ATI RN Fundamentals of Nursing
Proctored Exam 2026 With 150 Practice
Questions,Answers Rationales And
Comprehensive Review for Next
Generation NCLEX (NGN)
## SECTION 1: SAFETY AND INFECTION CONTROL (Questions 1-30)
**1. A nurse is preparing to perform hand hygiene before entering a client's room. Which action is
most appropriate when using an alcohol-based hand rub?**
A) Apply 10 mL of product to dry hands
B) Rub hands together until they are completely dry
C) Rinse hands with warm water before application
D) Use a paper towel to dry hands after rubbing
**Answer: B - Rub hands together until they are completely dry**
Rationale: Alcohol-based hand rub should be applied to dry hands and rubbed until completely dry,
which typically takes 15-20 seconds. Rinsing before application or drying with a towel is unnecessary
and reduces effectiveness.
---
**2. A nurse is caring for a client with Clostridioides difficile infection. Which infection control
precautions should the nurse implement?**
A) Standard precautions only
,B) Contact precautions with gown and gloves
C) Airborne precautions with N95 mask
D) Droplet precautions with surgical mask
**Answer: B - Contact precautions with gown and gloves**
Rationale: C. difficile spreads via contact with spores. Gown and gloves are required for all client
contact. Additionally, soap and water handwashing is essential because alcohol-based hand rubs do
not effectively kill C. difficile spores.
---
**3. Which client requires airborne precautions?**
A) A client with influenza
B) A client with tuberculosis
C) A client with MRSA
D) A client with rotavirus
**Answer: B - A client with tuberculosis**
Rationale: Tuberculosis (TB) spreads via airborne droplet nuclei that remain suspended in the air.
Airborne precautions require an N95 respirator and a negative-pressure airborne infection isolation
room (AIIR).
---
**4. A nurse finds a wet floor in a client's room. What is the first action the nurse should take?**
A) Warn patients verbally
B) Place a wet floor sign
C) Clean up immediately and then place a sign
,D) Report to housekeeping
**Answer: C - Clean up immediately and then place a sign**
Rationale: Immediate cleanup prevents accidents. A sign is then placed to alert others to the
potential hazard. Safety is the priority, and prompt action prevents falls.
---
**5. A nurse enters a client's room and sees smoke coming from the trash can. Which action should
the nurse take first according to the RACE protocol?**
A) Activate the fire alarm
B) Contain the fire by closing doors
C) Extinguish the fire if safe to do so
D) Evacuate the client from the room
**Answer: D - Evacuate the client from the room**
Rationale: RACE stands for Rescue (evacuate clients in immediate danger), Alarm (activate alarm),
Contain (close doors), and Extinguish (use extinguisher). Evacuating the client is the priority action.
---
**6. A nurse is caring for a client on droplet precautions. Which personal protective equipment (PPE)
is required when entering the room?**
A) Gown and gloves only
B) Surgical mask within 3 feet of the client
C) N95 respirator
D) No PPE needed
, **Answer: B - Surgical mask within 3 feet of the client**
Rationale: Droplet precautions require wearing a surgical mask when within 3 feet (1 meter) of the
client. Gown and gloves may be needed if contact with body fluids is anticipated.
---
**7. Which action demonstrates proper hand hygiene technique?**
A) Using alcohol-based hand rub after removing gloves
B) Using hand rub after contact with C. difficile
C) Rinsing hands with water only
D) Wearing gloves without washing hands
**Answer: A - Using alcohol-based hand rub after removing gloves**
Rationale: Alcohol-based hand rub is effective for routine hand hygiene after glove removal. The
exception is C. difficile, which requires soap and water due to spore resistance.
---
**8. A nurse is admitting a client who has meningococcal meningitis. What should the nurse do
first?**
A) Administer prescribed antibiotics
B) Place the client in a private room
C) Initiate droplet precautions
D) Notify the provider
**Answer: C - Initiate droplet precautions**
Proctored Exam 2026 With 150 Practice
Questions,Answers Rationales And
Comprehensive Review for Next
Generation NCLEX (NGN)
## SECTION 1: SAFETY AND INFECTION CONTROL (Questions 1-30)
**1. A nurse is preparing to perform hand hygiene before entering a client's room. Which action is
most appropriate when using an alcohol-based hand rub?**
A) Apply 10 mL of product to dry hands
B) Rub hands together until they are completely dry
C) Rinse hands with warm water before application
D) Use a paper towel to dry hands after rubbing
**Answer: B - Rub hands together until they are completely dry**
Rationale: Alcohol-based hand rub should be applied to dry hands and rubbed until completely dry,
which typically takes 15-20 seconds. Rinsing before application or drying with a towel is unnecessary
and reduces effectiveness.
---
**2. A nurse is caring for a client with Clostridioides difficile infection. Which infection control
precautions should the nurse implement?**
A) Standard precautions only
,B) Contact precautions with gown and gloves
C) Airborne precautions with N95 mask
D) Droplet precautions with surgical mask
**Answer: B - Contact precautions with gown and gloves**
Rationale: C. difficile spreads via contact with spores. Gown and gloves are required for all client
contact. Additionally, soap and water handwashing is essential because alcohol-based hand rubs do
not effectively kill C. difficile spores.
---
**3. Which client requires airborne precautions?**
A) A client with influenza
B) A client with tuberculosis
C) A client with MRSA
D) A client with rotavirus
**Answer: B - A client with tuberculosis**
Rationale: Tuberculosis (TB) spreads via airborne droplet nuclei that remain suspended in the air.
Airborne precautions require an N95 respirator and a negative-pressure airborne infection isolation
room (AIIR).
---
**4. A nurse finds a wet floor in a client's room. What is the first action the nurse should take?**
A) Warn patients verbally
B) Place a wet floor sign
C) Clean up immediately and then place a sign
,D) Report to housekeeping
**Answer: C - Clean up immediately and then place a sign**
Rationale: Immediate cleanup prevents accidents. A sign is then placed to alert others to the
potential hazard. Safety is the priority, and prompt action prevents falls.
---
**5. A nurse enters a client's room and sees smoke coming from the trash can. Which action should
the nurse take first according to the RACE protocol?**
A) Activate the fire alarm
B) Contain the fire by closing doors
C) Extinguish the fire if safe to do so
D) Evacuate the client from the room
**Answer: D - Evacuate the client from the room**
Rationale: RACE stands for Rescue (evacuate clients in immediate danger), Alarm (activate alarm),
Contain (close doors), and Extinguish (use extinguisher). Evacuating the client is the priority action.
---
**6. A nurse is caring for a client on droplet precautions. Which personal protective equipment (PPE)
is required when entering the room?**
A) Gown and gloves only
B) Surgical mask within 3 feet of the client
C) N95 respirator
D) No PPE needed
, **Answer: B - Surgical mask within 3 feet of the client**
Rationale: Droplet precautions require wearing a surgical mask when within 3 feet (1 meter) of the
client. Gown and gloves may be needed if contact with body fluids is anticipated.
---
**7. Which action demonstrates proper hand hygiene technique?**
A) Using alcohol-based hand rub after removing gloves
B) Using hand rub after contact with C. difficile
C) Rinsing hands with water only
D) Wearing gloves without washing hands
**Answer: A - Using alcohol-based hand rub after removing gloves**
Rationale: Alcohol-based hand rub is effective for routine hand hygiene after glove removal. The
exception is C. difficile, which requires soap and water due to spore resistance.
---
**8. A nurse is admitting a client who has meningococcal meningitis. What should the nurse do
first?**
A) Administer prescribed antibiotics
B) Place the client in a private room
C) Initiate droplet precautions
D) Notify the provider
**Answer: C - Initiate droplet precautions**
