ATI Fundamentals CMS Proctored Exam
(2026/2027), Questions & Answers (Verified
Answers) With Detailed Rationales ||
Complete A+ Guide
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
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 is preparing to care for a patient with Clostridioides difficile. Which precaution is required?
A) Airborne
B) Droplet
C) Contact
D) Standard only
Answer: C
Rationale: C. difficile is spread via spores and requires contact precautions, including gown, gloves, and
handwashing with soap and water (alcohol sanitizer does not kill spores).
Question 3:
Which action by the nurse best prevents healthcare-associated infections?
A) Wearing gloves at all times
B) Proper hand hygiene
C) Limiting patient contact
D) Wearing masks continuously
,Answer: B
Rationale: Hand hygiene is the single most effective way to prevent infection transmission .
Question 4:
A nurse is teaching about hand hygiene. Which statement indicates understanding?
A) "Gloves replace handwashing."
B) "Alcohol sanitizer kills C. difficile spores."
C) "I should wash my hands after removing gloves."
D) "Handwashing is only necessary when visibly soiled."
Answer: C
Rationale: Hands may become contaminated during glove removal, so handwashing is essential
afterward .
Question 5:
A client is being placed on airborne precautions. Which PPE should the nurse wear?
A) Surgical mask
B) Sterile gloves
C) N95 respirator
D) Face shield only
Answer: C
Rationale: Airborne precautions require a fit-tested N95 respirator to prevent inhalation of infectious
particles .
Question 6:
A nurse is caring for a client on contact precautions. Which action demonstrates proper use of PPE?
A) Wear gloves only when touching the client
B) Remove gown and gloves before leaving the room
C) Wear gloves and gown only if the client has an open wound
D) Remove the mask after leaving the room
Answer: B
Rationale: Contact precautions require removal of gown and gloves before exiting the client's room to
prevent the spread of infectious agents .
Question 7:
What is the safest way to identify a patient before medication administration?
, A) Room number
B) Bed number
C) Name and date of birth
D) Diagnosis
Answer: C
Rationale: ATI requires two approved identifiers .
Question 8:
A patient attempts to get out of bed without assistance. What is the nurse's priority action?
A) Apply wrist restraints
B) Activate the bed alarm
C) Document behavior
D) Instruct the patient later
Answer: B
Rationale: Bed alarms help prevent falls while maintaining patient dignity and safety .
Question 9:
A nurse is applying restraints to a client. Which type of knot should be used?
A) Square knot
B) Bow tie knot
C) Quick-release knot
D) Clove hitch
Answer: C
Rationale: Quick-release knot allows immediate removal in emergencies .
Question 10:
A nurse is caring for a client prescribed restraints. Which action is appropriate?
A) Tie restraints to side rails
B) Remove restraints every 2 hr
C) Apply restraints without prescription
D) Leave the client unattended
Answer: B
Rationale: Clients in restraints require frequent assessment and release .
Question 11:
A nurse discovers flames in a trash can. Which action should the nurse take first?
(2026/2027), Questions & Answers (Verified
Answers) With Detailed Rationales ||
Complete A+ Guide
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
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 is preparing to care for a patient with Clostridioides difficile. Which precaution is required?
A) Airborne
B) Droplet
C) Contact
D) Standard only
Answer: C
Rationale: C. difficile is spread via spores and requires contact precautions, including gown, gloves, and
handwashing with soap and water (alcohol sanitizer does not kill spores).
Question 3:
Which action by the nurse best prevents healthcare-associated infections?
A) Wearing gloves at all times
B) Proper hand hygiene
C) Limiting patient contact
D) Wearing masks continuously
,Answer: B
Rationale: Hand hygiene is the single most effective way to prevent infection transmission .
Question 4:
A nurse is teaching about hand hygiene. Which statement indicates understanding?
A) "Gloves replace handwashing."
B) "Alcohol sanitizer kills C. difficile spores."
C) "I should wash my hands after removing gloves."
D) "Handwashing is only necessary when visibly soiled."
Answer: C
Rationale: Hands may become contaminated during glove removal, so handwashing is essential
afterward .
Question 5:
A client is being placed on airborne precautions. Which PPE should the nurse wear?
A) Surgical mask
B) Sterile gloves
C) N95 respirator
D) Face shield only
Answer: C
Rationale: Airborne precautions require a fit-tested N95 respirator to prevent inhalation of infectious
particles .
Question 6:
A nurse is caring for a client on contact precautions. Which action demonstrates proper use of PPE?
A) Wear gloves only when touching the client
B) Remove gown and gloves before leaving the room
C) Wear gloves and gown only if the client has an open wound
D) Remove the mask after leaving the room
Answer: B
Rationale: Contact precautions require removal of gown and gloves before exiting the client's room to
prevent the spread of infectious agents .
Question 7:
What is the safest way to identify a patient before medication administration?
, A) Room number
B) Bed number
C) Name and date of birth
D) Diagnosis
Answer: C
Rationale: ATI requires two approved identifiers .
Question 8:
A patient attempts to get out of bed without assistance. What is the nurse's priority action?
A) Apply wrist restraints
B) Activate the bed alarm
C) Document behavior
D) Instruct the patient later
Answer: B
Rationale: Bed alarms help prevent falls while maintaining patient dignity and safety .
Question 9:
A nurse is applying restraints to a client. Which type of knot should be used?
A) Square knot
B) Bow tie knot
C) Quick-release knot
D) Clove hitch
Answer: C
Rationale: Quick-release knot allows immediate removal in emergencies .
Question 10:
A nurse is caring for a client prescribed restraints. Which action is appropriate?
A) Tie restraints to side rails
B) Remove restraints every 2 hr
C) Apply restraints without prescription
D) Leave the client unattended
Answer: B
Rationale: Clients in restraints require frequent assessment and release .
Question 11:
A nurse discovers flames in a trash can. Which action should the nurse take first?
