1
ATI RN Fundamentals Proctored 2026: 90 Practice
Questions with Answers and Rationales
SECTION A: SAFETY & INFECTION CONTROL (Questions 1-15)
Question 1
A nurse is caring for a client who has Shigella. Which type of precautions should the nurse
implement?
A. Airborne precautions
B. Droplet precautions
C. Neutropenic precautions
D. Contact precautions
Answer: D. Contact precautions
Rationale: Shigella is transmitted via the fecal-oral route, requiring contact precautions including
gloves and gown. Contact precautions are used for organisms that spread through direct or indirect
contact with the client or the client's environment .
Question 2
A nurse is preparing to apply wrist restraints to a client. Which action demonstrates correct
technique?
A. Apply restraints tightly so the client cannot move
B. Tie the restraints to the side rails
C. Ensure two fingers can fit under the restraints and pad bony areas
D. Document restraint use every 2 days
Answer: C. Ensure two fingers can fit under the restraints and pad bony areas
Rationale: Proper restraint application requires padding bony prominences and confirming you can
slip two fingers beneath the cuff. Restraints should never be tied to movable bed parts.
Documentation should be done more frequently than every 2 days, and restraints must be assessed
regularly .
Question 3
A nurse is teaching a client with chronic respiratory insufficiency about home oxygen safety. Which
instruction should the nurse provide?
A. "Keep the oxygen concentrator at least 2 feet away from any open flames."
B. "You should place the concentrator on its side if it overheats."
C. "Check the concentrator's cord regularly for any fraying or damage."
D. "Synthetic blankets are the best choice to reduce static."
, 2
Answer: C. "Check the concentrator's cord regularly for any fraying or damage."
Rationale: A home oxygen concentrator is powered by electricity, and it is crucial to ensure the cord
is intact to avoid fire and shock risks. Oxygen should be kept at least 10 feet from open flames, wool
should be avoided (creates static electricity), and a "No Smoking" sign should be placed .
Question 4
A nurse is teaching a client about home safety. Which statements indicate understanding? (Select all
that apply)
A. "I will use the bars when getting in and out of the bathtub."
B. "I need to check my medications for expiration dates."
C. "I need to have a fire escape plan with my family."
D. "I will apply tape over frayed areas of electrical cords."
E. "I need to set my hot water heater to 140 degrees Fahrenheit."
Answer: A, B, C
Rationale: Using grab bars, checking medication expiration dates, and having a fire escape plan are
all appropriate home safety measures. Frayed electrical cords should be replaced, not taped. Hot
water heaters should be set to a safe temperature (typically 120°F) to prevent burns .
Question 5
A nurse is caring for an immunocompromised client. Which action should the nurse take?
A. Use sterile gloves to provide perineal care
B. Cleanse hands with an alcohol-based hand rub before client contact
C. Have the client apply a mask when children are visiting
D. Place the client in a semi-private room
Answer: B. Cleanse hands with an alcohol-based hand rub before client contact
Rationale: Hand hygiene with alcohol-based hand rub before client contact is the most important
infection control measure. Clean gloves are sufficient for perineal care, not sterile gloves.
Immunocompromised clients should be in a private room, and visitors with infections should be
restricted .
Question 6
A nurse is caring for a client with a low platelet count due to chemotherapy. What is the priority
instruction for measuring vital signs?
A. "Don't measure the client's temperature rectally."
B. "Count the client's radial pulse for 30 seconds and multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 minutes before you measure her BP."
Answer: A. "Don't measure the client's temperature rectally."
, 3
Rationale: The greatest risk to a client with a low platelet count is injury that results in bleeding.
Obtaining a rectal temperature increases the risk for bleeding due to potential trauma. Other vital
sign measurements can be performed with standard precautions .
Question 7
A nurse finds a postoperative client has developed new-onset dyspnea. What is the nurse's priority
action?
A. Auscultate breath sounds
B. Place the client in high-Fowler's position
C. Notify the provider
D. Assess oxygen saturation
Answer: B. Place the client in high-Fowler's position
Rationale: The priority action is to position the client to facilitate breathing. High-Fowler's position
maximizes lung expansion and improves oxygenation. After positioning, the nurse should assess
oxygen saturation and breath sounds, then notify the provider as needed.
Question 8
A nurse is preparing to transfer a partially weight-bearing client from the bed to a chair. Which
action should the nurse take?
A. Keep knees straight when moving the client
B. Position the chair at a 90-degree angle next to the bed
C. Stand with feet together while lifting the client
D. Have the client bear weight on the stronger leg
Answer: D. Have the client bear weight on the stronger leg
Rationale: The client should bear weight on the stronger leg to maintain stability during transfer.
The nurse should stand with feet shoulder-width apart, bend at the knees, and position the chair at a
45-degree angle to the bed. Keeping knees straight and feet together compromises the nurse's
stability and increases injury risk .
Question 9
A nurse is lifting a heavy bedside cabinet. Which action demonstrates proper body mechanics?
A. Bend at the waist and keep the knees straight
B. Stand close to the object and use arm power only
C. Stand close to the cabinet and lift using leg muscles
D. Keep the cabinet at arm's length for better leverage
Answer: C. Stand close to the cabinet and lift using leg muscles
ATI RN Fundamentals Proctored 2026: 90 Practice
Questions with Answers and Rationales
SECTION A: SAFETY & INFECTION CONTROL (Questions 1-15)
Question 1
A nurse is caring for a client who has Shigella. Which type of precautions should the nurse
implement?
A. Airborne precautions
B. Droplet precautions
C. Neutropenic precautions
D. Contact precautions
Answer: D. Contact precautions
Rationale: Shigella is transmitted via the fecal-oral route, requiring contact precautions including
gloves and gown. Contact precautions are used for organisms that spread through direct or indirect
contact with the client or the client's environment .
Question 2
A nurse is preparing to apply wrist restraints to a client. Which action demonstrates correct
technique?
A. Apply restraints tightly so the client cannot move
B. Tie the restraints to the side rails
C. Ensure two fingers can fit under the restraints and pad bony areas
D. Document restraint use every 2 days
Answer: C. Ensure two fingers can fit under the restraints and pad bony areas
Rationale: Proper restraint application requires padding bony prominences and confirming you can
slip two fingers beneath the cuff. Restraints should never be tied to movable bed parts.
Documentation should be done more frequently than every 2 days, and restraints must be assessed
regularly .
Question 3
A nurse is teaching a client with chronic respiratory insufficiency about home oxygen safety. Which
instruction should the nurse provide?
A. "Keep the oxygen concentrator at least 2 feet away from any open flames."
B. "You should place the concentrator on its side if it overheats."
C. "Check the concentrator's cord regularly for any fraying or damage."
D. "Synthetic blankets are the best choice to reduce static."
, 2
Answer: C. "Check the concentrator's cord regularly for any fraying or damage."
Rationale: A home oxygen concentrator is powered by electricity, and it is crucial to ensure the cord
is intact to avoid fire and shock risks. Oxygen should be kept at least 10 feet from open flames, wool
should be avoided (creates static electricity), and a "No Smoking" sign should be placed .
Question 4
A nurse is teaching a client about home safety. Which statements indicate understanding? (Select all
that apply)
A. "I will use the bars when getting in and out of the bathtub."
B. "I need to check my medications for expiration dates."
C. "I need to have a fire escape plan with my family."
D. "I will apply tape over frayed areas of electrical cords."
E. "I need to set my hot water heater to 140 degrees Fahrenheit."
Answer: A, B, C
Rationale: Using grab bars, checking medication expiration dates, and having a fire escape plan are
all appropriate home safety measures. Frayed electrical cords should be replaced, not taped. Hot
water heaters should be set to a safe temperature (typically 120°F) to prevent burns .
Question 5
A nurse is caring for an immunocompromised client. Which action should the nurse take?
A. Use sterile gloves to provide perineal care
B. Cleanse hands with an alcohol-based hand rub before client contact
C. Have the client apply a mask when children are visiting
D. Place the client in a semi-private room
Answer: B. Cleanse hands with an alcohol-based hand rub before client contact
Rationale: Hand hygiene with alcohol-based hand rub before client contact is the most important
infection control measure. Clean gloves are sufficient for perineal care, not sterile gloves.
Immunocompromised clients should be in a private room, and visitors with infections should be
restricted .
Question 6
A nurse is caring for a client with a low platelet count due to chemotherapy. What is the priority
instruction for measuring vital signs?
A. "Don't measure the client's temperature rectally."
B. "Count the client's radial pulse for 30 seconds and multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 minutes before you measure her BP."
Answer: A. "Don't measure the client's temperature rectally."
, 3
Rationale: The greatest risk to a client with a low platelet count is injury that results in bleeding.
Obtaining a rectal temperature increases the risk for bleeding due to potential trauma. Other vital
sign measurements can be performed with standard precautions .
Question 7
A nurse finds a postoperative client has developed new-onset dyspnea. What is the nurse's priority
action?
A. Auscultate breath sounds
B. Place the client in high-Fowler's position
C. Notify the provider
D. Assess oxygen saturation
Answer: B. Place the client in high-Fowler's position
Rationale: The priority action is to position the client to facilitate breathing. High-Fowler's position
maximizes lung expansion and improves oxygenation. After positioning, the nurse should assess
oxygen saturation and breath sounds, then notify the provider as needed.
Question 8
A nurse is preparing to transfer a partially weight-bearing client from the bed to a chair. Which
action should the nurse take?
A. Keep knees straight when moving the client
B. Position the chair at a 90-degree angle next to the bed
C. Stand with feet together while lifting the client
D. Have the client bear weight on the stronger leg
Answer: D. Have the client bear weight on the stronger leg
Rationale: The client should bear weight on the stronger leg to maintain stability during transfer.
The nurse should stand with feet shoulder-width apart, bend at the knees, and position the chair at a
45-degree angle to the bed. Keeping knees straight and feet together compromises the nurse's
stability and increases injury risk .
Question 9
A nurse is lifting a heavy bedside cabinet. Which action demonstrates proper body mechanics?
A. Bend at the waist and keep the knees straight
B. Stand close to the object and use arm power only
C. Stand close to the cabinet and lift using leg muscles
D. Keep the cabinet at arm's length for better leverage
Answer: C. Stand close to the cabinet and lift using leg muscles
