ATI PN FUNDAMENTALS PROCTORED
EXAMINATION MASTER TEST BANK
Section 1: Infection Control & Standard Precautions
1. A practical nurse is preparing to enter the room of a client with
Clostridioides difficile. Which action is required?
A. Perform hand hygiene with alcohol-based hand rub before entry
B. Wear a gown and gloves for all contact with the client or environment
C. Apply an N95 respirator before entry
D. Place the client in a negative-pressure room
Correct Answer: B
Rationale: C. difficile requires contact precautions, which include gown and
gloves for all interactions with the client and their environment. Alcohol-based
hand rub is ineffective against C. difficile spores; soap and water must be used.
N95 respirators and negative-pressure rooms are for airborne precautions, not
contact precautions.
2. Which client requires airborne precautions?
A. A client with methicillin-resistant Staphylococcus aureus (MRSA)
B. A client with active pulmonary tuberculosis
C. A client with influenza
D. A client with a draining wound infected with Pseudomonas
Correct Answer: B
Rationale: Active pulmonary tuberculosis requires airborne precautions,
including an N95 respirator and a negative-pressure room. MRSA and draining
wound infections require contact precautions. Influenza requires droplet
precautions.
,3. A nurse is removing personal protective equipment after caring for a client
on contact precautions. Which item should be removed first?
A. Mask
B. Gown
C. Gloves
D. Goggles
Correct Answer: C
Rationale: The correct doffing sequence removes the most contaminated item
first: gloves, then goggles, then gown, then mask. Gloves are removed first because
they have had the greatest contact with contaminated surfaces and body fluids.
4. A nurse is teaching a client about hand hygiene. Which statement by the
client indicates correct understanding?
A. "I should wash my hands for at least 10 seconds."
B. "Alcohol-based hand rub is effective against C. difficile spores."
C. "I should wash my hands with soap and water for at least 20 seconds."
D. "I only need to wash my hands after using the restroom."
Correct Answer: C
Rationale: Washing hands with soap and water for at least 20 seconds is the
most effective method for reducing transmission of infections. Ten seconds is
insufficient. Alcohol-based rub does not kill C. difficile spores. Hand hygiene is
required before and after client contact, not only after restroom use.
5. A nurse is preparing to insert an indwelling urinary catheter. Which action
maintains sterile technique?
A. Open the sterile kit and arrange supplies before applying sterile gloves
B. Cleanse the perineal area from the outside inward in a circular motion
C. Apply sterile gloves before opening the sterile kit
D. Use sterile water to lubricate the catheter
, Correct Answer: A
Rationale: The nurse should open the kit and arrange supplies before applying
sterile gloves to avoid contaminating the gloves during setup. The perineal area is
cleansed from the inside outward, not outside inward. Sterile lubricant, not sterile
water, is used to lubricate the catheter.
6. Which action contaminates a sterile field?
A. Keeping the sterile field above waist level
B. Turning away from the sterile field to answer a question
C. Placing sterile supplies on a dry surface
D. Wearing sterile gloves during the procedure
Correct Answer: B
Rationale: A sterile field must remain within the nurse's direct line of vision at
all times. Turning away from the field contaminates it because the nurse cannot
verify that the field has not been touched or contaminated. The other options are
appropriate sterile technique practices.
7. A nurse is caring for a client with an infectious wound. Which PPE is
required when changing the dressing?
A. Gloves only
B. Gloves and a gown
C. Mask and goggles only
D. No PPE is required if the wound is covered
Correct Answer: B
Rationale: Standard precautions require gloves and a gown when there is a
risk of contact with blood, body fluids, or infectious wound drainage. Gloves alone
do not protect clothing and skin from splashes or contamination during dressing
changes.
, 8. Which statement about medical asepsis is correct?
A. Medical asepsis eliminates all microorganisms from an object.
B. Medical asepsis includes hand hygiene and routine cleaning of equipment.
C. Medical asepsis is only required in the operating room.
D. Medical asepsis requires sterilizing all bedside items daily.
Correct Answer: B
Rationale: Medical asepsis, or clean technique, reduces the number and
transmission of microorganisms. It includes hand hygiene, routine cleaning of
shared equipment, and proper disposal of contaminated items. Surgical asepsis
eliminates all microorganisms and is required for invasive procedures.
9. A nurse is preparing to administer a medication to a client. Which is the
most reliable method of client identification?
A. Asking the client to state their name
B. Checking the client's wristband and asking the client to state their name and date
of birth
C. Checking the client's room number
D. Asking the client's roommate to confirm identity
Correct Answer: B
Rationale: The Joint Commission requires two identifiers. The most reliable
method combines checking the client's wristband with asking the client to state
their name and date of birth. Room numbers are not reliable identifiers because
clients may be moved.
10. A nurse is disposing of a used needle after an injection. What is the correct
action?
A. Recap the needle carefully before disposal
B. Place the needle in a puncture-resistant sharps container immediately
C. Place the needle in a biohazard bag
D. Break the needle off the syringe before disposal
EXAMINATION MASTER TEST BANK
Section 1: Infection Control & Standard Precautions
1. A practical nurse is preparing to enter the room of a client with
Clostridioides difficile. Which action is required?
A. Perform hand hygiene with alcohol-based hand rub before entry
B. Wear a gown and gloves for all contact with the client or environment
C. Apply an N95 respirator before entry
D. Place the client in a negative-pressure room
Correct Answer: B
Rationale: C. difficile requires contact precautions, which include gown and
gloves for all interactions with the client and their environment. Alcohol-based
hand rub is ineffective against C. difficile spores; soap and water must be used.
N95 respirators and negative-pressure rooms are for airborne precautions, not
contact precautions.
2. Which client requires airborne precautions?
A. A client with methicillin-resistant Staphylococcus aureus (MRSA)
B. A client with active pulmonary tuberculosis
C. A client with influenza
D. A client with a draining wound infected with Pseudomonas
Correct Answer: B
Rationale: Active pulmonary tuberculosis requires airborne precautions,
including an N95 respirator and a negative-pressure room. MRSA and draining
wound infections require contact precautions. Influenza requires droplet
precautions.
,3. A nurse is removing personal protective equipment after caring for a client
on contact precautions. Which item should be removed first?
A. Mask
B. Gown
C. Gloves
D. Goggles
Correct Answer: C
Rationale: The correct doffing sequence removes the most contaminated item
first: gloves, then goggles, then gown, then mask. Gloves are removed first because
they have had the greatest contact with contaminated surfaces and body fluids.
4. A nurse is teaching a client about hand hygiene. Which statement by the
client indicates correct understanding?
A. "I should wash my hands for at least 10 seconds."
B. "Alcohol-based hand rub is effective against C. difficile spores."
C. "I should wash my hands with soap and water for at least 20 seconds."
D. "I only need to wash my hands after using the restroom."
Correct Answer: C
Rationale: Washing hands with soap and water for at least 20 seconds is the
most effective method for reducing transmission of infections. Ten seconds is
insufficient. Alcohol-based rub does not kill C. difficile spores. Hand hygiene is
required before and after client contact, not only after restroom use.
5. A nurse is preparing to insert an indwelling urinary catheter. Which action
maintains sterile technique?
A. Open the sterile kit and arrange supplies before applying sterile gloves
B. Cleanse the perineal area from the outside inward in a circular motion
C. Apply sterile gloves before opening the sterile kit
D. Use sterile water to lubricate the catheter
, Correct Answer: A
Rationale: The nurse should open the kit and arrange supplies before applying
sterile gloves to avoid contaminating the gloves during setup. The perineal area is
cleansed from the inside outward, not outside inward. Sterile lubricant, not sterile
water, is used to lubricate the catheter.
6. Which action contaminates a sterile field?
A. Keeping the sterile field above waist level
B. Turning away from the sterile field to answer a question
C. Placing sterile supplies on a dry surface
D. Wearing sterile gloves during the procedure
Correct Answer: B
Rationale: A sterile field must remain within the nurse's direct line of vision at
all times. Turning away from the field contaminates it because the nurse cannot
verify that the field has not been touched or contaminated. The other options are
appropriate sterile technique practices.
7. A nurse is caring for a client with an infectious wound. Which PPE is
required when changing the dressing?
A. Gloves only
B. Gloves and a gown
C. Mask and goggles only
D. No PPE is required if the wound is covered
Correct Answer: B
Rationale: Standard precautions require gloves and a gown when there is a
risk of contact with blood, body fluids, or infectious wound drainage. Gloves alone
do not protect clothing and skin from splashes or contamination during dressing
changes.
, 8. Which statement about medical asepsis is correct?
A. Medical asepsis eliminates all microorganisms from an object.
B. Medical asepsis includes hand hygiene and routine cleaning of equipment.
C. Medical asepsis is only required in the operating room.
D. Medical asepsis requires sterilizing all bedside items daily.
Correct Answer: B
Rationale: Medical asepsis, or clean technique, reduces the number and
transmission of microorganisms. It includes hand hygiene, routine cleaning of
shared equipment, and proper disposal of contaminated items. Surgical asepsis
eliminates all microorganisms and is required for invasive procedures.
9. A nurse is preparing to administer a medication to a client. Which is the
most reliable method of client identification?
A. Asking the client to state their name
B. Checking the client's wristband and asking the client to state their name and date
of birth
C. Checking the client's room number
D. Asking the client's roommate to confirm identity
Correct Answer: B
Rationale: The Joint Commission requires two identifiers. The most reliable
method combines checking the client's wristband with asking the client to state
their name and date of birth. Room numbers are not reliable identifiers because
clients may be moved.
10. A nurse is disposing of a used needle after an injection. What is the correct
action?
A. Recap the needle carefully before disposal
B. Place the needle in a puncture-resistant sharps container immediately
C. Place the needle in a biohazard bag
D. Break the needle off the syringe before disposal
