ATI CAPSTONE PRACTICE BANK — FUNDAMENTALS
65 Questions with Answer.s & Rationales
Infection Control & Safety
1. A nurse is caring for a client with Clostridioides difficile. Which action is appropriate?
A. Use alcohol-based hand sanitizer after care
B. Use soap and water for hand hygiene
C. Place the client in a positive-pressure room
D. Wear an N95 respirator for routine care
Answer.: B
Rationale: C. difficile spores are not reliably removed by alcohol-based hand sanitizer. Soap-and-
water hand hygiene is required after caring for an infected client.
2. Which condition requires airborne precautions?
A. Influenza
B. Tuberculosis
C. MRSA wound infection
D. C. difficile infection
Answer.: B
,Rationale: Active pulmonary tuberculosis requires airborne precautions, including an
appropriate respirator and airborne infection isolation room.
3. Which PPE should the nurse apply first when preparing to enter a room requiring full PPE?
A. Gloves
B. Goggles
C. Gown
D. Mask/respirator
Answer.: C
Rationale: A common donning sequence is gown, mask/respirator, eye protection, then gloves.
4. Which action contaminates a sterile field?
A. Keeping sterile objects above waist level
B. Reaching across the sterile field
C. Opening the sterile package away from the body
D. Maintaining the sterile field within view
Answer.: B
Rationale: Reaching across a sterile field risks contamination.
5. A sterile field becomes wet. What should the nurse do?
,A. Continue using it
B. Cover it with a sterile towel
C. Consider it contaminated and replace it
D. Dry it with sterile gauze
Answer.: C
Rationale: Moisture can allow microorganisms to travel through the barrier by strike-through
contamination.
Medication Administration
6. Which action is most important before administering a medication?
A. Ask another client whether they take the medication
B. Verify the medication order and client identifiers
C. Document administration before giving it
D. Ask the client's roommate to confirm the medication
Answer.: B
Rationale: Medication administration requires verification of the prescription and correct client
identification before administration.
7. Which identifier is appropriate when identifying a client before medication administration?
, A. Room number
B. Diagnosis
C. Name and date of birth
D. Bed location
Answer.: C
Rationale: Room numbers and locations are not reliable identifiers. Use approved identifiers
such as name and date of birth.
8. The nurse discovers that a medication dose is significantly higher than expected. What should
the nurse do first?
A. Administer it because it was prescribed
B. Hold the medication and clarify the prescription
C. Reduce the dose independently
D. Ask the client whether they want it
Answer.: B
Rationale: A potentially unsafe medication order must be clarified before administration.
Vital Signs
9. Which finding requires immediate follow-up?
65 Questions with Answer.s & Rationales
Infection Control & Safety
1. A nurse is caring for a client with Clostridioides difficile. Which action is appropriate?
A. Use alcohol-based hand sanitizer after care
B. Use soap and water for hand hygiene
C. Place the client in a positive-pressure room
D. Wear an N95 respirator for routine care
Answer.: B
Rationale: C. difficile spores are not reliably removed by alcohol-based hand sanitizer. Soap-and-
water hand hygiene is required after caring for an infected client.
2. Which condition requires airborne precautions?
A. Influenza
B. Tuberculosis
C. MRSA wound infection
D. C. difficile infection
Answer.: B
,Rationale: Active pulmonary tuberculosis requires airborne precautions, including an
appropriate respirator and airborne infection isolation room.
3. Which PPE should the nurse apply first when preparing to enter a room requiring full PPE?
A. Gloves
B. Goggles
C. Gown
D. Mask/respirator
Answer.: C
Rationale: A common donning sequence is gown, mask/respirator, eye protection, then gloves.
4. Which action contaminates a sterile field?
A. Keeping sterile objects above waist level
B. Reaching across the sterile field
C. Opening the sterile package away from the body
D. Maintaining the sterile field within view
Answer.: B
Rationale: Reaching across a sterile field risks contamination.
5. A sterile field becomes wet. What should the nurse do?
,A. Continue using it
B. Cover it with a sterile towel
C. Consider it contaminated and replace it
D. Dry it with sterile gauze
Answer.: C
Rationale: Moisture can allow microorganisms to travel through the barrier by strike-through
contamination.
Medication Administration
6. Which action is most important before administering a medication?
A. Ask another client whether they take the medication
B. Verify the medication order and client identifiers
C. Document administration before giving it
D. Ask the client's roommate to confirm the medication
Answer.: B
Rationale: Medication administration requires verification of the prescription and correct client
identification before administration.
7. Which identifier is appropriate when identifying a client before medication administration?
, A. Room number
B. Diagnosis
C. Name and date of birth
D. Bed location
Answer.: C
Rationale: Room numbers and locations are not reliable identifiers. Use approved identifiers
such as name and date of birth.
8. The nurse discovers that a medication dose is significantly higher than expected. What should
the nurse do first?
A. Administer it because it was prescribed
B. Hold the medication and clarify the prescription
C. Reduce the dose independently
D. Ask the client whether they want it
Answer.: B
Rationale: A potentially unsafe medication order must be clarified before administration.
Vital Signs
9. Which finding requires immediate follow-up?
