2026 ATI FUNDAMENTALS EXAM UPDATED 2092
QUESTIONS BANK WITH CORRECT ANSWERS (EXAM-
STYLE QUESTIONS & REVIEW)
Section 1: Safety and Infection Control (Questions 1-25)
1. A nurse is preparing to administer a medication to a client. Which of the
following is the most critical action to prevent a medication error?
A. Knowing the therapeutic effect of the medication.
B. Checking the client's identification band against the MAR.
C. Administering the medication within 30 minutes of the scheduled time.
D. Documenting the medication administration immediately after giving it.
Correct Answer: B
B. Checking the client's identification band against the MAR.
Rationale:
The single most important action to prevent medication errors is to
correctly identify the client. This is done by using at least two unique identifiers,
such as the client's name and medical record number, and comparing them to the
Medication Administration Record (MAR). This ensures the right medication is
given to the right client.
A is important for assessment but does not prevent giving the wrong
medication to the wrong client.
C is a standard of practice but is not the primary safety check against client
misidentification.
D is a legal and professional requirement, but the prevention happens
before administration, during the identification step.
2. A client is diagnosed with an infection caused by Clostridioides difficile. Which
of the following actions should the nurse take? (SATA)
A. Place the client in a negative-pressure room.
B. Wear a gown and gloves when entering the room.
C. Use an alcohol-based hand rub after providing care.
D. Clean equipment with a bleach-based solution.
E. Wear a surgical mask when within 3 feet of the client.
,Correct Answer: B, D
B. Wear a gown and gloves when entering the room.
D. Clean equipment with a bleach-based solution.
Rationale:
C. difficile is a spore-forming bacterium that requires contact precautions.
This includes wearing a gown and gloves for all contact with the client or their
environment.
C. difficile spores are resistant to alcohol. Therefore, hand hygiene must be
performed with soap and water.
The spores are also resistant to many standard disinfectants. A bleach-
based solution is required for cleaning equipment and surfaces.
A is incorrect; a negative-pressure room (airborne precautions) is for
diseases like tuberculosis or measles.
E is incorrect; a surgical mask is not required for contact precautions
unless there is a risk of splashes.
3. A nurse is caring for a client who is at risk for falls. Which of the following
interventions should the nurse implement? (SATA)
A. Keep the bed in the lowest position.
B. Apply a bed alarm.
C. Use a bed rail on all four sides of the bed.
D. Ensure the call light is within reach.
E. Place the client in a room far from the nurses' station.
Correct Answer: A, B, D
A. Keep the bed in the lowest position.
B. Apply a bed alarm.
D. Ensure the call light is within reach.
Rationale:
Keeping the bed in the lowest position (A) reduces the distance a client
would fall, decreasing the risk of injury.
A bed alarm (B) alerts staff when a high-risk client attempts to get out of
bed without assistance.
Ensuring the call light is within reach (D) empowers the client to call for
help before attempting to get up.
, C is incorrect; using all four side rails is considered a restraint and can be
dangerous if a client tries to climb over them.
E is incorrect; clients at high risk for falls should be placed in a room close
to the nurses' station for frequent observation.
4. A nurse is preparing to don personal protective equipment (PPE). In which
order should the nurse apply the equipment?
A. Mask, goggles, gown, gloves
B. Gown, mask, goggles, gloves
C. Gloves, gown, mask, goggles
D. Goggles, mask, gloves, gown
Correct Answer: B
B. Gown, mask, goggles, gloves
Rationale:
The correct sequence for donning PPE is:
1. Perform hand hygiene.
2. Apply the gown.
3. Apply the mask or respirator.
4. Apply goggles or a face shield.
5. Apply gloves.
This order ensures that the gloves are the last item put on, covering
the cuffs of the gown, and that the mask and eyewear are secured before
the gloves are contaminated.
5. A nurse is removing personal protective equipment (PPE) after caring for a
client on contact precautions. Which of the following is the first item the nurse
should remove?
A. Gloves
B. Gown
C. Mask
D. Goggles
, Correct Answer: A
A. Gloves
Rationale:
The gloves are the most contaminated piece of PPE and should be
removed first. The sequence for removing PPE is:
1. Remove gloves.
2. Remove goggles/face shield.
3. Remove gown.
4. Remove mask.
5. Perform hand hygiene.
This sequence is designed to prevent self-contamination. The mask
is removed last because it protects the mucous membranes of the nose and
mouth.
6. A nurse is caring for a client who has been placed in airborne precautions.
Which of the following types of masks should the nurse wear when entering the
client's room?
A. Surgical mask
B. N95 respirator
C. Cloth mask
D. Procedure mask
Correct Answer: B
B. N95 respirator
Rationale:
Airborne precautions are used for clients with infections transmitted by
small droplets that remain in the air for long periods (e.g., tuberculosis, measles,
varicella). An N95 respirator or a powered air-purifying respirator (PAPR) is
required to filter these small particles.
A surgical mask (A) does not provide an adequate seal or filtration for
airborne particles. It is used for droplet precautions.
C and D are not appropriate for airborne precautions.
QUESTIONS BANK WITH CORRECT ANSWERS (EXAM-
STYLE QUESTIONS & REVIEW)
Section 1: Safety and Infection Control (Questions 1-25)
1. A nurse is preparing to administer a medication to a client. Which of the
following is the most critical action to prevent a medication error?
A. Knowing the therapeutic effect of the medication.
B. Checking the client's identification band against the MAR.
C. Administering the medication within 30 minutes of the scheduled time.
D. Documenting the medication administration immediately after giving it.
Correct Answer: B
B. Checking the client's identification band against the MAR.
Rationale:
The single most important action to prevent medication errors is to
correctly identify the client. This is done by using at least two unique identifiers,
such as the client's name and medical record number, and comparing them to the
Medication Administration Record (MAR). This ensures the right medication is
given to the right client.
A is important for assessment but does not prevent giving the wrong
medication to the wrong client.
C is a standard of practice but is not the primary safety check against client
misidentification.
D is a legal and professional requirement, but the prevention happens
before administration, during the identification step.
2. A client is diagnosed with an infection caused by Clostridioides difficile. Which
of the following actions should the nurse take? (SATA)
A. Place the client in a negative-pressure room.
B. Wear a gown and gloves when entering the room.
C. Use an alcohol-based hand rub after providing care.
D. Clean equipment with a bleach-based solution.
E. Wear a surgical mask when within 3 feet of the client.
,Correct Answer: B, D
B. Wear a gown and gloves when entering the room.
D. Clean equipment with a bleach-based solution.
Rationale:
C. difficile is a spore-forming bacterium that requires contact precautions.
This includes wearing a gown and gloves for all contact with the client or their
environment.
C. difficile spores are resistant to alcohol. Therefore, hand hygiene must be
performed with soap and water.
The spores are also resistant to many standard disinfectants. A bleach-
based solution is required for cleaning equipment and surfaces.
A is incorrect; a negative-pressure room (airborne precautions) is for
diseases like tuberculosis or measles.
E is incorrect; a surgical mask is not required for contact precautions
unless there is a risk of splashes.
3. A nurse is caring for a client who is at risk for falls. Which of the following
interventions should the nurse implement? (SATA)
A. Keep the bed in the lowest position.
B. Apply a bed alarm.
C. Use a bed rail on all four sides of the bed.
D. Ensure the call light is within reach.
E. Place the client in a room far from the nurses' station.
Correct Answer: A, B, D
A. Keep the bed in the lowest position.
B. Apply a bed alarm.
D. Ensure the call light is within reach.
Rationale:
Keeping the bed in the lowest position (A) reduces the distance a client
would fall, decreasing the risk of injury.
A bed alarm (B) alerts staff when a high-risk client attempts to get out of
bed without assistance.
Ensuring the call light is within reach (D) empowers the client to call for
help before attempting to get up.
, C is incorrect; using all four side rails is considered a restraint and can be
dangerous if a client tries to climb over them.
E is incorrect; clients at high risk for falls should be placed in a room close
to the nurses' station for frequent observation.
4. A nurse is preparing to don personal protective equipment (PPE). In which
order should the nurse apply the equipment?
A. Mask, goggles, gown, gloves
B. Gown, mask, goggles, gloves
C. Gloves, gown, mask, goggles
D. Goggles, mask, gloves, gown
Correct Answer: B
B. Gown, mask, goggles, gloves
Rationale:
The correct sequence for donning PPE is:
1. Perform hand hygiene.
2. Apply the gown.
3. Apply the mask or respirator.
4. Apply goggles or a face shield.
5. Apply gloves.
This order ensures that the gloves are the last item put on, covering
the cuffs of the gown, and that the mask and eyewear are secured before
the gloves are contaminated.
5. A nurse is removing personal protective equipment (PPE) after caring for a
client on contact precautions. Which of the following is the first item the nurse
should remove?
A. Gloves
B. Gown
C. Mask
D. Goggles
, Correct Answer: A
A. Gloves
Rationale:
The gloves are the most contaminated piece of PPE and should be
removed first. The sequence for removing PPE is:
1. Remove gloves.
2. Remove goggles/face shield.
3. Remove gown.
4. Remove mask.
5. Perform hand hygiene.
This sequence is designed to prevent self-contamination. The mask
is removed last because it protects the mucous membranes of the nose and
mouth.
6. A nurse is caring for a client who has been placed in airborne precautions.
Which of the following types of masks should the nurse wear when entering the
client's room?
A. Surgical mask
B. N95 respirator
C. Cloth mask
D. Procedure mask
Correct Answer: B
B. N95 respirator
Rationale:
Airborne precautions are used for clients with infections transmitted by
small droplets that remain in the air for long periods (e.g., tuberculosis, measles,
varicella). An N95 respirator or a powered air-purifying respirator (PAPR) is
required to filter these small particles.
A surgical mask (A) does not provide an adequate seal or filtration for
airborne particles. It is used for droplet precautions.
C and D are not appropriate for airborne precautions.