ATI Fundamentals Proctored Exam 2019
Retake ACTUAL EXAM 2026/2027 | ATI
Fundamentals Proctored | Verified Q&A |
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Section 1: Safe & Effective Care Environment
Q1: A nurse is caring for a client with Clostridium difficile. Which of the following infection control
actions should the nurse take?
A. Wear an N95 respirator when entering the room.
B. Use an alcohol-based hand rub after removing gloves.
C. Place the client in a room with negative-pressure airflow.
D. Clean hands with soap and water after providing care. [CORRECT]
Correct Answer: D
Rationale: Correct (D) – C. diff spores are resistant to alcohol-based hand rubs; therefore, nurses must
use soap and water for mechanical removal of the spores. Distractor A is incorrect because N95
respirators are required for airborne precautions (e.g., TB), not contact precautions. Distractor B is
incorrect because alcohol does not kill C. diff spores. Distractor C is incorrect because negative-pressure
rooms are for airborne isolation. ATI Tip: Contact precautions require gloves, a gown, and soap-and-
water hand hygiene.
Q2: A nurse on a medical-surgical unit is preparing to assign tasks to an assistive personnel (AP). Which
of the following tasks should the nurse delegate to the AP?
A. Measuring the intake and output for a client with acute kidney injury.
B. Administering a fleet enema to a client with constipation.
,C. Recording the vital signs of a client who is post-operative. [CORRECT]
D. Assessing the incision of a client who is 1 day post-appendectomy.
Correct Answer: C
Rationale: Correct (C) – Recording vital signs is a standardized, non-invasive procedure that falls within
the educational scope and legal scope of practice for assistive personnel. Distractor A is incorrect
because while APs can document I&O, the complex monitoring required for AKI often necessitates
nursing judgment regarding fluid balance. Distractor B is incorrect because administering an enema is an
invasive procedure that requires nursing assessment and cannot be delegated. Distractor D is incorrect
because assessment is always the responsibility of the registered nurse. ATI Tip: Never delegate
assessment, teaching, or evaluation.
Q3: A nurse is responding to a fire in a client's room. Which of the following actions should the nurse
take first?
A. Evacuate the clients in the immediate area. [CORRECT]
B. Pull the fire alarm.
C. Close the doors and windows.
D. Attempt to extinguish the fire.
Correct Answer: A
Rationale: Correct (A) – According to the RACE protocol (Rescue, Alarm, Contain, Extinguish), the nurse's
first priority is to rescue and evacuate clients in immediate danger. Distractor B is incorrect because
pulling the alarm is the second step after ensuring client safety. Distractor C is incorrect because
containing the fire is the third step. Distractor D is incorrect because extinguishing the fire is the last
step and only if safe to do so. ATI Tip: Use RACE for fire emergencies: Rescue first, then Alarm, Contain,
Extinguish.
Q4: A nurse is caring for a client who has a prescription for wrist restraints. Which of the following
actions should the nurse take?
A. Secure the restraints to the side rails.
B. Ensure the client can easily slide two fingers under the restraints. [CORRECT]
C. Remove the restraints every 4 hours to assess skin integrity.
D. Tie the restraints using a double knot.
,Correct Answer: B
Rationale: Correct (B) – The nurse should ensure that two fingers can slide under the restraints to
prevent circulatory compromise while ensuring they are secure. Distractor A is incorrect because
restraints should never be tied to the side rails, as this could cause injury if the rails are lowered.
Distractor C is incorrect because restraints must be removed and the client assessed at least every 2
hours, not 4 hours. Distractor D is incorrect because a quick-release knot (half-bow knot) must be used
to ensure the restraints can be removed rapidly in an emergency. ATI Tip: Restraints require a provider's
order, client reassessment every 2 hours, and a quick-release knot.
Q5: A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission-based precautions should the nurse implement?
A. Airborne [CORRECT]
B. Droplet
C. Contact
D. Protective
Correct Answer: A
Rationale: Correct (A) – Tuberculosis is transmitted via airborne droplet nuclei that remain suspended in
the air, requiring an N95 respirator and a negative-pressure airborne infection isolation room (AIIR).
Distractor B is incorrect because droplet precautions are for illnesses transmitted by large respiratory
droplets (e.g., meningitis). Distractor C is incorrect because contact precautions are for direct or indirect
contact transmission (e.g., C. diff). Distractor D is incorrect because protective precautions are used for
immunocompromised clients, not for the source of the infection. ATI Tip: Airborne = N95 mask +
negative pressure room.
Q6: A nurse is caring for a client who has meningococcal meningitis. Which of the following personal
protective equipment (PPE) should the nurse wear when entering the client's room?
A. Gown and gloves
B. N95 respirator and face shield
C. Surgical mask and eye protection [CORRECT]
D. Shoe covers and hair cover
Correct Answer: C
, Rationale: Correct (C) – Meningococcal meningitis requires droplet precautions, which dictate the use of
a surgical mask when within 3 feet of the client, along with eye protection if there is a risk of splash.
Distractor A is incorrect because gown and gloves are for contact precautions. Distractor B is incorrect
because an N95 is for airborne precautions, not droplet. Distractor D is incorrect because shoe and hair
covers are not standard PPE for droplet precautions. ATI Tip: Droplet precautions require a surgical
mask; airborne precautions require an N95 mask.
Q7: A charge nurse is assigning tasks to a licensed practical nurse (LPN). Which of the following tasks
should the charge nurse delegate to the LPN?
A. Developing the nursing care plan for a newly admitted client.
B. Performing the initial admission assessment on a client.
C. Providing wound care for a client who has a stage 2 pressure injury. [CORRECT]
D. Administering the first dose of a blood transfusion.
Correct Answer: C
Rationale: Correct (C) – Providing wound care for a stable client with a stage 2 pressure injury is within
the scope of practice for an LPN under the supervision of an RN. Distractor A is incorrect because care
planning requires the critical thinking skills of an RN. Distractor B is incorrect because the initial
assessment must be performed by the RN to establish baseline data. Distractor D is incorrect because
the first 15 to 30 minutes of a blood transfusion require RN assessment for a transfusion reaction. ATI
Tip: LPNs can provide focused assessments and care for stable, predictable clients.
Q8: A nurse witnesses a client fall in the hallway. After ensuring the client is safe, which of the following
actions should the nurse take?
A. Document the incident in the client's medical record without notifying the provider.
B. Complete an incident report and notify the provider. [CORRECT]
C. Contact the facility's legal department before documenting anything.
D. File the incident report in the client's medical chart.
Correct Answer: B
Rationale: Correct (B) – The nurse must complete an incident report to ensure quality improvement
tracking and notify the provider to assess the client for injuries. Distractor A is incorrect because the
provider must be notified to evaluate the client. Distractor C is incorrect because the legal department is
Retake ACTUAL EXAM 2026/2027 | ATI
Fundamentals Proctored | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1: Safe & Effective Care Environment
Q1: A nurse is caring for a client with Clostridium difficile. Which of the following infection control
actions should the nurse take?
A. Wear an N95 respirator when entering the room.
B. Use an alcohol-based hand rub after removing gloves.
C. Place the client in a room with negative-pressure airflow.
D. Clean hands with soap and water after providing care. [CORRECT]
Correct Answer: D
Rationale: Correct (D) – C. diff spores are resistant to alcohol-based hand rubs; therefore, nurses must
use soap and water for mechanical removal of the spores. Distractor A is incorrect because N95
respirators are required for airborne precautions (e.g., TB), not contact precautions. Distractor B is
incorrect because alcohol does not kill C. diff spores. Distractor C is incorrect because negative-pressure
rooms are for airborne isolation. ATI Tip: Contact precautions require gloves, a gown, and soap-and-
water hand hygiene.
Q2: A nurse on a medical-surgical unit is preparing to assign tasks to an assistive personnel (AP). Which
of the following tasks should the nurse delegate to the AP?
A. Measuring the intake and output for a client with acute kidney injury.
B. Administering a fleet enema to a client with constipation.
,C. Recording the vital signs of a client who is post-operative. [CORRECT]
D. Assessing the incision of a client who is 1 day post-appendectomy.
Correct Answer: C
Rationale: Correct (C) – Recording vital signs is a standardized, non-invasive procedure that falls within
the educational scope and legal scope of practice for assistive personnel. Distractor A is incorrect
because while APs can document I&O, the complex monitoring required for AKI often necessitates
nursing judgment regarding fluid balance. Distractor B is incorrect because administering an enema is an
invasive procedure that requires nursing assessment and cannot be delegated. Distractor D is incorrect
because assessment is always the responsibility of the registered nurse. ATI Tip: Never delegate
assessment, teaching, or evaluation.
Q3: A nurse is responding to a fire in a client's room. Which of the following actions should the nurse
take first?
A. Evacuate the clients in the immediate area. [CORRECT]
B. Pull the fire alarm.
C. Close the doors and windows.
D. Attempt to extinguish the fire.
Correct Answer: A
Rationale: Correct (A) – According to the RACE protocol (Rescue, Alarm, Contain, Extinguish), the nurse's
first priority is to rescue and evacuate clients in immediate danger. Distractor B is incorrect because
pulling the alarm is the second step after ensuring client safety. Distractor C is incorrect because
containing the fire is the third step. Distractor D is incorrect because extinguishing the fire is the last
step and only if safe to do so. ATI Tip: Use RACE for fire emergencies: Rescue first, then Alarm, Contain,
Extinguish.
Q4: A nurse is caring for a client who has a prescription for wrist restraints. Which of the following
actions should the nurse take?
A. Secure the restraints to the side rails.
B. Ensure the client can easily slide two fingers under the restraints. [CORRECT]
C. Remove the restraints every 4 hours to assess skin integrity.
D. Tie the restraints using a double knot.
,Correct Answer: B
Rationale: Correct (B) – The nurse should ensure that two fingers can slide under the restraints to
prevent circulatory compromise while ensuring they are secure. Distractor A is incorrect because
restraints should never be tied to the side rails, as this could cause injury if the rails are lowered.
Distractor C is incorrect because restraints must be removed and the client assessed at least every 2
hours, not 4 hours. Distractor D is incorrect because a quick-release knot (half-bow knot) must be used
to ensure the restraints can be removed rapidly in an emergency. ATI Tip: Restraints require a provider's
order, client reassessment every 2 hours, and a quick-release knot.
Q5: A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission-based precautions should the nurse implement?
A. Airborne [CORRECT]
B. Droplet
C. Contact
D. Protective
Correct Answer: A
Rationale: Correct (A) – Tuberculosis is transmitted via airborne droplet nuclei that remain suspended in
the air, requiring an N95 respirator and a negative-pressure airborne infection isolation room (AIIR).
Distractor B is incorrect because droplet precautions are for illnesses transmitted by large respiratory
droplets (e.g., meningitis). Distractor C is incorrect because contact precautions are for direct or indirect
contact transmission (e.g., C. diff). Distractor D is incorrect because protective precautions are used for
immunocompromised clients, not for the source of the infection. ATI Tip: Airborne = N95 mask +
negative pressure room.
Q6: A nurse is caring for a client who has meningococcal meningitis. Which of the following personal
protective equipment (PPE) should the nurse wear when entering the client's room?
A. Gown and gloves
B. N95 respirator and face shield
C. Surgical mask and eye protection [CORRECT]
D. Shoe covers and hair cover
Correct Answer: C
, Rationale: Correct (C) – Meningococcal meningitis requires droplet precautions, which dictate the use of
a surgical mask when within 3 feet of the client, along with eye protection if there is a risk of splash.
Distractor A is incorrect because gown and gloves are for contact precautions. Distractor B is incorrect
because an N95 is for airborne precautions, not droplet. Distractor D is incorrect because shoe and hair
covers are not standard PPE for droplet precautions. ATI Tip: Droplet precautions require a surgical
mask; airborne precautions require an N95 mask.
Q7: A charge nurse is assigning tasks to a licensed practical nurse (LPN). Which of the following tasks
should the charge nurse delegate to the LPN?
A. Developing the nursing care plan for a newly admitted client.
B. Performing the initial admission assessment on a client.
C. Providing wound care for a client who has a stage 2 pressure injury. [CORRECT]
D. Administering the first dose of a blood transfusion.
Correct Answer: C
Rationale: Correct (C) – Providing wound care for a stable client with a stage 2 pressure injury is within
the scope of practice for an LPN under the supervision of an RN. Distractor A is incorrect because care
planning requires the critical thinking skills of an RN. Distractor B is incorrect because the initial
assessment must be performed by the RN to establish baseline data. Distractor D is incorrect because
the first 15 to 30 minutes of a blood transfusion require RN assessment for a transfusion reaction. ATI
Tip: LPNs can provide focused assessments and care for stable, predictable clients.
Q8: A nurse witnesses a client fall in the hallway. After ensuring the client is safe, which of the following
actions should the nurse take?
A. Document the incident in the client's medical record without notifying the provider.
B. Complete an incident report and notify the provider. [CORRECT]
C. Contact the facility's legal department before documenting anything.
D. File the incident report in the client's medical chart.
Correct Answer: B
Rationale: Correct (B) – The nurse must complete an incident report to ensure quality improvement
tracking and notify the provider to assess the client for injuries. Distractor A is incorrect because the
provider must be notified to evaluate the client. Distractor C is incorrect because the legal department is
