ATI FUNDAMENTALS PROCTORED EXAM A & B – COMPLETE
QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
RATIONALES/ ATI FUNDAMENTALS PROCTORED
LATEST STUDY GUIDE
EXAM A – 100 QUESTIONS
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1–25)
Question 1
A nurse is preparing to care for a patient with Clostridioides difficile (C. diff).
Which precaution is required?
A) Airborne precautions
B) Droplet precautions
C) Contact precautions
D) Standard precautions only
Correct Answer: C) Contact precautions
Rationale: C. diff is spread via spores and requires contact precautions,
including gown, gloves, and handwashing with soap and water. Alcohol-based
hand sanitizers do NOT kill C. diff spores, so soap and water must be used.
Question 2
A nurse is caring for a client who has influenza and isolation precautions in place.
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
D) Place the client in a negative airflow room
Correct Answer: A) Wear a mask when working within 3 feet of the client
Rationale: Influenza requires droplet precautions. A mask should be worn within
3 feet. Negative airflow is for airborne (e.g., TB, measles).
1
,Question 3
Which action by the nurse best prevents healthcare-associated infections (HAIs)?
A) Wearing gloves at all times
B) Performing hand hygiene before and after client contact
C) Wearing a mask during all client interactions
D) Using sterile gloves for all procedures
Correct Answer: B) Performing hand hygiene before and after client contact
Rationale: Hand hygiene is the single most effective measure to prevent the
spread of infection and HAIs.
Question 4
A nurse is applying restraints to a confused client. Which action is appropriate?
A) Tie restraints to the bed side rails
B) Secure restraints with a quick-release knot
C) Apply restraints for 4 hours before reassessment
D) Place the client in supine position with restraints tight
Correct Answer: B) Secure restraints with a quick-release knot
Rationale: Restraints must be secured with a quick-release knot to allow
rapid removal in an emergency. They should NEVER be tied to side rails.
Question 5
A nurse is caring for a client on seizure precautions. Which item should be
kept at the bedside?
A) Suction equipment
B) Oxygen mask
C) Oral airway
D) Padded tongue blade
Correct Answer: A) Suction equipment
Rationale: Suction equipment must be kept at the bedside to clear the airway
2
,during a seizure. Do NOT place anything in the client's mouth during a seizure.
Question 6
A client is at risk for falls. Which intervention is most appropriate?
A) Keep all four bed rails up
B) Place the bed in the highest position
C) Use a bed alarm
D) Apply wrist restraints
Correct Answer: C) Use a bed alarm
Rationale: A bed alarm alerts staff when the client attempts to get up,
promoting safety while maintaining the client's freedom.
Question 7
A nurse is preparing to administer a tuberculin skin test. Which route is used?
A) Subcutaneous
B) Intramuscular
C) Intradermal
D) Intravenous
Correct Answer: C) Intradermal
Rationale: TB skin tests (PPD) are given intradermally, usually on the
forearm, creating a wheal.
Question 8
A nurse is caring for a client with active tuberculosis. Which precautions
are required?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective environment
Correct Answer: C) Airborne precautions
3
, Rationale: TB requires airborne precautions, including a negative-pressure
room and N95 respirator.
Question 9
A nurse discovers a small fire in a client's trash can. What is the first action?
A) Pull the fire alarm
B) Evacuate the client
C) Use a fire extinguisher
D) Remove the trash can from the room
Correct Answer: B) Evacuate the client
Rationale: RACE: Rescue (evacuate clients), Alarm, Contain, Extinguish.
Client safety is the priority.
Question 10
A nurse is educating a client about standard precautions. Which statement
indicates understanding?
A) "I should wear gloves when touching my bed linens."
B) "I must wear a mask at all times."
C) "I should wash my hands after using the bathroom."
D) "Standard precautions apply only to clients with infections."
Correct Answer: A) "I should wear gloves when touching my bed linens."
Rationale: Standard precautions apply to all clients. Gloves are worn when
touching blood, body fluids, secretions, excretions, or contaminated items
like linens.
Question 11
A nurse is caring for a neutropenic client. Which intervention is a priority?
A) Place client in a negative-pressure room
B) Restrict fresh flowers and plants
C) Administer antipyretics
D) Encourage a high-fiber diet
4
QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
RATIONALES/ ATI FUNDAMENTALS PROCTORED
LATEST STUDY GUIDE
EXAM A – 100 QUESTIONS
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1–25)
Question 1
A nurse is preparing to care for a patient with Clostridioides difficile (C. diff).
Which precaution is required?
A) Airborne precautions
B) Droplet precautions
C) Contact precautions
D) Standard precautions only
Correct Answer: C) Contact precautions
Rationale: C. diff is spread via spores and requires contact precautions,
including gown, gloves, and handwashing with soap and water. Alcohol-based
hand sanitizers do NOT kill C. diff spores, so soap and water must be used.
Question 2
A nurse is caring for a client who has influenza and isolation precautions in place.
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
D) Place the client in a negative airflow room
Correct Answer: A) Wear a mask when working within 3 feet of the client
Rationale: Influenza requires droplet precautions. A mask should be worn within
3 feet. Negative airflow is for airborne (e.g., TB, measles).
1
,Question 3
Which action by the nurse best prevents healthcare-associated infections (HAIs)?
A) Wearing gloves at all times
B) Performing hand hygiene before and after client contact
C) Wearing a mask during all client interactions
D) Using sterile gloves for all procedures
Correct Answer: B) Performing hand hygiene before and after client contact
Rationale: Hand hygiene is the single most effective measure to prevent the
spread of infection and HAIs.
Question 4
A nurse is applying restraints to a confused client. Which action is appropriate?
A) Tie restraints to the bed side rails
B) Secure restraints with a quick-release knot
C) Apply restraints for 4 hours before reassessment
D) Place the client in supine position with restraints tight
Correct Answer: B) Secure restraints with a quick-release knot
Rationale: Restraints must be secured with a quick-release knot to allow
rapid removal in an emergency. They should NEVER be tied to side rails.
Question 5
A nurse is caring for a client on seizure precautions. Which item should be
kept at the bedside?
A) Suction equipment
B) Oxygen mask
C) Oral airway
D) Padded tongue blade
Correct Answer: A) Suction equipment
Rationale: Suction equipment must be kept at the bedside to clear the airway
2
,during a seizure. Do NOT place anything in the client's mouth during a seizure.
Question 6
A client is at risk for falls. Which intervention is most appropriate?
A) Keep all four bed rails up
B) Place the bed in the highest position
C) Use a bed alarm
D) Apply wrist restraints
Correct Answer: C) Use a bed alarm
Rationale: A bed alarm alerts staff when the client attempts to get up,
promoting safety while maintaining the client's freedom.
Question 7
A nurse is preparing to administer a tuberculin skin test. Which route is used?
A) Subcutaneous
B) Intramuscular
C) Intradermal
D) Intravenous
Correct Answer: C) Intradermal
Rationale: TB skin tests (PPD) are given intradermally, usually on the
forearm, creating a wheal.
Question 8
A nurse is caring for a client with active tuberculosis. Which precautions
are required?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective environment
Correct Answer: C) Airborne precautions
3
, Rationale: TB requires airborne precautions, including a negative-pressure
room and N95 respirator.
Question 9
A nurse discovers a small fire in a client's trash can. What is the first action?
A) Pull the fire alarm
B) Evacuate the client
C) Use a fire extinguisher
D) Remove the trash can from the room
Correct Answer: B) Evacuate the client
Rationale: RACE: Rescue (evacuate clients), Alarm, Contain, Extinguish.
Client safety is the priority.
Question 10
A nurse is educating a client about standard precautions. Which statement
indicates understanding?
A) "I should wear gloves when touching my bed linens."
B) "I must wear a mask at all times."
C) "I should wash my hands after using the bathroom."
D) "Standard precautions apply only to clients with infections."
Correct Answer: A) "I should wear gloves when touching my bed linens."
Rationale: Standard precautions apply to all clients. Gloves are worn when
touching blood, body fluids, secretions, excretions, or contaminated items
like linens.
Question 11
A nurse is caring for a neutropenic client. Which intervention is a priority?
A) Place client in a negative-pressure room
B) Restrict fresh flowers and plants
C) Administer antipyretics
D) Encourage a high-fiber diet
4
