ATI RN FUNDAMENTALS CMS PROCTORED EXAM 2026/2027 - 400 VERIFIED QUESTIONS
WITH MIXED ANSWERS A,B,C,D & RATIONALES | A+
Course: ATI RN Fundamentals CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=100
B=114 C=92 D=94
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Surgical asepsis break? (Variant 1 - 2026/2027)
A. Keeping hands above waist
B. Pouring from 4 inches
C. Turning back to sterile field
D. Facing field
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
2. Fall risk interventions? (Variant 2 - 2026/2027)
A. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
B. Dim lights
C. Raise bed high
D. Restrain
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
3. Restraints requirement? (Variant 3 - 2026/2027)
A. Indefinitely
B. Provider order, least restrictive first, assess q15min-2h
C. Staff convenience
D. No order
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
4. Hand hygiene WHO 5 moments? (Variant 4 - 2026/2027)
A. Only after
B. Only if soiled
C. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
D. Only before
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
5. Surgical asepsis break? (Variant 5 - 2026/2027)
A. Facing field
B. Keeping hands above waist
C. Turning back to sterile field
D. Pouring from 4 inches
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
6. Fall risk interventions? (Variant 6 - 2026/2027)
A. Restrain
B. Dim lights
C. Raise bed high
D. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Kawasaki: IVIG + aspirin prevents coronary
aneurysm.
7. Restraints requirement? (Variant 7 - 2026/2027)
, A. Provider order, least restrictive first, assess q15min-2h
B. No order
C. Indefinitely
D. Staff convenience
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
8. Hand hygiene WHO 5 moments? (Variant 8 - 2026/2027)
A. Only after
B. Only if soiled
C. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
D. Only before
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
9. Surgical asepsis break? (Variant 9 - 2026/2027)
A. Keeping hands above waist
B. Facing field
C. Pouring from 4 inches
D. Turning back to sterile field
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
10. Fall risk interventions? (Variant 10 - 2026/2027)
A. Raise bed high
B. Restrain
C. Dim lights
D. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
11. Restraints requirement? (Variant 11 - 2026/2027)
A. Indefinitely
B. Staff convenience
C. Provider order, least restrictive first, assess q15min-2h
D. No order
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
12. Hand hygiene WHO 5 moments? (Variant 12 - 2026/2027)
A. Only after
B. Only before
C. Only if soiled
D. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Autonomy client's right to decide.
13. Surgical asepsis break? (Variant 13 - 2026/2027)
A. Facing field
B. Turning back to sterile field
C. Keeping hands above waist
D. Pouring from 4 inches
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
14. Fall risk interventions? (Variant 14 - 2026/2027)
A. Dim lights
B. Raise bed high
, C. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
D. Restrain
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
15. Restraints requirement? (Variant 15 - 2026/2027)
A. Staff convenience
B. Indefinitely
C. Provider order, least restrictive first, assess q15min-2h
D. No order
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
16. Hand hygiene WHO 5 moments? (Variant 16 - 2026/2027)
A. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
B. Only after
C. Only before
D. Only if soiled
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
17. Surgical asepsis break? (Variant 17 - 2026/2027)
A. Turning back to sterile field
B. Keeping hands above waist
C. Facing field
D. Pouring from 4 inches
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Kawasaki: IVIG + aspirin prevents coronary
aneurysm.
18. Fall risk interventions? (Variant 18 - 2026/2027)
A. Restrain
B. Dim lights
C. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
D. Raise bed high
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
19. Restraints requirement? (Variant 19 - 2026/2027)
A. Indefinitely
B. Staff convenience
C. Provider order, least restrictive first, assess q15min-2h
D. No order
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs, unstable before stable, acute before
chronic.
20. Hand hygiene WHO 5 moments? (Variant 20 - 2026/2027)
A. Only after
B. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
C. Only before
D. Only if soiled
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. LPN scope: PO meds, wound care, Foley,
reinforce teaching.
21. Surgical asepsis break? (Variant 21 - 2026/2027)
A. Turning back to sterile field
B. Keeping hands above waist
C. Facing field
, D. Pouring from 4 inches
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
22. Fall risk interventions? (Variant 22 - 2026/2027)
A. Restrain
B. Raise bed high
C. Dim lights
D. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Primary prevention: vaccination, education.
23. Restraints requirement? (Variant 23 - 2026/2027)
A. Indefinitely
B. No order
C. Staff convenience
D. Provider order, least restrictive first, assess q15min-2h
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
24. Hand hygiene WHO 5 moments? (Variant 24 - 2026/2027)
A. Only before
B. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
C. Only after
D. Only if soiled
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
25. Surgical asepsis break? (Variant 25 - 2026/2027)
A. Facing field
B. Pouring from 4 inches
C. Keeping hands above waist
D. Turning back to sterile field
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
26. Fall risk interventions? (Variant 26 - 2026/2027)
A. Dim lights
B. Restrain
C. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
D. Raise bed high
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
27. Restraints requirement? (Variant 27 - 2026/2027)
A. No order
B. Staff convenience
C. Indefinitely
D. Provider order, least restrictive first, assess q15min-2h
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. START triage: Red immediate, Yellow
delayed, Green minor, Black deceased.
28. Hand hygiene WHO 5 moments? (Variant 28 - 2026/2027)
A. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
B. Only if soiled
C. Only before
D. Only after
Correct Answer: A
WITH MIXED ANSWERS A,B,C,D & RATIONALES | A+
Course: ATI RN Fundamentals CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=100
B=114 C=92 D=94
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Surgical asepsis break? (Variant 1 - 2026/2027)
A. Keeping hands above waist
B. Pouring from 4 inches
C. Turning back to sterile field
D. Facing field
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
2. Fall risk interventions? (Variant 2 - 2026/2027)
A. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
B. Dim lights
C. Raise bed high
D. Restrain
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
3. Restraints requirement? (Variant 3 - 2026/2027)
A. Indefinitely
B. Provider order, least restrictive first, assess q15min-2h
C. Staff convenience
D. No order
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
4. Hand hygiene WHO 5 moments? (Variant 4 - 2026/2027)
A. Only after
B. Only if soiled
C. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
D. Only before
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
5. Surgical asepsis break? (Variant 5 - 2026/2027)
A. Facing field
B. Keeping hands above waist
C. Turning back to sterile field
D. Pouring from 4 inches
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
6. Fall risk interventions? (Variant 6 - 2026/2027)
A. Restrain
B. Dim lights
C. Raise bed high
D. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Kawasaki: IVIG + aspirin prevents coronary
aneurysm.
7. Restraints requirement? (Variant 7 - 2026/2027)
, A. Provider order, least restrictive first, assess q15min-2h
B. No order
C. Indefinitely
D. Staff convenience
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
8. Hand hygiene WHO 5 moments? (Variant 8 - 2026/2027)
A. Only after
B. Only if soiled
C. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
D. Only before
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
9. Surgical asepsis break? (Variant 9 - 2026/2027)
A. Keeping hands above waist
B. Facing field
C. Pouring from 4 inches
D. Turning back to sterile field
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
10. Fall risk interventions? (Variant 10 - 2026/2027)
A. Raise bed high
B. Restrain
C. Dim lights
D. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
11. Restraints requirement? (Variant 11 - 2026/2027)
A. Indefinitely
B. Staff convenience
C. Provider order, least restrictive first, assess q15min-2h
D. No order
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
12. Hand hygiene WHO 5 moments? (Variant 12 - 2026/2027)
A. Only after
B. Only before
C. Only if soiled
D. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Autonomy client's right to decide.
13. Surgical asepsis break? (Variant 13 - 2026/2027)
A. Facing field
B. Turning back to sterile field
C. Keeping hands above waist
D. Pouring from 4 inches
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
14. Fall risk interventions? (Variant 14 - 2026/2027)
A. Dim lights
B. Raise bed high
, C. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
D. Restrain
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
15. Restraints requirement? (Variant 15 - 2026/2027)
A. Staff convenience
B. Indefinitely
C. Provider order, least restrictive first, assess q15min-2h
D. No order
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
16. Hand hygiene WHO 5 moments? (Variant 16 - 2026/2027)
A. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
B. Only after
C. Only before
D. Only if soiled
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
17. Surgical asepsis break? (Variant 17 - 2026/2027)
A. Turning back to sterile field
B. Keeping hands above waist
C. Facing field
D. Pouring from 4 inches
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Kawasaki: IVIG + aspirin prevents coronary
aneurysm.
18. Fall risk interventions? (Variant 18 - 2026/2027)
A. Restrain
B. Dim lights
C. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
D. Raise bed high
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
19. Restraints requirement? (Variant 19 - 2026/2027)
A. Indefinitely
B. Staff convenience
C. Provider order, least restrictive first, assess q15min-2h
D. No order
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs, unstable before stable, acute before
chronic.
20. Hand hygiene WHO 5 moments? (Variant 20 - 2026/2027)
A. Only after
B. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
C. Only before
D. Only if soiled
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. LPN scope: PO meds, wound care, Foley,
reinforce teaching.
21. Surgical asepsis break? (Variant 21 - 2026/2027)
A. Turning back to sterile field
B. Keeping hands above waist
C. Facing field
, D. Pouring from 4 inches
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
22. Fall risk interventions? (Variant 22 - 2026/2027)
A. Restrain
B. Raise bed high
C. Dim lights
D. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Primary prevention: vaccination, education.
23. Restraints requirement? (Variant 23 - 2026/2027)
A. Indefinitely
B. No order
C. Staff convenience
D. Provider order, least restrictive first, assess q15min-2h
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
24. Hand hygiene WHO 5 moments? (Variant 24 - 2026/2027)
A. Only before
B. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
C. Only after
D. Only if soiled
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
25. Surgical asepsis break? (Variant 25 - 2026/2027)
A. Facing field
B. Pouring from 4 inches
C. Keeping hands above waist
D. Turning back to sterile field
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
26. Fall risk interventions? (Variant 26 - 2026/2027)
A. Dim lights
B. Restrain
C. Bed low, alarm, hourly rounding, call light in reach, non-skid socks
D. Raise bed high
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
27. Restraints requirement? (Variant 27 - 2026/2027)
A. No order
B. Staff convenience
C. Indefinitely
D. Provider order, least restrictive first, assess q15min-2h
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. START triage: Red immediate, Yellow
delayed, Green minor, Black deceased.
28. Hand hygiene WHO 5 moments? (Variant 28 - 2026/2027)
A. Before touching patient, before aseptic, after body fluid, after touching patient, after surroundings
B. Only if soiled
C. Only before
D. Only after
Correct Answer: A
