100 ATI RN Fundamentals Style Practice Questions with
Rationales
Section 1: Safety & Infection Control (Questions 1–15)
Question 1
A nurse is caring for a client on contact precautions. Which action should the
nurse take?
A) Wear an N95 mask when entering the room
B) Place the client in a negative-pressure room
C) Wear a gown and gloves for all interactions
D) Keep the door closed at all times
Answer: C
Rationale: Contact precautions require gown and gloves for any direct contact
with the client or environment. N95 (A) is for airborne precautions. Negative-
pressure (B) is also for airborne. Closed door (D) is not required for contact.
Question 2
A nurse is preparing to perform hand hygiene. Which statement indicates proper
understanding?
A) "I can use alcohol-based rub if my hands are visibly soiled"
B) "I should wash with soap and water for at least 15 seconds"
C) "Hand hygiene is unnecessary if I wear gloves"
D) "I should rub my hands until dry after using alcohol-based rub"
Answer: B
Rationale: Handwashing with soap/water for 15–20 seconds is correct. Alcohol
rub is not for visibly soiled hands (A). Gloves do not replace hand hygiene (C).
Alcohol rub should be rubbed until dry, but B is the best answer because the 15-
second standard is directly from ATI.
Question 3
A client is placed in restraints. How often must the nurse assess the client?
A) Every 30 minutes
B) Every 1 hour
, C) Every 2 hours
D) Every 4 hours
Answer: C
Rationale: ATI and CMS require restraint assessment every 2 hours for adults
(every 1 hour for children, every 30 min for infants — but question asks for adult).
Question 4
A nurse is applying sterile gloves. After putting on the first glove, the nurse
touches the outer surface of the second glove with the bare hand. What should
the nurse do?
A) Continue; contamination is acceptable
B) Remove the first glove and start over
C) Open a new pair of sterile gloves
D) Use alcohol rub on the bare hand first
Answer: C
Rationale: The outer surface of a sterile glove is sterile. Touching it with a bare
hand contaminates it. Open new gloves.
Question 5
A nurse is educating a client on fall prevention at home. Which statement by the
client indicates understanding?
A) "I will wear socks without grips to be comfortable"
B) "I should keep my walker close to the bed"
C) "Night lights can make falls more likely"
D) "I will remove all area rugs"
Answer: D
Rationale: Remove throw rugs (trip hazard). Socks should have grips (A). Walker
should be accessible but not blocking path (B). Night lights reduce falls (C).
Question 6 (NGN – Recognizing cues)
A nurse reviews a client’s chart:
• Temperature 38.9°C (102°F)
• HR 110 bpm
• BP 90/60 mmHg
Rationales
Section 1: Safety & Infection Control (Questions 1–15)
Question 1
A nurse is caring for a client on contact precautions. Which action should the
nurse take?
A) Wear an N95 mask when entering the room
B) Place the client in a negative-pressure room
C) Wear a gown and gloves for all interactions
D) Keep the door closed at all times
Answer: C
Rationale: Contact precautions require gown and gloves for any direct contact
with the client or environment. N95 (A) is for airborne precautions. Negative-
pressure (B) is also for airborne. Closed door (D) is not required for contact.
Question 2
A nurse is preparing to perform hand hygiene. Which statement indicates proper
understanding?
A) "I can use alcohol-based rub if my hands are visibly soiled"
B) "I should wash with soap and water for at least 15 seconds"
C) "Hand hygiene is unnecessary if I wear gloves"
D) "I should rub my hands until dry after using alcohol-based rub"
Answer: B
Rationale: Handwashing with soap/water for 15–20 seconds is correct. Alcohol
rub is not for visibly soiled hands (A). Gloves do not replace hand hygiene (C).
Alcohol rub should be rubbed until dry, but B is the best answer because the 15-
second standard is directly from ATI.
Question 3
A client is placed in restraints. How often must the nurse assess the client?
A) Every 30 minutes
B) Every 1 hour
, C) Every 2 hours
D) Every 4 hours
Answer: C
Rationale: ATI and CMS require restraint assessment every 2 hours for adults
(every 1 hour for children, every 30 min for infants — but question asks for adult).
Question 4
A nurse is applying sterile gloves. After putting on the first glove, the nurse
touches the outer surface of the second glove with the bare hand. What should
the nurse do?
A) Continue; contamination is acceptable
B) Remove the first glove and start over
C) Open a new pair of sterile gloves
D) Use alcohol rub on the bare hand first
Answer: C
Rationale: The outer surface of a sterile glove is sterile. Touching it with a bare
hand contaminates it. Open new gloves.
Question 5
A nurse is educating a client on fall prevention at home. Which statement by the
client indicates understanding?
A) "I will wear socks without grips to be comfortable"
B) "I should keep my walker close to the bed"
C) "Night lights can make falls more likely"
D) "I will remove all area rugs"
Answer: D
Rationale: Remove throw rugs (trip hazard). Socks should have grips (A). Walker
should be accessible but not blocking path (B). Night lights reduce falls (C).
Question 6 (NGN – Recognizing cues)
A nurse reviews a client’s chart:
• Temperature 38.9°C (102°F)
• HR 110 bpm
• BP 90/60 mmHg
