ATI PN Fundamentals Proctored Exam (11
Latest Versions, 2021) / PN ATI Fundamentals
Proctored Exam / ATI PN Proctored
Fundamentals Exam |Complete Document for
A.T.I Exam
SECTION I: SAFETY & INFECTION CONTROL
1. A nurse is caring for a client with Clostridioides difficile. Which action should the nurse
take?
A. Wear a surgical mask when entering the room
B. Wear gloves and a gown when entering the room
C. Use an alcohol-based hand rub after client care
D. Place the client in a negative-pressure room
C. difficile requires contact precautions: gloves and gown. Soap and water (not alcohol rub)
must be used because alcohol does not kill spores. A negative-pressure room is for airborne
precautions.
2. Which client requires airborne precautions? (SATA)
A. Client with active pulmonary tuberculosis
B. Client with MRSA wound infection
C. Client with disseminated varicella zoster
D. Client with C. difficile diarrhea
E. Client with measles (rubeola)
Airborne precautions (N95, negative-pressure room) are required for TB, measles, and
disseminated varicella. MRSA and C. difficile require contact precautions.
3. A nurse is teaching a client about fall prevention. Which statement indicates
understanding?
A. "I will keep my call light on the bedside table."
,B. "I will wear non-skid slippers when walking."
C. "I will use the bed rails only when I sleep."
D. "I will walk to the bathroom alone at night."
Non-skid footwear reduces fall risk. Call lights should be within reach, bed rails are not
restraints but should follow facility policy, and clients at risk should not ambulate alone.
4. The nurse is preparing to suction a client's airway. Which PPE is required?
A. Gloves only
B. Gloves and mask
C. Gloves, mask, and goggles/face shield
D. Gloves and gown
Suctioning creates splash/spatter risk; gloves, mask, and eye protection are required.
5. A nurse receives a needlestick injury. What is the first action?
A. Report to employee health
B. Wash the site with soap and water
C. Request HIV post-exposure prophylaxis
D. Obtain the source client's consent for testing
Immediate washing of the site is the first step, followed by reporting and evaluation for
prophylaxis.
6. Which action demonstrates proper use of a fire extinguisher?
A. Aim at the top of the flames
B. Aim at the base of the fire
C. Spray in a circular motion
D. Stand 10 feet from the fire
The PASS mnemonic: Pull, Aim at the base, Squeeze, Sweep.
7. A nurse is caring for a client on seizure precautions. Which item should be at the bedside?
A. Tongue blade
B. Oxygen and suction equipment
,C. Restraints
D. Oral airway inserted prophylactically
Oxygen and suction are kept at the bedside. Never insert anything into the mouth during a
seizure.
8. Which client is at greatest risk for infection?
A. A client 1 day postoperative appendectomy
B. A client receiving chemotherapy with a WBC of 2,000/mm³
C. A client with a casted arm
D. A client with hypertension
Neutropenia (WBC < 4,000) from chemotherapy significantly increases infection risk.
9. The nurse is removing PPE after caring for a client on contact precautions. Which is
removed first?
A. Mask
B. Gloves
C. Gown
D. Goggles
Gloves are removed first, then goggles, gown, and mask last (mask removed after leaving
the room).
10. A nurse is preparing a sterile field. Which action contaminates the field?
A. Opening the package away from the body
B. Reaching over the sterile field with bare arms
C. Placing sterile items on the field
D. Keeping the field above waist level
Reaching over a sterile field contaminates it. Sterile fields must be kept above waist level
and not reached over.
11. Which statement by a nurse indicates correct understanding of standard precautions?
A. "Standard precautions apply only to clients with known infections."
, B. "Standard precautions apply to all clients regardless of diagnosis."
C. "Gloves are required for all client contact."
D. "Masks are required for all client care."
Standard precautions apply to all clients. Gloves are worn when contact with body fluids is
anticipated.
12. A client is on droplet precautions. Which PPE is required when within 3 feet of the client?
A. Gloves only
B. Surgical mask
C. N95 respirator
D. Gown and gloves
Droplet precautions require a surgical mask when within 3 feet. N95 is for airborne
precautions.
13. The nurse is caring for a client with a latex allergy. Which action is priority?
A. Notify dietary
B. Use latex-free gloves and supplies
C. Place the client in a private room
D. Administer epinephrine prophylactically
Latex-free environment is essential to prevent allergic reaction.
14. A nurse is assessing a client's home for safety. Which finding requires intervention?
A. Grab bars in the bathroom
B. Loose area rugs in the hallway
C. Adequate lighting
D. Non-skid mats in the tub
Loose rugs are a trip hazard and should be removed or secured.
15. Which action by the nurse best prevents catheter-associated urinary tract infections
(CAUTI)?
A. Irrigating the catheter daily
Latest Versions, 2021) / PN ATI Fundamentals
Proctored Exam / ATI PN Proctored
Fundamentals Exam |Complete Document for
A.T.I Exam
SECTION I: SAFETY & INFECTION CONTROL
1. A nurse is caring for a client with Clostridioides difficile. Which action should the nurse
take?
A. Wear a surgical mask when entering the room
B. Wear gloves and a gown when entering the room
C. Use an alcohol-based hand rub after client care
D. Place the client in a negative-pressure room
C. difficile requires contact precautions: gloves and gown. Soap and water (not alcohol rub)
must be used because alcohol does not kill spores. A negative-pressure room is for airborne
precautions.
2. Which client requires airborne precautions? (SATA)
A. Client with active pulmonary tuberculosis
B. Client with MRSA wound infection
C. Client with disseminated varicella zoster
D. Client with C. difficile diarrhea
E. Client with measles (rubeola)
Airborne precautions (N95, negative-pressure room) are required for TB, measles, and
disseminated varicella. MRSA and C. difficile require contact precautions.
3. A nurse is teaching a client about fall prevention. Which statement indicates
understanding?
A. "I will keep my call light on the bedside table."
,B. "I will wear non-skid slippers when walking."
C. "I will use the bed rails only when I sleep."
D. "I will walk to the bathroom alone at night."
Non-skid footwear reduces fall risk. Call lights should be within reach, bed rails are not
restraints but should follow facility policy, and clients at risk should not ambulate alone.
4. The nurse is preparing to suction a client's airway. Which PPE is required?
A. Gloves only
B. Gloves and mask
C. Gloves, mask, and goggles/face shield
D. Gloves and gown
Suctioning creates splash/spatter risk; gloves, mask, and eye protection are required.
5. A nurse receives a needlestick injury. What is the first action?
A. Report to employee health
B. Wash the site with soap and water
C. Request HIV post-exposure prophylaxis
D. Obtain the source client's consent for testing
Immediate washing of the site is the first step, followed by reporting and evaluation for
prophylaxis.
6. Which action demonstrates proper use of a fire extinguisher?
A. Aim at the top of the flames
B. Aim at the base of the fire
C. Spray in a circular motion
D. Stand 10 feet from the fire
The PASS mnemonic: Pull, Aim at the base, Squeeze, Sweep.
7. A nurse is caring for a client on seizure precautions. Which item should be at the bedside?
A. Tongue blade
B. Oxygen and suction equipment
,C. Restraints
D. Oral airway inserted prophylactically
Oxygen and suction are kept at the bedside. Never insert anything into the mouth during a
seizure.
8. Which client is at greatest risk for infection?
A. A client 1 day postoperative appendectomy
B. A client receiving chemotherapy with a WBC of 2,000/mm³
C. A client with a casted arm
D. A client with hypertension
Neutropenia (WBC < 4,000) from chemotherapy significantly increases infection risk.
9. The nurse is removing PPE after caring for a client on contact precautions. Which is
removed first?
A. Mask
B. Gloves
C. Gown
D. Goggles
Gloves are removed first, then goggles, gown, and mask last (mask removed after leaving
the room).
10. A nurse is preparing a sterile field. Which action contaminates the field?
A. Opening the package away from the body
B. Reaching over the sterile field with bare arms
C. Placing sterile items on the field
D. Keeping the field above waist level
Reaching over a sterile field contaminates it. Sterile fields must be kept above waist level
and not reached over.
11. Which statement by a nurse indicates correct understanding of standard precautions?
A. "Standard precautions apply only to clients with known infections."
, B. "Standard precautions apply to all clients regardless of diagnosis."
C. "Gloves are required for all client contact."
D. "Masks are required for all client care."
Standard precautions apply to all clients. Gloves are worn when contact with body fluids is
anticipated.
12. A client is on droplet precautions. Which PPE is required when within 3 feet of the client?
A. Gloves only
B. Surgical mask
C. N95 respirator
D. Gown and gloves
Droplet precautions require a surgical mask when within 3 feet. N95 is for airborne
precautions.
13. The nurse is caring for a client with a latex allergy. Which action is priority?
A. Notify dietary
B. Use latex-free gloves and supplies
C. Place the client in a private room
D. Administer epinephrine prophylactically
Latex-free environment is essential to prevent allergic reaction.
14. A nurse is assessing a client's home for safety. Which finding requires intervention?
A. Grab bars in the bathroom
B. Loose area rugs in the hallway
C. Adequate lighting
D. Non-skid mats in the tub
Loose rugs are a trip hazard and should be removed or secured.
15. Which action by the nurse best prevents catheter-associated urinary tract infections
(CAUTI)?
A. Irrigating the catheter daily
