EXAM ALL 75 | QUESTIONS & ANSWERS (100 %SCORE)
LATEST UPDATED 2026/2027 A+ GRADED ANSWERS|
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Overview:
This practice exam is designed for nursing students to review and reinforce core concepts in
fundamentals of nursing, including safety, infection control, health assessment, nursing
process, medication administration, patient care, communication, documentation, and basic
nursing skills. The exam contains 75 multiple-choice questions with answers and rationales,
reflecting the style and content of the ATI Fundamentals assessment. It is ideal for self-
assessment, exam preparation, and strengthening clinical reasoning.
Section 1: Safety and Infection Control
1. The nurse is caring for a client with Clostridioides difficile. Which 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
Answer: B
Rationale: . difficile spreads via contact with spores. Gown and gloves are required; soap
and water handwashing is essential.
2. A nurse finds a wet floor in a patient room. What is the first action?
A) Warn patients verbally
B) Place a wet floor sign
C) Clean up immediately and then place a sign
D) Report to housekeeping
Answer: C
Rationale: Immediate cleanup prevents accidents. A sign is then placed to alert others.
,3. Which client requires airborne precautions?
A) Influenza
B) Tuberculosis
C) MRSA
D) Rotavirus
Answer: B
Rationale: Tuberculosis spreads via airborne droplets; N95 mask and negative-pressure
room are needed.
4. The nurse is caring for a client on droplet precautions. Which PPE is required?
A) Gown and gloves only
B) Mask within 3 feet of patient
C) N95 respirator
D) No PPE needed
Answer: B
Rationale: Droplet precautions require a mask when within 3 feet of the client.
5. Which action demonstrates proper hand hygiene?
A) Using alcohol-based hand rub after removing gloves
B) Using hand rub after contact with C. difficile
C) Rinsing hands with water only
D) Wearing gloves without washing hands
Answer: A
Rationale: Alcohol rub is effective except when spores (e.g., C. difficile) are present.
6. A client’s IV site is red, warm, and swollen. What should the nurse do first?
A) Apply a warm compress and continue infusion
B) Stop the IV and notify provider
C) Document findings
D) Flush IV with normal saline
, Answer: B
Rationale: These are signs of phlebitis; IV should be discontinued to prevent infection.
7. Which is a high-risk environment for falls?
A) ICU
B) Pediatric unit
C) Rehabilitation unit
D) All of the above
Answer: D
Rationale: Falls can occur in all units, especially among patients with mobility limitations.
8. The nurse is preparing to don PPE. What is the correct order?
A) Gown, mask, goggles, gloves
B) Mask, gown, gloves, goggles
C) Gloves, gown, mask, goggles
D) Mask, gloves, gown, goggles
Answer: A
Rationale: This sequence prevents contamination.
9. Which is an example of a nosocomial infection?
A) UTI acquired after hospitalization
B) Influenza from community
C) Food poisoning at home
D) Viral gastroenteritis from family
Answer: A
Rationale: Hospital-acquired infections develop 48 hours or more after admission.
10. A nurse is preparing a sterile field. Which action is correct?
A) Touch the inside of the sterile wrapper
B) Keep hands below waist