ATI Fundamentals Proctored Exam (21 Latest Versions, 2022)
/ Fundamentals ATI Proctored Exam / ATI Proctored
Fundamentals Exam |Real + Practice Exam, Verified Q & A|
Section 1: Safety & Infection Control
1. A nurse is preparing to insert an NG tube for a client who
has a bowel obstruction. Which of the following actions
should the nurse take FIRST?
• A) Lubricate the tip of the NG tube
• B) Measure the length of the tube to be inserted
• C) Explain the procedure to the client
• D) Place the client in High-Fowler's position
✅ Correct Answer: C
Rationale: Using the nursing process, assessment and explanation
come first to reduce anxiety and gain cooperation. Physical actions
(A, B, D) occur after.
2. A nurse is caring for a client who has a tracheostomy and
requires suctioning. Which action should the nurse take?
• A) Apply suction while inserting the catheter
• B) Hyperoxygenate the client before suctioning
• C) Limit suctioning time to 20 seconds per pass
• D) Insert the catheter until resistance is met
,✅ Correct Answer: B
*Rationale: Pre-oxygenation prevents hypoxemia. Suction is
applied only during withdrawal (not A), limit to 10-15 seconds
(not C), and insert only to carina (not D).*
3. A nurse is applying restraints to a client. Which action is
appropriate?
• A) Tie the restraints to the side rail
• B) Apply restraints for 4 hours without reassessment
• C) Remove restraints every 2 hours for range of motion
• D) Secure restraints with a quick-release knot
✅ Correct Answer: D
*Rationale: Quick-release knots allow rapid removal in an
emergency. Restraints tie to bed frame (not side rails, A), require
q2h assessment (not B), and ROM is every 2 hours (not C, removal
is correct but C wording is incomplete—D is best answer).*
4. A nurse observes a small fire in a client's trash can. What
action should the nurse take FIRST?
• A) Pull the fire alarm
• B) Evacuate the client
• C) Use a fire extinguisher
• D) Close the client's door
,✅ Correct Answer: B
Rationale: RACE protocol: Rescue (evacuate client FIRST), Alarm,
Contain, Extinguish.
5. A nurse is caring for a client on contact precautions. Which
PPE should the nurse wear?
• A) Surgical mask and eye shield
• B) N95 respirator and gown
• C) Gloves and gown
• D) Gloves only
✅ Correct Answer: C
*Rationale: Contact precautions require gloves + gown. Mask is
for droplet/airborne, N95 is for airborne (TB, measles).*
6. A nurse is preparing to administer a tuberculin skin test.
Where should the injection be given?
• A) Deltoid muscle
• B) Vastus lateralis
• C) Ventrogluteal
• D) Inner forearm
✅ Correct Answer: D
*Rationale: TB skin test is intradermal (not IM), given on inner
forearm. Correct angle = 10-15 degrees, bevel up.*
, 7. A nurse is disposing of a contaminated needle. Which
action is correct?
• A) Recap the needle using the one-handed scoop technique
• B) Break the needle before disposal
• C) Dispose in a regular trash can if sharps container is full
• D) Remove the needle from the syringe before disposal
✅ Correct Answer: A
Rationale: One-handed scoop technique prevents needlestick injury.
Never break (B), bend, or recap two-handed. Never dispose in
regular trash (C).
8. A nurse is caring for a client with C. difficile. Which hand
hygiene method is appropriate?
• A) Alcohol-based hand rub
• B) Soap and water for 15 seconds
• C) Soap and water for at least 30 seconds
• D) Chlorhexidine wipes
✅ Correct Answer: C
*Rationale: C. diff spores are not killed by alcohol-based rub. Soap
and water for 30+ seconds with friction is required.*
/ Fundamentals ATI Proctored Exam / ATI Proctored
Fundamentals Exam |Real + Practice Exam, Verified Q & A|
Section 1: Safety & Infection Control
1. A nurse is preparing to insert an NG tube for a client who
has a bowel obstruction. Which of the following actions
should the nurse take FIRST?
• A) Lubricate the tip of the NG tube
• B) Measure the length of the tube to be inserted
• C) Explain the procedure to the client
• D) Place the client in High-Fowler's position
✅ Correct Answer: C
Rationale: Using the nursing process, assessment and explanation
come first to reduce anxiety and gain cooperation. Physical actions
(A, B, D) occur after.
2. A nurse is caring for a client who has a tracheostomy and
requires suctioning. Which action should the nurse take?
• A) Apply suction while inserting the catheter
• B) Hyperoxygenate the client before suctioning
• C) Limit suctioning time to 20 seconds per pass
• D) Insert the catheter until resistance is met
,✅ Correct Answer: B
*Rationale: Pre-oxygenation prevents hypoxemia. Suction is
applied only during withdrawal (not A), limit to 10-15 seconds
(not C), and insert only to carina (not D).*
3. A nurse is applying restraints to a client. Which action is
appropriate?
• A) Tie the restraints to the side rail
• B) Apply restraints for 4 hours without reassessment
• C) Remove restraints every 2 hours for range of motion
• D) Secure restraints with a quick-release knot
✅ Correct Answer: D
*Rationale: Quick-release knots allow rapid removal in an
emergency. Restraints tie to bed frame (not side rails, A), require
q2h assessment (not B), and ROM is every 2 hours (not C, removal
is correct but C wording is incomplete—D is best answer).*
4. A nurse observes a small fire in a client's trash can. What
action should the nurse take FIRST?
• A) Pull the fire alarm
• B) Evacuate the client
• C) Use a fire extinguisher
• D) Close the client's door
,✅ Correct Answer: B
Rationale: RACE protocol: Rescue (evacuate client FIRST), Alarm,
Contain, Extinguish.
5. A nurse is caring for a client on contact precautions. Which
PPE should the nurse wear?
• A) Surgical mask and eye shield
• B) N95 respirator and gown
• C) Gloves and gown
• D) Gloves only
✅ Correct Answer: C
*Rationale: Contact precautions require gloves + gown. Mask is
for droplet/airborne, N95 is for airborne (TB, measles).*
6. A nurse is preparing to administer a tuberculin skin test.
Where should the injection be given?
• A) Deltoid muscle
• B) Vastus lateralis
• C) Ventrogluteal
• D) Inner forearm
✅ Correct Answer: D
*Rationale: TB skin test is intradermal (not IM), given on inner
forearm. Correct angle = 10-15 degrees, bevel up.*
, 7. A nurse is disposing of a contaminated needle. Which
action is correct?
• A) Recap the needle using the one-handed scoop technique
• B) Break the needle before disposal
• C) Dispose in a regular trash can if sharps container is full
• D) Remove the needle from the syringe before disposal
✅ Correct Answer: A
Rationale: One-handed scoop technique prevents needlestick injury.
Never break (B), bend, or recap two-handed. Never dispose in
regular trash (C).
8. A nurse is caring for a client with C. difficile. Which hand
hygiene method is appropriate?
• A) Alcohol-based hand rub
• B) Soap and water for 15 seconds
• C) Soap and water for at least 30 seconds
• D) Chlorhexidine wipes
✅ Correct Answer: C
*Rationale: C. diff spores are not killed by alcohol-based rub. Soap
and water for 30+ seconds with friction is required.*
