ATI RN Fundamentals Proctored
Exam - Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
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Topic 1: Safety and Infection Control
1. A nurse is admitting a client who has measles. Which of the following types
of transmission precautions should the nurse initiate?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment
Rationale: Measles is transmitted via airborne particles that remain suspended in
the air for long periods. Airborne precautions require a negative pressure room and
an N95 respirator. Contact precautions are for organisms like MRSA, droplet for
influenza or meningitis, and protective environment for immunocompromised
clients.
2. A nurse identifies a small fire in a client's room. After moving the client to
safety, which of the following is the next action the nurse should take?
A. Extinguish the fire with a fire extinguisher
B. Activate the facility's fire alarm system
C. Close all doors and windows
D. Pull the fire alarm pull station
Rationale: The RACE protocol guides fire response: Rescue (move client to
safety), Alarm (activate the alarm), Contain (close doors/windows), Extinguish
(use extinguisher). After rescuing the client, the nurse must activate the alarm to
alert others and initiate the facility's emergency response.
,3. A home health nurse enters a client's home and finds a used insulin syringe
without a cap on the table. Which of the following actions should the nurse
take?
A. Recap the needle and place it in the trash
B. Leave the syringe for the client to dispose of properly
C. Break the needle off before disposing of it
D. Place the syringe in a puncture-proof disposal container
Rationale: Used sharps must always be placed in a puncture-proof, leak-resistant
container to prevent needlestick injuries. Recapping needles increases risk of
accidental sticks, and breaking needles can cause aerosolization of bloodborne
pathogens. The nurse should educate the client about proper sharps disposal and
provide appropriate containers.
4. A nurse is providing discharge teaching to an older adult client about
personal safety. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will use throw rugs to prevent slipping on smooth floors."
B. "I will keep the lights dim in the hallway to save energy."
C. "I will put a night-light in the hallway."
D. "I will place my furniture close together for support when walking."
Rationale: Night-lights improve visibility during nighttime ambulation and reduce
fall risk in older adults. Throw rugs are fall hazards and should be removed.
Adequate lighting (not dim) is essential for safety. Furniture should be arranged to
create clear, unobstructed pathways, not clustered together.
5. A nurse is caring for a client who requires wrist restraints. Which of the
following interventions should the nurse include in the plan of care?
A. Tie the restraints to the side rail of the bed
B. Remove the restraints every 4 hours for range of motion
C. Renew the prescription for restraints within 24 hours
D. Apply restraints tightly to prevent movement
Rationale: Restraint prescriptions must be renewed by the provider every 24 hours
(or according to facility policy, often more frequently). Restraints should be tied to
the bed frame, not side rails (which can cause injury if the rail is lowered). They
, must be removed every 2 hours for range of motion and skin assessment, and
applied snugly (allowing two fingers between restraint and skin), not tightly.
Topic 2: Health Promotion and Maintenance
6. A nurse is conducting a health promotion class for a group of college
students. Which of the following statements by a student should the nurse
identify as a potential problem with achieving Erikson's developmental task
for this age group?
A. "I am trying to decide which career path I want to follow."
B. "I have developed close friendships with several people in my dorm."
C. "I go home on the weekends to be with my family because I do not have
any good friends here on campus."
D. "I am learning to manage my time between classes and work."
Rationale: According to Erikson, the developmental task for young adults (ages
18-35) is Intimacy vs. Isolation. This involves forming close, meaningful
relationships with others. The student's statement about lacking friends and
returning home to family suggests difficulty forming new intimate relationships,
indicating potential isolation. Career decisions relate to identity formation
(adolescence), not intimacy.
7. A nurse is caring for a middle-aged adult client. The nurse should evaluate
the client for progress toward which of the following developmental tasks?
A. Finding a meaningful intimate relationship
B. Ceasing to compare personal identity with others
C. Establishing a sense of trust in the world
D. Achieving a sense of generativity
Rationale: Middle adulthood (ages 35-65) is characterized by Erikson's stage of
Generativity vs. Stagnation. However, the specific task mentioned—ceasing to
compare personal identity with others—reflects the achievement of a stable
identity that typically occurs by middle adulthood. Young adults focus on intimacy
(A), trust is established in infancy (C), and generativity (D) is the primary middle
adult task but involves guiding the next generation, not specifically ceasing
comparisons.
Exam - Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Topic 1: Safety and Infection Control
1. A nurse is admitting a client who has measles. Which of the following types
of transmission precautions should the nurse initiate?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment
Rationale: Measles is transmitted via airborne particles that remain suspended in
the air for long periods. Airborne precautions require a negative pressure room and
an N95 respirator. Contact precautions are for organisms like MRSA, droplet for
influenza or meningitis, and protective environment for immunocompromised
clients.
2. A nurse identifies a small fire in a client's room. After moving the client to
safety, which of the following is the next action the nurse should take?
A. Extinguish the fire with a fire extinguisher
B. Activate the facility's fire alarm system
C. Close all doors and windows
D. Pull the fire alarm pull station
Rationale: The RACE protocol guides fire response: Rescue (move client to
safety), Alarm (activate the alarm), Contain (close doors/windows), Extinguish
(use extinguisher). After rescuing the client, the nurse must activate the alarm to
alert others and initiate the facility's emergency response.
,3. A home health nurse enters a client's home and finds a used insulin syringe
without a cap on the table. Which of the following actions should the nurse
take?
A. Recap the needle and place it in the trash
B. Leave the syringe for the client to dispose of properly
C. Break the needle off before disposing of it
D. Place the syringe in a puncture-proof disposal container
Rationale: Used sharps must always be placed in a puncture-proof, leak-resistant
container to prevent needlestick injuries. Recapping needles increases risk of
accidental sticks, and breaking needles can cause aerosolization of bloodborne
pathogens. The nurse should educate the client about proper sharps disposal and
provide appropriate containers.
4. A nurse is providing discharge teaching to an older adult client about
personal safety. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will use throw rugs to prevent slipping on smooth floors."
B. "I will keep the lights dim in the hallway to save energy."
C. "I will put a night-light in the hallway."
D. "I will place my furniture close together for support when walking."
Rationale: Night-lights improve visibility during nighttime ambulation and reduce
fall risk in older adults. Throw rugs are fall hazards and should be removed.
Adequate lighting (not dim) is essential for safety. Furniture should be arranged to
create clear, unobstructed pathways, not clustered together.
5. A nurse is caring for a client who requires wrist restraints. Which of the
following interventions should the nurse include in the plan of care?
A. Tie the restraints to the side rail of the bed
B. Remove the restraints every 4 hours for range of motion
C. Renew the prescription for restraints within 24 hours
D. Apply restraints tightly to prevent movement
Rationale: Restraint prescriptions must be renewed by the provider every 24 hours
(or according to facility policy, often more frequently). Restraints should be tied to
the bed frame, not side rails (which can cause injury if the rail is lowered). They
, must be removed every 2 hours for range of motion and skin assessment, and
applied snugly (allowing two fingers between restraint and skin), not tightly.
Topic 2: Health Promotion and Maintenance
6. A nurse is conducting a health promotion class for a group of college
students. Which of the following statements by a student should the nurse
identify as a potential problem with achieving Erikson's developmental task
for this age group?
A. "I am trying to decide which career path I want to follow."
B. "I have developed close friendships with several people in my dorm."
C. "I go home on the weekends to be with my family because I do not have
any good friends here on campus."
D. "I am learning to manage my time between classes and work."
Rationale: According to Erikson, the developmental task for young adults (ages
18-35) is Intimacy vs. Isolation. This involves forming close, meaningful
relationships with others. The student's statement about lacking friends and
returning home to family suggests difficulty forming new intimate relationships,
indicating potential isolation. Career decisions relate to identity formation
(adolescence), not intimacy.
7. A nurse is caring for a middle-aged adult client. The nurse should evaluate
the client for progress toward which of the following developmental tasks?
A. Finding a meaningful intimate relationship
B. Ceasing to compare personal identity with others
C. Establishing a sense of trust in the world
D. Achieving a sense of generativity
Rationale: Middle adulthood (ages 35-65) is characterized by Erikson's stage of
Generativity vs. Stagnation. However, the specific task mentioned—ceasing to
compare personal identity with others—reflects the achievement of a stable
identity that typically occurs by middle adulthood. Young adults focus on intimacy
(A), trust is established in infancy (C), and generativity (D) is the primary middle
adult task but involves guiding the next generation, not specifically ceasing
comparisons.
