ATI RN FUNDAMENTALS PROCTORED TEST BANK EXAM
300 Master Questions & Verified Answers Plus
Rationales 2026/2027 Study Guide (GRADED A+)
INSTANT PDF DOWNLOAD
This premium, high-yield study resource contains 300 master multiple-
choice questions modeled closely on the ATI RN Fundamentals Proctored
Exam. Every item features a verified correct answer along with a detailed
clinical rationale, helping you build the critical thinking skills needed to
achieve a Level 2 or Level 3 proficiency score. Master essential nursing
concepts, including infection control precautions, surgical asepsis,
medication administration math, safety protocols, and wound care.
Perfect for nursing students preparing for final proctored exams, this
bank provides clear explanations that double as a comprehensive content
review to maximize your study efficiency and exam success.
Question 1
A nurse is preparing to administer an intramuscular injection to an adult
client who has a body mass index (BMI) of 22. Which of the following
landmarks should the nurse use to locate the preferred site for this
injection?
A. The acromion process and the axillary line
,B. The greater trochanter and the anterior superior iliac spine
C. The patella and the greater trochanter of the femur
D. The iliac crest and the posterior superior iliac spine
ANSWER: B. The greater trochanter and the anterior superior iliac
spine
RATIONALE: The ventrogluteal site is the preferred and safest site
for intramuscular injections in adults because it lacks major nerves
and blood vessels. It is located by placing the palm of the hand on
the greater trochanter, the index finger on the anterior superior
iliac spine, and extending the middle finger toward the iliac crest.
Question 2
A nurse is preparing to change a sterile dressing for a client who has a
central venous access device. After opening the sterile dressing kit, which
of the following actions should the nurse perform first?
A. Reach over the sterile field to drop the antimicrobial patch onto the
tray.
B. Open the topmost flap of the sterile wrapper away from their body.
C. Don sterile gloves to arrange the gauze and tape on the sterile field.
D. Cleanse the insertion site using an up-and-down scrubbing motion.
ANSWER: B. Open the topmost flap of the sterile wrapper away from
their body.
RATIONALE: When opening a sterile package, the nurse must open
,the topmost flap away from the body first to prevent reaching over
the exposed sterile contents, which would contaminate the sterile
field. Reaching over a sterile field, donning gloves before opening
packages, and cleansing the site occur later in the process.
Question 3
A nurse is caring for a client who requires airborne precautions for a
suspected infection. Which of the following interventions should the nurse
implement?
A. Keep the client's room door open to improve airflow into the hallway.
B. Wear a surgical mask when working within 0.9 m (3 feet) of the client.
C. Place the client in a private room equipped with negative-pressure
airflow.
D. Direct the client to wear an N95 respirator whenever visitors are in
the room.
ANSWER: C. Place the client in a private room equipped with
negative-pressure airflow.
RATIONALE: Airborne precautions require a private room with
negative-pressure airflow (at least 6 to 12 air exchanges per hour)
to prevent the spread of infectious particles. Healthcare workers
must wear an N95 respirator, the door must remain closed, and
visitors, not the client, wear standard protection if permitted.
, Question 4
A nurse is caring for a client who has a prescription for wrist restraints
due to confusion and attempts to pull out an intravenous catheter. Which
of the following actions should the nurse take?
A. Tie the restraint straps to the side rails of the client's bed using a
double knot.
B. Ensure that two fingers can be inserted between the restraint and the
client's wrist.
C. Remove the restraints to assess skin integrity and range of motion
every 4 hours.
D. Obtain a verbal prescription for the restraints and renew it every 48
hours.
ANSWER: B. Ensure that two fingers can be inserted between the
restraint and the client's wrist.
RATIONALE: The nurse must ensure the restraints are not too tight
to avoid neurovascular injury; a space of two fingers confirms safe
fitment. Restraints must be tied to the bed frame (not side rails)
using a quick-release knot, assessed at least every 2 hours, and
require a renewed written prescription every 24 hours.
Question 5
A nurse is performing an admission assessment for an older adult client.
Which of the following findings should the nurse identify as a primary risk
300 Master Questions & Verified Answers Plus
Rationales 2026/2027 Study Guide (GRADED A+)
INSTANT PDF DOWNLOAD
This premium, high-yield study resource contains 300 master multiple-
choice questions modeled closely on the ATI RN Fundamentals Proctored
Exam. Every item features a verified correct answer along with a detailed
clinical rationale, helping you build the critical thinking skills needed to
achieve a Level 2 or Level 3 proficiency score. Master essential nursing
concepts, including infection control precautions, surgical asepsis,
medication administration math, safety protocols, and wound care.
Perfect for nursing students preparing for final proctored exams, this
bank provides clear explanations that double as a comprehensive content
review to maximize your study efficiency and exam success.
Question 1
A nurse is preparing to administer an intramuscular injection to an adult
client who has a body mass index (BMI) of 22. Which of the following
landmarks should the nurse use to locate the preferred site for this
injection?
A. The acromion process and the axillary line
,B. The greater trochanter and the anterior superior iliac spine
C. The patella and the greater trochanter of the femur
D. The iliac crest and the posterior superior iliac spine
ANSWER: B. The greater trochanter and the anterior superior iliac
spine
RATIONALE: The ventrogluteal site is the preferred and safest site
for intramuscular injections in adults because it lacks major nerves
and blood vessels. It is located by placing the palm of the hand on
the greater trochanter, the index finger on the anterior superior
iliac spine, and extending the middle finger toward the iliac crest.
Question 2
A nurse is preparing to change a sterile dressing for a client who has a
central venous access device. After opening the sterile dressing kit, which
of the following actions should the nurse perform first?
A. Reach over the sterile field to drop the antimicrobial patch onto the
tray.
B. Open the topmost flap of the sterile wrapper away from their body.
C. Don sterile gloves to arrange the gauze and tape on the sterile field.
D. Cleanse the insertion site using an up-and-down scrubbing motion.
ANSWER: B. Open the topmost flap of the sterile wrapper away from
their body.
RATIONALE: When opening a sterile package, the nurse must open
,the topmost flap away from the body first to prevent reaching over
the exposed sterile contents, which would contaminate the sterile
field. Reaching over a sterile field, donning gloves before opening
packages, and cleansing the site occur later in the process.
Question 3
A nurse is caring for a client who requires airborne precautions for a
suspected infection. Which of the following interventions should the nurse
implement?
A. Keep the client's room door open to improve airflow into the hallway.
B. Wear a surgical mask when working within 0.9 m (3 feet) of the client.
C. Place the client in a private room equipped with negative-pressure
airflow.
D. Direct the client to wear an N95 respirator whenever visitors are in
the room.
ANSWER: C. Place the client in a private room equipped with
negative-pressure airflow.
RATIONALE: Airborne precautions require a private room with
negative-pressure airflow (at least 6 to 12 air exchanges per hour)
to prevent the spread of infectious particles. Healthcare workers
must wear an N95 respirator, the door must remain closed, and
visitors, not the client, wear standard protection if permitted.
, Question 4
A nurse is caring for a client who has a prescription for wrist restraints
due to confusion and attempts to pull out an intravenous catheter. Which
of the following actions should the nurse take?
A. Tie the restraint straps to the side rails of the client's bed using a
double knot.
B. Ensure that two fingers can be inserted between the restraint and the
client's wrist.
C. Remove the restraints to assess skin integrity and range of motion
every 4 hours.
D. Obtain a verbal prescription for the restraints and renew it every 48
hours.
ANSWER: B. Ensure that two fingers can be inserted between the
restraint and the client's wrist.
RATIONALE: The nurse must ensure the restraints are not too tight
to avoid neurovascular injury; a space of two fingers confirms safe
fitment. Restraints must be tied to the bed frame (not side rails)
using a quick-release knot, assessed at least every 2 hours, and
require a renewed written prescription every 24 hours.
Question 5
A nurse is performing an admission assessment for an older adult client.
Which of the following findings should the nurse identify as a primary risk
