ATI RN FUNDAMENTAL FINAL EXAM NEWEST VERSION
2026-2027 170+ QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A.
A nurse manager is providing teaching to a group of newly licensed nurses about
the ways that clients acquire healthcare-associated infections (HAIs). Which of the
following routes of infection should the manager identify as an iatrogenic HAI?
A) Infection acquired from improper hand hygiene
B) Infection acquired by drug resistance
C) Infection acquired by inappropriate waste disposal
D) Infection acquired from a diagnostic procedure
Correct Answer: D
Rationale
Iatrogenic HAIs are infections that result directly from diagnostic or therapeutic
procedures performed on a client. Examples include infections following
catheterization, surgery, or other invasive procedures. Option A is incorrect
because improper hand hygiene leads to cross-contamination, which is not
specifically iatrogenic. Option B is incorrect because drug resistance is a
mechanism of infection persistence, not a route of acquisition. Option C is
incorrect because inappropriate waste disposal is an environmental safety issue,
not a direct result of a procedure.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Healthcare-Associated Infections
MSC: Safe and Effective Care Environment/Safety and Infection Control
A nurse is caring for a client who has Clostridium difficile infection and is in contact
isolation. Which of the following actions should the nurse take?
A) Wear gloves when changing the client's gown.
B) Use alcohol-based sanitizers to cleanse the hands.
,C) Wear a mask when assisting the client with his meal tray.
D) Place the client on complete bed rest.
Correct Answer: A
Rationale
The nurse should wear gloves when changing the client's gown to prevent
transmission of C. difficile spores. Option B is incorrect because alcohol-based
hand sanitizers are ineffective against C. difficile spores; hand washing with soap
and water is required. Option C is incorrect because a mask is required for droplet
precautions, not contact precautions. Option D is incorrect because complete bed
rest is not indicated; the client should be encouraged to move, cough, and deep
breathe every 2 hours to prevent complications of immobility.
DIF: Cognitive Level: Apply (Application)
TOP: Clostridium difficile Infection Control
MSC: Safe and Effective Care Environment/Safety and Infection Control
A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of
the following statements by the AP indicates that further teaching is required?
A) "I should not leave all 4 side rails up unless there is a prescription for
restraints."
B) "An alert client will be the safest if I raise the 2 upper side rails at the head of
the bed."
C) "If the client seems confused, I'll raise all 4 side rails so that he doesn't hurt
himself."
D) "If a client is sedated, I should raise all 4 side rails to prevent a fall out of bed."
Correct Answer: C
Rationale
Raising all 4 side rails for a confused client without a prescription is considered a
restraint and is not appropriate. This indicates a need for further teaching. Option
A is correct because all 4 side rails should not be raised unless there is a
prescription for restraints. Option B is correct because raising the 2 upper side
,rails is a safety measure. Option D is correct because raising all 4 side rails for a
sedated client may be appropriate with a prescription.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Restraint Use and Safety
MSC: Safe and Effective Care Environment/Safety and Infection Control
Which diseases require airborne precautions?
A) Varicella, tuberculosis, and measles
B) C. difficile, MRSA, and scabies
C) Rubella, influenza, and meningococcal pneumonia
D) Streptococcal pharyngitis and gonorrhea
Correct Answer: A
Rationale
Airborne precautions are required for diseases transmitted via droplet nuclei
smaller than 5 µm, including varicella (chickenpox), tuberculosis, and measles.
Option B is incorrect because C. difficile, MRSA, and scabies require contact
precautions. Option C is incorrect because rubella, influenza, and meningococcal
pneumonia require droplet precautions. Option D is incorrect because
streptococcal pharyngitis requires droplet precautions, and gonorrhea requires
standard precautions.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Transmission-Based Precautions
MSC: Safe and Effective Care Environment/Safety and Infection Control
Which diseases require contact precautions?
A) Varicella, tuberculosis, and measles
B) C. difficile, MRSA, scabies, and vancomycin-resistant enterococci
C) Rubella, influenza, and meningococcal pneumonia
D) Streptococcal pharyngitis and gonorrhea
Correct Answer: B
, Rationale
Contact precautions are required for infections transmitted via direct or indirect
contact with contaminated surfaces or body fluids, including C. difficile, MRSA,
scabies, and vancomycin-resistant enterococci. Option A is incorrect because
these diseases require airborne precautions. Option C is incorrect because these
diseases require droplet precautions. Option D is incorrect because streptococcal
pharyngitis requires droplet precautions, and gonorrhea requires standard
precautions.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Transmission-Based Precautions
MSC: Safe and Effective Care Environment/Safety and Infection Control
Which diseases require droplet precautions?
A) Varicella, tuberculosis, and measles
B) C. difficile, MRSA, and scabies
C) Rubella, influenza, meningococcal pneumonia, and streptococcal pharyngitis
D) Gonorrhea and chlamydia
Correct Answer: C
Rationale
Droplet precautions are required for diseases transmitted via droplet nuclei larger
than 5 µm, including rubella, influenza, meningococcal pneumonia, and
streptococcal pharyngitis. Option A is incorrect because these diseases require
airborne precautions. Option B is incorrect because these diseases require contact
precautions. Option D is incorrect because gonorrhea and chlamydia require
standard precautions.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Transmission-Based Precautions
MSC: Safe and Effective Care Environment/Safety and Infection Control
2026-2027 170+ QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A.
A nurse manager is providing teaching to a group of newly licensed nurses about
the ways that clients acquire healthcare-associated infections (HAIs). Which of the
following routes of infection should the manager identify as an iatrogenic HAI?
A) Infection acquired from improper hand hygiene
B) Infection acquired by drug resistance
C) Infection acquired by inappropriate waste disposal
D) Infection acquired from a diagnostic procedure
Correct Answer: D
Rationale
Iatrogenic HAIs are infections that result directly from diagnostic or therapeutic
procedures performed on a client. Examples include infections following
catheterization, surgery, or other invasive procedures. Option A is incorrect
because improper hand hygiene leads to cross-contamination, which is not
specifically iatrogenic. Option B is incorrect because drug resistance is a
mechanism of infection persistence, not a route of acquisition. Option C is
incorrect because inappropriate waste disposal is an environmental safety issue,
not a direct result of a procedure.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Healthcare-Associated Infections
MSC: Safe and Effective Care Environment/Safety and Infection Control
A nurse is caring for a client who has Clostridium difficile infection and is in contact
isolation. Which of the following actions should the nurse take?
A) Wear gloves when changing the client's gown.
B) Use alcohol-based sanitizers to cleanse the hands.
,C) Wear a mask when assisting the client with his meal tray.
D) Place the client on complete bed rest.
Correct Answer: A
Rationale
The nurse should wear gloves when changing the client's gown to prevent
transmission of C. difficile spores. Option B is incorrect because alcohol-based
hand sanitizers are ineffective against C. difficile spores; hand washing with soap
and water is required. Option C is incorrect because a mask is required for droplet
precautions, not contact precautions. Option D is incorrect because complete bed
rest is not indicated; the client should be encouraged to move, cough, and deep
breathe every 2 hours to prevent complications of immobility.
DIF: Cognitive Level: Apply (Application)
TOP: Clostridium difficile Infection Control
MSC: Safe and Effective Care Environment/Safety and Infection Control
A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of
the following statements by the AP indicates that further teaching is required?
A) "I should not leave all 4 side rails up unless there is a prescription for
restraints."
B) "An alert client will be the safest if I raise the 2 upper side rails at the head of
the bed."
C) "If the client seems confused, I'll raise all 4 side rails so that he doesn't hurt
himself."
D) "If a client is sedated, I should raise all 4 side rails to prevent a fall out of bed."
Correct Answer: C
Rationale
Raising all 4 side rails for a confused client without a prescription is considered a
restraint and is not appropriate. This indicates a need for further teaching. Option
A is correct because all 4 side rails should not be raised unless there is a
prescription for restraints. Option B is correct because raising the 2 upper side
,rails is a safety measure. Option D is correct because raising all 4 side rails for a
sedated client may be appropriate with a prescription.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Restraint Use and Safety
MSC: Safe and Effective Care Environment/Safety and Infection Control
Which diseases require airborne precautions?
A) Varicella, tuberculosis, and measles
B) C. difficile, MRSA, and scabies
C) Rubella, influenza, and meningococcal pneumonia
D) Streptococcal pharyngitis and gonorrhea
Correct Answer: A
Rationale
Airborne precautions are required for diseases transmitted via droplet nuclei
smaller than 5 µm, including varicella (chickenpox), tuberculosis, and measles.
Option B is incorrect because C. difficile, MRSA, and scabies require contact
precautions. Option C is incorrect because rubella, influenza, and meningococcal
pneumonia require droplet precautions. Option D is incorrect because
streptococcal pharyngitis requires droplet precautions, and gonorrhea requires
standard precautions.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Transmission-Based Precautions
MSC: Safe and Effective Care Environment/Safety and Infection Control
Which diseases require contact precautions?
A) Varicella, tuberculosis, and measles
B) C. difficile, MRSA, scabies, and vancomycin-resistant enterococci
C) Rubella, influenza, and meningococcal pneumonia
D) Streptococcal pharyngitis and gonorrhea
Correct Answer: B
, Rationale
Contact precautions are required for infections transmitted via direct or indirect
contact with contaminated surfaces or body fluids, including C. difficile, MRSA,
scabies, and vancomycin-resistant enterococci. Option A is incorrect because
these diseases require airborne precautions. Option C is incorrect because these
diseases require droplet precautions. Option D is incorrect because streptococcal
pharyngitis requires droplet precautions, and gonorrhea requires standard
precautions.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Transmission-Based Precautions
MSC: Safe and Effective Care Environment/Safety and Infection Control
Which diseases require droplet precautions?
A) Varicella, tuberculosis, and measles
B) C. difficile, MRSA, and scabies
C) Rubella, influenza, meningococcal pneumonia, and streptococcal pharyngitis
D) Gonorrhea and chlamydia
Correct Answer: C
Rationale
Droplet precautions are required for diseases transmitted via droplet nuclei larger
than 5 µm, including rubella, influenza, meningococcal pneumonia, and
streptococcal pharyngitis. Option A is incorrect because these diseases require
airborne precautions. Option B is incorrect because these diseases require contact
precautions. Option D is incorrect because gonorrhea and chlamydia require
standard precautions.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Transmission-Based Precautions
MSC: Safe and Effective Care Environment/Safety and Infection Control
