ATI RN FUNDAMENTALS FINAL EXAM 2026: LATEST PRACTICE
QUESTIONS & ANSWERS : QUESTIONS AND RATIONALES/GRADED A+
UPDATE 100% CORRECT
Section 1: Safety & Infection Control (Questions 1-30)
Question 1
A nurse is preparing to administer a subcutaneous injection of heparin. Which needle
size is most appropriate?
A. 18 gauge, 1.5 inch
B. 21 gauge, 1 inch
C. 25 gauge, 5/8 inch ✓
D. 27 gauge, 2 inch
Rationale: Subcutaneous injections require a small gauge (25-27) and short needle (3/8
to 5/8 inch) to deposit medication into fatty tissue. 25G 5/8 inch is standard for average-
sized adults.
---
Question 2
A client on contact precautions requires a blood pressure reading. Which action should
the nurse take?
A. Dedicate a disposable blood pressure cuff to the client's room ✓
B. Use the same cuff on all clients but clean it with alcohol between uses
,C. Share the cuff between clients without cleaning
D. Use a cuff and discard it after one use
Rationale: For contact precautions, equipment should be dedicated to the client
whenever possible. If equipment must be shared, it must be cleaned and disinfected
before use on another client. Dedicating a disposable cuff to the client's room is the
best practice.
---
Question 3
A nurse is performing hand hygiene before caring for a client. Which action by the
nurse demonstrates correct technique?
A. Uses hot water to remove oils from the skin
B. Keeps hands lower than elbows during washing
C. Rubs hands together for at least 20 seconds with soap and water ✓
D. Uses an alcohol-based hand rub when hands are visibly soiled
Rationale: Hand washing with soap and water should last at least 20 seconds. Hot water
(A) removes protective oils; hands should be kept above elbows (B) to allow water to
drain away from clean areas; alcohol-based hand rub (D) is not effective for visibly
soiled hands.
---
Question 4
A client with active pulmonary tuberculosis is admitted. Which type of transmission-
based precaution is required?
A. Contact precautions
, B. Droplet precautions
C. Airborne precautions ✓
D. Standard precautions only
Rationale: Tuberculosis is transmitted via airborne droplet nuclei and requires airborne
precautions (negative pressure room, N95 respirator). Contact (A) is for C. diff, MRSA;
droplet (B) is for influenza, meningitis; standard precautions alone (D) are insufficient.
---
Question 5
A nurse is applying a sterile gown for a sterile procedure. Which technique is correct?
A. Open the gown and allow the inside to touch the outside of the wrapper
B. Slide arms into the gown sleeves without touching the outside of the gown
C. Fasten the gown at the neck and waist before putting on gloves
D. Touch only the inside of the gown with unsterile hands ✓
Rationale: Unsterile hands should touch only the inside of the gown. The outside of the
gown is sterile. Option B is incorrect because unsterile hands should not touch the
outside cuffs. Option C is incorrect because waist ties are fastened after gloves are
applied.
---
Question 6
A nurse is disposing of a used needle. Which action is correct?
A. Recap the needle before discarding
QUESTIONS & ANSWERS : QUESTIONS AND RATIONALES/GRADED A+
UPDATE 100% CORRECT
Section 1: Safety & Infection Control (Questions 1-30)
Question 1
A nurse is preparing to administer a subcutaneous injection of heparin. Which needle
size is most appropriate?
A. 18 gauge, 1.5 inch
B. 21 gauge, 1 inch
C. 25 gauge, 5/8 inch ✓
D. 27 gauge, 2 inch
Rationale: Subcutaneous injections require a small gauge (25-27) and short needle (3/8
to 5/8 inch) to deposit medication into fatty tissue. 25G 5/8 inch is standard for average-
sized adults.
---
Question 2
A client on contact precautions requires a blood pressure reading. Which action should
the nurse take?
A. Dedicate a disposable blood pressure cuff to the client's room ✓
B. Use the same cuff on all clients but clean it with alcohol between uses
,C. Share the cuff between clients without cleaning
D. Use a cuff and discard it after one use
Rationale: For contact precautions, equipment should be dedicated to the client
whenever possible. If equipment must be shared, it must be cleaned and disinfected
before use on another client. Dedicating a disposable cuff to the client's room is the
best practice.
---
Question 3
A nurse is performing hand hygiene before caring for a client. Which action by the
nurse demonstrates correct technique?
A. Uses hot water to remove oils from the skin
B. Keeps hands lower than elbows during washing
C. Rubs hands together for at least 20 seconds with soap and water ✓
D. Uses an alcohol-based hand rub when hands are visibly soiled
Rationale: Hand washing with soap and water should last at least 20 seconds. Hot water
(A) removes protective oils; hands should be kept above elbows (B) to allow water to
drain away from clean areas; alcohol-based hand rub (D) is not effective for visibly
soiled hands.
---
Question 4
A client with active pulmonary tuberculosis is admitted. Which type of transmission-
based precaution is required?
A. Contact precautions
, B. Droplet precautions
C. Airborne precautions ✓
D. Standard precautions only
Rationale: Tuberculosis is transmitted via airborne droplet nuclei and requires airborne
precautions (negative pressure room, N95 respirator). Contact (A) is for C. diff, MRSA;
droplet (B) is for influenza, meningitis; standard precautions alone (D) are insufficient.
---
Question 5
A nurse is applying a sterile gown for a sterile procedure. Which technique is correct?
A. Open the gown and allow the inside to touch the outside of the wrapper
B. Slide arms into the gown sleeves without touching the outside of the gown
C. Fasten the gown at the neck and waist before putting on gloves
D. Touch only the inside of the gown with unsterile hands ✓
Rationale: Unsterile hands should touch only the inside of the gown. The outside of the
gown is sterile. Option B is incorrect because unsterile hands should not touch the
outside cuffs. Option C is incorrect because waist ties are fastened after gloves are
applied.
---
Question 6
A nurse is disposing of a used needle. Which action is correct?
A. Recap the needle before discarding
