ATI RN FUNDAMENTALS PROCTORED
EXAM PREP ULTIMATE Q&AS WITH
DETAILED RATIONALES
This premium practice bundle contains high-yield multiple-
choice questions with detailed, bolded rationales covering
the core competencies of the ATI RN Fundamentals
Proctored Exam. It delivers a comprehensive review of
essential nursing concepts, including infection control,
pharmacology safety, clinical prioritization, and fundamental
care interventions. Designed directly from the latest testing
frameworks, this digital resource maximizes active recall
and guarantees top marks for nursing students seeking
efficient, proven exam preparation.
Question 1:
A nurse is preparing to care for a client who requires airborne precautions.
Which of the following personal protective equipment (PPE) is required
when entering the client's room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves only
D. Face shield
Answer: B
Rationale: Airborne precautions require the use of an N95 or higher-
level respirator to filter out small droplet nuclei that remain
,suspended in the air. Surgical masks are used for droplet
precautions, not airborne. Gowns, gloves, and face shields are added
only if there is a risk of spraying or contact with bodily fluids.
Question 2:
A nurse is caring for a client who has a prescription for wrist restraints.
Which of the following actions should the nurse take?
A. Tie the restraints to the side rails of the bed.
B. Secure the restraints using a quick-release knot.
C. Renew the restraint prescription every 48 hours.
D. Check the client's peripheral pulses under the restraint every 4 hours.
Answer: B
Rationale: Restraints must always be secured with a quick-release
knot to ensure they can be removed instantly in an emergency. They
must be attached to the bed frame, never the side rails. The
prescription must be renewed every 24 hours for adults, and
neurovascular checks must be performed at least every 2 hours.
Question 3:
A nurse is removing personal protective equipment (PPE) after caring for a
client in contact precautions. Which of the following sequences should the
nurse follow?
A. Gloves, goggles, gown, mask
B. Mask, gown, goggles, gloves
C. Gown, gloves, mask, goggles
D. Goggles, mask, gloves, gown
Answer: A
Rationale: The correct sequence for removing PPE is designed to
prevent self-contamination. Gloves are the most contaminated and
are removed first, followed by goggles/face shield, the gown, and
finally the mask or respirator after leaving the room.
,Question 4:
A nurse is assisting a client with left-sided weakness to ambulate using a
cane. How should the nurse instruct the client to use the cane?
A. Hold the cane on the left side and advance it with the right leg.
B. Hold the cane on the right side and advance it with the left leg.
C. Hold the cane on the left side and advance it before moving either leg.
D. Hold the cane on the right side and advance it with the right leg.
Answer: B
Rationale: A client should hold the cane on their stronger side (the
unaffected right side) to provide optimal support. The cane is
advanced simultaneously with the weaker leg (left leg) to distribute
weight evenly.
Question 5:
A nurse enters a client's room and discovers a small fire in the
wastebasket. Which of the following actions should the nurse take first?
A. Extinguish the fire using a fire extinguisher.
B. Close the door to the client's room.
C. Activate the facility fire alarm system.
D. Move the client out of the room to a safe area.
Answer: D
Rationale: Following the RACE acronym for fire safety, the first action
is always Rescue/Remove clients from immediate danger. Activating
the alarm (Alarm) is the second step, followed by Confining the fire
(closing doors), and Extinguishing the fire last.
Question 6:
A nurse is preparing to perform a sterile dressing change. Which of the
following actions compromises the sterile field?
A. Opening the topmost flap of the sterile kit away from the body.
B. Maintaining a 2.5 cm (1 inch) border around the edge of the field.
, C. Pouring sterile saline into a sterile cup with the bottle label facing down.
D. Keeping sterile gloved hands above the waist level.
Answer: C
Rationale: When pouring solutions, the bottle label should face the
palm of the hand (facing up) to prevent liquid from running down and
damaging or obscuring the label. Opening flaps away from the body,
maintaining a 1-inch unsterile border, and keeping gloved hands
above the waist are all correct sterile techniques.
Question 7:
A nurse is planning care for a client who is at high risk for falls. Which of the
following interventions should the nurse include in the plan?
A. Keep all four side rails raised at all times.
B. Place the client's bedside table 2 meters away from the bed.
C. Complete a fall risk assessment at admission and during every shift
change.
D. Keep the bed in its highest position to make it easier for the client to
stand up.
Answer: C
Rationale: Fall risk assessments should be dynamic and completed at
admission, shift changes, and whenever there is a change in the
client's clinical status. Raising all four side rails can be considered a
physical restraint. The bed should be kept in its lowest position, and
essential items should be placed within close reach.
Question 8:
A nurse is caring for a client diagnosed with Clostridioides difficile (C. diff).
Which of the following infection control measures must the nurse
implement?
A. Wear an N95 respirator when providing direct care.
B. Use alcohol-based hand rub for hand hygiene after client contact.
EXAM PREP ULTIMATE Q&AS WITH
DETAILED RATIONALES
This premium practice bundle contains high-yield multiple-
choice questions with detailed, bolded rationales covering
the core competencies of the ATI RN Fundamentals
Proctored Exam. It delivers a comprehensive review of
essential nursing concepts, including infection control,
pharmacology safety, clinical prioritization, and fundamental
care interventions. Designed directly from the latest testing
frameworks, this digital resource maximizes active recall
and guarantees top marks for nursing students seeking
efficient, proven exam preparation.
Question 1:
A nurse is preparing to care for a client who requires airborne precautions.
Which of the following personal protective equipment (PPE) is required
when entering the client's room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves only
D. Face shield
Answer: B
Rationale: Airborne precautions require the use of an N95 or higher-
level respirator to filter out small droplet nuclei that remain
,suspended in the air. Surgical masks are used for droplet
precautions, not airborne. Gowns, gloves, and face shields are added
only if there is a risk of spraying or contact with bodily fluids.
Question 2:
A nurse is caring for a client who has a prescription for wrist restraints.
Which of the following actions should the nurse take?
A. Tie the restraints to the side rails of the bed.
B. Secure the restraints using a quick-release knot.
C. Renew the restraint prescription every 48 hours.
D. Check the client's peripheral pulses under the restraint every 4 hours.
Answer: B
Rationale: Restraints must always be secured with a quick-release
knot to ensure they can be removed instantly in an emergency. They
must be attached to the bed frame, never the side rails. The
prescription must be renewed every 24 hours for adults, and
neurovascular checks must be performed at least every 2 hours.
Question 3:
A nurse is removing personal protective equipment (PPE) after caring for a
client in contact precautions. Which of the following sequences should the
nurse follow?
A. Gloves, goggles, gown, mask
B. Mask, gown, goggles, gloves
C. Gown, gloves, mask, goggles
D. Goggles, mask, gloves, gown
Answer: A
Rationale: The correct sequence for removing PPE is designed to
prevent self-contamination. Gloves are the most contaminated and
are removed first, followed by goggles/face shield, the gown, and
finally the mask or respirator after leaving the room.
,Question 4:
A nurse is assisting a client with left-sided weakness to ambulate using a
cane. How should the nurse instruct the client to use the cane?
A. Hold the cane on the left side and advance it with the right leg.
B. Hold the cane on the right side and advance it with the left leg.
C. Hold the cane on the left side and advance it before moving either leg.
D. Hold the cane on the right side and advance it with the right leg.
Answer: B
Rationale: A client should hold the cane on their stronger side (the
unaffected right side) to provide optimal support. The cane is
advanced simultaneously with the weaker leg (left leg) to distribute
weight evenly.
Question 5:
A nurse enters a client's room and discovers a small fire in the
wastebasket. Which of the following actions should the nurse take first?
A. Extinguish the fire using a fire extinguisher.
B. Close the door to the client's room.
C. Activate the facility fire alarm system.
D. Move the client out of the room to a safe area.
Answer: D
Rationale: Following the RACE acronym for fire safety, the first action
is always Rescue/Remove clients from immediate danger. Activating
the alarm (Alarm) is the second step, followed by Confining the fire
(closing doors), and Extinguishing the fire last.
Question 6:
A nurse is preparing to perform a sterile dressing change. Which of the
following actions compromises the sterile field?
A. Opening the topmost flap of the sterile kit away from the body.
B. Maintaining a 2.5 cm (1 inch) border around the edge of the field.
, C. Pouring sterile saline into a sterile cup with the bottle label facing down.
D. Keeping sterile gloved hands above the waist level.
Answer: C
Rationale: When pouring solutions, the bottle label should face the
palm of the hand (facing up) to prevent liquid from running down and
damaging or obscuring the label. Opening flaps away from the body,
maintaining a 1-inch unsterile border, and keeping gloved hands
above the waist are all correct sterile techniques.
Question 7:
A nurse is planning care for a client who is at high risk for falls. Which of the
following interventions should the nurse include in the plan?
A. Keep all four side rails raised at all times.
B. Place the client's bedside table 2 meters away from the bed.
C. Complete a fall risk assessment at admission and during every shift
change.
D. Keep the bed in its highest position to make it easier for the client to
stand up.
Answer: C
Rationale: Fall risk assessments should be dynamic and completed at
admission, shift changes, and whenever there is a change in the
client's clinical status. Raising all four side rails can be considered a
physical restraint. The bed should be kept in its lowest position, and
essential items should be placed within close reach.
Question 8:
A nurse is caring for a client diagnosed with Clostridioides difficile (C. diff).
Which of the following infection control measures must the nurse
implement?
A. Wear an N95 respirator when providing direct care.
B. Use alcohol-based hand rub for hand hygiene after client contact.
