ATI Fundamentals Exam Answered Latest 2019/2020 complete
solutions All Answers are correct and updated
Question 1
A nurse is caring for a client who has Clostridioides difficile. Which of the following precautions
should the nurse implement?
A) Standard precautions only
B) Contact precautions with gown and gloves
C) Airborne precautions with N95 mask
D) Droplet precautions with surgical mask
Correct Answer: B
Rationale: C. difficile spreads via contact with spores. Contact precautions require gown and
gloves. Alcohol-based hand rub is ineffective against C. difficile spores; soap and water
handwashing is essential. Standard precautions alone (A) are insufficient. Airborne (C) and
droplet (D) precautions are not indicated because C. difficile does not spread via airborne or
droplet routes.
Question 2
A nurse finds a wet floor in a client's room. Which of the following actions should the nurse take
first?
A) Warn clients verbally
B) Place a wet floor sign
C) Clean up the spill immediately
D) Report to housekeeping
Correct Answer: B
Rationale: Placing a wet floor sign is the immediate first action to alert others of the hazard
and prevent falls. While cleaning the spill is necessary, placing a sign provides immediate safety
while the nurse obtains cleaning supplies. Reporting to housekeeping (D) may occur but is not
the first action.
Question 3
,Which of the following clients requires airborne precautions?
A) A client with influenza
B) A client with tuberculosis
C) A client with MRSA
D) A client with rotavirus
Correct Answer: B
Rationale: Tuberculosis spreads via airborne droplet nuclei measuring less than 5 microns.
Airborne precautions require an N95 respirator and a negative-pressure airborne infection
isolation room (AIIR). Influenza (A) and rotavirus (D) require droplet and contact precautions
respectively. MRSA (C) requires contact precautions.
Question 4
A nurse is caring for a client on droplet precautions. Which PPE is required when within 3 feet of
the client?
A) Gown and gloves only
B) Surgical mask
C) N95 respirator
D) No PPE needed
Correct Answer: B
Rationale: Droplet precautions require a surgical mask when within 3 feet of the client
because droplets travel approximately 3–6 feet. An N95 respirator (C) is required for airborne
precautions, not droplet. Gown and gloves (A) are part of contact precautions but alone are
insufficient for droplet precautions.
Question 5
A nurse is preparing to administer a medication. Which of the following client identifiers should
the nurse use to confirm identity?
A) The client's room number
B) The client's admitting diagnosis
C) The name of the client's next of kin
D) The client's telephone number
, Correct Answer: D
Rationale: Acceptable client identifiers include the client's name and telephone number, or
name and date of birth. Room number (A) and admitting diagnosis (B) are not acceptable
identifiers. Next of kin (C) is not a reliable identifier for the client.
Question 6
A nurse is planning care for a client who is confused and requires wrist restraints. Which of the
following interventions should the nurse include?
A) Renew the prescription every 48 hours
B) Remove restraints every 4 hours
C) Tie restraints to the side rails
D) Assess circulation every 8 hours
Correct Answer: B
Rationale: Restraints must be removed every 2 hours (or more frequently per facility policy)
for range of motion, skin assessment, and toileting. Restraint prescriptions must be renewed
within 24 hours for adults (A is incorrect). Restraints should never be tied to side rails (C) due to
injury risk. Circulation assessment should occur every 15–30 minutes initially and at least every
2 hours (D is incorrect).
Question 7
A nurse is teaching a client about fall prevention. Which of the following statements by the
client indicates understanding?
A) "I will use the side rails to pull myself out of bed."
B) "I will keep my call light within reach at all times."
C) "I will walk to the bathroom without my walker at night."
D) "I will keep my personal items on the bedside table across the room."
Correct Answer: B
Rationale: Keeping the call light within reach allows the client to request assistance and
prevents unassisted ambulation, which is a key fall prevention strategy. Using side rails to pull
up (A) is unsafe. Walking without a walker (C) increases fall risk. Keeping personal items out of
reach (D) may encourage the client to reach or get up unassisted.
, Question 8
A nurse observes a coworker diverting a narcotic pain medication for personal use. What is the
priority action?
A) Confront the coworker directly
B) Document the observation in the client's medical record
C) Report the behavior to the nurse manager or supervisor immediately
D) Call the local police
Correct Answer: C
Rationale: The nurse has a legal and ethical duty to report impaired practice to a supervisor.
Confrontation (A) may lead to conflict and is not the priority. Documentation in the client's chart
(B) is inappropriate. Law enforcement (D) is not the first step; internal reporting must occur
first.
Question 9
A nurse is preparing to don personal protective equipment (PPE). Which item should the nurse
put on last?
A) Gloves
B) Gown
C) Mask
D) Goggles
Correct Answer: A
Rationale: The correct order for donning PPE is: gown, mask, goggles/face shield, then
gloves last. Gloves go on last to ensure they cover the cuffs of the gown and provide maximum
protection.
Question 10
A nurse is removing PPE after caring for a client on contact precautions. Which action
demonstrates correct technique?
solutions All Answers are correct and updated
Question 1
A nurse is caring for a client who has Clostridioides difficile. Which of the following precautions
should the nurse implement?
A) Standard precautions only
B) Contact precautions with gown and gloves
C) Airborne precautions with N95 mask
D) Droplet precautions with surgical mask
Correct Answer: B
Rationale: C. difficile spreads via contact with spores. Contact precautions require gown and
gloves. Alcohol-based hand rub is ineffective against C. difficile spores; soap and water
handwashing is essential. Standard precautions alone (A) are insufficient. Airborne (C) and
droplet (D) precautions are not indicated because C. difficile does not spread via airborne or
droplet routes.
Question 2
A nurse finds a wet floor in a client's room. Which of the following actions should the nurse take
first?
A) Warn clients verbally
B) Place a wet floor sign
C) Clean up the spill immediately
D) Report to housekeeping
Correct Answer: B
Rationale: Placing a wet floor sign is the immediate first action to alert others of the hazard
and prevent falls. While cleaning the spill is necessary, placing a sign provides immediate safety
while the nurse obtains cleaning supplies. Reporting to housekeeping (D) may occur but is not
the first action.
Question 3
,Which of the following clients requires airborne precautions?
A) A client with influenza
B) A client with tuberculosis
C) A client with MRSA
D) A client with rotavirus
Correct Answer: B
Rationale: Tuberculosis spreads via airborne droplet nuclei measuring less than 5 microns.
Airborne precautions require an N95 respirator and a negative-pressure airborne infection
isolation room (AIIR). Influenza (A) and rotavirus (D) require droplet and contact precautions
respectively. MRSA (C) requires contact precautions.
Question 4
A nurse is caring for a client on droplet precautions. Which PPE is required when within 3 feet of
the client?
A) Gown and gloves only
B) Surgical mask
C) N95 respirator
D) No PPE needed
Correct Answer: B
Rationale: Droplet precautions require a surgical mask when within 3 feet of the client
because droplets travel approximately 3–6 feet. An N95 respirator (C) is required for airborne
precautions, not droplet. Gown and gloves (A) are part of contact precautions but alone are
insufficient for droplet precautions.
Question 5
A nurse is preparing to administer a medication. Which of the following client identifiers should
the nurse use to confirm identity?
A) The client's room number
B) The client's admitting diagnosis
C) The name of the client's next of kin
D) The client's telephone number
, Correct Answer: D
Rationale: Acceptable client identifiers include the client's name and telephone number, or
name and date of birth. Room number (A) and admitting diagnosis (B) are not acceptable
identifiers. Next of kin (C) is not a reliable identifier for the client.
Question 6
A nurse is planning care for a client who is confused and requires wrist restraints. Which of the
following interventions should the nurse include?
A) Renew the prescription every 48 hours
B) Remove restraints every 4 hours
C) Tie restraints to the side rails
D) Assess circulation every 8 hours
Correct Answer: B
Rationale: Restraints must be removed every 2 hours (or more frequently per facility policy)
for range of motion, skin assessment, and toileting. Restraint prescriptions must be renewed
within 24 hours for adults (A is incorrect). Restraints should never be tied to side rails (C) due to
injury risk. Circulation assessment should occur every 15–30 minutes initially and at least every
2 hours (D is incorrect).
Question 7
A nurse is teaching a client about fall prevention. Which of the following statements by the
client indicates understanding?
A) "I will use the side rails to pull myself out of bed."
B) "I will keep my call light within reach at all times."
C) "I will walk to the bathroom without my walker at night."
D) "I will keep my personal items on the bedside table across the room."
Correct Answer: B
Rationale: Keeping the call light within reach allows the client to request assistance and
prevents unassisted ambulation, which is a key fall prevention strategy. Using side rails to pull
up (A) is unsafe. Walking without a walker (C) increases fall risk. Keeping personal items out of
reach (D) may encourage the client to reach or get up unassisted.
, Question 8
A nurse observes a coworker diverting a narcotic pain medication for personal use. What is the
priority action?
A) Confront the coworker directly
B) Document the observation in the client's medical record
C) Report the behavior to the nurse manager or supervisor immediately
D) Call the local police
Correct Answer: C
Rationale: The nurse has a legal and ethical duty to report impaired practice to a supervisor.
Confrontation (A) may lead to conflict and is not the priority. Documentation in the client's chart
(B) is inappropriate. Law enforcement (D) is not the first step; internal reporting must occur
first.
Question 9
A nurse is preparing to don personal protective equipment (PPE). Which item should the nurse
put on last?
A) Gloves
B) Gown
C) Mask
D) Goggles
Correct Answer: A
Rationale: The correct order for donning PPE is: gown, mask, goggles/face shield, then
gloves last. Gloves go on last to ensure they cover the cuffs of the gown and provide maximum
protection.
Question 10
A nurse is removing PPE after caring for a client on contact precautions. Which action
demonstrates correct technique?
