the
priority nursing action?
A) Slow the transfusion rate
B) Stop the transfusion immediately
C) Administer diphenhydramine
D) Notify the healthcare provider
Correct Answer: B
Rationale: Chills, fever, and back pain indicate an acute hemolytic transfusion reaction. The
priority action is to stop the transfusion immediately to prevent further reaction.
, QUESTION 8
A nurse is preparing to insert a urinary catheter. Which technique is correct for maintaining
sterility?
A) Open the outer packaging and place on the bedside table
B) Use sterile gloves and a sterile field for all supplies
C) Clean the meatus from back to front
D) Insert the catheter fully into the vagina if misplaced
Correct Answer: B
Rationale: Urinary catheter insertion requires sterile technique including sterile gloves, sterile
field, and sterile supplies. Cleaning is front to back, and a catheter inserted into the vagina
should be discarded.
QUESTION 9
A client is receiving a blood transfusion. Which finding indicates a transfusion reaction?
A) Temperature increase from 37°C to 38.3°C (98.6°F to 100.9°F)
B) Mild thirst
C) Blood pressure 118/72 mm Hg
D) Heart rate 84/min
Correct Answer: A
Rationale: Fever and chills are early manifestations of a hemolytic transfusion reaction. The
nurse should stop the transfusion immediately and maintain IV access with normal saline.
QUESTION 10
The nurse is caring for a client with a central line. Which action is most important to prevent
catheter-related bloodstream infection?
A) Changing the dressing every 7 days
B) Using sterile technique for all line access
C) Flushing the line with heparin daily
D) Covering the site with an occlusive dressing
Correct Answer: B
BUNDLE – 150 PRACTICE QUESTIONS Latest
2026 Updated Versions | RN & PN Students
📋 EXAM OVERVIEW
| Detail | Information |
|:|:|
| Exam | ATI Fundamentals Proctored Exam (CMS) |
| Latest Version | 2026 Updated |
| Question Count | 70 questions per exam (multiple versions) |
| Format | Multiple-choice + NGN-style case scenarios |
| Key Topics | Safety, Infection Control, Basic Care, Pharmacology, Communication, Delegation,
Clinical Judgment |
| Passing Score | Varies by nursing program (typically Level 1 or 2 proficiency) |
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1–25)
QUESTION 1
A nurse is caring for a client with active pulmonary tuberculosis. Which type of precautions
should the nurse implement?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
Correct Answer: C
Rationale: Tuberculosis is transmitted via airborne droplet nuclei. Airborne precautions require
an N95 respirator and a negative pressure room.
QUESTION 2
,A nurse sustains a needlestick injury from a client known to be HIV positive. Which action
should the nurse take first?
A) Report the injury to occupational health
B) Wash the site with soap and water
C) Start post-exposure prophylaxis
D) Test the client for viral load
Correct Answer: B
Rationale: Immediate wound care (washing with soap and water) is the first step to reduce viral
transmission risk. Then report the injury, then initiate PEP within 72 hours.
QUESTION 3
A client with Clostridioides difficile (C. diff) has frequent watery diarrhea. Which type of
precautions is required?
A) Airborne precautions
B) Droplet precautions
C) Contact precautions
D) Standard precautions only
Correct Answer: C
Rationale: C. diff is transmitted via contact with contaminated surfaces or feces. Contact
precautions include gown and gloves, and handwashing with soap and water (alcohol-based
hand sanitizer is ineffective against C. diff spores).
QUESTION 4
The nurse is wearing personal protective equipment (PPE) while caring for a client. When
exiting the room, which PPE should be removed first?
A) Mask
B) Gown
C) Gloves
D) Goggles
Correct Answer: C
Rationale: Gloves are considered the most contaminated PPE and should be removed first to
prevent contamination of other PPE. The order of removal is: gloves, goggles/face shield, gown,
then mask.
,QUESTION 5
A client is placed in isolation for methicillin-resistant Staphylococcus aureus (MRSA). Which
infection control measure is most important?
A) Wearing a mask when entering the room
B) Placing the client in a negative pressure room
C) Using dedicated equipment for the client
D) Restricting visitors
Correct Answer: C
Rationale: MRSA requires contact precautions. Using dedicated equipment (stethoscope, blood
pressure cuff) for the client prevents transmission to others.
QUESTION 6
A client with varicella (chickenpox) is admitted. Which roommate assignment is appropriate?
A) A client with pneumonia
B) A client with a fractured hip
C) A client who has had chickenpox previously
D) A client who is immunocompromised
Correct Answer: C
Rationale: Clients who have had chickenpox are immune to varicella and can safely room with
an infected client. Immunocompromised clients and those without immunity are at risk for
infection.
QUESTION 7
A client is receiving a blood transfusion and develops chills, fever, and back pain. What is the
priority nursing action?
A) Slow the transfusion rate
B) Stop the transfusion immediately
C) Administer diphenhydramine
D) Notify the healthcare provider
Correct Answer: B
Rationale: Chills, fever, and back pain indicate an acute hemolytic transfusion reaction. The
priority action is to stop the transfusion immediately to prevent further reaction.
, QUESTION 8
A nurse is preparing to insert a urinary catheter. Which technique is correct for maintaining
sterility?
A) Open the outer packaging and place on the bedside table
B) Use sterile gloves and a sterile field for all supplies
C) Clean the meatus from back to front
D) Insert the catheter fully into the vagina if misplaced
Correct Answer: B
Rationale: Urinary catheter insertion requires sterile technique including sterile gloves, sterile
field, and sterile supplies. Cleaning is front to back, and a catheter inserted into the vagina
should be discarded.
QUESTION 9
A client is receiving a blood transfusion. Which finding indicates a transfusion reaction?
A) Temperature increase from 37°C to 38.3°C (98.6°F to 100.9°F)
B) Mild thirst
C) Blood pressure 118/72 mm Hg
D) Heart rate 84/min
Correct Answer: A
Rationale: Fever and chills are early manifestations of a hemolytic transfusion reaction. The
nurse should stop the transfusion immediately and maintain IV access with normal saline.
QUESTION 10
The nurse is caring for a client with a central line. Which action is most important to prevent
catheter-related bloodstream infection?
A) Changing the dressing every 7 days
B) Using sterile technique for all line access
C) Flushing the line with heparin daily
D) Covering the site with an occlusive dressing
Correct Answer: B
