OBJECTIVE ASSESSMENT - EXAM
ATI RN Fundamentals
Questions and Answers
Fall 2026/2027 Update
100% Correct Latest
Official Exam | Grade A+ Verified
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ATI RN Fundamentals Practice Test Questions and Answers Fall 2026/2027 Update 100% Co COVER PAGE - 1
, SECTIONS COVERED
Section 1: Safety and Infection Control (13%)
Section 2: Basic Care and Comfort (13%)
Section 3: Pharmacological and Parenteral Therapies (13%)
Section 4: Reduction of Risk Potential (12%)
Section 5: Physiological Adaptation (13%)
Section 6: Health Promotion and Maintenance (12%)
Section 7: Psychosocial Integrity (12%)
Section 8: Professional Standards, Legal and Ethical Practice (12%)
Section 1: Safety and Infection Control Weight: 13%
Q1
A nurse finds an older adult client oriented and ambulatory with a walker. The call light is on the floor and the bed is in the high position.
Which action should the nurse take first to promote safety?
A. Lower the bed to the lowest position and place the call light within reach
B. Apply a vest restraint to prevent getting out of bed
C. Instruct the client to use the walker only with staff present
D. Move the client permanently closer to the nursing station
Correct Answer: A
Rationale:
Lowest bed position and accessible call light are primary fall-prevention interventions. Restraints require an order and are last resort.
Q2
A nurse is preparing to enter the room of a client on airborne precautions for suspected tuberculosis. Which PPE should the nurse don?
A. A face shield without a respirator
B. A fit-tested N95 respirator
C. A surgical mask and cloth gown
D. Gloves and eye protection only
Correct Answer: B
Rationale:
Airborne precautions require a fit-tested N95 or higher respirator. Surgical masks are for droplet precautions.
Q3
While performing hand hygiene with alcohol-based rub before an IV insertion, the nurse notes the hands remain wet and sticky. Which
action is most appropriate?
A. Apply additional product to speed drying
B. Skip hand hygiene because gloves will be worn
C. Continue rubbing until the hands are completely dry before the procedure
D. Rinse the hands with water to remove residue
Correct Answer: C
Rationale:
Alcohol-based rubs must dry completely for antimicrobial effect and glove integrity.
ATI RN Fundamentals 2026/2027 Page 2
, Q4
A nursing assistant is taught about C. difficile precautions. Which statement indicates correct understanding?
A. I can use alcohol-based rub after removing gloves
B. I only need gloves; a gown is not necessary
C. I will leave the door open for ventilation
D. I will wash my hands with soap and water after care because alcohol is less effective against spores
Correct Answer: D
Rationale:
Soap and water are required for C. difficile spores; contact precautions include gown and gloves.
Q5
A nurse discovers a small fire in a client's wastebasket. The client is ambulatory. Using RACE, which action is first?
A. Rescue the client by assisting out of the room to a safe location
B. Activate the fire alarm and call the emergency number
C. Contain the fire by closing the door
D. Extinguish the fire with the nearest extinguisher
Correct Answer: A
Rationale:
RACE prioritizes Rescue of persons in immediate danger first.
Q6
After applying wrist restraints, which finding requires the most immediate intervention?
A. Client states the restraints feel uncomfortable
B. Cool, pale fingers with capillary refill greater than 3 seconds
C. Slight ability to move the fingers
D. Restraint ties secured to the bed frame
Correct Answer: B
Rationale:
Impaired circulation requires immediate loosening or removal of restraints.
Q7
While opening a sterile kit, the nurse touches the outer one-inch border of the sterile drape with a clean glove. Which action is correct?
A. Pour sterile solution onto the touched area
B. Remove gloves and proceed with bare hands
C. Continue because the outer one-inch border is considered contaminated
D. Discard the entire kit and obtain a new one
Correct Answer: C
Rationale:
The outer one-inch border is non-sterile; touching it does not contaminate the rest of the field.
Q8
For a sterile dressing change of a stage 3 pressure injury, after removing the old dressing and hand hygiene, which action is next?
A. Use clean gloves to cleanse then sterile gloves for the new dressing
B. Cleanse with clean gloves and apply dressing without sterile gloves
C. Apply sterile gloves only if the wound appears infected
D. Apply sterile gloves before cleansing the wound and applying the new dressing
Correct Answer: D
Rationale:
Sterile technique is required for full-thickness wound dressing changes.
ATI RN Fundamentals 2026/2027 Page 3
, Q9
Which example correctly demonstrates electrical safety?
A. Unplugging equipment by grasping the plug rather than pulling the cord
B. Using an extension cord to power devices near a sink
C. Allowing a client to use an uninspected personal heating pad
D. Placing a portable heater next to oxygen tubing
Correct Answer: A
Rationale:
Grasping the plug prevents cord damage and shock risk.
Q10
A client on droplet precautions for influenza needs transport to radiology. Which action is most appropriate?
A. Delay the test until isolation is discontinued
B. Place a surgical mask on the client and notify the receiving department
C. Transport without a mask because the hallway is ventilated
D. Have the client wear an N95 respirator
Correct Answer: B
Rationale:
Clients on droplet precautions wear a surgical mask during transport.
Q11
Which factor contributes most to fall risk score in an older adult taking a diuretic with unsteady gait?
A. History of controlled hypertension
B. Client is male rather than female
C. Unsteady gait and diuretic that may cause orthostatic hypotension
D. Age of 78 years alone
Correct Answer: C
Rationale:
Unsteady gait and medications affecting blood pressure are high-weighted risk factors.
Q12
Which sequence for removing PPE after contact precautions minimizes self-contamination?
A. Remove the mask first, then gloves, then gown
B. Remove the gown first while still wearing gloves
C. Remove all PPE inside the room and perform hand hygiene only after leaving
D. Remove gloves first, then gown, then hand hygiene before removing eye protection and mask
Correct Answer: D
Rationale:
Gloves are most contaminated and removed first; hand hygiene precedes touching the face.
Q13
A client is found lying on the floor conscious with left hip pain. Which action is first?
A. Assess for injuries and vital signs before attempting to move the client
B. Immediately assist the client back into bed
C. Call the provider for an x-ray order before assessment
D. Apply ice to the hip then help the client stand
Correct Answer: A
Rationale:
After a fall, assess for injury and stabilize before moving.
ATI RN Fundamentals 2026/2027 Page 4