ATI Fundamentals: Safety & Infection Control Practice Pack 2026
|Questions |Answers |Rationales
1. When providing care for a client who has Clostridium difficile, which of the
following hand hygiene methods is required?
A. Alcohol-based hand rub
B. Soap and water
C. Hand sanitizer with 70% ethanol
D. Warm water only
Answer: B
Rationale: Soap and water is required for C. diff because alcohol-based products are
ineffective against the spores.
2. A nurse discovers a fire in a client’s room. According to the RACE acronym,
which action should the nurse take first?
A. Activate the fire alarm
B. Rescue the client from the room
C. Confine the fire by closing doors
D. Extinguish the fire
Answer: B
Rationale: The first step in the RACE fire safety protocol is R (Rescue/Remove) the client
from immediate danger.
,3. Which personal protective equipment (PPE) is essential when entering the
room of a client on Airborne Precautions for tuberculosis?
A. Surgical mask
B. Face shield
C. N95 respirator
D. Gown and gloves only
Answer: C
Rationale: Airborne precautions require an N95 respirator to filter out small droplet
nuclei.
4. In which order should a nurse remove personal protective equipment (PPE)
after completing a task?
A. Gloves, goggles, gown, mask
B. Mask, goggles, gown, gloves
C. Goggles, gown, mask, gloves
D. Gown, mask, goggles, gloves
Answer: A
Rationale: The standard sequence for doffing PPE is gloves, followed by eyewear/goggles,
gown, and finally the mask/respirator.
5. Which intervention is a priority for a nurse when implementing fall
precautions for an older adult client?
A. Place the bed in the lowest position
B. Keep all four side rails up
C. Instruct the client to use a wheelchair
D. Apply a vest restraint at night
Answer: A
Rationale: Keeping the bed in the lowest position reduces the risk of injury if the client
attempts to get out of bed.
, 6. Where should a nurse dispose of a used needle after administering an
injection?
A. In the regular trash can
B. In a biohazard bag
C. Recap the needle and put it in a drawer
D. In a puncture-proof sharps container
Answer: D
Rationale: Used needles must never be recapped and must be placed immediately into a
puncture-resistant sharps container.
7. A nurse is maintaining a sterile field. Which action would contaminate the
field?
A. Touching the inner 1-inch border of the sterile drape
B. Opening the outermost flap away from the body
C. Keeping sterile objects above the waist
D. Dropping a sterile item onto the center of the field
Answer: A
Rationale: The outer 1-inch (2.5 cm) border of a sterile field is considered contaminated;
touching it with sterile gloves or placing sterile items on it breaks sterility.
8. What is the minimum distance recommended for visitors to maintain from a
client on Droplet Precautions?
A. 1 foot
B. 10 feet
C. 3 to 6 feet
D. 12 feet
Answer: C
Rationale: Droplet precautions generally require a distance of at least 3 to 6 feet to
prevent transmission of large droplets.
|Questions |Answers |Rationales
1. When providing care for a client who has Clostridium difficile, which of the
following hand hygiene methods is required?
A. Alcohol-based hand rub
B. Soap and water
C. Hand sanitizer with 70% ethanol
D. Warm water only
Answer: B
Rationale: Soap and water is required for C. diff because alcohol-based products are
ineffective against the spores.
2. A nurse discovers a fire in a client’s room. According to the RACE acronym,
which action should the nurse take first?
A. Activate the fire alarm
B. Rescue the client from the room
C. Confine the fire by closing doors
D. Extinguish the fire
Answer: B
Rationale: The first step in the RACE fire safety protocol is R (Rescue/Remove) the client
from immediate danger.
,3. Which personal protective equipment (PPE) is essential when entering the
room of a client on Airborne Precautions for tuberculosis?
A. Surgical mask
B. Face shield
C. N95 respirator
D. Gown and gloves only
Answer: C
Rationale: Airborne precautions require an N95 respirator to filter out small droplet
nuclei.
4. In which order should a nurse remove personal protective equipment (PPE)
after completing a task?
A. Gloves, goggles, gown, mask
B. Mask, goggles, gown, gloves
C. Goggles, gown, mask, gloves
D. Gown, mask, goggles, gloves
Answer: A
Rationale: The standard sequence for doffing PPE is gloves, followed by eyewear/goggles,
gown, and finally the mask/respirator.
5. Which intervention is a priority for a nurse when implementing fall
precautions for an older adult client?
A. Place the bed in the lowest position
B. Keep all four side rails up
C. Instruct the client to use a wheelchair
D. Apply a vest restraint at night
Answer: A
Rationale: Keeping the bed in the lowest position reduces the risk of injury if the client
attempts to get out of bed.
, 6. Where should a nurse dispose of a used needle after administering an
injection?
A. In the regular trash can
B. In a biohazard bag
C. Recap the needle and put it in a drawer
D. In a puncture-proof sharps container
Answer: D
Rationale: Used needles must never be recapped and must be placed immediately into a
puncture-resistant sharps container.
7. A nurse is maintaining a sterile field. Which action would contaminate the
field?
A. Touching the inner 1-inch border of the sterile drape
B. Opening the outermost flap away from the body
C. Keeping sterile objects above the waist
D. Dropping a sterile item onto the center of the field
Answer: A
Rationale: The outer 1-inch (2.5 cm) border of a sterile field is considered contaminated;
touching it with sterile gloves or placing sterile items on it breaks sterility.
8. What is the minimum distance recommended for visitors to maintain from a
client on Droplet Precautions?
A. 1 foot
B. 10 feet
C. 3 to 6 feet
D. 12 feet
Answer: C
Rationale: Droplet precautions generally require a distance of at least 3 to 6 feet to
prevent transmission of large droplets.
