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Description: This comprehensive revision set contains 200 multiple-choice questions
(MCQs) covering ATI RN Fundamentals core content — safety, infection control,
vital signs, medication administration, documentation, mobility, nutrition,
oxygenation, perioperative care, and NGN-style clinical judgment. Each question
includes the correct answer marked with ✅ and a rationale to reinforce
understanding.
Keywords: ATI Fundamentals, RN Proctored Exam, NGN Practice, Nursing
Fundamentals, Patient Safety, Infection Control, Vital Signs, Medication Administration,
Documentation, Clinical Judgment, NCLEX Review.
1. Safety and Infection Control
1. A nurse is preparing to administer a client’s medication. Which action
demonstrates the right route of medication administration?
A. Verifying the client’s name and date of birth
B. Checking the medication label against the MAR
C. ✅ Confirming the medication is given by the prescribed method
D. Documenting the medication after administration
,Rationale: Right route means confirming the medication is given by the prescribed
method (oral, IV, topical, etc.).
2. A client is placed on airborne precautions. Which PPE is essential before
entering the room?
A. Gloves and gown
B. ✅ N95 respirator or powered air-purifying respirator (PAPR)
C. Surgical mask and goggles
D. Shoe covers and hair net
Rationale: Airborne precautions require an N95 or PAPR to prevent inhalation of small
particles.
3. A nurse is caring for a client with Clostridioides difficile. Which action should
the nurse take?
A. Use alcohol-based hand rub after care
B. ✅ Wear gloves and gown and wash hands with soap and water
C. Place the client in a positive-pressure room
D. Use a surgical mask when within 3 feet
Rationale: C. difficile requires contact precautions and soap-and-water handwashing
because alcohol does not kill spores.
4. A nurse is teaching a client about fall prevention. Which statement indicates
understanding?
A. “I will use the call light only at night.”
B. ✅ “I will keep my personal items within reach.”
C. “I will walk in socks on the tile floor.”
D. “I will remove my glasses when walking.”
Rationale: Keeping items within reach reduces the need to get up unassisted, lowering
fall risk.
,5. A nurse is preparing to restrain a client. Which action is appropriate?
A. Apply restraints without a provider’s order
B. ✅ Obtain a provider’s order and assess the client frequently
C. Tie restraints to the side rails
D. Remove restraints only at shift change
Rationale: Restraints require a provider’s order, frequent assessment, and secure
attachment to the bed frame, not side rails.
6. A nurse is caring for a client on droplet precautions. Which PPE is required?
A. N95 respirator
B. ✅ Surgical mask
C. Gown and gloves only
D. Face shield only
Rationale: Droplet precautions require a surgical mask when within 3 feet of the client.
7. A nurse is preparing to insert a urinary catheter. Which action maintains sterile
technique?
A. Reusing the same gloves after touching the bed
B. ✅ Keeping the catheter tip sterile until insertion
C. Touching the sterile field with ungloved hands
D. Placing the sterile kit on the client’s bed
Rationale: The catheter tip must remain sterile to prevent CAUTI.
8. A nurse is evaluating a client’s risk for falls. Which factor increases risk?
A. ✅ Taking a diuretic
B. Using a walker correctly
C. Wearing non-skid shoes
D. Having family present
Rationale: Diuretics increase urination and urgency, raising fall risk.
, 9. A nurse is caring for a client with tuberculosis. Which room placement is
correct?
A. Positive-pressure room
B. ✅ Negative-pressure room
C. Private room with door open
D. Semiprivate room with curtain
Rationale: TB requires a negative-pressure airborne infection isolation room.
10. A nurse is teaching hand hygiene. Which statement indicates need for further
teaching?
A. “I will wash for at least 20 seconds.”
B. “I will use soap and water when hands are visibly soiled.”
C. ✅ “I will use alcohol rub after caring for a client with C. difficile.”
D. “I will wash before and after client contact.”
Rationale: Alcohol rub is ineffective against C. difficile spores.
11. A nurse is preparing to administer an IM injection. Which site is preferred for
an adult?
A. Deltoid
B. ✅ Ventrogluteal
C. Dorsogluteal
D. Vastus lateralis
Rationale: Ventrogluteal is preferred for adults because it avoids major nerves and
blood vessels.
12. A nurse is caring for a client with a latex allergy. Which action is appropriate?
A. Use latex gloves for quick tasks
B. ✅ Use latex-free gloves and equipment
C. Place the client near a latex supply cart
D. Wear powdered latex gloves