ATI RN Fundamentals Proctored Exam || Latest Test Bank 2026–2027 Most Frequently
Tested Questions || Graded A+ || Verified & Updated
SECTION 1: Patient Safety, Infection Control, & Professional Standards
Q1. A nurse is caring for a client who is under contact precautions for a methicillin-
resistant Staphylococcus aureus (MRSA) wound infection. Which of the following
actions should the nurse take?
A. Wear an N95 respirator when entering the client's room.
B. Dedicate a stethoscope and blood pressure cuff exclusively for this client's use.
C. Place the client in a negative-pressure airflow room.
D. Remove the isolation gown after exiting the client's room.
Correct Answer: B
Rationale: Contact precautions require dedicating equipment specifically to that client to
prevent cross-contamination to other clients. An N95 respirator (A) and negative-pressure
room (C) are required for airborne precautions, not contact. Personal protective equipment
(PPE), including the gown (D), must be removed before exiting the client's room to ensure
microorganisms are not carried into the hallway.
Q2. A nurse is preparing to perform wound irrigation for a client who has an open
surgical incision. Which of the following actions should the nurse plan to take?
, A. Irrigate the wound with a chilled solution to reduce localized inflammation.
B. Cleanse the wound from the outer periphery toward the center of the wound bed.
C. Administer an analgesic to the client 30 minutes before beginning the procedure.
D. Use a clean, non-sterile glove to perform the irrigation process.
Correct Answer: C
Rationale: Wound irrigation can be painful; administering an analgesic 30 minutes prior
ensures optimal peak effect and maximum client comfort. Solutions should be warmed to
room temperature (A) to prevent chilling and localized vasoconstriction, which delays
healing. Wounds must be cleansed from the least contaminated area (the center) to the
most contaminated area (the outer edge) (B). Wound irrigation requires strict surgical
asepsis, necessitating sterile gloves and equipment (D).
Q3. A nurse is reviewing the assigned tasks for the shift. Which of the following tasks
should the nurse delegate to an assistive personnel (AP)?
A. Adjusting the flow rate of an oxygen nasal cannula for a client who is short of breath.
B. Providing postmortem care for a client who passed away an hour ago.
C. Teaching a client how to use an incentive spirometer post-operatively.
D. Monitoring an active units-of-blood transfusion for a client with anemia.
Correct Answer: B
, Rationale: Postmortem care is within the scope of practice for an AP because it involves
routine, predictable care of a stable body. Adjusting oxygen flow rates (A) is a
medication/therapy adjustment requiring nursing judgment. Patient teaching (C) and
monitoring blood transfusions (D) require the advanced assessment and clinical knowledge
of a licensed nurse and cannot be delegated.
Q4. A nurse discovers a small fire in a trash can in a client's room. According to the
RACE protocol, which of the following actions should the nurse perform first?
A. Close the door to the client's room to contain the smoke and fire.
B. Pull the pin on the nearby fire extinguisher to prepare for use.
C. Activate the fire alarm system at the nearest pull station.
D. Move the client safely out of the room and into the hallway.
Correct Answer: D
Rationale: The acronym RACE stands for Rescue, Alarm, Contain, Extinguish. The absolute
first priority is always to rescue and protect clients in immediate danger. Activating the alarm
(C) is the second step (A), containing by closing doors is the third step (A), and
extinguishing (B) is the final step.
Q5. A nurse is preparing to insert an indwelling urinary catheter for a male client.
Which of the following actions indicates a breach of surgical asepsis?
, A. Opening the outer wrapping of the sterile catheter kit away from the body.
B. Dropping a sterile specimen cup onto the center of the sterile field.
C. Cleansing the penis with antiseptic swabs using the dominant sterile hand.
D. Maintaining a 1-inch border around the edge of the sterile drape as unsterile.
Correct Answer: C
Rationale: Once the nurse uses a hand to touch the client's anatomy (the penis), that hand
becomes contaminated and is no longer sterile. The nurse must use the non-dominant hand
to hold the penis (making it unsterile) and the dominant hand to handle the sterile swabs
and catheter. Opening wrappers away from the body (A), dropping items onto the center of
the field (B), and respecting the 1-inch unsterile border (D) are all correct sterile techniques.
Q6. A nurse is assisting with the ambulation of an older adult client who has left-
sided weakness. Where should the nurse stand during ambulation?
A. On the client's left side, slightly behind the client.
B. On the client's right side, slightly ahead of the client.
C. Directly in front of the client, walking backward.
D. Behind the client, holding the client tightly by the waist.
Correct Answer: A
Rationale: The nurse should always stand on the client's affected (weak) side to provide
support and stability if the client begins to fall or lose balance. Standing slightly behind
Tested Questions || Graded A+ || Verified & Updated
SECTION 1: Patient Safety, Infection Control, & Professional Standards
Q1. A nurse is caring for a client who is under contact precautions for a methicillin-
resistant Staphylococcus aureus (MRSA) wound infection. Which of the following
actions should the nurse take?
A. Wear an N95 respirator when entering the client's room.
B. Dedicate a stethoscope and blood pressure cuff exclusively for this client's use.
C. Place the client in a negative-pressure airflow room.
D. Remove the isolation gown after exiting the client's room.
Correct Answer: B
Rationale: Contact precautions require dedicating equipment specifically to that client to
prevent cross-contamination to other clients. An N95 respirator (A) and negative-pressure
room (C) are required for airborne precautions, not contact. Personal protective equipment
(PPE), including the gown (D), must be removed before exiting the client's room to ensure
microorganisms are not carried into the hallway.
Q2. A nurse is preparing to perform wound irrigation for a client who has an open
surgical incision. Which of the following actions should the nurse plan to take?
, A. Irrigate the wound with a chilled solution to reduce localized inflammation.
B. Cleanse the wound from the outer periphery toward the center of the wound bed.
C. Administer an analgesic to the client 30 minutes before beginning the procedure.
D. Use a clean, non-sterile glove to perform the irrigation process.
Correct Answer: C
Rationale: Wound irrigation can be painful; administering an analgesic 30 minutes prior
ensures optimal peak effect and maximum client comfort. Solutions should be warmed to
room temperature (A) to prevent chilling and localized vasoconstriction, which delays
healing. Wounds must be cleansed from the least contaminated area (the center) to the
most contaminated area (the outer edge) (B). Wound irrigation requires strict surgical
asepsis, necessitating sterile gloves and equipment (D).
Q3. A nurse is reviewing the assigned tasks for the shift. Which of the following tasks
should the nurse delegate to an assistive personnel (AP)?
A. Adjusting the flow rate of an oxygen nasal cannula for a client who is short of breath.
B. Providing postmortem care for a client who passed away an hour ago.
C. Teaching a client how to use an incentive spirometer post-operatively.
D. Monitoring an active units-of-blood transfusion for a client with anemia.
Correct Answer: B
, Rationale: Postmortem care is within the scope of practice for an AP because it involves
routine, predictable care of a stable body. Adjusting oxygen flow rates (A) is a
medication/therapy adjustment requiring nursing judgment. Patient teaching (C) and
monitoring blood transfusions (D) require the advanced assessment and clinical knowledge
of a licensed nurse and cannot be delegated.
Q4. A nurse discovers a small fire in a trash can in a client's room. According to the
RACE protocol, which of the following actions should the nurse perform first?
A. Close the door to the client's room to contain the smoke and fire.
B. Pull the pin on the nearby fire extinguisher to prepare for use.
C. Activate the fire alarm system at the nearest pull station.
D. Move the client safely out of the room and into the hallway.
Correct Answer: D
Rationale: The acronym RACE stands for Rescue, Alarm, Contain, Extinguish. The absolute
first priority is always to rescue and protect clients in immediate danger. Activating the alarm
(C) is the second step (A), containing by closing doors is the third step (A), and
extinguishing (B) is the final step.
Q5. A nurse is preparing to insert an indwelling urinary catheter for a male client.
Which of the following actions indicates a breach of surgical asepsis?
, A. Opening the outer wrapping of the sterile catheter kit away from the body.
B. Dropping a sterile specimen cup onto the center of the sterile field.
C. Cleansing the penis with antiseptic swabs using the dominant sterile hand.
D. Maintaining a 1-inch border around the edge of the sterile drape as unsterile.
Correct Answer: C
Rationale: Once the nurse uses a hand to touch the client's anatomy (the penis), that hand
becomes contaminated and is no longer sterile. The nurse must use the non-dominant hand
to hold the penis (making it unsterile) and the dominant hand to handle the sterile swabs
and catheter. Opening wrappers away from the body (A), dropping items onto the center of
the field (B), and respecting the 1-inch unsterile border (D) are all correct sterile techniques.
Q6. A nurse is assisting with the ambulation of an older adult client who has left-
sided weakness. Where should the nurse stand during ambulation?
A. On the client's left side, slightly behind the client.
B. On the client's right side, slightly ahead of the client.
C. Directly in front of the client, walking backward.
D. Behind the client, holding the client tightly by the waist.
Correct Answer: A
Rationale: The nurse should always stand on the client's affected (weak) side to provide
support and stability if the client begins to fall or lose balance. Standing slightly behind
