ATI RN FUNDAMENTALS 2026
NGN TEST BANK QUESTIONS
AND ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Topic 1: Safety & Infection Control (Questions 1-15)
1. A nurse is assessing an older adult client’s risk for falls. Which of the
following assessments should the nurse use to identify the client’s safety
needs? (Select All That Apply.)
A. Pupil clarity
B. Visual fields
C. Visual acuity
D. Gait stability
E. Muscle strength
Rationale: Visual fields and visual acuity are key assessments for fall risk because
impaired vision significantly increases the likelihood of falls . While gait and strength
matter, the question specifically asks for visual assessments.
2. A nurse is responding to a call light and finds a client lying on the bathroom
floor. Which of the following actions should the nurse take first?
A. Notify the provider
B. Document the incident
C. Check the client for injuries
D. Ask the client what happened
Rationale: The nurse must first assess the client for injuries to determine immediate
safety needs and stabilize the client before calling the provider or documenting .
3. A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should the
,nurse plan for?
A. Place the client in a positive-pressure room
B. Make sure the client wears a mask when outside her room if there is
construction in the area
C. Allow fresh flowers in the room
D. Use tap water for oral care
Rationale: Clients with stem cell transplants are severely immunocompromised. A
mask prevents exposure to airborne pathogens like Aspergillus, which is common
during construction .
4. A nurse is admitting a client who has tuberculosis. Which of the following
types of transmission precautions should the nurse initiate?
A. Droplet
B. Airborne
C. Protective environment
D. Contact
Rationale: TB is transmitted via airborne particles, requiring an N95 respirator and a
negative-pressure room .
5. A nurse is preparing to insert an indwelling urinary catheter using sterile
technique. Which action requires intervention by the charge nurse?
A. Keeps the sterile field above waist level
B. Uses sterile gloves during insertion
C. Turns away from the sterile field to answer a question
D. Places sterile supplies on a dry surface
Rationale: Sterile fields must remain within the nurse’s visual field at all times.
Turning away contaminates the field .
6. A nurse is caring for a client with a tracheostomy who requires suctioning.
Which action should the nurse take?
A. Insert the catheter during exhalation
B. Apply suction during insertion of the catheter
C. Apply suction for no more than 15 seconds
D. Hyperoxygenate the client before suctioning
Rationale: Pre-oxygenation prevents hypoxemia during the procedure. Suction
should be applied for only 10 seconds during withdrawal .
7. A nurse is changing the dressings for a client who has two Penrose drains.
Which device is best to decrease skin irritation?
A. Abdominal binder
B. Montgomery straps
, C. Hypoallergenic tape
D. Plastic tape
Rationale: Montgomery straps allow the dressing to be changed without repeatedly
applying and removing adhesive tape, minimizing skin breakdown .
8. A nurse discovers a small fire in a client's trash can. Which action should the
nurse take first?
A. Remove the client from the room
B. Pull the fire alarm
C. Use the fire extinguisher
D. Close all doors
Rationale: Use the RACE protocol: Rescue (remove
client), Alarm, Contain, Extinguish .
9. A nurse is caring for a client with Clostridium difficile. Which hand hygiene
method is required?
A. Alcohol-based hand rub
B. Soap and water
C. Hand wipes
D. Chlorhexidine wash
Rationale: C. diff spores are not killed by alcohol-based sanitizers; mechanical
removal with soap and water is required .
10. A nurse is planning care for a client who is immobile. Which intervention
prevents external rotation of the hips?
A. Logroll the client every 4 hours
B. Use trochanter rolls beside the client’s legs
C. Place the client’s arms at their sides
D. Cross the client’s ankles
Rationale: Trochanter rolls maintain alignment by preventing the hips from rotating
outward .
11. A nurse is caring for a client receiving a blood transfusion. Which finding
indicates a possible transfusion reaction?
A. Temperature increase from 37°C to 38.3°C (98.6°F to 100.9°F)
B. Mild thirst
C. Blood pressure 118/72 mm Hg
D. Heart rate 84/min
Rationale: Fever and chills are early signs of a hemolytic reaction. The nurse should
stop the transfusion immediately .
NGN TEST BANK QUESTIONS
AND ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Topic 1: Safety & Infection Control (Questions 1-15)
1. A nurse is assessing an older adult client’s risk for falls. Which of the
following assessments should the nurse use to identify the client’s safety
needs? (Select All That Apply.)
A. Pupil clarity
B. Visual fields
C. Visual acuity
D. Gait stability
E. Muscle strength
Rationale: Visual fields and visual acuity are key assessments for fall risk because
impaired vision significantly increases the likelihood of falls . While gait and strength
matter, the question specifically asks for visual assessments.
2. A nurse is responding to a call light and finds a client lying on the bathroom
floor. Which of the following actions should the nurse take first?
A. Notify the provider
B. Document the incident
C. Check the client for injuries
D. Ask the client what happened
Rationale: The nurse must first assess the client for injuries to determine immediate
safety needs and stabilize the client before calling the provider or documenting .
3. A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should the
,nurse plan for?
A. Place the client in a positive-pressure room
B. Make sure the client wears a mask when outside her room if there is
construction in the area
C. Allow fresh flowers in the room
D. Use tap water for oral care
Rationale: Clients with stem cell transplants are severely immunocompromised. A
mask prevents exposure to airborne pathogens like Aspergillus, which is common
during construction .
4. A nurse is admitting a client who has tuberculosis. Which of the following
types of transmission precautions should the nurse initiate?
A. Droplet
B. Airborne
C. Protective environment
D. Contact
Rationale: TB is transmitted via airborne particles, requiring an N95 respirator and a
negative-pressure room .
5. A nurse is preparing to insert an indwelling urinary catheter using sterile
technique. Which action requires intervention by the charge nurse?
A. Keeps the sterile field above waist level
B. Uses sterile gloves during insertion
C. Turns away from the sterile field to answer a question
D. Places sterile supplies on a dry surface
Rationale: Sterile fields must remain within the nurse’s visual field at all times.
Turning away contaminates the field .
6. A nurse is caring for a client with a tracheostomy who requires suctioning.
Which action should the nurse take?
A. Insert the catheter during exhalation
B. Apply suction during insertion of the catheter
C. Apply suction for no more than 15 seconds
D. Hyperoxygenate the client before suctioning
Rationale: Pre-oxygenation prevents hypoxemia during the procedure. Suction
should be applied for only 10 seconds during withdrawal .
7. A nurse is changing the dressings for a client who has two Penrose drains.
Which device is best to decrease skin irritation?
A. Abdominal binder
B. Montgomery straps
, C. Hypoallergenic tape
D. Plastic tape
Rationale: Montgomery straps allow the dressing to be changed without repeatedly
applying and removing adhesive tape, minimizing skin breakdown .
8. A nurse discovers a small fire in a client's trash can. Which action should the
nurse take first?
A. Remove the client from the room
B. Pull the fire alarm
C. Use the fire extinguisher
D. Close all doors
Rationale: Use the RACE protocol: Rescue (remove
client), Alarm, Contain, Extinguish .
9. A nurse is caring for a client with Clostridium difficile. Which hand hygiene
method is required?
A. Alcohol-based hand rub
B. Soap and water
C. Hand wipes
D. Chlorhexidine wash
Rationale: C. diff spores are not killed by alcohol-based sanitizers; mechanical
removal with soap and water is required .
10. A nurse is planning care for a client who is immobile. Which intervention
prevents external rotation of the hips?
A. Logroll the client every 4 hours
B. Use trochanter rolls beside the client’s legs
C. Place the client’s arms at their sides
D. Cross the client’s ankles
Rationale: Trochanter rolls maintain alignment by preventing the hips from rotating
outward .
11. A nurse is caring for a client receiving a blood transfusion. Which finding
indicates a possible transfusion reaction?
A. Temperature increase from 37°C to 38.3°C (98.6°F to 100.9°F)
B. Mild thirst
C. Blood pressure 118/72 mm Hg
D. Heart rate 84/min
Rationale: Fever and chills are early signs of a hemolytic reaction. The nurse should
stop the transfusion immediately .
