EXAMSX | ATI FUNDAMENTALS 2.0 PROCTORED | 200Q | 2026/2027 EDITION
Cover
ATI FUND
2.0 PROCTORED
200Q A+
ATI FUNDAMENTALS 2.0 PROCTORED EXAMINATION
ATI TESTING | 200 VERIFIED Q&A | ACADEMIC YEAR 2026/2027
ATI FUNDAMENTALS 2.0 PROCTORED | COMPREHENSIVE WITH RATIONALES
EXAMSX PROFESSIONAL EDITION | GUARANTEED SUCCESS | A+
Verified Real Exam Content | 2026/2027 Edition | Detailed Rationales
Examsx | ATI Fundamentals 2.0 | 200Q | 2026/2027 | Guaranteed A+
,ATI FUNDAMENTALS 2.0 PROCTORED EXAMINATION ATI TESTING | 200 VERIFIED Q&A; | ACADEMIC YEAR 2026/2027 ATI FUNDAMENTALS 2.0 PROCTORED Academic
Year 2026/2027 Comprehensive Examination Verified Questions and Correct Answer Rationales covering all key concepts detailed rationales guaranteed A+ success Examsx
Professional Edition.
Examsx | ATI Fundamentals 2.0 | 200Q | 2026/2027 | Guaranteed A+ | Page 2
,Q1: The nurse is caring for a client who requires airborne precautions for tuberculosis. Which action demonstrates correct understanding of
PPE?
A. N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: A - N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
RATIONALE: Wearing N95 respirator with fit check in negative pressure room is required for airborne TB, measles, varicella. Surgical mask is for droplet. Don before entry,
doff after exit, hand hygiene prevents transmission. Reusing without check is unsafe.
Q2: A client has a new order for indwelling urinary catheter insertion. The nurse identifies which factor as the highest risk for CAUTI?
A. Incorrect option: Maintaining closed drainage system and a... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: B - Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
RATIONALE: Maintaining sterile closed drainage system is key to prevent CAUTI. Breaking closed system, dependent loops, bag on floor cause backflow and infection. Daily
hygiene with soap water, not antiseptic, is recommended. Keep bag below bladder but off floor, no kinks.
Q3: The nurse assesses a Stage 2 pressure injury. Which description is accurate?
A. Incorrect option: Partial-thickness loss with exposed derm... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister, no slough or fat visible
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: C - Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister,
no slough or fat visible
RATIONALE: Stage 2 is partial-thickness loss of skin with exposed dermis, wound bed pink-red moist, may be blister. No fat, muscle, bone, slough. Stage 1 non-blanchable
erythema intact skin. Stage 3 full thickness fat visible. Stage 4 muscle bone visible. Unstageable slough/eschar obscures depth.
Q4: A nurse is calculating intake and output for a client receiving IV fluids. Which measurement is accurate?
A. Incorrect option: IV infusion 100 mL/hr for 8 hours = 800 ... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
CORRECT ANSWER: D - IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
RATIONALE: Intake includes all oral fluids, IV fluids, tube feedings, ice chips counted as half volume, foods that become liquid at room temp like soup, gelatin, ice cream.
Output includes urine, emesis, diarrhea, wound drainage, NG suction. 800 mL IV + 240 mL soup + 120 mL juice = 1160 mL intake. Emesis is output.
Q5: The nurse is caring for a client who requires airborne precautions for tuberculosis. Which action demonstrates correct understanding of
PPE?
A. N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: A - N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
RATIONALE: Wearing N95 respirator with fit check in negative pressure room is required for airborne TB, measles, varicella. Surgical mask is for droplet. Don before entry,
doff after exit, hand hygiene prevents transmission. Reusing without check is unsafe.
Q6: A client has a new order for indwelling urinary catheter insertion. The nurse identifies which factor as the highest risk for CAUTI?
A. Incorrect option: Maintaining closed drainage system and a... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: B - Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
RATIONALE: Maintaining sterile closed drainage system is key to prevent CAUTI. Breaking closed system, dependent loops, bag on floor cause backflow and infection. Daily
hygiene with soap water, not antiseptic, is recommended. Keep bag below bladder but off floor, no kinks.
Q7: The nurse assesses a Stage 2 pressure injury. Which description is accurate?
A. Incorrect option: Partial-thickness loss with exposed derm... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister, no slough or fat visible
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: C - Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister,
no slough or fat visible
RATIONALE: Stage 2 is partial-thickness loss of skin with exposed dermis, wound bed pink-red moist, may be blister. No fat, muscle, bone, slough. Stage 1 non-blanchable
erythema intact skin. Stage 3 full thickness fat visible. Stage 4 muscle bone visible. Unstageable slough/eschar obscures depth.
Q8: A nurse is calculating intake and output for a client receiving IV fluids. Which measurement is accurate?
A. Incorrect option: IV infusion 100 mL/hr for 8 hours = 800 ... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
Examsx | ATI Fundamentals 2.0 | 200Q | 2026/2027 | Guaranteed A+ | Page 3
, D. IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
CORRECT ANSWER: D - IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
RATIONALE: Intake includes all oral fluids, IV fluids, tube feedings, ice chips counted as half volume, foods that become liquid at room temp like soup, gelatin, ice cream.
Output includes urine, emesis, diarrhea, wound drainage, NG suction. 800 mL IV + 240 mL soup + 120 mL juice = 1160 mL intake. Emesis is output.
Q9: The nurse is caring for a client who requires airborne precautions for tuberculosis. Which action demonstrates correct understanding of
PPE?
A. N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: A - N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
RATIONALE: Wearing N95 respirator with fit check in negative pressure room is required for airborne TB, measles, varicella. Surgical mask is for droplet. Don before entry,
doff after exit, hand hygiene prevents transmission. Reusing without check is unsafe.
Q10: A client has a new order for indwelling urinary catheter insertion. The nurse identifies which factor as the highest risk for CAUTI?
A. Incorrect option: Maintaining closed drainage system and a... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: B - Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
RATIONALE: Maintaining sterile closed drainage system is key to prevent CAUTI. Breaking closed system, dependent loops, bag on floor cause backflow and infection. Daily
hygiene with soap water, not antiseptic, is recommended. Keep bag below bladder but off floor, no kinks.
Q11: The nurse assesses a Stage 2 pressure injury. Which description is accurate?
A. Incorrect option: Partial-thickness loss with exposed derm... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister, no slough or fat visible
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: C - Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister,
no slough or fat visible
RATIONALE: Stage 2 is partial-thickness loss of skin with exposed dermis, wound bed pink-red moist, may be blister. No fat, muscle, bone, slough. Stage 1 non-blanchable
erythema intact skin. Stage 3 full thickness fat visible. Stage 4 muscle bone visible. Unstageable slough/eschar obscures depth.
Q12: A nurse is calculating intake and output for a client receiving IV fluids. Which measurement is accurate?
A. Incorrect option: IV infusion 100 mL/hr for 8 hours = 800 ... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
CORRECT ANSWER: D - IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
RATIONALE: Intake includes all oral fluids, IV fluids, tube feedings, ice chips counted as half volume, foods that become liquid at room temp like soup, gelatin, ice cream.
Output includes urine, emesis, diarrhea, wound drainage, NG suction. 800 mL IV + 240 mL soup + 120 mL juice = 1160 mL intake. Emesis is output.
Q13: The nurse is caring for a client who requires airborne precautions for tuberculosis. Which action demonstrates correct understanding
of PPE?
A. N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: A - N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
RATIONALE: Wearing N95 respirator with fit check in negative pressure room is required for airborne TB, measles, varicella. Surgical mask is for droplet. Don before entry,
doff after exit, hand hygiene prevents transmission. Reusing without check is unsafe.
Q14: A client has a new order for indwelling urinary catheter insertion. The nurse identifies which factor as the highest risk for CAUTI?
A. Incorrect option: Maintaining closed drainage system and a... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: B - Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
RATIONALE: Maintaining sterile closed drainage system is key to prevent CAUTI. Breaking closed system, dependent loops, bag on floor cause backflow and infection. Daily
hygiene with soap water, not antiseptic, is recommended. Keep bag below bladder but off floor, no kinks.
Q15: The nurse assesses a Stage 2 pressure injury. Which description is accurate?
A. Incorrect option: Partial-thickness loss with exposed derm... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister, no slough or fat visible
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: C - Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister,
no slough or fat visible
RATIONALE: Stage 2 is partial-thickness loss of skin with exposed dermis, wound bed pink-red moist, may be blister. No fat, muscle, bone, slough. Stage 1 non-blanchable
erythema intact skin. Stage 3 full thickness fat visible. Stage 4 muscle bone visible. Unstageable slough/eschar obscures depth.
Examsx | ATI Fundamentals 2.0 | 200Q | 2026/2027 | Guaranteed A+ | Page 4
Cover
ATI FUND
2.0 PROCTORED
200Q A+
ATI FUNDAMENTALS 2.0 PROCTORED EXAMINATION
ATI TESTING | 200 VERIFIED Q&A | ACADEMIC YEAR 2026/2027
ATI FUNDAMENTALS 2.0 PROCTORED | COMPREHENSIVE WITH RATIONALES
EXAMSX PROFESSIONAL EDITION | GUARANTEED SUCCESS | A+
Verified Real Exam Content | 2026/2027 Edition | Detailed Rationales
Examsx | ATI Fundamentals 2.0 | 200Q | 2026/2027 | Guaranteed A+
,ATI FUNDAMENTALS 2.0 PROCTORED EXAMINATION ATI TESTING | 200 VERIFIED Q&A; | ACADEMIC YEAR 2026/2027 ATI FUNDAMENTALS 2.0 PROCTORED Academic
Year 2026/2027 Comprehensive Examination Verified Questions and Correct Answer Rationales covering all key concepts detailed rationales guaranteed A+ success Examsx
Professional Edition.
Examsx | ATI Fundamentals 2.0 | 200Q | 2026/2027 | Guaranteed A+ | Page 2
,Q1: The nurse is caring for a client who requires airborne precautions for tuberculosis. Which action demonstrates correct understanding of
PPE?
A. N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: A - N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
RATIONALE: Wearing N95 respirator with fit check in negative pressure room is required for airborne TB, measles, varicella. Surgical mask is for droplet. Don before entry,
doff after exit, hand hygiene prevents transmission. Reusing without check is unsafe.
Q2: A client has a new order for indwelling urinary catheter insertion. The nurse identifies which factor as the highest risk for CAUTI?
A. Incorrect option: Maintaining closed drainage system and a... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: B - Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
RATIONALE: Maintaining sterile closed drainage system is key to prevent CAUTI. Breaking closed system, dependent loops, bag on floor cause backflow and infection. Daily
hygiene with soap water, not antiseptic, is recommended. Keep bag below bladder but off floor, no kinks.
Q3: The nurse assesses a Stage 2 pressure injury. Which description is accurate?
A. Incorrect option: Partial-thickness loss with exposed derm... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister, no slough or fat visible
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: C - Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister,
no slough or fat visible
RATIONALE: Stage 2 is partial-thickness loss of skin with exposed dermis, wound bed pink-red moist, may be blister. No fat, muscle, bone, slough. Stage 1 non-blanchable
erythema intact skin. Stage 3 full thickness fat visible. Stage 4 muscle bone visible. Unstageable slough/eschar obscures depth.
Q4: A nurse is calculating intake and output for a client receiving IV fluids. Which measurement is accurate?
A. Incorrect option: IV infusion 100 mL/hr for 8 hours = 800 ... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
CORRECT ANSWER: D - IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
RATIONALE: Intake includes all oral fluids, IV fluids, tube feedings, ice chips counted as half volume, foods that become liquid at room temp like soup, gelatin, ice cream.
Output includes urine, emesis, diarrhea, wound drainage, NG suction. 800 mL IV + 240 mL soup + 120 mL juice = 1160 mL intake. Emesis is output.
Q5: The nurse is caring for a client who requires airborne precautions for tuberculosis. Which action demonstrates correct understanding of
PPE?
A. N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: A - N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
RATIONALE: Wearing N95 respirator with fit check in negative pressure room is required for airborne TB, measles, varicella. Surgical mask is for droplet. Don before entry,
doff after exit, hand hygiene prevents transmission. Reusing without check is unsafe.
Q6: A client has a new order for indwelling urinary catheter insertion. The nurse identifies which factor as the highest risk for CAUTI?
A. Incorrect option: Maintaining closed drainage system and a... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: B - Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
RATIONALE: Maintaining sterile closed drainage system is key to prevent CAUTI. Breaking closed system, dependent loops, bag on floor cause backflow and infection. Daily
hygiene with soap water, not antiseptic, is recommended. Keep bag below bladder but off floor, no kinks.
Q7: The nurse assesses a Stage 2 pressure injury. Which description is accurate?
A. Incorrect option: Partial-thickness loss with exposed derm... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister, no slough or fat visible
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: C - Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister,
no slough or fat visible
RATIONALE: Stage 2 is partial-thickness loss of skin with exposed dermis, wound bed pink-red moist, may be blister. No fat, muscle, bone, slough. Stage 1 non-blanchable
erythema intact skin. Stage 3 full thickness fat visible. Stage 4 muscle bone visible. Unstageable slough/eschar obscures depth.
Q8: A nurse is calculating intake and output for a client receiving IV fluids. Which measurement is accurate?
A. Incorrect option: IV infusion 100 mL/hr for 8 hours = 800 ... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
Examsx | ATI Fundamentals 2.0 | 200Q | 2026/2027 | Guaranteed A+ | Page 3
, D. IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
CORRECT ANSWER: D - IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
RATIONALE: Intake includes all oral fluids, IV fluids, tube feedings, ice chips counted as half volume, foods that become liquid at room temp like soup, gelatin, ice cream.
Output includes urine, emesis, diarrhea, wound drainage, NG suction. 800 mL IV + 240 mL soup + 120 mL juice = 1160 mL intake. Emesis is output.
Q9: The nurse is caring for a client who requires airborne precautions for tuberculosis. Which action demonstrates correct understanding of
PPE?
A. N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: A - N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
RATIONALE: Wearing N95 respirator with fit check in negative pressure room is required for airborne TB, measles, varicella. Surgical mask is for droplet. Don before entry,
doff after exit, hand hygiene prevents transmission. Reusing without check is unsafe.
Q10: A client has a new order for indwelling urinary catheter insertion. The nurse identifies which factor as the highest risk for CAUTI?
A. Incorrect option: Maintaining closed drainage system and a... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: B - Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
RATIONALE: Maintaining sterile closed drainage system is key to prevent CAUTI. Breaking closed system, dependent loops, bag on floor cause backflow and infection. Daily
hygiene with soap water, not antiseptic, is recommended. Keep bag below bladder but off floor, no kinks.
Q11: The nurse assesses a Stage 2 pressure injury. Which description is accurate?
A. Incorrect option: Partial-thickness loss with exposed derm... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister, no slough or fat visible
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: C - Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister,
no slough or fat visible
RATIONALE: Stage 2 is partial-thickness loss of skin with exposed dermis, wound bed pink-red moist, may be blister. No fat, muscle, bone, slough. Stage 1 non-blanchable
erythema intact skin. Stage 3 full thickness fat visible. Stage 4 muscle bone visible. Unstageable slough/eschar obscures depth.
Q12: A nurse is calculating intake and output for a client receiving IV fluids. Which measurement is accurate?
A. Incorrect option: IV infusion 100 mL/hr for 8 hours = 800 ... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
CORRECT ANSWER: D - IV infusion 100 mL/hr for 8 hours = 800 mL intake, plus 240 mL soup, 120 mL juice = 1160 mL total intake
RATIONALE: Intake includes all oral fluids, IV fluids, tube feedings, ice chips counted as half volume, foods that become liquid at room temp like soup, gelatin, ice cream.
Output includes urine, emesis, diarrhea, wound drainage, NG suction. 800 mL IV + 240 mL soup + 120 mL juice = 1160 mL intake. Emesis is output.
Q13: The nurse is caring for a client who requires airborne precautions for tuberculosis. Which action demonstrates correct understanding
of PPE?
A. N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: A - N95 respirator fitted, negative pressure room, donning before entry and doffing after exit hand hygiene
RATIONALE: Wearing N95 respirator with fit check in negative pressure room is required for airborne TB, measles, varicella. Surgical mask is for droplet. Don before entry,
doff after exit, hand hygiene prevents transmission. Reusing without check is unsafe.
Q14: A client has a new order for indwelling urinary catheter insertion. The nurse identifies which factor as the highest risk for CAUTI?
A. Incorrect option: Maintaining closed drainage system and a... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
C. Incorrect option: Wrong ADPIE order or ABCs prioritization or 10 rights of medication administration.
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: B - Maintaining closed drainage system and aseptic technique is critical; breaking closed system increases CAUTI risk
RATIONALE: Maintaining sterile closed drainage system is key to prevent CAUTI. Breaking closed system, dependent loops, bag on floor cause backflow and infection. Daily
hygiene with soap water, not antiseptic, is recommended. Keep bag below bladder but off floor, no kinks.
Q15: The nurse assesses a Stage 2 pressure injury. Which description is accurate?
A. Incorrect option: Partial-thickness loss with exposed derm... This distractor confuses standard vs airborne precautions or I&O; counting or pressure staging.
B. Incorrect option: Misinterprets CAUTI prevention or Stage 2 vs Stage 3 or therapeutic communication false reassurance.
C. Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister, no slough or fat visible
D. Incorrect option: Incorrect delegation RN vs LPN vs UAP scope or dosage desired/have calculation.
CORRECT ANSWER: C - Partial-thickness loss with exposed dermis, pink-red moist bed, may present as intact or ruptured serum-filled blister,
no slough or fat visible
RATIONALE: Stage 2 is partial-thickness loss of skin with exposed dermis, wound bed pink-red moist, may be blister. No fat, muscle, bone, slough. Stage 1 non-blanchable
erythema intact skin. Stage 3 full thickness fat visible. Stage 4 muscle bone visible. Unstageable slough/eschar obscures depth.
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