ATI RN Fundamentals 2026B Practice
Test-Questions And Answers With
Rationales/Graded A+/2026 Update/100%
Correct /Instant Download
Section 1: Safe and Effective Care Environment
1. A charge nurse is discussing the responsibility of nurses caring for clients
who have a Clostridium difficile infection. Which of the following information
should the nurse include in the teaching?
• A. Assign the client to a room with a negative air-flow system.
• B. Use alcohol-based hand sanitizer when leaving the client's room.
• C. Clean contaminated surfaces in the client's room with a phenol solution.
• D. Have family members wear a gown and gloves when visiting.
Rationale: C. difficile requires contact precautions. Family members should wear
gloves and gowns to prevent the spread of spores. Alcohol-based hand sanitizers
are ineffective against C. diff spores; soap and water must be used .
2. A nurse manager is overseeing care activities on a unit. For which situation
should the nurse manager intervene due to a violation of HIPAA guidelines?
• A. A nurse reviews a client's medical chart with a nursing student assigned to
that client.
• B. A nurse asks a nurse from another unit to assist with documentation
for a client.
• C. A nurse returns a call to a client's healthcare proxy to discuss care.
• D. A nurse provides report to an on-coming nurse at the bedside.
Rationale: Only staff directly involved in a client's care should have access to their
medical records. Asking a nurse from another unit who is not involved in the
client's care to assist with documentation violates client confidentiality .
,3. A nurse is preparing to transfer a client who can bear weight on one leg
from the bed to a chair. After securing a safe environment, which action
should the nurse take next?
• A. Assess the client for orthostatic hypotension.
• B. Apply a gait belt to the client.
• C. Pivot on the foot that is farthest from the chair.
• D. Rock the client up to a standing position.
Rationale: Before attempting a transfer, the nurse must assess the client's safety
and physiological readiness. Checking for orthostatic hypotension (dizziness upon
standing) prevents falls during the transfer .
4. A nurse is giving change-of-shift report about a client admitted with
pneumonia. Which piece of information is the priority for the nurse to
provide?
• A. Admitting diagnosis
• B. Breath sounds
• C. Body temperature
• D. Diagnostic test results
Rationale: Using the ABCs (Airway, Breathing, Circulation), respiratory status is
the priority. Breath sounds provide immediate information about airway patency
and gas exchange .
5. A nurse observes an AP reprimanding a client for not using the urinal
properly, threatening to put a diaper on him if he doesn't comply. Which tort
is the AP committing?
• A. Assault
• B. Battery
• C. False imprisonment
• D. Invasion of privacy
Rationale: Assault is the threat of harmful or offensive contact without consent.
The AP's verbal threat constitutes assault. Battery is the actual physical contact .
, 6. A nurse is delegating ambulation of a client who had knee arthroplasty to
an AP. Which information should the nurse share? (Select all that apply)
• A. The client ate 50% of breakfast.
• B. The client ambulates with slippers over antiembolic stockings.
• C. The client uses a front-wheeled walker.
• D. The client had pain medication 30 minutes ago.
Rationale: The nurse must communicate specific task instructions: how the client
walks (B), equipment needed (C), and timing of pain medication (D) which affects
ability to ambulate .
7. A nurse is caring for a client who does not speak the same language. When
working with an interpreter, which action should the nurse take?
• A. Talk directly to the client.
• B. Use a family member as the interpreter.
• C. Ensure the interpreter has a college degree.
• D. Avoid asking personal questions.
Rationale: The nurse should speak directly to the client to maintain a therapeutic
relationship and observe nonverbal cues. Family members should not be used as
interpreters to maintain privacy .
8. A nurse is caring for a client who is refusing a blood transfusion for
religious reasons. The client's partner wants the client to have it. Which action
should the nurse take?
• A. Respect the client's refusal.
• B. Ask the partner to discuss it with the client.
• C. Request a social worker to intervene.
• D. Consult the ethics committee.
Rationale: A competent adult has the legal right to refuse treatment, even if it is
life-saving. The nurse must advocate for the client's autonomy and wishes .
Test-Questions And Answers With
Rationales/Graded A+/2026 Update/100%
Correct /Instant Download
Section 1: Safe and Effective Care Environment
1. A charge nurse is discussing the responsibility of nurses caring for clients
who have a Clostridium difficile infection. Which of the following information
should the nurse include in the teaching?
• A. Assign the client to a room with a negative air-flow system.
• B. Use alcohol-based hand sanitizer when leaving the client's room.
• C. Clean contaminated surfaces in the client's room with a phenol solution.
• D. Have family members wear a gown and gloves when visiting.
Rationale: C. difficile requires contact precautions. Family members should wear
gloves and gowns to prevent the spread of spores. Alcohol-based hand sanitizers
are ineffective against C. diff spores; soap and water must be used .
2. A nurse manager is overseeing care activities on a unit. For which situation
should the nurse manager intervene due to a violation of HIPAA guidelines?
• A. A nurse reviews a client's medical chart with a nursing student assigned to
that client.
• B. A nurse asks a nurse from another unit to assist with documentation
for a client.
• C. A nurse returns a call to a client's healthcare proxy to discuss care.
• D. A nurse provides report to an on-coming nurse at the bedside.
Rationale: Only staff directly involved in a client's care should have access to their
medical records. Asking a nurse from another unit who is not involved in the
client's care to assist with documentation violates client confidentiality .
,3. A nurse is preparing to transfer a client who can bear weight on one leg
from the bed to a chair. After securing a safe environment, which action
should the nurse take next?
• A. Assess the client for orthostatic hypotension.
• B. Apply a gait belt to the client.
• C. Pivot on the foot that is farthest from the chair.
• D. Rock the client up to a standing position.
Rationale: Before attempting a transfer, the nurse must assess the client's safety
and physiological readiness. Checking for orthostatic hypotension (dizziness upon
standing) prevents falls during the transfer .
4. A nurse is giving change-of-shift report about a client admitted with
pneumonia. Which piece of information is the priority for the nurse to
provide?
• A. Admitting diagnosis
• B. Breath sounds
• C. Body temperature
• D. Diagnostic test results
Rationale: Using the ABCs (Airway, Breathing, Circulation), respiratory status is
the priority. Breath sounds provide immediate information about airway patency
and gas exchange .
5. A nurse observes an AP reprimanding a client for not using the urinal
properly, threatening to put a diaper on him if he doesn't comply. Which tort
is the AP committing?
• A. Assault
• B. Battery
• C. False imprisonment
• D. Invasion of privacy
Rationale: Assault is the threat of harmful or offensive contact without consent.
The AP's verbal threat constitutes assault. Battery is the actual physical contact .
, 6. A nurse is delegating ambulation of a client who had knee arthroplasty to
an AP. Which information should the nurse share? (Select all that apply)
• A. The client ate 50% of breakfast.
• B. The client ambulates with slippers over antiembolic stockings.
• C. The client uses a front-wheeled walker.
• D. The client had pain medication 30 minutes ago.
Rationale: The nurse must communicate specific task instructions: how the client
walks (B), equipment needed (C), and timing of pain medication (D) which affects
ability to ambulate .
7. A nurse is caring for a client who does not speak the same language. When
working with an interpreter, which action should the nurse take?
• A. Talk directly to the client.
• B. Use a family member as the interpreter.
• C. Ensure the interpreter has a college degree.
• D. Avoid asking personal questions.
Rationale: The nurse should speak directly to the client to maintain a therapeutic
relationship and observe nonverbal cues. Family members should not be used as
interpreters to maintain privacy .
8. A nurse is caring for a client who is refusing a blood transfusion for
religious reasons. The client's partner wants the client to have it. Which action
should the nurse take?
• A. Respect the client's refusal.
• B. Ask the partner to discuss it with the client.
• C. Request a social worker to intervene.
• D. Consult the ethics committee.
Rationale: A competent adult has the legal right to refuse treatment, even if it is
life-saving. The nurse must advocate for the client's autonomy and wishes .
