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ATI RN Fundamentals of Nursing Proctored Exam
Versions A and B Actual Exam 2026/2027 – Complete
Exam-Style Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
VERSION A
Safe, Effective Care Environment (Safety & Infection Control)
Q1: A nurse is caring for a client who has been placed in wrist restraints after attempting to pull
out their IV line. Which of the following actions should the nurse take to ensure safe use of the
restraints?
A. Secure the restraint ties to the side rails of the bed
B. Tie the restraints in a quick-release knot
C. Remove the restraints every 4 hours to assess skin integrity
D. Document the client’s behavior every shift
Correct Answer: B
Rationale: This choice is correct because tying restraints in a quick-release knot ensures the
client can be released quickly in an emergency. Tying to the side rail is a safety hazard if the rails
are lowered, restraints should be removed or range of motion checked at least every 2 hours, and
documentation should occur much more frequently than every shift.
Q2: A nurse is preparing to administer a medication to a client and notes the client’s name and
date of birth on the identification band do not match the medical record. What is the nurse's
priority action?
A. Ask the client to state their name and date of birth
B. Administer the medication if the client looks like the photo in the record
C. Proceed with the medication using the room number as a second identifier
D. Notify the charge nurse to correct the medical record immediately
Correct Answer: A
Rationale: The best answer is to ask the client to state their name and date of birth to verify
identity directly before proceeding, as errors in identification bands can occur. Administering
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medication without correct verification puts the client at risk, and the room number is never an
acceptable identifier.
Q3: A client has a new prescription for seizure precautions. Which of the following equipment
should the nurse ensure is placed at the bedside?
A. A padded tongue blade
B. A suction catheter and setup
C. A portable oxygen tank with a non-rebreather mask
D. A bite block
Correct Answer: B
Rationale: Suctioning equipment is essential for seizure precautions to maintain a patent airway
if secretions or vomiting occur. Tongue blades and bite blocks are contraindicated due to the risk
of injury or oral trauma, and while oxygen is often available, suction is the specific priority for
airway safety during and post-seizure.
Q4: The nurse discovers a small fire in the trash can of the client’s bathroom. According to the
RACE acronym, which action should the nurse take first?
A. Activate the fire alarm
B. Confine the fire by closing the door
C: Extinguish the fire with the proper extinguisher
D. Rescue the clients in immediate danger
Correct Answer: D
Rationale: The "R" in RACE stands for Rescue, meaning the nurse must first ensure clients in
immediate danger are moved to safety before addressing the fire itself or sounding the alarm.
Q5: The nurse is preparing to use a fire extinguisher to put out a small fire. Following the PASS
acronym, which action should the nurse take immediately after pulling the pin?
A. Aim the nozzle at the base of the fire
B. Sweep the spray from side to side
C. Squeeze the handle to release the agent
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D. Point the nozzle at the top of the flames
Correct Answer: A
Rationale: After pulling the pin, the nurse must Aim the nozzle at the base of the fire to
effectively cut off the fuel source. Squeezing the handle happens after aiming, and sweeping
occurs after squeezing.
Q6: A nurse is caring for a client diagnosed with Clostridioides difficile (C. diff) infection.
Which of the following transmission-based precautions should the nurse implement?
A. Droplet precautions
B. Airborne precautions
C. Contact precautions
D. Protective environment precautions
Correct Answer: C
Rationale: C. diff is transmitted primarily through spores in the stool, requiring Contact
Precautions, which include the use of gloves and gowns, to prevent the spread of pathogens via
direct or indirect contact.
Q7: A nurse is entering the room of a client who is on Airborne Precautions for suspected
tuberculosis. Which personal protective equipment (PPE) is required?
A. Surgical mask and goggles
B. N95 respirator
C. Face shield and gown
D. N95 respirator and shoe covers
Correct Answer: B
Rationale: An N95 respirator is required for Airborne Precautions to filter out tiny airborne
particles, whereas a surgical mask does not provide sufficient protection against tuberculosis.
Q8: While performing sterile dressing changes, the nurse accidentally drops a sterile forceps onto
the sterile field. What is the appropriate action?
A. Quickly pick up the forceps and use it if it looks clean
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B. Discard the forceps and obtain a new one
C. Clean the forceps with an alcohol swab and reuse it
D. Cover the forceps with a sterile towel and continue
Correct Answer: B
Rationale: Any sterile object that comes into contact with a non-sterile surface (like the edge of
the field or outside the package) is considered contaminated and must be discarded immediately
to maintain the sterile field.
Q9: A nurse is performing hand hygiene using an alcohol-based hand rub. Which of the
following actions is correct?
A. Apply the rub to dry hands only
B. Rub hands together for at least 15 seconds until dry
C. Stop rubbing as soon as the hands feel damp
D. Wash hands with water immediately after applying the rub
Correct Answer: B
Rationale: The nurse should rub the alcohol-based hand rub over all surfaces of the hands for at
least 15 seconds until they are completely dry to ensure maximum efficacy against pathogens.
Q10: The nurse is preparing to transport a client on Contact Precautions to the radiology
department. Which of the following is required?
A. The client must wear a surgical mask during transport
B. The client must wear a gown and gloves during transport
C. The transport personnel must wear a gown and gloves
D. No precautions are necessary during transport if the client is covered
Correct Answer: B
Rationale: The client should wear a gown and gloves during transport to prevent the spread of
pathogens to the environment and other personnel outside the isolation room.
ATI RN Fundamentals of Nursing Proctored Exam
Versions A and B Actual Exam 2026/2027 – Complete
Exam-Style Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
VERSION A
Safe, Effective Care Environment (Safety & Infection Control)
Q1: A nurse is caring for a client who has been placed in wrist restraints after attempting to pull
out their IV line. Which of the following actions should the nurse take to ensure safe use of the
restraints?
A. Secure the restraint ties to the side rails of the bed
B. Tie the restraints in a quick-release knot
C. Remove the restraints every 4 hours to assess skin integrity
D. Document the client’s behavior every shift
Correct Answer: B
Rationale: This choice is correct because tying restraints in a quick-release knot ensures the
client can be released quickly in an emergency. Tying to the side rail is a safety hazard if the rails
are lowered, restraints should be removed or range of motion checked at least every 2 hours, and
documentation should occur much more frequently than every shift.
Q2: A nurse is preparing to administer a medication to a client and notes the client’s name and
date of birth on the identification band do not match the medical record. What is the nurse's
priority action?
A. Ask the client to state their name and date of birth
B. Administer the medication if the client looks like the photo in the record
C. Proceed with the medication using the room number as a second identifier
D. Notify the charge nurse to correct the medical record immediately
Correct Answer: A
Rationale: The best answer is to ask the client to state their name and date of birth to verify
identity directly before proceeding, as errors in identification bands can occur. Administering
,2
medication without correct verification puts the client at risk, and the room number is never an
acceptable identifier.
Q3: A client has a new prescription for seizure precautions. Which of the following equipment
should the nurse ensure is placed at the bedside?
A. A padded tongue blade
B. A suction catheter and setup
C. A portable oxygen tank with a non-rebreather mask
D. A bite block
Correct Answer: B
Rationale: Suctioning equipment is essential for seizure precautions to maintain a patent airway
if secretions or vomiting occur. Tongue blades and bite blocks are contraindicated due to the risk
of injury or oral trauma, and while oxygen is often available, suction is the specific priority for
airway safety during and post-seizure.
Q4: The nurse discovers a small fire in the trash can of the client’s bathroom. According to the
RACE acronym, which action should the nurse take first?
A. Activate the fire alarm
B. Confine the fire by closing the door
C: Extinguish the fire with the proper extinguisher
D. Rescue the clients in immediate danger
Correct Answer: D
Rationale: The "R" in RACE stands for Rescue, meaning the nurse must first ensure clients in
immediate danger are moved to safety before addressing the fire itself or sounding the alarm.
Q5: The nurse is preparing to use a fire extinguisher to put out a small fire. Following the PASS
acronym, which action should the nurse take immediately after pulling the pin?
A. Aim the nozzle at the base of the fire
B. Sweep the spray from side to side
C. Squeeze the handle to release the agent
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D. Point the nozzle at the top of the flames
Correct Answer: A
Rationale: After pulling the pin, the nurse must Aim the nozzle at the base of the fire to
effectively cut off the fuel source. Squeezing the handle happens after aiming, and sweeping
occurs after squeezing.
Q6: A nurse is caring for a client diagnosed with Clostridioides difficile (C. diff) infection.
Which of the following transmission-based precautions should the nurse implement?
A. Droplet precautions
B. Airborne precautions
C. Contact precautions
D. Protective environment precautions
Correct Answer: C
Rationale: C. diff is transmitted primarily through spores in the stool, requiring Contact
Precautions, which include the use of gloves and gowns, to prevent the spread of pathogens via
direct or indirect contact.
Q7: A nurse is entering the room of a client who is on Airborne Precautions for suspected
tuberculosis. Which personal protective equipment (PPE) is required?
A. Surgical mask and goggles
B. N95 respirator
C. Face shield and gown
D. N95 respirator and shoe covers
Correct Answer: B
Rationale: An N95 respirator is required for Airborne Precautions to filter out tiny airborne
particles, whereas a surgical mask does not provide sufficient protection against tuberculosis.
Q8: While performing sterile dressing changes, the nurse accidentally drops a sterile forceps onto
the sterile field. What is the appropriate action?
A. Quickly pick up the forceps and use it if it looks clean
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B. Discard the forceps and obtain a new one
C. Clean the forceps with an alcohol swab and reuse it
D. Cover the forceps with a sterile towel and continue
Correct Answer: B
Rationale: Any sterile object that comes into contact with a non-sterile surface (like the edge of
the field or outside the package) is considered contaminated and must be discarded immediately
to maintain the sterile field.
Q9: A nurse is performing hand hygiene using an alcohol-based hand rub. Which of the
following actions is correct?
A. Apply the rub to dry hands only
B. Rub hands together for at least 15 seconds until dry
C. Stop rubbing as soon as the hands feel damp
D. Wash hands with water immediately after applying the rub
Correct Answer: B
Rationale: The nurse should rub the alcohol-based hand rub over all surfaces of the hands for at
least 15 seconds until they are completely dry to ensure maximum efficacy against pathogens.
Q10: The nurse is preparing to transport a client on Contact Precautions to the radiology
department. Which of the following is required?
A. The client must wear a surgical mask during transport
B. The client must wear a gown and gloves during transport
C. The transport personnel must wear a gown and gloves
D. No precautions are necessary during transport if the client is covered
Correct Answer: B
Rationale: The client should wear a gown and gloves during transport to prevent the spread of
pathogens to the environment and other personnel outside the isolation room.
