ATI FUNDAMENTALS CMS
PROCTORED EXAM ACTUAL EXAM
2026/2027 | 70 Questions | Verified Q&A |
Pass Guaranteed - A+ Graded
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (12
Questions)
Q1: A nurse is preparing to insert an indwelling urinary catheter for a female patient.
Which technique demonstrates proper understanding of surgical asepsis?
A. Opening the sterile kit with the outer flap opening away from the body
B. Setting up the sterile field at waist level after opening all inner packaging
C. Placing the sterile drape with the plastic side facing upward
D. Holding the sterile catheter with dominant hand after applying sterile gloves
[CORRECT]
Rationale: **[CORRECT]** The dominant hand is used to maintain sterility of the catheter
during insertion. Surgical aseptic technique requires that only sterile objects touch
sterile surfaces.
Q2: A nurse is caring for a patient on contact precautions. Which action is appropriate
when providing care?
A. Wearing a surgical mask when entering the room
B. Donning a gown and gloves before entering the room [CORRECT]
C. Placing the patient in a negative pressure room
D. Keeping the patient's door closed at all times
,Rationale: **[CORRECT]** Contact precautions require gown and gloves to prevent
transmission of organisms through direct contact with the patient or contaminated
surfaces.
Q3: A nurse discovers a small fire in a patient's trash can. After removing the patient
from the room, which action should the nurse take next?
A. Pull the fire alarm
B. Close the patient's door
C. Use the fire extinguisher [CORRECT]
D. Call the operator
Rationale: **[CORRECT]** RACE protocol: Rescue, Alarm, Confine, Extinguish. After
rescuing the patient, the next step is to extinguish the fire if it is small and manageable.
Q4: A nurse is caring for a patient who refuses to take prescribed medication. Which
action demonstrates respect for the patient's legal rights?
A. Explain the consequences of refusing the medication
B. Administer the medication via another route
C. Ask a family member to encourage the patient
D. Document the refusal and notify the provider [CORRECT]
Rationale: **[CORRECT]** Patients have the right to refuse treatment. The nurse must
document the refusal, notify the provider, and respect the patient's autonomy.
Q5: A nurse is preparing to administer a blood transfusion. Which action is essential to
prevent a transfusion reaction?
A. Check the blood type and Rh factor with another nurse at the bedside [CORRECT]
B. Warm the blood to room temperature before administration
C. Administer the blood through a 22-gauge IV catheter
D. Start the transfusion at 125 mL/hour
, Rationale: **[CORRECT]** Two registered nurses must verify the blood product, patient
identity, blood type, and expiration time at the bedside to prevent fatal transfusion
errors.
Q6: A nurse is caring for a patient with tuberculosis who is on airborne precautions.
Which PPE is required when entering the room?
A. Gown and gloves
B. Surgical mask
C. N95 respirator or powered air-purifying respirator (PAPR) [CORRECT]
D. Face shield only
Rationale: **[CORRECT]** Airborne precautions require N95 respirator or PAPR to filter
out airborne particles smaller than 5 microns, including Mycobacterium tuberculosis.
Q7: A nurse witnesses a healthcare provider signing a patient's informed consent form
without explaining the procedure. Which action should the nurse take?
A. Notify the nursing supervisor [CORRECT]
B. Ask the patient if they have questions
C. Document the incident in the patient's chart
D. Continue with preoperative preparation
Rationale: **[CORRECT]** Signing without informed consent represents a violation of
patient rights and potential malpractice. The nurse must escalate to supervision to
protect the patient.
Q8: A nurse is caring for a patient who is confused and repeatedly tries to remove their
central line. Which intervention is most appropriate?
A. Apply wrist restraints to both arms
B. Assign a sitter to provide continuous observation [CORRECT]
PROCTORED EXAM ACTUAL EXAM
2026/2027 | 70 Questions | Verified Q&A |
Pass Guaranteed - A+ Graded
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (12
Questions)
Q1: A nurse is preparing to insert an indwelling urinary catheter for a female patient.
Which technique demonstrates proper understanding of surgical asepsis?
A. Opening the sterile kit with the outer flap opening away from the body
B. Setting up the sterile field at waist level after opening all inner packaging
C. Placing the sterile drape with the plastic side facing upward
D. Holding the sterile catheter with dominant hand after applying sterile gloves
[CORRECT]
Rationale: **[CORRECT]** The dominant hand is used to maintain sterility of the catheter
during insertion. Surgical aseptic technique requires that only sterile objects touch
sterile surfaces.
Q2: A nurse is caring for a patient on contact precautions. Which action is appropriate
when providing care?
A. Wearing a surgical mask when entering the room
B. Donning a gown and gloves before entering the room [CORRECT]
C. Placing the patient in a negative pressure room
D. Keeping the patient's door closed at all times
,Rationale: **[CORRECT]** Contact precautions require gown and gloves to prevent
transmission of organisms through direct contact with the patient or contaminated
surfaces.
Q3: A nurse discovers a small fire in a patient's trash can. After removing the patient
from the room, which action should the nurse take next?
A. Pull the fire alarm
B. Close the patient's door
C. Use the fire extinguisher [CORRECT]
D. Call the operator
Rationale: **[CORRECT]** RACE protocol: Rescue, Alarm, Confine, Extinguish. After
rescuing the patient, the next step is to extinguish the fire if it is small and manageable.
Q4: A nurse is caring for a patient who refuses to take prescribed medication. Which
action demonstrates respect for the patient's legal rights?
A. Explain the consequences of refusing the medication
B. Administer the medication via another route
C. Ask a family member to encourage the patient
D. Document the refusal and notify the provider [CORRECT]
Rationale: **[CORRECT]** Patients have the right to refuse treatment. The nurse must
document the refusal, notify the provider, and respect the patient's autonomy.
Q5: A nurse is preparing to administer a blood transfusion. Which action is essential to
prevent a transfusion reaction?
A. Check the blood type and Rh factor with another nurse at the bedside [CORRECT]
B. Warm the blood to room temperature before administration
C. Administer the blood through a 22-gauge IV catheter
D. Start the transfusion at 125 mL/hour
, Rationale: **[CORRECT]** Two registered nurses must verify the blood product, patient
identity, blood type, and expiration time at the bedside to prevent fatal transfusion
errors.
Q6: A nurse is caring for a patient with tuberculosis who is on airborne precautions.
Which PPE is required when entering the room?
A. Gown and gloves
B. Surgical mask
C. N95 respirator or powered air-purifying respirator (PAPR) [CORRECT]
D. Face shield only
Rationale: **[CORRECT]** Airborne precautions require N95 respirator or PAPR to filter
out airborne particles smaller than 5 microns, including Mycobacterium tuberculosis.
Q7: A nurse witnesses a healthcare provider signing a patient's informed consent form
without explaining the procedure. Which action should the nurse take?
A. Notify the nursing supervisor [CORRECT]
B. Ask the patient if they have questions
C. Document the incident in the patient's chart
D. Continue with preoperative preparation
Rationale: **[CORRECT]** Signing without informed consent represents a violation of
patient rights and potential malpractice. The nurse must escalate to supervision to
protect the patient.
Q8: A nurse is caring for a patient who is confused and repeatedly tries to remove their
central line. Which intervention is most appropriate?
A. Apply wrist restraints to both arms
B. Assign a sitter to provide continuous observation [CORRECT]
