ATI RN FuNdAmeNTAls exAm AcTuAl exAm 2026/2027 – compleTe
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ATI RN Fundamentals Exam: Safety & Infection Control (30 Questions)
1. A nurse is preparing to perform hand hygiene. Which of the following actions is correct?
A. Use hot water to remove oils from the skin
B. Keep hands lower than elbows while washing
C. Use an alcohol-based hand rub when hands are visibly soiled
D. Rub hands together for at least 20 seconds when using alcohol-based hand rub
Answer: D
Rationale: Alcohol-based hand rub should be applied with friction for at least 20 seconds until
hands are dry. Hot water (A) removes protective oils; hands should be kept above elbows to
allow water to drain away from clean areas (B). Alcohol-based hand rub is not effective for
visibly soiled hands; soap and water are required (C).
---
2. A nurse is caring for a client on contact precautions for Clostridium difficile. Which personal
protective equipment (PPE) is required?
A. Surgical mask
B. N95 respirator
C. Gown and gloves
D. Eye protection only
Answer: C
, Rationale: Contact precautions require gloves and gown. Surgical masks (A) are for droplet
precautions; N95 (B) is for airborne precautions; eye protection alone (D) is insufficient.
---
3. 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
Answer: D
Rationale: Unsterile hands should touch only the inside of the gown. The outside of the gown is
sterile. The gown should be allowed to unfold without touching anything (A). Sleeve cuffs should
be covered by sterile gloves, not touched. The waist ties are fastened after gloves are applied
(C) to maintain sterility.
---
4. A nurse is caring for a client with active pulmonary tuberculosis. Which type of transmission-
based precaution is required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C
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.
exAm-sTyle QuesTIoNs wITh deTAIled RATIoNAles | 100% VeRIFIed
| pAss GuARANTeed – A+ GRAded
ATI RN Fundamentals Exam: Safety & Infection Control (30 Questions)
1. A nurse is preparing to perform hand hygiene. Which of the following actions is correct?
A. Use hot water to remove oils from the skin
B. Keep hands lower than elbows while washing
C. Use an alcohol-based hand rub when hands are visibly soiled
D. Rub hands together for at least 20 seconds when using alcohol-based hand rub
Answer: D
Rationale: Alcohol-based hand rub should be applied with friction for at least 20 seconds until
hands are dry. Hot water (A) removes protective oils; hands should be kept above elbows to
allow water to drain away from clean areas (B). Alcohol-based hand rub is not effective for
visibly soiled hands; soap and water are required (C).
---
2. A nurse is caring for a client on contact precautions for Clostridium difficile. Which personal
protective equipment (PPE) is required?
A. Surgical mask
B. N95 respirator
C. Gown and gloves
D. Eye protection only
Answer: C
, Rationale: Contact precautions require gloves and gown. Surgical masks (A) are for droplet
precautions; N95 (B) is for airborne precautions; eye protection alone (D) is insufficient.
---
3. 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
Answer: D
Rationale: Unsterile hands should touch only the inside of the gown. The outside of the gown is
sterile. The gown should be allowed to unfold without touching anything (A). Sleeve cuffs should
be covered by sterile gloves, not touched. The waist ties are fastened after gloves are applied
(C) to maintain sterility.
---
4. A nurse is caring for a client with active pulmonary tuberculosis. Which type of transmission-
based precaution is required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C
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.
