ATI PN FUNDAMENTALS PROCTORED
EXAM 100 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
LATEST UPDATES| ASSURED PASS
introduction
This practice set includes 100 multiple-choice questions covering key content areas
tested on the ATI PN Fundamentals Proctored Exam, including safety and infection
control, basic nursing care, medication administration, vital signs, documentation,
and legal/ethical principles. Each question is followed by the correct answer and a
detailed rationale to reinforce clinical judgment and understanding of fundamental
nursing concepts.
Safety and Infection Control
1. A nurse is caring for a client who is on contact precautions. Which personal
protective equipment (PPE) should the nurse wear?
A. Mask and goggles
B. Gown and gloves
C. N95 respirator
D. Face shield only
Correct Answer: B
Rationale: Contact precautions require a gown and gloves to prevent transmission
of organisms spread by direct or indirect contact. Masks and goggles are used for
droplet precautions, and N95 respirators are used for airborne precautions.
,2. A nurse is preparing to insert a nasogastric tube. Which action should the
nurse take to verify proper placement of the tube?
A. Check the pH of the aspirated gastric contents
B. Auscultate over the stomach while injecting air
C. Observe the client for coughing or choking
D. Measure the length of the tube from the nose to the ear
Correct Answer: A
Rationale: Checking the pH of aspirated gastric contents is the most reliable
bedside method to verify NG tube placement. Gastric pH is typically 4.0 or less.
Auscultation is unreliable. The gold standard for confirmation is an X-ray.
3. A nurse is caring for a client who requires restraints. Which action is
appropriate?
A. Apply restraints tightly to prevent movement
B. Remove restraints every 2 hours for range-of-motion exercises
C. Use restraints for a maximum of 24 hours without renewal
D. Tie restraints to the bed frame using a knot
Correct Answer: B
Rationale: Restraints should be removed every 2 hours for range-of-motion
exercises, toileting, and skin assessment. Restraints should be applied loosely
enough to allow circulation. A provider's order is required, and restraints should be
tied to the bed frame using a quick-release knot.
4. During a fire in a healthcare facility, which action is the nurse's priority?
A. Attempt to extinguish the fire with a fire extinguisher
B. Evacuate patients in immediate danger
C. Close all doors and windows to contain the fire
D. Call the fire department first
,Correct Answer: B
Rationale: The priority in a fire is to protect life, which means removing patients
from immediate danger (Rescue). The RACE acronym (Rescue, Alarm, Contain,
Extinguish) guides actions: rescue first, then alarm, contain, and extinguish if safe.
5. A nurse is preparing to administer a blood transfusion. Which action is
most important to prevent a transfusion reaction?
A. Verify the client's blood type and Rh factor with a second nurse
B. Check the expiration date on the blood product
C. Warm the blood to room temperature before administration
D. Administer the blood over 4 hours
Correct Answer: A
Rationale: Verifying the client's blood type and Rh factor with a second nurse is
the most important action to prevent a transfusion reaction caused by ABO
incompatibility. This verification ensures the right blood is given to the right client.
6. A nurse is caring for a client who has an indwelling urinary catheter. Which
action should the nurse take to prevent catheter-associated urinary tract
infection (CAUTI)?
A. Empty the drainage bag every 24 hours
B. Maintain a closed drainage system
C. Place the drainage bag on the client's bed
D. Clean the perineal area with soap and water daily
Correct Answer: B
Rationale: Maintaining a closed drainage system is the most important
intervention to prevent catheter-associated urinary tract infections.
7. A nurse is caring for a client who is receiving oxygen therapy. Which action
should the nurse take?
, A. Apply petroleum-based ointment to the client's nares
B. Place "No Smoking" signs in the client's room
C. Set the oxygen flow rate at 6 L/min for a nasal cannula
D. Use a humidifier for all oxygen therapy
Correct Answer: B
Rationale: "No Smoking" signs should be placed in the client's room because
oxygen supports combustion. Petroleum-based ointments should be avoided near
oxygen.
8. A nurse is preparing to insert an indwelling urinary catheter in a female
client. Which action should the nurse take to maintain sterile technique?
A. Hold the catheter 2 inches from the tip while inserting
B. Cleanse the urinary meatus from back to front
C. Use sterile gloves to handle the catheter
D. Inflate the balloon before insertion to test integrity
Correct Answer: C
Rationale: Maintaining sterile technique during urinary catheterization requires
the use of sterile gloves when handling the catheter to prevent introducing
pathogens into the urinary tract. Cleansing should be performed from front to back
in females.
9. A nurse is teaching a client about hand hygiene. Which statement by the
client indicates understanding of proper handwashing technique?
A. "I should wash my hands for at least 10 seconds with soap and water."
B. "I can use alcohol-based hand sanitizer when my hands are visibly soiled."
C. "I should turn off the faucet with a clean paper towel after washing."
D. "I only need to wash my hands after using the restroom."
Correct Answer: C
EXAM 100 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
LATEST UPDATES| ASSURED PASS
introduction
This practice set includes 100 multiple-choice questions covering key content areas
tested on the ATI PN Fundamentals Proctored Exam, including safety and infection
control, basic nursing care, medication administration, vital signs, documentation,
and legal/ethical principles. Each question is followed by the correct answer and a
detailed rationale to reinforce clinical judgment and understanding of fundamental
nursing concepts.
Safety and Infection Control
1. A nurse is caring for a client who is on contact precautions. Which personal
protective equipment (PPE) should the nurse wear?
A. Mask and goggles
B. Gown and gloves
C. N95 respirator
D. Face shield only
Correct Answer: B
Rationale: Contact precautions require a gown and gloves to prevent transmission
of organisms spread by direct or indirect contact. Masks and goggles are used for
droplet precautions, and N95 respirators are used for airborne precautions.
,2. A nurse is preparing to insert a nasogastric tube. Which action should the
nurse take to verify proper placement of the tube?
A. Check the pH of the aspirated gastric contents
B. Auscultate over the stomach while injecting air
C. Observe the client for coughing or choking
D. Measure the length of the tube from the nose to the ear
Correct Answer: A
Rationale: Checking the pH of aspirated gastric contents is the most reliable
bedside method to verify NG tube placement. Gastric pH is typically 4.0 or less.
Auscultation is unreliable. The gold standard for confirmation is an X-ray.
3. A nurse is caring for a client who requires restraints. Which action is
appropriate?
A. Apply restraints tightly to prevent movement
B. Remove restraints every 2 hours for range-of-motion exercises
C. Use restraints for a maximum of 24 hours without renewal
D. Tie restraints to the bed frame using a knot
Correct Answer: B
Rationale: Restraints should be removed every 2 hours for range-of-motion
exercises, toileting, and skin assessment. Restraints should be applied loosely
enough to allow circulation. A provider's order is required, and restraints should be
tied to the bed frame using a quick-release knot.
4. During a fire in a healthcare facility, which action is the nurse's priority?
A. Attempt to extinguish the fire with a fire extinguisher
B. Evacuate patients in immediate danger
C. Close all doors and windows to contain the fire
D. Call the fire department first
,Correct Answer: B
Rationale: The priority in a fire is to protect life, which means removing patients
from immediate danger (Rescue). The RACE acronym (Rescue, Alarm, Contain,
Extinguish) guides actions: rescue first, then alarm, contain, and extinguish if safe.
5. A nurse is preparing to administer a blood transfusion. Which action is
most important to prevent a transfusion reaction?
A. Verify the client's blood type and Rh factor with a second nurse
B. Check the expiration date on the blood product
C. Warm the blood to room temperature before administration
D. Administer the blood over 4 hours
Correct Answer: A
Rationale: Verifying the client's blood type and Rh factor with a second nurse is
the most important action to prevent a transfusion reaction caused by ABO
incompatibility. This verification ensures the right blood is given to the right client.
6. A nurse is caring for a client who has an indwelling urinary catheter. Which
action should the nurse take to prevent catheter-associated urinary tract
infection (CAUTI)?
A. Empty the drainage bag every 24 hours
B. Maintain a closed drainage system
C. Place the drainage bag on the client's bed
D. Clean the perineal area with soap and water daily
Correct Answer: B
Rationale: Maintaining a closed drainage system is the most important
intervention to prevent catheter-associated urinary tract infections.
7. A nurse is caring for a client who is receiving oxygen therapy. Which action
should the nurse take?
, A. Apply petroleum-based ointment to the client's nares
B. Place "No Smoking" signs in the client's room
C. Set the oxygen flow rate at 6 L/min for a nasal cannula
D. Use a humidifier for all oxygen therapy
Correct Answer: B
Rationale: "No Smoking" signs should be placed in the client's room because
oxygen supports combustion. Petroleum-based ointments should be avoided near
oxygen.
8. A nurse is preparing to insert an indwelling urinary catheter in a female
client. Which action should the nurse take to maintain sterile technique?
A. Hold the catheter 2 inches from the tip while inserting
B. Cleanse the urinary meatus from back to front
C. Use sterile gloves to handle the catheter
D. Inflate the balloon before insertion to test integrity
Correct Answer: C
Rationale: Maintaining sterile technique during urinary catheterization requires
the use of sterile gloves when handling the catheter to prevent introducing
pathogens into the urinary tract. Cleansing should be performed from front to back
in females.
9. A nurse is teaching a client about hand hygiene. Which statement by the
client indicates understanding of proper handwashing technique?
A. "I should wash my hands for at least 10 seconds with soap and water."
B. "I can use alcohol-based hand sanitizer when my hands are visibly soiled."
C. "I should turn off the faucet with a clean paper towel after washing."
D. "I only need to wash my hands after using the restroom."
Correct Answer: C
