ATI Fundamentals Mastery Test Bank
Review 2026/2027: Essential Concepts
& Practice Exams
1. A nurse is preparing to administer medication to a client. Which
action is most appropriate for identifying the client?
A. Ask the client to state their room number
B. Verify the client's diagnosis
C. Use two approved client identifiers
D. Ask another nurse to identify the client
Answer: C. Use two approved client identifiers
Rationale: Using two approved identifiers, such as name and date of
birth, helps prevent wrong-patient errors.
2. Which intervention is most appropriate for a client who is at high
risk for falls?
A. Keep all four side rails raised
B. Place the bed in the lowest position
C. Encourage the client to ambulate independently
D. Keep the room dark at night
**Answer: B. Place the bed in the lowest position
Rationale: A low bed reduces the distance a client could fall. Four
raised side rails can constitute a restraint.
3. A nurse is caring for a client on contact precautions. Which
personal protective equipment should the nurse wear?
,A. Gloves and gown
B. N95 respirator only
C. Surgical mask only
D. Sterile gloves only
**Answer: A. Gloves and gown
Rationale: Contact precautions generally require gloves and a gown
when entering the client's room or anticipating contact with the
client or contaminated surfaces.
4. Which condition requires airborne precautions?
A. Clostridioides difficile infection
B. Influenza
C. Pulmonary tuberculosis
D. Methicillin-resistant Staphylococcus aureus
**Answer: C. Pulmonary tuberculosis
Rationale: Suspected or confirmed pulmonary tuberculosis requires
airborne precautions and an appropriate respirator.
5. Which action by a nurse breaks sterile technique?
A. Keeping sterile supplies above waist level
B. Opening a sterile package away from the body
C. Reaching over a sterile field
D. Keeping the sterile field within view
**Answer: C. Reaching over a sterile field
Rationale: Reaching over a sterile field risks contamination because
microorganisms can fall from the nurse's clothing or arms.
,6. Which client should the nurse assess first?
A. Client requesting assistance with bathing
B. Client reporting new-onset shortness of breath
C. Client requesting a meal tray
D. Client reporting mild chronic back pain
**Answer: B. Client reporting new-onset shortness of breath
Rationale: Airway and breathing problems take priority under the
ABC framework.
7. Which action is appropriate when removing contaminated gloves?
A. Touch the outside of both gloves with bare hands
B. Remove the first glove by touching its contaminated exterior
C. Avoid touching the contaminated glove surface with bare skin
D. Wash the gloves before removing them
**Answer: C. Avoid touching the contaminated glove surface with
bare skin
Rationale: Gloves should be removed using a technique that prevents
contact between contaminated surfaces and bare hands.
8. A nurse experiences a needlestick injury. What should the nurse
do first?
A. Complete an incident report
B. Wash the area with soap and water
C. Notify the client's family
D. Continue working until the end of the shift
**Answer: B. Wash the area with soap and water
, Rationale: Immediate cleansing of the exposed area is the first step
after a needlestick injury, followed by prompt reporting and
evaluation.
9. Which intervention helps prevent pressure injuries?
A. Massage reddened bony prominences
B. Reposition immobile clients regularly
C. Keep the skin continuously moist
D. Place a donut-shaped device under the sacrum
**Answer: B. Reposition immobile clients regularly
Rationale: Regular repositioning decreases prolonged pressure and
helps preserve tissue perfusion.
10. Which client is most susceptible to infection?
A. Healthy young adult
B. Client receiving immunosuppressive therapy
C. Client with a healed surgical incision
D. Client with normal nutritional status
**Answer: B. Client receiving immunosuppressive therapy
Rationale: Immunosuppressive medications reduce immune defenses
and increase susceptibility to infection.
11. Which finding indicates that a client might have an infection?
A. Temperature of 38.5°C (101.3°F)
B. Heart rate of 68/min
C. Clear urine
D. Intact skin
Review 2026/2027: Essential Concepts
& Practice Exams
1. A nurse is preparing to administer medication to a client. Which
action is most appropriate for identifying the client?
A. Ask the client to state their room number
B. Verify the client's diagnosis
C. Use two approved client identifiers
D. Ask another nurse to identify the client
Answer: C. Use two approved client identifiers
Rationale: Using two approved identifiers, such as name and date of
birth, helps prevent wrong-patient errors.
2. Which intervention is most appropriate for a client who is at high
risk for falls?
A. Keep all four side rails raised
B. Place the bed in the lowest position
C. Encourage the client to ambulate independently
D. Keep the room dark at night
**Answer: B. Place the bed in the lowest position
Rationale: A low bed reduces the distance a client could fall. Four
raised side rails can constitute a restraint.
3. A nurse is caring for a client on contact precautions. Which
personal protective equipment should the nurse wear?
,A. Gloves and gown
B. N95 respirator only
C. Surgical mask only
D. Sterile gloves only
**Answer: A. Gloves and gown
Rationale: Contact precautions generally require gloves and a gown
when entering the client's room or anticipating contact with the
client or contaminated surfaces.
4. Which condition requires airborne precautions?
A. Clostridioides difficile infection
B. Influenza
C. Pulmonary tuberculosis
D. Methicillin-resistant Staphylococcus aureus
**Answer: C. Pulmonary tuberculosis
Rationale: Suspected or confirmed pulmonary tuberculosis requires
airborne precautions and an appropriate respirator.
5. Which action by a nurse breaks sterile technique?
A. Keeping sterile supplies above waist level
B. Opening a sterile package away from the body
C. Reaching over a sterile field
D. Keeping the sterile field within view
**Answer: C. Reaching over a sterile field
Rationale: Reaching over a sterile field risks contamination because
microorganisms can fall from the nurse's clothing or arms.
,6. Which client should the nurse assess first?
A. Client requesting assistance with bathing
B. Client reporting new-onset shortness of breath
C. Client requesting a meal tray
D. Client reporting mild chronic back pain
**Answer: B. Client reporting new-onset shortness of breath
Rationale: Airway and breathing problems take priority under the
ABC framework.
7. Which action is appropriate when removing contaminated gloves?
A. Touch the outside of both gloves with bare hands
B. Remove the first glove by touching its contaminated exterior
C. Avoid touching the contaminated glove surface with bare skin
D. Wash the gloves before removing them
**Answer: C. Avoid touching the contaminated glove surface with
bare skin
Rationale: Gloves should be removed using a technique that prevents
contact between contaminated surfaces and bare hands.
8. A nurse experiences a needlestick injury. What should the nurse
do first?
A. Complete an incident report
B. Wash the area with soap and water
C. Notify the client's family
D. Continue working until the end of the shift
**Answer: B. Wash the area with soap and water
, Rationale: Immediate cleansing of the exposed area is the first step
after a needlestick injury, followed by prompt reporting and
evaluation.
9. Which intervention helps prevent pressure injuries?
A. Massage reddened bony prominences
B. Reposition immobile clients regularly
C. Keep the skin continuously moist
D. Place a donut-shaped device under the sacrum
**Answer: B. Reposition immobile clients regularly
Rationale: Regular repositioning decreases prolonged pressure and
helps preserve tissue perfusion.
10. Which client is most susceptible to infection?
A. Healthy young adult
B. Client receiving immunosuppressive therapy
C. Client with a healed surgical incision
D. Client with normal nutritional status
**Answer: B. Client receiving immunosuppressive therapy
Rationale: Immunosuppressive medications reduce immune defenses
and increase susceptibility to infection.
11. Which finding indicates that a client might have an infection?
A. Temperature of 38.5°C (101.3°F)
B. Heart rate of 68/min
C. Clear urine
D. Intact skin
