ATI RN Fundamentals Final Exam with
NGN ACTUAL EXAM 2026/2027 | RN
Fundamentals | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Safety and Infection Control (15 Questions)
Q1: A nurse is caring for a client with Clostridioides difficile (C. diff) infection. Which action should the
nurse take when performing hand hygiene?
A. Use an alcohol-based hand rub
B. Wash hands with soap and water
C. Use a hand sanitizer with at least 60% alcohol
D. Wear gloves only and skip hand hygiene
Correct Answer: B
Rationale: The best answer is B. C. diff spores are not killed by alcohol-based hand rubs, so soap and
water must be used for hand hygiene. This is a critical infection control practice .
Q2: A nurse is preparing to perform a sterile procedure and notices that the sterile field has become
contaminated. What should the nurse do?
A. Continue the procedure and avoid the contaminated area
B. Replace the contaminated drape entirely and set up a new sterile field
C. Wipe the contaminated area with an alcohol swab
D. Cover the contaminated area with a sterile towel
Correct Answer: B
Rationale: The best answer is B. Any contamination of the sterile field requires that the contaminated
drape be replaced entirely. The nurse must set up a new sterile field before proceeding .
Q3: A nurse discovers a fire in a client's room. According to the RACE protocol, what is the first action
the nurse should take?
,A. Activate the fire alarm
B. Rescue the client from immediate danger
C. Contain the fire by closing doors
D. Extinguish the fire with a fire extinguisher
Correct Answer: B
Rationale: The best answer is B. In the RACE protocol, Rescue comes first. The nurse should remove the
client from immediate danger before activating the alarm, containing the fire, or extinguishing it .
Q4: Select all that apply. Which of the following are required for contact precautions?
A. Gown
B. Gloves
C. N95 respirator
D. Soap and water hand washing for C. diff
Correct Answer: A, B, D
Rationale: The best answer is A, B, and D. Contact precautions require a gown and gloves, and soap and
water hand washing for C. diff. An N95 respirator is required for airborne precautions, not contact .
Q5: A nurse is caring for a client who is at risk for falls. Which intervention should the nurse implement
first?
A. Place the call light within reach
B. Apply a bed alarm
C. Keep the bed in the lowest position
D. All of the above
Correct Answer: D
Rationale: The best answer is D. All of these interventions are appropriate fall prevention measures.
Keeping the bed low, placing the call light within reach, and using a bed alarm work together to reduce
fall risk .
Q6: A nurse is applying restraints to a client. Which action is correct?
A. Apply restraints without an order
B. Apply restraints as a last resort after other interventions have failed
C. Apply restraints and leave the client alone
D. Apply restraints and remove them every 8 hours
Correct Answer: B
Rationale: The best answer is B. Restraints should only be used as a last resort after less restrictive
interventions have failed. They require a provider's order and frequent monitoring .
, Q7: Which of the following is the correct way to identify a client before administering medication?
A. Ask the client their name
B. Check the client's room number
C. Use two identifiers, such as name and date of birth
D. Ask the client's family member to confirm
Correct Answer: C
Rationale: The best answer is C. Two identifiers, such as the client's name and date of birth, must be
used to verify identity before administering medication. Asking the client their name alone is not
sufficient .
Q8: A nurse is caring for a client on airborne precautions. Which PPE is required before entering the
room?
A. Gloves and gown only
B. Surgical mask and gloves
C. N95 respirator and eye protection
D. Gown, gloves, and surgical mask
Correct Answer: C
Rationale: The best answer is C. Airborne precautions require an N95 respirator and eye protection,
along with standard precautions. This prevents transmission of diseases like tuberculosis and measles .
Q9: Select all that apply. Which of the following are safety hazards in the healthcare environment?
A. Loose rugs
B. Poor lighting
C. Cluttered hallways
D. Handrails in bathrooms
Correct Answer: A, B, C
Rationale: The best answer is A, B, and C. Loose rugs, poor lighting, and cluttered hallways are safety
hazards. Handrails are a safety feature, not a hazard .
Q10: A nurse is preparing to administer medication to a client who refuses to take it. What should the
nurse do?
A. Force the client to take the medication
B. Document the refusal and notify the provider
NGN ACTUAL EXAM 2026/2027 | RN
Fundamentals | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Safety and Infection Control (15 Questions)
Q1: A nurse is caring for a client with Clostridioides difficile (C. diff) infection. Which action should the
nurse take when performing hand hygiene?
A. Use an alcohol-based hand rub
B. Wash hands with soap and water
C. Use a hand sanitizer with at least 60% alcohol
D. Wear gloves only and skip hand hygiene
Correct Answer: B
Rationale: The best answer is B. C. diff spores are not killed by alcohol-based hand rubs, so soap and
water must be used for hand hygiene. This is a critical infection control practice .
Q2: A nurse is preparing to perform a sterile procedure and notices that the sterile field has become
contaminated. What should the nurse do?
A. Continue the procedure and avoid the contaminated area
B. Replace the contaminated drape entirely and set up a new sterile field
C. Wipe the contaminated area with an alcohol swab
D. Cover the contaminated area with a sterile towel
Correct Answer: B
Rationale: The best answer is B. Any contamination of the sterile field requires that the contaminated
drape be replaced entirely. The nurse must set up a new sterile field before proceeding .
Q3: A nurse discovers a fire in a client's room. According to the RACE protocol, what is the first action
the nurse should take?
,A. Activate the fire alarm
B. Rescue the client from immediate danger
C. Contain the fire by closing doors
D. Extinguish the fire with a fire extinguisher
Correct Answer: B
Rationale: The best answer is B. In the RACE protocol, Rescue comes first. The nurse should remove the
client from immediate danger before activating the alarm, containing the fire, or extinguishing it .
Q4: Select all that apply. Which of the following are required for contact precautions?
A. Gown
B. Gloves
C. N95 respirator
D. Soap and water hand washing for C. diff
Correct Answer: A, B, D
Rationale: The best answer is A, B, and D. Contact precautions require a gown and gloves, and soap and
water hand washing for C. diff. An N95 respirator is required for airborne precautions, not contact .
Q5: A nurse is caring for a client who is at risk for falls. Which intervention should the nurse implement
first?
A. Place the call light within reach
B. Apply a bed alarm
C. Keep the bed in the lowest position
D. All of the above
Correct Answer: D
Rationale: The best answer is D. All of these interventions are appropriate fall prevention measures.
Keeping the bed low, placing the call light within reach, and using a bed alarm work together to reduce
fall risk .
Q6: A nurse is applying restraints to a client. Which action is correct?
A. Apply restraints without an order
B. Apply restraints as a last resort after other interventions have failed
C. Apply restraints and leave the client alone
D. Apply restraints and remove them every 8 hours
Correct Answer: B
Rationale: The best answer is B. Restraints should only be used as a last resort after less restrictive
interventions have failed. They require a provider's order and frequent monitoring .
, Q7: Which of the following is the correct way to identify a client before administering medication?
A. Ask the client their name
B. Check the client's room number
C. Use two identifiers, such as name and date of birth
D. Ask the client's family member to confirm
Correct Answer: C
Rationale: The best answer is C. Two identifiers, such as the client's name and date of birth, must be
used to verify identity before administering medication. Asking the client their name alone is not
sufficient .
Q8: A nurse is caring for a client on airborne precautions. Which PPE is required before entering the
room?
A. Gloves and gown only
B. Surgical mask and gloves
C. N95 respirator and eye protection
D. Gown, gloves, and surgical mask
Correct Answer: C
Rationale: The best answer is C. Airborne precautions require an N95 respirator and eye protection,
along with standard precautions. This prevents transmission of diseases like tuberculosis and measles .
Q9: Select all that apply. Which of the following are safety hazards in the healthcare environment?
A. Loose rugs
B. Poor lighting
C. Cluttered hallways
D. Handrails in bathrooms
Correct Answer: A, B, C
Rationale: The best answer is A, B, and C. Loose rugs, poor lighting, and cluttered hallways are safety
hazards. Handrails are a safety feature, not a hazard .
Q10: A nurse is preparing to administer medication to a client who refuses to take it. What should the
nurse do?
A. Force the client to take the medication
B. Document the refusal and notify the provider
