RN VATI FUNDAMENTALS 2026
ASSESSMENT| Virtual ATI Test
Answered | Complete Q&A
1. A nurse is caring for a client with active pulmonary tuberculosis. Which type
of precautions should the nurse implement?
• A) Contact precautions
• B) Droplet precautions
• C) Airborne precautions ✓
• D) Standard precautions only
Rational: Tuberculosis is transmitted via airborne droplet nuclei. Airborne
precautions require an N95 respirator and a negative pressure room. Contact and
droplet precautions are insufficient for TB transmission .
2. A nurse sustains a needlestick injury from a client known to be HIV positive.
Which action should the nurse take FIRST?
• A) Report the injury to occupational health
• B) Wash the site with soap and water ✓
• C) Start post-exposure prophylaxis
• D) Test the client for viral load
,Rational: Immediate wound care (washing with soap and water) is the first step to
reduce viral transmission risk. The nurse should then report the injury and initiate
PEP within 72 hours .
3. A client with Clostridioides difficile (C. diff) has frequent watery diarrhea.
Which type of precautions is required?
• A) Airborne precautions
• B) Droplet precautions
• C) Contact precautions ✓
• D) Standard precautions only
Rational: C. diff is transmitted via contact with contaminated surfaces or feces.
Contact precautions include gown and gloves, and handwashing with soap and
water (alcohol-based hand sanitizer is ineffective against C. diff spores) .
4. The nurse is wearing personal protective equipment (PPE) while caring for a
client. When exiting the room, which PPE should be removed FIRST?
• A) Mask
• B) Gown
• C) Gloves ✓
• D) Goggles
Rational: Gloves are considered the most contaminated PPE and should be
removed first to prevent contamination of other PPE. The order of removal is:
gloves, goggles/face shield, gown, then mask .
,5. Which of the following are essential steps in proper hand hygiene? (Select
all that apply)
• A) Rubbing hands for at least 5 seconds
• B) Using alcohol-based hand sanitizer if hands are not visibly soiled ✓
• C) Washing with soap and water when hands are visibly dirty ✓
• D) Drying hands with a clean towel ✓
Rational: Hand hygiene requires at least 20 seconds of washing with soap and
water if visibly soiled, or using an alcohol-based sanitizer if not visibly soiled. Drying
with a clean towel prevents contamination .
6. A nurse is preparing a sterile field. Which action contaminates the field?
• A) Placing sterile items in the center of the field
• B) Keeping the field above waist level
• C) Reaching over the sterile field ✓
• D) Using sterile gloves to handle sterile items
Rational: Reaching over the sterile field contaminates it because non-sterile items
(the nurse's body) pass over the sterile area. The sterile field should be kept above
waist level and within the nurse's visual field .
7. A nurse is caring for a client on contact precautions. Which action is correct?
• A) Wear an N95 respirator when entering the room
, • B) Place the client in a negative pressure room
• C) Don a gown and gloves before entering the room ✓
• D) Keep the client's door closed at all times
Rational: Contact precautions require gown and gloves for all interactions with the
client or the client's environment. N95 respirators and negative pressure rooms are
for airborne precautions .
8. Which of the following is NOT a correct principle of maintaining a sterile
field?
• A) The 1-inch border around the sterile field is considered contaminated
• B) Anything below the waist is considered contaminated
• C) Turn your back to the sterile field when reaching for items ✓
• D) Discard any object that comes into contact with the 1-inch border
Rational: The nurse should never turn their back to a sterile field. The 1-inch border
is contaminated, items below the waist are contaminated, and objects touching the
border must be discarded .
9. Droplet precautions are required for which of the following conditions?
• A) Tuberculosis
• B) Rubella ✓
• C) C. diff
• D) MRSA
ASSESSMENT| Virtual ATI Test
Answered | Complete Q&A
1. A nurse is caring for a client with active pulmonary tuberculosis. Which type
of precautions should the nurse implement?
• A) Contact precautions
• B) Droplet precautions
• C) Airborne precautions ✓
• D) Standard precautions only
Rational: Tuberculosis is transmitted via airborne droplet nuclei. Airborne
precautions require an N95 respirator and a negative pressure room. Contact and
droplet precautions are insufficient for TB transmission .
2. A nurse sustains a needlestick injury from a client known to be HIV positive.
Which action should the nurse take FIRST?
• A) Report the injury to occupational health
• B) Wash the site with soap and water ✓
• C) Start post-exposure prophylaxis
• D) Test the client for viral load
,Rational: Immediate wound care (washing with soap and water) is the first step to
reduce viral transmission risk. The nurse should then report the injury and initiate
PEP within 72 hours .
3. A client with Clostridioides difficile (C. diff) has frequent watery diarrhea.
Which type of precautions is required?
• A) Airborne precautions
• B) Droplet precautions
• C) Contact precautions ✓
• D) Standard precautions only
Rational: C. diff is transmitted via contact with contaminated surfaces or feces.
Contact precautions include gown and gloves, and handwashing with soap and
water (alcohol-based hand sanitizer is ineffective against C. diff spores) .
4. The nurse is wearing personal protective equipment (PPE) while caring for a
client. When exiting the room, which PPE should be removed FIRST?
• A) Mask
• B) Gown
• C) Gloves ✓
• D) Goggles
Rational: Gloves are considered the most contaminated PPE and should be
removed first to prevent contamination of other PPE. The order of removal is:
gloves, goggles/face shield, gown, then mask .
,5. Which of the following are essential steps in proper hand hygiene? (Select
all that apply)
• A) Rubbing hands for at least 5 seconds
• B) Using alcohol-based hand sanitizer if hands are not visibly soiled ✓
• C) Washing with soap and water when hands are visibly dirty ✓
• D) Drying hands with a clean towel ✓
Rational: Hand hygiene requires at least 20 seconds of washing with soap and
water if visibly soiled, or using an alcohol-based sanitizer if not visibly soiled. Drying
with a clean towel prevents contamination .
6. A nurse is preparing a sterile field. Which action contaminates the field?
• A) Placing sterile items in the center of the field
• B) Keeping the field above waist level
• C) Reaching over the sterile field ✓
• D) Using sterile gloves to handle sterile items
Rational: Reaching over the sterile field contaminates it because non-sterile items
(the nurse's body) pass over the sterile area. The sterile field should be kept above
waist level and within the nurse's visual field .
7. A nurse is caring for a client on contact precautions. Which action is correct?
• A) Wear an N95 respirator when entering the room
, • B) Place the client in a negative pressure room
• C) Don a gown and gloves before entering the room ✓
• D) Keep the client's door closed at all times
Rational: Contact precautions require gown and gloves for all interactions with the
client or the client's environment. N95 respirators and negative pressure rooms are
for airborne precautions .
8. Which of the following is NOT a correct principle of maintaining a sterile
field?
• A) The 1-inch border around the sterile field is considered contaminated
• B) Anything below the waist is considered contaminated
• C) Turn your back to the sterile field when reaching for items ✓
• D) Discard any object that comes into contact with the 1-inch border
Rational: The nurse should never turn their back to a sterile field. The 1-inch border
is contaminated, items below the waist are contaminated, and objects touching the
border must be discarded .
9. Droplet precautions are required for which of the following conditions?
• A) Tuberculosis
• B) Rubella ✓
• C) C. diff
• D) MRSA
