ATI FUNDAMENTALS
ASSESSMENT TEST 2026:
VERIFIED ANSWERS WITH
RATIONALES : 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 client. Which
of the following techniques represents proper sterile technique?
A) Open the sterile kit, put on sterile gloves, then pour antiseptic solution onto the
sterile field
B) Open the sterile kit, pour antiseptic solution into the receptacle, then apply
sterile gloves ✅
C) Apply sterile gloves, then open the outer packaging of the sterile kit
D) Pour antiseptic solution with ungloved hands, then apply sterile gloves
Rationale: The sterile field must be established before donning sterile gloves.
Pouring solution after gloving could contaminate the gloves. The correct sequence is:
open kit, pour solutions (using the bottle cap as a barrier), then don sterile gloves.
,Question 2
A nurse is caring for a client with Clostridioides difficile infection. Which hand
hygiene method is most appropriate?
A) Alcohol-based hand rub before and after client contact
B) Soap and water for at least 15 seconds after contact ✅
C) Alcohol-based hand rub followed by soap and water
D) Chlorhexidine wash for 2 minutes
Rationale: C. diff spores are not killed by alcohol-based hand rubs. Mechanical
friction with soap and water is required to physically remove spores. The CDC
recommends soap and water for C. diff.
Question 3
A client on fall precautions accidentally slides from the bed to the floor. The nurse
finds the client on the floor. What is the nurse's priority action?
A) Call for help immediately
B) Assess the client for injuries before moving ✅
C) Use a mechanical lift to return the client to bed
D) Complete an incident report
Rationale: The priority is to assess the client for potential injuries (fractures, head
trauma, bleeding). Moving an injured client could worsen injuries. Assessment
precedes intervention.
,Question 4
A nurse is applying restraints to a confused client who is pulling at their IV line.
Which action demonstrates correct restraint use?
A) Apply restraints tightly to prevent movement
B) Secure restraints to the bed frame, not the side rail ✅
C) Remove restraints every 4 hours for skin assessment
D) Tie restraints using a quick-release knot on the side rail
Rationale: Restraints must be secured to a non-movable part of the bed frame. Side
rails can move and increase injury risk. Restraints require q2h release and assessment
(not q4h). Quick-release knots must be accessible.
Question 5
A nurse is educating a client about fire safety in the home. Which statement by the
client indicates understanding of the "RACE" protocol?
A) "I should remove clients from the immediate area first" ✅
B) "I need to activate the alarm as my first step"
C) "Containing the fire comes before rescuing others"
D) "Extinguishing the fire is always the priority"
Rationale: RACE protocol: Rescue anyone in immediate danger, Activate
alarm, Contain fire (close doors/windows), Extinguish (or evacuate). Rescuing clients
is FIRST.
Question 6
, A nurse is preparing to don personal protective equipment (PPE) before entering a
client's room for wound care. Which sequence is correct?
A) Gloves → Gown → Mask → Eye protection
B) Gown → Mask → Eye protection → Gloves ✅
C) Mask → Gloves → Gown → Eye protection
D) Eye protection → Mask → Gown → Gloves
Rationale: Donning order: Gown first (largest item), then mask, then eye protection,
then gloves (last). Gloves should cover the gown cuffs. Removal sequence is
opposite: gloves first, then eye protection, then gown, then mask.
Question 7
A nurse observes a small fire in a client's trash can. What is the appropriate first
action?
A) Use the fire extinguisher immediately
B) Rescue the client from the room ✅
C) Pull the fire alarm
D) Close the door to contain the fire
Rationale: RACE protocol applies: Rescue clients in immediate danger first. After
removing the client, the nurse would activate the alarm, contain the fire, and then
attempt to extinguish if safe.
Question 8
A client with tuberculosis requires airborne precautions. Which room assignment is
appropriate?
ASSESSMENT TEST 2026:
VERIFIED ANSWERS WITH
RATIONALES : 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 client. Which
of the following techniques represents proper sterile technique?
A) Open the sterile kit, put on sterile gloves, then pour antiseptic solution onto the
sterile field
B) Open the sterile kit, pour antiseptic solution into the receptacle, then apply
sterile gloves ✅
C) Apply sterile gloves, then open the outer packaging of the sterile kit
D) Pour antiseptic solution with ungloved hands, then apply sterile gloves
Rationale: The sterile field must be established before donning sterile gloves.
Pouring solution after gloving could contaminate the gloves. The correct sequence is:
open kit, pour solutions (using the bottle cap as a barrier), then don sterile gloves.
,Question 2
A nurse is caring for a client with Clostridioides difficile infection. Which hand
hygiene method is most appropriate?
A) Alcohol-based hand rub before and after client contact
B) Soap and water for at least 15 seconds after contact ✅
C) Alcohol-based hand rub followed by soap and water
D) Chlorhexidine wash for 2 minutes
Rationale: C. diff spores are not killed by alcohol-based hand rubs. Mechanical
friction with soap and water is required to physically remove spores. The CDC
recommends soap and water for C. diff.
Question 3
A client on fall precautions accidentally slides from the bed to the floor. The nurse
finds the client on the floor. What is the nurse's priority action?
A) Call for help immediately
B) Assess the client for injuries before moving ✅
C) Use a mechanical lift to return the client to bed
D) Complete an incident report
Rationale: The priority is to assess the client for potential injuries (fractures, head
trauma, bleeding). Moving an injured client could worsen injuries. Assessment
precedes intervention.
,Question 4
A nurse is applying restraints to a confused client who is pulling at their IV line.
Which action demonstrates correct restraint use?
A) Apply restraints tightly to prevent movement
B) Secure restraints to the bed frame, not the side rail ✅
C) Remove restraints every 4 hours for skin assessment
D) Tie restraints using a quick-release knot on the side rail
Rationale: Restraints must be secured to a non-movable part of the bed frame. Side
rails can move and increase injury risk. Restraints require q2h release and assessment
(not q4h). Quick-release knots must be accessible.
Question 5
A nurse is educating a client about fire safety in the home. Which statement by the
client indicates understanding of the "RACE" protocol?
A) "I should remove clients from the immediate area first" ✅
B) "I need to activate the alarm as my first step"
C) "Containing the fire comes before rescuing others"
D) "Extinguishing the fire is always the priority"
Rationale: RACE protocol: Rescue anyone in immediate danger, Activate
alarm, Contain fire (close doors/windows), Extinguish (or evacuate). Rescuing clients
is FIRST.
Question 6
, A nurse is preparing to don personal protective equipment (PPE) before entering a
client's room for wound care. Which sequence is correct?
A) Gloves → Gown → Mask → Eye protection
B) Gown → Mask → Eye protection → Gloves ✅
C) Mask → Gloves → Gown → Eye protection
D) Eye protection → Mask → Gown → Gloves
Rationale: Donning order: Gown first (largest item), then mask, then eye protection,
then gloves (last). Gloves should cover the gown cuffs. Removal sequence is
opposite: gloves first, then eye protection, then gown, then mask.
Question 7
A nurse observes a small fire in a client's trash can. What is the appropriate first
action?
A) Use the fire extinguisher immediately
B) Rescue the client from the room ✅
C) Pull the fire alarm
D) Close the door to contain the fire
Rationale: RACE protocol applies: Rescue clients in immediate danger first. After
removing the client, the nurse would activate the alarm, contain the fire, and then
attempt to extinguish if safe.
Question 8
A client with tuberculosis requires airborne precautions. Which room assignment is
appropriate?
