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ATI Fundamentals 2026/2027 Ultimate Review:
200 Practice Questions with Evidence-Based
Rationales Covering Safety, Medications,
Prioritization, and Essential Nursing Concepts
for Exam Success.
ATI Fundamentals - 200 Practice Questions
with ☑VERIFIED ANSWERs & Rationales
Safety & Infection Control (Questions 1-20)
Question 1
A nurse is preparing to administer medications
to a client. Which action demonstrates the BEST
practice for client identification?
A. Checking the client's room number on the
door
B. Asking the client to state their full name and
date of birth
C. Checking the name on the client's armband
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AND asking the client to state their name and
DOB
D. Verifying the client's identity with the family
member at bedside
☑VERIFIED ANSWER: C
Rationale: The Joint Commission's National
Patient Safety Goals require two client
identifiers before any procedure or medication
administration. The gold standard is: (1) check
the ID armband (name + medical record
number or DOB) and (2) have the client verbally
state their name and DOB. Room numbers are
NEVER acceptable identifiers. Verbal
confirmation alone is insufficient, and family
members are not reliable identifiers .
Question 2
A nurse finds a client on the floor next to the
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bed. The client states, "I tried to get up to use
the bathroom and fell." What is the PRIORITY
nursing action?
A. Call the healthcare provider immediately
B. Complete an incident report
C. Assess the client for injuries
D. Place the client back in bed and raise all side
rails
☑VERIFIED ANSWER: C
Rationale: Assessment FIRST—always. Before
any other action, you must determine if the
client is injured. This follows ADPIE (Assessment
→ Diagnosis → Planning → Implementation →
Evaluation). Moving the client without
assessment could worsen a spinal injury,
fracture, or head injury .
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Question 3
A nurse is caring for a client in contact isolation
for Clostridioides difficile (C. diff). Which action
by the nurse requires correction?
A. Wearing gloves and a gown when entering
the room
B. Using alcohol-based hand sanitizer when
leaving the room
C. Placing a dedicated stethoscope in the
client's room
D. Instructing housekeeping to clean surfaces
with a bleach-based solution
☑VERIFIED ANSWER: B
Rationale: C. difficile is a spore-forming
organism. Alcohol-based hand sanitizers do
NOT kill C. diff spores. The nurse MUST wash
hands with soap and water using friction for at
ATI Fundamentals 2026/2027 Ultimate Review:
200 Practice Questions with Evidence-Based
Rationales Covering Safety, Medications,
Prioritization, and Essential Nursing Concepts
for Exam Success.
ATI Fundamentals - 200 Practice Questions
with ☑VERIFIED ANSWERs & Rationales
Safety & Infection Control (Questions 1-20)
Question 1
A nurse is preparing to administer medications
to a client. Which action demonstrates the BEST
practice for client identification?
A. Checking the client's room number on the
door
B. Asking the client to state their full name and
date of birth
C. Checking the name on the client's armband
, 2
AND asking the client to state their name and
DOB
D. Verifying the client's identity with the family
member at bedside
☑VERIFIED ANSWER: C
Rationale: The Joint Commission's National
Patient Safety Goals require two client
identifiers before any procedure or medication
administration. The gold standard is: (1) check
the ID armband (name + medical record
number or DOB) and (2) have the client verbally
state their name and DOB. Room numbers are
NEVER acceptable identifiers. Verbal
confirmation alone is insufficient, and family
members are not reliable identifiers .
Question 2
A nurse finds a client on the floor next to the
, 3
bed. The client states, "I tried to get up to use
the bathroom and fell." What is the PRIORITY
nursing action?
A. Call the healthcare provider immediately
B. Complete an incident report
C. Assess the client for injuries
D. Place the client back in bed and raise all side
rails
☑VERIFIED ANSWER: C
Rationale: Assessment FIRST—always. Before
any other action, you must determine if the
client is injured. This follows ADPIE (Assessment
→ Diagnosis → Planning → Implementation →
Evaluation). Moving the client without
assessment could worsen a spinal injury,
fracture, or head injury .
, 4
Question 3
A nurse is caring for a client in contact isolation
for Clostridioides difficile (C. diff). Which action
by the nurse requires correction?
A. Wearing gloves and a gown when entering
the room
B. Using alcohol-based hand sanitizer when
leaving the room
C. Placing a dedicated stethoscope in the
client's room
D. Instructing housekeeping to clean surfaces
with a bleach-based solution
☑VERIFIED ANSWER: B
Rationale: C. difficile is a spore-forming
organism. Alcohol-based hand sanitizers do
NOT kill C. diff spores. The nurse MUST wash
hands with soap and water using friction for at
