ATI RN Fundamentals Proctored Exam (11
Latest Versions, 2021) / RN ATI Fundamentals
Proctored Exam / ATI RN Proctored
Fundamentals Exam |Complete Document for
A.T.I Exam
Section 1: Safety and Infection Control (Questions 1–20)
1. A nurse is preparing to administer a medication to a client. Which of the following actions
should the nurse take to ensure client safety?
A. Verify the client's identity using two identifiers
B. Ask the client to state their name and room number
C. Check the client's armband against the medication administration record
D. Both A and C
Correct Answer: D
Rationale: The nurse should use two identifiers (e.g., client's name and date of birth or
medical record number) and verify the armband against the MAR. Asking the client to state
their name and room number is not a reliable identifier because the client may be confused or
in the wrong room. Both A and C are correct safety practices.
2. A nurse is caring for a client who has been placed in airborne precautions. Which of the
following personal protective equipment should the nurse remove first when leaving the
room?
A. Gloves
B. Gown
C. N95 respirator
D. Goggles
Correct Answer: A
, Rationale: When removing PPE, the nurse should remove the most contaminated items
first. Gloves are the most contaminated and should be removed first, followed by goggles,
gown, and finally the respirator (which is removed last, outside the room).
3. A nurse is teaching a client about hand hygiene. Which of the following statements by the
client indicates a need for further teaching?
A. "I should wash my hands for at least 20 seconds."
B. "I can use alcohol-based hand rub when my hands are visibly soiled."
C. "I should wash my hands before eating and after using the bathroom."
D. "I should dry my hands with a paper towel before turning off the faucet."
Correct Answer: B
Rationale: Alcohol-based hand rubs should NOT be used when hands are visibly soiled or
contaminated with blood/body fluids. In those cases, soap and water must be used. The other
statements are correct.
4. A nurse is implementing seizure precautions for a client. Which of the following items
should the nurse place at the bedside? (SATA)
A. Oral airway
B. Suction equipment
C. Oxygen
D. Padded side rails
E. Restraints
Correct Answer: B, C, D
Rationale: Seizure precautions include having suction equipment, oxygen, and padded side
rails at the bedside. An oral airway should NOT be forced into the mouth during a seizure.
Restraints are not part of seizure precautions and can cause injury.
5. A nurse is preparing to insert an indwelling urinary catheter. Which of the following actions
should the nurse take first?
A. Perform hand hygiene
B. Open the sterile catheter kit
,C. Position the client
D. Don sterile gloves
Correct Answer: A
Rationale: Hand hygiene is the first step in any procedure to prevent infection. The nurse
should perform hand hygiene before opening the kit, positioning the client, or donning sterile
gloves.
6. A nurse is caring for a client who requires droplet precautions. Which of the following is the
correct type of mask for the nurse to wear?
A. N95 respirator
B. Surgical mask
C. Cloth mask
D. No mask is required
Correct Answer: B
Rationale: Droplet precautions require a surgical mask when within 3 feet of the client. An
N95 respirator is required for airborne precautions (e.g., tuberculosis, measles, varicella).
7. A nurse is assessing a client for fall risk. Which of the following factors places the client at
highest risk for falls?
A. Age 45
B. Use of a cane
C. Taking a diuretic
D. History of hypertension
Correct Answer: C
Rationale: Diuretics increase urinary frequency and urgency, which increases the risk of
falls, especially at night. Age 45 is not a high-risk age. Using a cane may indicate mobility issues
but is an assistive device. Hypertension alone does not directly increase fall risk.
8. A nurse is preparing to administer an injection. Which of the following is the correct order
for donning PPE?
, A. Gown, mask, goggles, gloves
B. Gloves, gown, mask, goggles
C. Mask, goggles, gown, gloves
D. Goggles, mask, gloves, gown
Correct Answer: A
Rationale: The correct order for donning PPE is: gown first, then mask/respirator, then
goggles/face shield, and finally gloves. Gloves are always donned last.
9. A nurse is caring for a client who has Clostridium difficile. Which of the following actions
should the nurse take?
A. Use alcohol-based hand rub after care
B. Wear a gown and gloves when entering the room
C. Place the client in a negative-pressure room
D. Use a surgical mask when providing care
Correct Answer: B
Rationale: C. difficile requires contact precautions, which include wearing a gown and
gloves. Alcohol-based hand rub is not effective against C. difficile spores; soap and water must
be used. A negative-pressure room is for airborne precautions. A surgical mask is not required
for contact precautions.
10. A nurse is reviewing safety measures with a client who uses a walker. Which of the
following instructions should the nurse include?
A. "Place the walker about 12 inches in front of you."
B. "Move the walker forward, then step with your weaker leg first."
C. "Lean forward over the walker when walking."
D. "Use the walker to pull yourself up from a chair."
Correct Answer: B
Rationale: When using a walker, the client should move the walker forward, then step with
the weaker leg first, followed by the stronger leg. The walker should be placed about 6–8 inches
ahead, not 12. The client should not lean forward over the walker or use it to pull up from a
chair.
Latest Versions, 2021) / RN ATI Fundamentals
Proctored Exam / ATI RN Proctored
Fundamentals Exam |Complete Document for
A.T.I Exam
Section 1: Safety and Infection Control (Questions 1–20)
1. A nurse is preparing to administer a medication to a client. Which of the following actions
should the nurse take to ensure client safety?
A. Verify the client's identity using two identifiers
B. Ask the client to state their name and room number
C. Check the client's armband against the medication administration record
D. Both A and C
Correct Answer: D
Rationale: The nurse should use two identifiers (e.g., client's name and date of birth or
medical record number) and verify the armband against the MAR. Asking the client to state
their name and room number is not a reliable identifier because the client may be confused or
in the wrong room. Both A and C are correct safety practices.
2. A nurse is caring for a client who has been placed in airborne precautions. Which of the
following personal protective equipment should the nurse remove first when leaving the
room?
A. Gloves
B. Gown
C. N95 respirator
D. Goggles
Correct Answer: A
, Rationale: When removing PPE, the nurse should remove the most contaminated items
first. Gloves are the most contaminated and should be removed first, followed by goggles,
gown, and finally the respirator (which is removed last, outside the room).
3. A nurse is teaching a client about hand hygiene. Which of the following statements by the
client indicates a need for further teaching?
A. "I should wash my hands for at least 20 seconds."
B. "I can use alcohol-based hand rub when my hands are visibly soiled."
C. "I should wash my hands before eating and after using the bathroom."
D. "I should dry my hands with a paper towel before turning off the faucet."
Correct Answer: B
Rationale: Alcohol-based hand rubs should NOT be used when hands are visibly soiled or
contaminated with blood/body fluids. In those cases, soap and water must be used. The other
statements are correct.
4. A nurse is implementing seizure precautions for a client. Which of the following items
should the nurse place at the bedside? (SATA)
A. Oral airway
B. Suction equipment
C. Oxygen
D. Padded side rails
E. Restraints
Correct Answer: B, C, D
Rationale: Seizure precautions include having suction equipment, oxygen, and padded side
rails at the bedside. An oral airway should NOT be forced into the mouth during a seizure.
Restraints are not part of seizure precautions and can cause injury.
5. A nurse is preparing to insert an indwelling urinary catheter. Which of the following actions
should the nurse take first?
A. Perform hand hygiene
B. Open the sterile catheter kit
,C. Position the client
D. Don sterile gloves
Correct Answer: A
Rationale: Hand hygiene is the first step in any procedure to prevent infection. The nurse
should perform hand hygiene before opening the kit, positioning the client, or donning sterile
gloves.
6. A nurse is caring for a client who requires droplet precautions. Which of the following is the
correct type of mask for the nurse to wear?
A. N95 respirator
B. Surgical mask
C. Cloth mask
D. No mask is required
Correct Answer: B
Rationale: Droplet precautions require a surgical mask when within 3 feet of the client. An
N95 respirator is required for airborne precautions (e.g., tuberculosis, measles, varicella).
7. A nurse is assessing a client for fall risk. Which of the following factors places the client at
highest risk for falls?
A. Age 45
B. Use of a cane
C. Taking a diuretic
D. History of hypertension
Correct Answer: C
Rationale: Diuretics increase urinary frequency and urgency, which increases the risk of
falls, especially at night. Age 45 is not a high-risk age. Using a cane may indicate mobility issues
but is an assistive device. Hypertension alone does not directly increase fall risk.
8. A nurse is preparing to administer an injection. Which of the following is the correct order
for donning PPE?
, A. Gown, mask, goggles, gloves
B. Gloves, gown, mask, goggles
C. Mask, goggles, gown, gloves
D. Goggles, mask, gloves, gown
Correct Answer: A
Rationale: The correct order for donning PPE is: gown first, then mask/respirator, then
goggles/face shield, and finally gloves. Gloves are always donned last.
9. A nurse is caring for a client who has Clostridium difficile. Which of the following actions
should the nurse take?
A. Use alcohol-based hand rub after care
B. Wear a gown and gloves when entering the room
C. Place the client in a negative-pressure room
D. Use a surgical mask when providing care
Correct Answer: B
Rationale: C. difficile requires contact precautions, which include wearing a gown and
gloves. Alcohol-based hand rub is not effective against C. difficile spores; soap and water must
be used. A negative-pressure room is for airborne precautions. A surgical mask is not required
for contact precautions.
10. A nurse is reviewing safety measures with a client who uses a walker. Which of the
following instructions should the nurse include?
A. "Place the walker about 12 inches in front of you."
B. "Move the walker forward, then step with your weaker leg first."
C. "Lean forward over the walker when walking."
D. "Use the walker to pull yourself up from a chair."
Correct Answer: B
Rationale: When using a walker, the client should move the walker forward, then step with
the weaker leg first, followed by the stronger leg. The walker should be placed about 6–8 inches
ahead, not 12. The client should not lean forward over the walker or use it to pull up from a
chair.
