ATI FUNDAMENTALS PROCTORED EXAM (22
VERSIONS, LATEST- 2022) (1600 + Q and A) /
FUNDAMENTALS ATI PROCTORED EXAM /
FUNDAMENTALS PROCTORED ATI EXAM |
COMPLETE GUIDE BY ATI EXPERTS
Section 1: Safety & Infection Control (Q1–15)
1. A nurse is caring for a client with Clostridioides difficile infection. Which action should the
nurse take?
A. Perform hand hygiene with alcohol-based sanitizer before leaving the room
B. Wear a gown and gloves and perform hand hygiene with soap and water
C. Wear an N95 respirator when entering the room
D. Place the client in a negative-pressure isolation room
Correct Answer: B
C. difficile requires contact precautions. Alcohol-based sanitizers do not kill C. difficile
spores, so soap and water hand hygiene is required. N95 and negative-pressure rooms are for
airborne precautions (e.g., tuberculosis, measles).
2. Which of the following are appropriate to don when preparing to enter a room under droplet
precautions? (Select all that apply.)
A. Surgical mask
B. Gown
C. Gloves
D. Eye protection if within 3 feet of the client
E. N95 respirator
F. Shoe covers
Correct Answer: A, B, C, D
Droplet precautions require a surgical mask, gown, gloves, and eye protection when within
3 feet of the client. N95 is for airborne precautions; shoe covers are not routinely required.
,3. A nurse is teaching a client about using a walker. Which instruction is correct?
A. "Hold the walker on the affected side only."
B. "Move the walker forward, then step with your weaker leg first, followed by your stronger
leg."
C. "Step with your stronger leg first, then the weaker leg."
D. "Lift the walker off the floor with each step."
Correct Answer: B
When using a walker, the client advances the walker, then moves the weaker leg forward
first, followed by the stronger leg. This promotes safety and stability.
4. A nurse is assessing a client's fall risk. Which factors increase the risk for falls? (Select all that
apply.)
A. Taking a diuretic
B. Recent diagnosis of dementia
C. History of a fall in the past 3 months
D. Use of an assistive device
E. Age 40 years
F. Orthostatic hypotension
Correct Answer: A, B, C, D, F
Medications (diuretics, antihypertensives), cognitive impairment, prior falls, assistive
devices (indicating impaired mobility), and orthostatic hypotension increase fall risk. Age 40 is
not a risk factor; risk increases with age 65+.
5. A client is prescribed seizure precautions. Which items should the nurse place at the bedside?
A. Suction equipment and oxygen
B. A tongue blade and restraints
C. A padded tongue blade
D. An air mattress
Correct Answer: A
Seizure precautions include keeping suction, oxygen, and a padded side rail (or bed in low
position) available. Never place anything in the client's mouth during a seizure.
,6. A nurse is preparing to administer a blood transfusion. Which action is priority?
A. Prime the tubing with dextrose 5% in water
B. Verify the blood product with a second nurse and confirm client identification
C. Administer the blood over 1 hour regardless of client response
D. Add medications to the blood bag to prevent reactions
Correct Answer: B
Two-nurse verification of blood products and client identification is essential to prevent
hemolytic transfusion reactions. Blood is primed with 0.9% sodium chloride, never dextrose
solutions.
7. The nurse is caring for a client on airborne precautions. Which statement indicates the client
understands teaching?
A. "I can leave my room anytime I want."
B. "I need to wear a surgical mask when I leave my room for tests."
C. "My visitors do not need to wear any protection."
D. "I should keep my door open for airflow."
Correct Answer: B
Clients on airborne precautions wear a surgical mask when leaving the room. The door
should remain closed, and visitors should wear an N95 respirator.
8. A nurse is performing hand hygiene. Which action indicates a need for further teaching?
A. Rubs hands together with soap for at least 20 seconds
B. Turns off the faucet with bare hands before drying
C. Uses a paper towel to turn off the faucet
D. Cleans under the fingernails
Correct Answer: B
The faucet should be turned off using a dry paper towel, not bare hands, to prevent
recontamination.
9. Which client is at greatest risk for developing a healthcare-associated infection (HAI)?
, A. A client with a closed fracture
B. A client with an indwelling urinary catheter
C. A client taking oral antibiotics at home
D. A client who had a blood pressure check
Correct Answer: B
Indwelling urinary catheters are a leading cause of catheter-associated urinary tract
infections (CAUTIs), a common HAI.
10. A nurse is caring for a client who has active pulmonary tuberculosis. Which type of room
should the nurse assign?
A. Private room with positive airflow
B. Negative-pressure room with 6–12 air exchanges per hour
C. Semi-private room with a curtain
D. Private room with the door open
Correct Answer: B
Tuberculosis requires airborne precautions in a negative-pressure room with 6–12 air
exchanges per hour and an N95 respirator for staff.
11. Which action by the nurse demonstrates proper use of personal protective equipment
(PPE)?
A. Removing gloves before removing the gown
B. Removing the mask first, then gloves
C. Wearing the same gloves for multiple clients
D. Reusing a gown between clients
Correct Answer: A
PPE removal order: gloves first, then goggles/face shield, gown, then mask/respirator.
Gloves are the most contaminated and are removed first.
12. A nurse is teaching a client about home safety. Which statement indicates understanding?
A. "I will keep my throw rugs in the bathroom."
B. "I will install grab bars in the shower and use a night light."
VERSIONS, LATEST- 2022) (1600 + Q and A) /
FUNDAMENTALS ATI PROCTORED EXAM /
FUNDAMENTALS PROCTORED ATI EXAM |
COMPLETE GUIDE BY ATI EXPERTS
Section 1: Safety & Infection Control (Q1–15)
1. A nurse is caring for a client with Clostridioides difficile infection. Which action should the
nurse take?
A. Perform hand hygiene with alcohol-based sanitizer before leaving the room
B. Wear a gown and gloves and perform hand hygiene with soap and water
C. Wear an N95 respirator when entering the room
D. Place the client in a negative-pressure isolation room
Correct Answer: B
C. difficile requires contact precautions. Alcohol-based sanitizers do not kill C. difficile
spores, so soap and water hand hygiene is required. N95 and negative-pressure rooms are for
airborne precautions (e.g., tuberculosis, measles).
2. Which of the following are appropriate to don when preparing to enter a room under droplet
precautions? (Select all that apply.)
A. Surgical mask
B. Gown
C. Gloves
D. Eye protection if within 3 feet of the client
E. N95 respirator
F. Shoe covers
Correct Answer: A, B, C, D
Droplet precautions require a surgical mask, gown, gloves, and eye protection when within
3 feet of the client. N95 is for airborne precautions; shoe covers are not routinely required.
,3. A nurse is teaching a client about using a walker. Which instruction is correct?
A. "Hold the walker on the affected side only."
B. "Move the walker forward, then step with your weaker leg first, followed by your stronger
leg."
C. "Step with your stronger leg first, then the weaker leg."
D. "Lift the walker off the floor with each step."
Correct Answer: B
When using a walker, the client advances the walker, then moves the weaker leg forward
first, followed by the stronger leg. This promotes safety and stability.
4. A nurse is assessing a client's fall risk. Which factors increase the risk for falls? (Select all that
apply.)
A. Taking a diuretic
B. Recent diagnosis of dementia
C. History of a fall in the past 3 months
D. Use of an assistive device
E. Age 40 years
F. Orthostatic hypotension
Correct Answer: A, B, C, D, F
Medications (diuretics, antihypertensives), cognitive impairment, prior falls, assistive
devices (indicating impaired mobility), and orthostatic hypotension increase fall risk. Age 40 is
not a risk factor; risk increases with age 65+.
5. A client is prescribed seizure precautions. Which items should the nurse place at the bedside?
A. Suction equipment and oxygen
B. A tongue blade and restraints
C. A padded tongue blade
D. An air mattress
Correct Answer: A
Seizure precautions include keeping suction, oxygen, and a padded side rail (or bed in low
position) available. Never place anything in the client's mouth during a seizure.
,6. A nurse is preparing to administer a blood transfusion. Which action is priority?
A. Prime the tubing with dextrose 5% in water
B. Verify the blood product with a second nurse and confirm client identification
C. Administer the blood over 1 hour regardless of client response
D. Add medications to the blood bag to prevent reactions
Correct Answer: B
Two-nurse verification of blood products and client identification is essential to prevent
hemolytic transfusion reactions. Blood is primed with 0.9% sodium chloride, never dextrose
solutions.
7. The nurse is caring for a client on airborne precautions. Which statement indicates the client
understands teaching?
A. "I can leave my room anytime I want."
B. "I need to wear a surgical mask when I leave my room for tests."
C. "My visitors do not need to wear any protection."
D. "I should keep my door open for airflow."
Correct Answer: B
Clients on airborne precautions wear a surgical mask when leaving the room. The door
should remain closed, and visitors should wear an N95 respirator.
8. A nurse is performing hand hygiene. Which action indicates a need for further teaching?
A. Rubs hands together with soap for at least 20 seconds
B. Turns off the faucet with bare hands before drying
C. Uses a paper towel to turn off the faucet
D. Cleans under the fingernails
Correct Answer: B
The faucet should be turned off using a dry paper towel, not bare hands, to prevent
recontamination.
9. Which client is at greatest risk for developing a healthcare-associated infection (HAI)?
, A. A client with a closed fracture
B. A client with an indwelling urinary catheter
C. A client taking oral antibiotics at home
D. A client who had a blood pressure check
Correct Answer: B
Indwelling urinary catheters are a leading cause of catheter-associated urinary tract
infections (CAUTIs), a common HAI.
10. A nurse is caring for a client who has active pulmonary tuberculosis. Which type of room
should the nurse assign?
A. Private room with positive airflow
B. Negative-pressure room with 6–12 air exchanges per hour
C. Semi-private room with a curtain
D. Private room with the door open
Correct Answer: B
Tuberculosis requires airborne precautions in a negative-pressure room with 6–12 air
exchanges per hour and an N95 respirator for staff.
11. Which action by the nurse demonstrates proper use of personal protective equipment
(PPE)?
A. Removing gloves before removing the gown
B. Removing the mask first, then gloves
C. Wearing the same gloves for multiple clients
D. Reusing a gown between clients
Correct Answer: A
PPE removal order: gloves first, then goggles/face shield, gown, then mask/respirator.
Gloves are the most contaminated and are removed first.
12. A nurse is teaching a client about home safety. Which statement indicates understanding?
A. "I will keep my throw rugs in the bathroom."
B. "I will install grab bars in the shower and use a night light."
