ATI RN Fundamentals Proctored Exam (11 Latest Versions, 2021) / RN
ATI Fundamentals Proctored Exam / ATI RN Proctored Fundamentals
Exam |Complete Document for A.T.I Exam
1. A nurse is caring for a client with Clostridioides difficile diarrhea. Which action should the
nurse take?
A. Wear a surgical mask when entering the room
B. Perform hand hygiene with alcohol-based rub after care
C. Wear a gown and gloves when entering the room
D. Place the client in a negative-pressure room
Correct Answer: C
Rationale: C. difficile requires contact precautions — gown and gloves for all room entry.
Soap and water (not alcohol rub) is required because alcohol does not kill C. diff spores. A
negative-pressure room is for airborne precautions (e.g., TB).
2. A nurse is preparing to administer a tuberculin skin test. Which PPE is required?
A. N95 respirator
B. Surgical mask
C. Gown and gloves only
D. No PPE required
Correct Answer: A
Rationale: An N95 respirator is required when caring for clients with suspected or
confirmed airborne diseases such as tuberculosis. TB is transmitted via airborne droplet nuclei.
3. Which action by the nurse demonstrates proper sterile technique? (SATA)
A. Holding sterile items above waist level
B. Reaching over a sterile field
C. Using a sterile glove to touch only sterile items
D. Turning away from the sterile field to answer a call light
E. Considering any item below waist level contaminated
Correct Answers: A, C, E
Rationale: Sterile items must remain above waist level, only sterile-to-sterile contact is
,permitted, and anything below the waist is considered contaminated. Reaching over a sterile
field contaminates it; turning away from the field is prohibited.
4. A nurse is caring for a client on airborne precautions. Which statement indicates
understanding?
A. "I will keep the door open for observation."
B. "I will wear a surgical mask when providing care."
C. "I will ensure the client wears a mask when transporting."
D. "I will place the client in a semi-private room."
Correct Answer: C
Rationale: Clients on airborne precautions wear a mask during transport to prevent
transmission. The door must remain closed, an N95 (not surgical mask) is required, and the
client needs a private negative-pressure room.
5. A nurse is teaching a client about home safety. Which instruction is priority for an older
adult client?
A. "Use a step stool to reach high shelves."
B. "Remove throw rugs from walkways."
C. "Wax floors for a clean shine."
D. "Keep medications in the bathroom."
Correct Answer: B
Rationale: Throw rugs are a leading cause of falls in older adults. Waxed floors, step stools,
and bathroom medication storage (humidity degrades meds) increase risk.
6. A nurse discovers a fire in a client's room. Which action should the nurse take first?
A. Activate the fire alarm
B. Extinguish the fire
C. Remove the client from the room
D. Close all doors
Correct Answer: C
Rationale: Using the RACE mnemonic, Rescue the client first, then Alarm, Confine, and
Extinguish/Evacuate.
,7. A nurse is caring for a client with an active shingles (herpes zoster) rash. Which precautions
are indicated?
A. Standard only
B. Contact only
C. Airborne only
D. Contact + Airborne
Correct Answer: D
Rationale: Disseminated shingles requires both airborne and contact precautions until
lesions crust over. Localized shingles in an immunocompetent client may need only standard
precautions.
8. A nurse is teaching hand hygiene. Which statement indicates a need for further teaching?
A. "I rub my hands for at least 20 seconds."
B. "I use alcohol rub after caring for a client with C. diff."
C. "I wash before and after client contact."
D. "I remove jewelry before washing."
Correct Answer: B
Rationale: Alcohol-based rub is ineffective against C. diff spores. Soap and water must be
used.
9. A nurse is preparing to insert a urinary catheter. Which action maintains sterility?
A. Using the nondominant hand to separate the labia
B. Touching the tip of the catheter after it touches the meatus
C. Reusing a wipe contaminated by the bed
D. Placing the sterile tray on the bed linens
Correct Answer: A
Rationale: The nondominant hand may separate the labia (it becomes contaminated) while
the dominant hand maintains sterility. Once the catheter touches the meatus, it is no longer
sterile and must not be reused. Sterile trays are placed on a sterile drape, not bed linens.
, 10. A nurse is caring for a client with an infected wound. Which action is most important to
prevent transmission?
A. Wear a mask at all times
B. Perform hand hygiene before and after care
C. Wear a face shield during dressing changes
D. Keep the wound covered with a dry dressing
Correct Answer: B
Rationale: Hand hygiene is the single most effective method to prevent infection
transmission.
11. A nurse is preparing to administer a subcutaneous injection. Which action requires a sharp
container?
A. Recap the needle before disposal
B. Dispose of the needle in the sharps container without recapping
C. Place the needle in the trash
D. Break the needle off the syringe
Correct Answer: B
Rationale: Recapping increases needlestick risk. Needles are disposed of immediately in an
approved sharps container without recapping or breaking.
12. A nurse is caring for a client with MRSA in a wound. Which PPE is appropriate?
A. Gloves only
B. Gown and gloves
C. N95 and goggles
D. No PPE needed
Correct Answer: B
Rationale: MRSA requires contact precautions — gown and gloves for all room entry.
13. A nurse is teaching a client about infection prevention. Which statement indicates correct
understanding?
ATI Fundamentals Proctored Exam / ATI RN Proctored Fundamentals
Exam |Complete Document for A.T.I Exam
1. A nurse is caring for a client with Clostridioides difficile diarrhea. Which action should the
nurse take?
A. Wear a surgical mask when entering the room
B. Perform hand hygiene with alcohol-based rub after care
C. Wear a gown and gloves when entering the room
D. Place the client in a negative-pressure room
Correct Answer: C
Rationale: C. difficile requires contact precautions — gown and gloves for all room entry.
Soap and water (not alcohol rub) is required because alcohol does not kill C. diff spores. A
negative-pressure room is for airborne precautions (e.g., TB).
2. A nurse is preparing to administer a tuberculin skin test. Which PPE is required?
A. N95 respirator
B. Surgical mask
C. Gown and gloves only
D. No PPE required
Correct Answer: A
Rationale: An N95 respirator is required when caring for clients with suspected or
confirmed airborne diseases such as tuberculosis. TB is transmitted via airborne droplet nuclei.
3. Which action by the nurse demonstrates proper sterile technique? (SATA)
A. Holding sterile items above waist level
B. Reaching over a sterile field
C. Using a sterile glove to touch only sterile items
D. Turning away from the sterile field to answer a call light
E. Considering any item below waist level contaminated
Correct Answers: A, C, E
Rationale: Sterile items must remain above waist level, only sterile-to-sterile contact is
,permitted, and anything below the waist is considered contaminated. Reaching over a sterile
field contaminates it; turning away from the field is prohibited.
4. A nurse is caring for a client on airborne precautions. Which statement indicates
understanding?
A. "I will keep the door open for observation."
B. "I will wear a surgical mask when providing care."
C. "I will ensure the client wears a mask when transporting."
D. "I will place the client in a semi-private room."
Correct Answer: C
Rationale: Clients on airborne precautions wear a mask during transport to prevent
transmission. The door must remain closed, an N95 (not surgical mask) is required, and the
client needs a private negative-pressure room.
5. A nurse is teaching a client about home safety. Which instruction is priority for an older
adult client?
A. "Use a step stool to reach high shelves."
B. "Remove throw rugs from walkways."
C. "Wax floors for a clean shine."
D. "Keep medications in the bathroom."
Correct Answer: B
Rationale: Throw rugs are a leading cause of falls in older adults. Waxed floors, step stools,
and bathroom medication storage (humidity degrades meds) increase risk.
6. A nurse discovers a fire in a client's room. Which action should the nurse take first?
A. Activate the fire alarm
B. Extinguish the fire
C. Remove the client from the room
D. Close all doors
Correct Answer: C
Rationale: Using the RACE mnemonic, Rescue the client first, then Alarm, Confine, and
Extinguish/Evacuate.
,7. A nurse is caring for a client with an active shingles (herpes zoster) rash. Which precautions
are indicated?
A. Standard only
B. Contact only
C. Airborne only
D. Contact + Airborne
Correct Answer: D
Rationale: Disseminated shingles requires both airborne and contact precautions until
lesions crust over. Localized shingles in an immunocompetent client may need only standard
precautions.
8. A nurse is teaching hand hygiene. Which statement indicates a need for further teaching?
A. "I rub my hands for at least 20 seconds."
B. "I use alcohol rub after caring for a client with C. diff."
C. "I wash before and after client contact."
D. "I remove jewelry before washing."
Correct Answer: B
Rationale: Alcohol-based rub is ineffective against C. diff spores. Soap and water must be
used.
9. A nurse is preparing to insert a urinary catheter. Which action maintains sterility?
A. Using the nondominant hand to separate the labia
B. Touching the tip of the catheter after it touches the meatus
C. Reusing a wipe contaminated by the bed
D. Placing the sterile tray on the bed linens
Correct Answer: A
Rationale: The nondominant hand may separate the labia (it becomes contaminated) while
the dominant hand maintains sterility. Once the catheter touches the meatus, it is no longer
sterile and must not be reused. Sterile trays are placed on a sterile drape, not bed linens.
, 10. A nurse is caring for a client with an infected wound. Which action is most important to
prevent transmission?
A. Wear a mask at all times
B. Perform hand hygiene before and after care
C. Wear a face shield during dressing changes
D. Keep the wound covered with a dry dressing
Correct Answer: B
Rationale: Hand hygiene is the single most effective method to prevent infection
transmission.
11. A nurse is preparing to administer a subcutaneous injection. Which action requires a sharp
container?
A. Recap the needle before disposal
B. Dispose of the needle in the sharps container without recapping
C. Place the needle in the trash
D. Break the needle off the syringe
Correct Answer: B
Rationale: Recapping increases needlestick risk. Needles are disposed of immediately in an
approved sharps container without recapping or breaking.
12. A nurse is caring for a client with MRSA in a wound. Which PPE is appropriate?
A. Gloves only
B. Gown and gloves
C. N95 and goggles
D. No PPE needed
Correct Answer: B
Rationale: MRSA requires contact precautions — gown and gloves for all room entry.
13. A nurse is teaching a client about infection prevention. Which statement indicates correct
understanding?
