ATI Fundamentals Proctored Exam (21
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Fundamentals ATI Proctored Exam / ATI
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Section 1: Safety, Infection Control, and Standard Precautions (1–20)
1. A nurse is caring for a client with an active pulmonary tuberculosis infection. Which type of
precautions should the nurse implement?
A. Standard precautions only
B. Contact precautions
C. Airborne precautions
D. Droplet precautions
Correct answer: C
Rationale: Tuberculosis is transmitted via airborne droplet nuclei, so an N95 respirator and a
negative-pressure room are required. Contact precautions are for organisms spread by
direct/indirect contact (e.g., C. diff), and droplet precautions are for larger droplets (e.g.,
influenza).
2. Which of the following are appropriate components of standard precautions? (Select all
that apply.)
A. Performing hand hygiene before and after client contact
B. Wearing gloves when anticipating contact with body fluids
C. Wearing a gown when there is a risk of splashing
D. Recapping used needles before disposal
E. Using a face shield when splash risk exists
Correct answers: A, B, C, E
Rationale: Standard precautions include hand hygiene, gloves, gowns, masks, and eye
protection based on anticipated exposure. Needles should never be recapped; they must be
disposed of in a sharps container immediately.
,3. A nurse is removing a gown and gloves after caring for a client on contact precautions. In
what order should the nurse remove PPE?
A. Gloves, gown, mask, eyewear
B. Gown, gloves, eyewear, mask
C. Mask, gloves, gown, eyewear
D. Gloves, mask, gown, eyewear
Correct answer: A
Rationale: The sequence is gloves first (most contaminated), then gown, then eyewear, then
mask/respirator last (removed outside the room after closing the door).
4. A client is placed on contact precautions for Clostridioides difficile. Which action by the
nurse indicates correct understanding?
A. Using an alcohol-based hand rub after removing gloves
B. Using soap and water for hand hygiene
C. Wearing a mask at all times in the room
D. Placing the client in a negative-pressure room
Correct answer: B
Rationale: C. diff spores are not killed by alcohol; soap and water handwashing is required.
A mask and negative-pressure room are not indicated for contact precautions.
5. A nurse is teaching a client about preventing falls at home. Which statement indicates a
need for further teaching?
A. "I will keep a night-light on in the hallway."
B. "I will use a step stool to reach high shelves."
C. "I will remove loose rugs from the floor."
D. "I will wear non-skid shoes."
Correct answer: B
Rationale: Using a step stool increases fall risk. Clients should avoid climbing and instead
keep frequently used items within reach.
6. A nurse is assessing a client's risk for falls. Which factors increase fall risk? (Select all that
apply.)
A. Taking a benzodiazepine
B. History of a previous fall
C. Use of an assistive device
D. Orthostatic hypotension
E. Age 82
, Correct answers: A, B, D, E
Rationale: Sedatives, prior falls, orthostatic hypotension, and advanced age all increase fall
risk. Assistive devices, when used correctly, reduce risk.
7. A nurse finds a client on the floor after a fall. What is the nurse's first action?
A. Assist the client back to bed
B. Assess the client for injury
C. Document the fall
D. Notify the provider
Correct answer: B
Rationale: The nurse should first assess for injury and level of consciousness before moving
the client. Moving an injured client could worsen injury.
8. Which action best prevents the spread of infection when a nurse is caring for multiple
clients?
A. Wearing the same gloves between clients
B. Performing hand hygiene between client contacts
C. Using a single thermometer for all clients
D. Reusing gowns between clients
Correct answer: B
Rationale: Hand hygiene is the single most effective way to prevent infection transmission.
9. A nurse is preparing to insert a urinary catheter. Which action maintains surgical asepsis?
A. Wearing clean gloves during insertion
B. Keeping sterile field below waist level
C. Using sterile gloves and maintaining the sterile field above waist level
D. Reusing catheter supplies from another client
Correct answer: C
Rationale: Sterile technique requires sterile gloves and keeping the field above waist level
and in view at all times.
10. A client on isolation precautions asks why visitors must wear a mask. Which response by
the nurse is best?
A. "It's hospital policy and can't be changed."
B. "The mask protects you and others from germs spread through the air."
C. "You don't need to worry about that."
D. "Visitors don't need masks."
, Correct answer: B
Rationale: The nurse should explain the purpose of the precaution in plain language,
promoting understanding and cooperation.
11. A nurse is caring for a client with a latex allergy. Which action is most appropriate?
A. Use latex gloves but double-glove
B. Use latex-free gloves and supplies
C. Apply lotion before gloving
D. Wear latex gloves only briefly
Correct answer: B
Rationale: All latex-containing products must be avoided for clients with latex allergy.
12. Which finding indicates a need for the nurse to wear an N95 respirator?
A. Caring for a client with a wound infection
B. Caring for a client with measles
C. Caring for a client with a urinary tract infection
D. Caring for a client with a rash
Correct answer: B
Rationale: Measles requires airborne precautions, which includes an N95 respirator.
13. A nurse is disposing of a used needle. Which action is correct?
A. Recap the needle before disposal
B. Place the needle in a sharps container without recapping
C. Break the needle off the syringe
D. Place the needle in a regular trash can
Correct answer: B
Rationale: Needles must never be recapped or broken; they should be placed directly into a
puncture-resistant sharps container.
14. Which of the following are signs of a localized infection? (Select all that apply.)
A. Redness
B. Warmth
C. Swelling
D. Generalized fatigue
E. Purulent drainage
Exam Sets, Latest-2021/2022) /
Fundamentals ATI Proctored Exam / ATI
Proctored Fundamentals Exam |Best
Document for A.T.I Exam
Section 1: Safety, Infection Control, and Standard Precautions (1–20)
1. A nurse is caring for a client with an active pulmonary tuberculosis infection. Which type of
precautions should the nurse implement?
A. Standard precautions only
B. Contact precautions
C. Airborne precautions
D. Droplet precautions
Correct answer: C
Rationale: Tuberculosis is transmitted via airborne droplet nuclei, so an N95 respirator and a
negative-pressure room are required. Contact precautions are for organisms spread by
direct/indirect contact (e.g., C. diff), and droplet precautions are for larger droplets (e.g.,
influenza).
2. Which of the following are appropriate components of standard precautions? (Select all
that apply.)
A. Performing hand hygiene before and after client contact
B. Wearing gloves when anticipating contact with body fluids
C. Wearing a gown when there is a risk of splashing
D. Recapping used needles before disposal
E. Using a face shield when splash risk exists
Correct answers: A, B, C, E
Rationale: Standard precautions include hand hygiene, gloves, gowns, masks, and eye
protection based on anticipated exposure. Needles should never be recapped; they must be
disposed of in a sharps container immediately.
,3. A nurse is removing a gown and gloves after caring for a client on contact precautions. In
what order should the nurse remove PPE?
A. Gloves, gown, mask, eyewear
B. Gown, gloves, eyewear, mask
C. Mask, gloves, gown, eyewear
D. Gloves, mask, gown, eyewear
Correct answer: A
Rationale: The sequence is gloves first (most contaminated), then gown, then eyewear, then
mask/respirator last (removed outside the room after closing the door).
4. A client is placed on contact precautions for Clostridioides difficile. Which action by the
nurse indicates correct understanding?
A. Using an alcohol-based hand rub after removing gloves
B. Using soap and water for hand hygiene
C. Wearing a mask at all times in the room
D. Placing the client in a negative-pressure room
Correct answer: B
Rationale: C. diff spores are not killed by alcohol; soap and water handwashing is required.
A mask and negative-pressure room are not indicated for contact precautions.
5. A nurse is teaching a client about preventing falls at home. Which statement indicates a
need for further teaching?
A. "I will keep a night-light on in the hallway."
B. "I will use a step stool to reach high shelves."
C. "I will remove loose rugs from the floor."
D. "I will wear non-skid shoes."
Correct answer: B
Rationale: Using a step stool increases fall risk. Clients should avoid climbing and instead
keep frequently used items within reach.
6. A nurse is assessing a client's risk for falls. Which factors increase fall risk? (Select all that
apply.)
A. Taking a benzodiazepine
B. History of a previous fall
C. Use of an assistive device
D. Orthostatic hypotension
E. Age 82
, Correct answers: A, B, D, E
Rationale: Sedatives, prior falls, orthostatic hypotension, and advanced age all increase fall
risk. Assistive devices, when used correctly, reduce risk.
7. A nurse finds a client on the floor after a fall. What is the nurse's first action?
A. Assist the client back to bed
B. Assess the client for injury
C. Document the fall
D. Notify the provider
Correct answer: B
Rationale: The nurse should first assess for injury and level of consciousness before moving
the client. Moving an injured client could worsen injury.
8. Which action best prevents the spread of infection when a nurse is caring for multiple
clients?
A. Wearing the same gloves between clients
B. Performing hand hygiene between client contacts
C. Using a single thermometer for all clients
D. Reusing gowns between clients
Correct answer: B
Rationale: Hand hygiene is the single most effective way to prevent infection transmission.
9. A nurse is preparing to insert a urinary catheter. Which action maintains surgical asepsis?
A. Wearing clean gloves during insertion
B. Keeping sterile field below waist level
C. Using sterile gloves and maintaining the sterile field above waist level
D. Reusing catheter supplies from another client
Correct answer: C
Rationale: Sterile technique requires sterile gloves and keeping the field above waist level
and in view at all times.
10. A client on isolation precautions asks why visitors must wear a mask. Which response by
the nurse is best?
A. "It's hospital policy and can't be changed."
B. "The mask protects you and others from germs spread through the air."
C. "You don't need to worry about that."
D. "Visitors don't need masks."
, Correct answer: B
Rationale: The nurse should explain the purpose of the precaution in plain language,
promoting understanding and cooperation.
11. A nurse is caring for a client with a latex allergy. Which action is most appropriate?
A. Use latex gloves but double-glove
B. Use latex-free gloves and supplies
C. Apply lotion before gloving
D. Wear latex gloves only briefly
Correct answer: B
Rationale: All latex-containing products must be avoided for clients with latex allergy.
12. Which finding indicates a need for the nurse to wear an N95 respirator?
A. Caring for a client with a wound infection
B. Caring for a client with measles
C. Caring for a client with a urinary tract infection
D. Caring for a client with a rash
Correct answer: B
Rationale: Measles requires airborne precautions, which includes an N95 respirator.
13. A nurse is disposing of a used needle. Which action is correct?
A. Recap the needle before disposal
B. Place the needle in a sharps container without recapping
C. Break the needle off the syringe
D. Place the needle in a regular trash can
Correct answer: B
Rationale: Needles must never be recapped or broken; they should be placed directly into a
puncture-resistant sharps container.
14. Which of the following are signs of a localized infection? (Select all that apply.)
A. Redness
B. Warmth
C. Swelling
D. Generalized fatigue
E. Purulent drainage
