ATI FUNDAMENTALS PROCTORED
EXAM 2026: FULL-LENGTH
SIMULATION TEST : QUESTIONS
AND RATIONALES/GRADED A+
UPDATE 100% CORRECT
Section 1: Safety & Infection Control (Questions 1-15)
Question 1
A nurse is preparing to insert an indwelling urinary catheter for a female patient.
Which of the following actions demonstrates proper sterile technique?
A. Opening the sterile kit toward the nurse's body to avoid contamination
B. Setting up the sterile field while wearing clean gloves, then removing them before
donning sterile gloves
C. Pouring sterile saline solution into the sterile basin after donning sterile gloves
D. Considering the outer 2.5 cm (1 inch) of the sterile field as contaminated
Correct Answer: D
Rationale: The outer 2.5 cm (1 inch) of a sterile field is considered contaminated
because it is difficult to maintain sterility at the edges. Option A is incorrect - sterile
kits should be opened away from the body to prevent clothing from touching the
sterile interior. Option B is incorrect - clean gloves should be removed BEFORE
,setting up the sterile field. Option C is incorrect - pouring should be done BEFORE
donning sterile gloves or using sterile technique for pouring.
Question 2
A nurse is caring for a patient with Clostridium difficile infection. Which type of
transmission-based precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective environment
Correct Answer: C
Rationale: C. difficile requires contact precautions because it is spread through direct
contact with contaminated surfaces, equipment, or feces. Hand hygiene should be
performed with soap and water (not alcohol-based hand rub) as alcohol does not kill
C. difficile spores. Airborne precautions are for tuberculosis, measles, varicella.
Droplet precautions are for influenza, meningococcus. Protective environment is for
immunocompromised patients.
Question 3
A nurse is applying restraints to a confused patient who is pulling at their IV line.
Which of the following actions is appropriate?
A. Tie the restraint to the side rail of the bed
B. Secure the restraint with a quick-release knot
C. Apply the restraint tightly to prevent slipping
D. Remove the restraint every 4 hours for range of motion
,Correct Answer: B
Rationale: Restraints must be secured with a quick-release knot to allow rapid
removal in an emergency. Option A is incorrect - restraints should be tied to the bed
frame, not side rails which move. Option C is incorrect - restraints should allow 1-2
finger widths of space. Option D is incorrect - restraints require removal every 2
hours for range of motion and skin assessment, not every 4 hours.
Question 4
A nurse is performing hand hygiene before caring for a patient. Which of the
following indicates proper technique?
A. Using alcohol-based hand rub when hands are visibly soiled
B. Rubbing hands together for 10 seconds until dry
C. Washing hands with soap and water for 15 seconds
D. Applying hand rub to the palms only
Correct Answer: C
Rationale: When using soap and water, hands should be rubbed together for at least
15 seconds to effectively remove microorganisms. Option A is incorrect - alcohol-
based hand rub should NOT be used when hands are visibly soiled; soap and water is
required. Option B is incorrect - hands should be rubbed for 20-30 seconds with
alcohol-based hand rub, not 10 seconds. Option D is incorrect - hand rub must be
applied to all surfaces of the hands including backs, between fingers, and thumbs.
Question 5
A patient on airborne precautions requires transportation to the radiology
department. Which action should the nurse take?
, A. Place a surgical mask on the patient during transport
B. Have the patient wear an N95 respirator during transport
C. No special precautions are needed for transport
D. Place the patient in a negative pressure room for transport
Correct Answer: A
Rationale: Patients on airborne precautions (TB, measles, varicella) should wear a
surgical mask during transport to contain airborne particles. Healthcare workers
should wear N95 respirators when caring for the patient, but the patient wears a
surgical mask. Option B is incorrect - N95 respirators are for healthcare workers, not
patients. Option C is incorrect - precautions ARE needed during transport. Option D
is incorrect - negative pressure rooms are for patient rooms, not transport.
Question 6
A nurse is caring for a patient with hepatitis A. Which of the following is the priority
action?
A. Wear an N95 respirator during patient care
B. Use a dedicated stethoscope for this patient
C. Perform hand hygiene after removing gloves
D. Place the patient in a negative pressure room
Correct Answer: C
Rationale: Hepatitis A is transmitted via the fecal-oral route. Hand hygiene after
removing gloves is essential to prevent spread. Option A is incorrect - airborne
precautions are not required. Option B is incorrect - dedicated equipment is not
required for hepatitis A. Option D is incorrect - negative pressure is for airborne
illnesses.
EXAM 2026: FULL-LENGTH
SIMULATION TEST : QUESTIONS
AND RATIONALES/GRADED A+
UPDATE 100% CORRECT
Section 1: Safety & Infection Control (Questions 1-15)
Question 1
A nurse is preparing to insert an indwelling urinary catheter for a female patient.
Which of the following actions demonstrates proper sterile technique?
A. Opening the sterile kit toward the nurse's body to avoid contamination
B. Setting up the sterile field while wearing clean gloves, then removing them before
donning sterile gloves
C. Pouring sterile saline solution into the sterile basin after donning sterile gloves
D. Considering the outer 2.5 cm (1 inch) of the sterile field as contaminated
Correct Answer: D
Rationale: The outer 2.5 cm (1 inch) of a sterile field is considered contaminated
because it is difficult to maintain sterility at the edges. Option A is incorrect - sterile
kits should be opened away from the body to prevent clothing from touching the
sterile interior. Option B is incorrect - clean gloves should be removed BEFORE
,setting up the sterile field. Option C is incorrect - pouring should be done BEFORE
donning sterile gloves or using sterile technique for pouring.
Question 2
A nurse is caring for a patient with Clostridium difficile infection. Which type of
transmission-based precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective environment
Correct Answer: C
Rationale: C. difficile requires contact precautions because it is spread through direct
contact with contaminated surfaces, equipment, or feces. Hand hygiene should be
performed with soap and water (not alcohol-based hand rub) as alcohol does not kill
C. difficile spores. Airborne precautions are for tuberculosis, measles, varicella.
Droplet precautions are for influenza, meningococcus. Protective environment is for
immunocompromised patients.
Question 3
A nurse is applying restraints to a confused patient who is pulling at their IV line.
Which of the following actions is appropriate?
A. Tie the restraint to the side rail of the bed
B. Secure the restraint with a quick-release knot
C. Apply the restraint tightly to prevent slipping
D. Remove the restraint every 4 hours for range of motion
,Correct Answer: B
Rationale: Restraints must be secured with a quick-release knot to allow rapid
removal in an emergency. Option A is incorrect - restraints should be tied to the bed
frame, not side rails which move. Option C is incorrect - restraints should allow 1-2
finger widths of space. Option D is incorrect - restraints require removal every 2
hours for range of motion and skin assessment, not every 4 hours.
Question 4
A nurse is performing hand hygiene before caring for a patient. Which of the
following indicates proper technique?
A. Using alcohol-based hand rub when hands are visibly soiled
B. Rubbing hands together for 10 seconds until dry
C. Washing hands with soap and water for 15 seconds
D. Applying hand rub to the palms only
Correct Answer: C
Rationale: When using soap and water, hands should be rubbed together for at least
15 seconds to effectively remove microorganisms. Option A is incorrect - alcohol-
based hand rub should NOT be used when hands are visibly soiled; soap and water is
required. Option B is incorrect - hands should be rubbed for 20-30 seconds with
alcohol-based hand rub, not 10 seconds. Option D is incorrect - hand rub must be
applied to all surfaces of the hands including backs, between fingers, and thumbs.
Question 5
A patient on airborne precautions requires transportation to the radiology
department. Which action should the nurse take?
, A. Place a surgical mask on the patient during transport
B. Have the patient wear an N95 respirator during transport
C. No special precautions are needed for transport
D. Place the patient in a negative pressure room for transport
Correct Answer: A
Rationale: Patients on airborne precautions (TB, measles, varicella) should wear a
surgical mask during transport to contain airborne particles. Healthcare workers
should wear N95 respirators when caring for the patient, but the patient wears a
surgical mask. Option B is incorrect - N95 respirators are for healthcare workers, not
patients. Option C is incorrect - precautions ARE needed during transport. Option D
is incorrect - negative pressure rooms are for patient rooms, not transport.
Question 6
A nurse is caring for a patient with hepatitis A. Which of the following is the priority
action?
A. Wear an N95 respirator during patient care
B. Use a dedicated stethoscope for this patient
C. Perform hand hygiene after removing gloves
D. Place the patient in a negative pressure room
Correct Answer: C
Rationale: Hepatitis A is transmitted via the fecal-oral route. Hand hygiene after
removing gloves is essential to prevent spread. Option A is incorrect - airborne
precautions are not required. Option B is incorrect - dedicated equipment is not
required for hepatitis A. Option D is incorrect - negative pressure is for airborne
illnesses.
