ATI FUNDAMENTALS PROCTORED EXAM (22 VERSIONS,
LATEST- 2022) (1600 + Q and A) / FUNDAMENTALS ATI
PROCTORED EXAM / FUNDAMENTALS PROCTORED ATI
EXAM | COMPLETE GUIDE BY ATI EXPERTS
1. A nurse is preparing to administer medication to a client. Which of the following actions
should the nurse take to ensure client safety?
A. Ask the client to state their name and date of birth.
B. Verify the client's identity using their room number.
C. Check the client's identification band against the MAR.
D. Ask another nurse to confirm the client's identity.
Correct Answer: C. Check the client's identification band against the MAR.
Rationale: The Joint Commission's National Patient Safety Goals require the use of two
client identifiers. Checking the identification band against the medication administration record
(MAR) is the most reliable method. Asking the client to state their name is good, but not
sufficient alone. Room numbers are not acceptable identifiers.
2. A nurse is caring for a client who is on airborne precautions. Which of the following
personal protective equipment (PPE) is required when entering the client's room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves
D. Goggles and face shield
Correct Answer: B. N95 respirator
Rationale: Airborne precautions require an N95 respirator or a higher-level respirator to
protect against particles smaller than 5 microns (e.g., tuberculosis, measles, varicella). A surgical
mask is not sufficient for airborne precautions.
3. A nurse is teaching a client about home safety. Which of the following statements by the
client indicates a need for further teaching?
A. "I will use a nightlight in the hallway."
B. "I will keep my medications in a locked cabinet."
C. "I will place a rug at the top of the stairs."
D. "I will set my water heater to 120 degrees Fahrenheit."
, Correct Answer: C. "I will place a rug at the top of the stairs."
Rationale: Placing a rug at the top of the stairs is a major fall risk. All other statements are
correct home safety measures. Water heater temperature should be set at or below 120°F to
prevent burns.
4. A nurse is preparing to perform hand hygiene. Which of the following actions should the
nurse take first?
A. Apply soap to the hands.
B. Wet the hands with warm water.
C. Remove all jewelry.
D. Rub hands together for at least 20 seconds.
Correct Answer: C. Remove all jewelry.
Rationale: The first step in hand hygiene is to remove all jewelry, as it can harbor
microorganisms. The sequence is: remove jewelry, wet hands, apply soap, lather, rinse, dry.
5. A client is diagnosed with Clostridium difficile (C. diff). Which type of precautions should
the nurse implement?
A. Standard precautions
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
Correct Answer: B. Contact precautions
Rationale: C. diff is a spore-forming bacterium that is transmitted via the fecal-oral route.
Contact precautions, including wearing a gown and gloves, are required. Hand hygiene with
soap and water is essential, as alcohol-based hand rubs are not effective against C. diff spores.
6. A nurse is assessing a client for risk of falls. Which of the following factors places the client
at the highest risk?
A. Age 65
B. Taking a diuretic
C. A history of a previous fall
D. Use of a cane
Correct Answer: C. A history of a previous fall
Rationale: A history of a previous fall is the single most significant predictor of future falls.
While age, medications (especially diuretics), and mobility aids are risk factors, a previous fall is
the strongest indicator.
,7. A nurse is caring for a client who has a new prescription for a restraint. Which of the
following actions should the nurse take?
A. Apply the restraint tightly to prevent movement.
B. Assess the client's circulation every 4 hours.
C. Obtain a prescription from the provider within 1 hour of application.
D. Remove the restraint every 2 hours for range of motion.
Correct Answer: C. Obtain a prescription from the provider within 1 hour of application.
Rationale: In an emergency, restraints can be applied, but a provider's prescription must be
obtained within 1 hour. The restraint should be removed every 2 hours for assessment and
range of motion. Circulation should be assessed more frequently than every 4 hours (typically
every 15-30 minutes).
8. A nurse is preparing to don sterile gloves. Which of the following actions indicates a break
in sterile technique?
A. The nurse opens the inner package of the gloves.
B. The nurse touches the outside of the glove with the bare hand.
C. The nurse keeps the hands above the waist.
D. The nurse adjusts the fingers of the glove after donning.
Correct Answer: B. The nurse touches the outside of the glove with the bare hand.
Rationale: The outside of the sterile glove is considered sterile. Touching it with a bare hand
contaminates the glove. The nurse should only touch the inside of the glove (the cuff) with the
bare hand.
9. A nurse is teaching a client about the use of a fire extinguisher. The nurse should instruct
the client to use which of the following acronyms?
A. RACE
B. PASS
C. ABC
D. SAMPLE
Correct Answer: B. PASS
Rationale: PASS stands for Pull the pin, Aim at the base of the fire, Squeeze the handle, and
Sweep from side to side. RACE is for fire response (Rescue, Alarm, Contain,
Extinguish/Evacuate).
10. A nurse is caring for a client who is at risk for suicide. Which of the following actions
should the nurse take?
A. Place the client in a private room.
, B. Check on the client every 15 minutes.
C. Ensure the client is in a room with a window.
D. Ask the client to sign a no-suicide contract.
Correct Answer: B. Check on the client every 15 minutes.
Rationale: Clients at high risk for suicide require one-to-one observation or observation
every 15 minutes. Private rooms and rooms with windows can increase risk. No-suicide
contracts are not a standard of care and do not replace observation.
11. 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. Gown, gloves, mask, goggles
Correct Answer: A. Gown, mask, goggles, gloves
Rationale: The correct sequence for donning PPE is: gown, mask/respirator, goggles/face
shield, and finally gloves. Gloves are the last item to be donned.
12. A nurse is caring for a client who has a latex allergy. Which of the following items should
the nurse avoid using?
A. Blood pressure cuff with a fabric cover
B. Intravenous tubing with latex ports
C. Silicone urinary catheter
D. Glass thermometer
Correct Answer: B. Intravenous tubing with latex ports
Rationale: Many IV tubings and injection ports contain latex. The nurse must ensure all
equipment is latex-free for a client with a latex allergy.
13. A nurse is performing a sterile dressing change. Which of the following actions is
appropriate?
A. The nurse’s sterile gloves touch the client's skin.
B. The nurse pours sterile solution from a height of 6 inches.
C. The nurse's hands remain below the waist.
D. The nurse opens the sterile package away from the body.
Correct Answer: B. The nurse pours sterile solution from a height of 6 inches.
Rationale: Pouring solution from a height of 6 inches prevents splashing, which can
contaminate the sterile field. The nurse's hands should remain above the waist. Touching the
LATEST- 2022) (1600 + Q and A) / FUNDAMENTALS ATI
PROCTORED EXAM / FUNDAMENTALS PROCTORED ATI
EXAM | COMPLETE GUIDE BY ATI EXPERTS
1. A nurse is preparing to administer medication to a client. Which of the following actions
should the nurse take to ensure client safety?
A. Ask the client to state their name and date of birth.
B. Verify the client's identity using their room number.
C. Check the client's identification band against the MAR.
D. Ask another nurse to confirm the client's identity.
Correct Answer: C. Check the client's identification band against the MAR.
Rationale: The Joint Commission's National Patient Safety Goals require the use of two
client identifiers. Checking the identification band against the medication administration record
(MAR) is the most reliable method. Asking the client to state their name is good, but not
sufficient alone. Room numbers are not acceptable identifiers.
2. A nurse is caring for a client who is on airborne precautions. Which of the following
personal protective equipment (PPE) is required when entering the client's room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves
D. Goggles and face shield
Correct Answer: B. N95 respirator
Rationale: Airborne precautions require an N95 respirator or a higher-level respirator to
protect against particles smaller than 5 microns (e.g., tuberculosis, measles, varicella). A surgical
mask is not sufficient for airborne precautions.
3. A nurse is teaching a client about home safety. Which of the following statements by the
client indicates a need for further teaching?
A. "I will use a nightlight in the hallway."
B. "I will keep my medications in a locked cabinet."
C. "I will place a rug at the top of the stairs."
D. "I will set my water heater to 120 degrees Fahrenheit."
, Correct Answer: C. "I will place a rug at the top of the stairs."
Rationale: Placing a rug at the top of the stairs is a major fall risk. All other statements are
correct home safety measures. Water heater temperature should be set at or below 120°F to
prevent burns.
4. A nurse is preparing to perform hand hygiene. Which of the following actions should the
nurse take first?
A. Apply soap to the hands.
B. Wet the hands with warm water.
C. Remove all jewelry.
D. Rub hands together for at least 20 seconds.
Correct Answer: C. Remove all jewelry.
Rationale: The first step in hand hygiene is to remove all jewelry, as it can harbor
microorganisms. The sequence is: remove jewelry, wet hands, apply soap, lather, rinse, dry.
5. A client is diagnosed with Clostridium difficile (C. diff). Which type of precautions should
the nurse implement?
A. Standard precautions
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
Correct Answer: B. Contact precautions
Rationale: C. diff is a spore-forming bacterium that is transmitted via the fecal-oral route.
Contact precautions, including wearing a gown and gloves, are required. Hand hygiene with
soap and water is essential, as alcohol-based hand rubs are not effective against C. diff spores.
6. A nurse is assessing a client for risk of falls. Which of the following factors places the client
at the highest risk?
A. Age 65
B. Taking a diuretic
C. A history of a previous fall
D. Use of a cane
Correct Answer: C. A history of a previous fall
Rationale: A history of a previous fall is the single most significant predictor of future falls.
While age, medications (especially diuretics), and mobility aids are risk factors, a previous fall is
the strongest indicator.
,7. A nurse is caring for a client who has a new prescription for a restraint. Which of the
following actions should the nurse take?
A. Apply the restraint tightly to prevent movement.
B. Assess the client's circulation every 4 hours.
C. Obtain a prescription from the provider within 1 hour of application.
D. Remove the restraint every 2 hours for range of motion.
Correct Answer: C. Obtain a prescription from the provider within 1 hour of application.
Rationale: In an emergency, restraints can be applied, but a provider's prescription must be
obtained within 1 hour. The restraint should be removed every 2 hours for assessment and
range of motion. Circulation should be assessed more frequently than every 4 hours (typically
every 15-30 minutes).
8. A nurse is preparing to don sterile gloves. Which of the following actions indicates a break
in sterile technique?
A. The nurse opens the inner package of the gloves.
B. The nurse touches the outside of the glove with the bare hand.
C. The nurse keeps the hands above the waist.
D. The nurse adjusts the fingers of the glove after donning.
Correct Answer: B. The nurse touches the outside of the glove with the bare hand.
Rationale: The outside of the sterile glove is considered sterile. Touching it with a bare hand
contaminates the glove. The nurse should only touch the inside of the glove (the cuff) with the
bare hand.
9. A nurse is teaching a client about the use of a fire extinguisher. The nurse should instruct
the client to use which of the following acronyms?
A. RACE
B. PASS
C. ABC
D. SAMPLE
Correct Answer: B. PASS
Rationale: PASS stands for Pull the pin, Aim at the base of the fire, Squeeze the handle, and
Sweep from side to side. RACE is for fire response (Rescue, Alarm, Contain,
Extinguish/Evacuate).
10. A nurse is caring for a client who is at risk for suicide. Which of the following actions
should the nurse take?
A. Place the client in a private room.
, B. Check on the client every 15 minutes.
C. Ensure the client is in a room with a window.
D. Ask the client to sign a no-suicide contract.
Correct Answer: B. Check on the client every 15 minutes.
Rationale: Clients at high risk for suicide require one-to-one observation or observation
every 15 minutes. Private rooms and rooms with windows can increase risk. No-suicide
contracts are not a standard of care and do not replace observation.
11. 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. Gown, gloves, mask, goggles
Correct Answer: A. Gown, mask, goggles, gloves
Rationale: The correct sequence for donning PPE is: gown, mask/respirator, goggles/face
shield, and finally gloves. Gloves are the last item to be donned.
12. A nurse is caring for a client who has a latex allergy. Which of the following items should
the nurse avoid using?
A. Blood pressure cuff with a fabric cover
B. Intravenous tubing with latex ports
C. Silicone urinary catheter
D. Glass thermometer
Correct Answer: B. Intravenous tubing with latex ports
Rationale: Many IV tubings and injection ports contain latex. The nurse must ensure all
equipment is latex-free for a client with a latex allergy.
13. A nurse is performing a sterile dressing change. Which of the following actions is
appropriate?
A. The nurse’s sterile gloves touch the client's skin.
B. The nurse pours sterile solution from a height of 6 inches.
C. The nurse's hands remain below the waist.
D. The nurse opens the sterile package away from the body.
Correct Answer: B. The nurse pours sterile solution from a height of 6 inches.
Rationale: Pouring solution from a height of 6 inches prevents splashing, which can
contaminate the sterile field. The nurse's hands should remain above the waist. Touching the
