ATI Fundamentals Proctored
Exam Final Version with NGN
2023–2027 – ATI RN Test Bank
with Practice Questions,
Answers, and Rationales
,
,1. A nurse is preparing to perform hand hygiene. Which action
demonstrates proper technique?
• A. Keep hands lower than elbows when rinsing
• B. Use hot water to kill more microorganisms
• C. Rub hands together for at least 10 seconds
• D. Wear artificial nails to reduce bacteria under nails
Answer: A
Rationale: Hands should be kept lower than elbows to allow water to
flow from clean to dirty areas. Water should be warm (not hot) to avoid
skin damage. Hand rubbing should last at least 20 seconds. Artificial
nails harbor bacteria and are not permitted in most clinical settings.
2. A client on contact precautions requires vital sign measurement.
Which action by the nurse is correct?
• A. Leave a dedicated stethoscope in the client's room
• B. Wear the same gloves for all clients on the unit
• C. Remove gown and mask before exiting the room
• D. Use alcohol rub instead of hand washing after care
Answer: A
Rationale: A dedicated stethoscope left in the room prevents cross-
contamination. Gloves must be changed between clients. Gown is
removed before exiting, but mask is removed after exiting the doorway.
Alcohol rub is acceptable unless hands are visibly soiled, but hand
washing is preferred after contact precautions.
3. A nurse is applying restraints to a confused client. Which action
requires immediate correction?
, • A. Obtain a provider's order within 1 hour
• B. Tie the restraint to the movable bed frame
• C. Use a quick-release knot
• D. Remove the restraint every 2 hours for assessment
Answer: B
Rationale: Restraints must be tied to the bed frame (not the side rail)
and never to a movable part. A provider's order must be obtained
within 1 hour (ATI standard). Quick-release knots and 2-hour removal
checks are correct.
4. Which client is at highest risk for a fall?
• A. A 45-year-old post-operative day 2
• B. A 70-year-old with urinary frequency and sedation
• C. A 30-year-old with a fractured ankle on crutches
• D. A 55-year-old with stable angina
Answer: B
Rationale: Urinary frequency increases the need to get up to the
bathroom, and sedation impairs judgment and coordination. Age over
65 is a risk factor, and this client has multiple risk factors combined.
5. A nurse enters a client's room and finds a small fire in the trash can.
After removing the client, what is the next action?
• A. Close the door to the room
• B. Pull the fire alarm
• C. Use a fire extinguisher
• D. Run to get help
Exam Final Version with NGN
2023–2027 – ATI RN Test Bank
with Practice Questions,
Answers, and Rationales
,
,1. A nurse is preparing to perform hand hygiene. Which action
demonstrates proper technique?
• A. Keep hands lower than elbows when rinsing
• B. Use hot water to kill more microorganisms
• C. Rub hands together for at least 10 seconds
• D. Wear artificial nails to reduce bacteria under nails
Answer: A
Rationale: Hands should be kept lower than elbows to allow water to
flow from clean to dirty areas. Water should be warm (not hot) to avoid
skin damage. Hand rubbing should last at least 20 seconds. Artificial
nails harbor bacteria and are not permitted in most clinical settings.
2. A client on contact precautions requires vital sign measurement.
Which action by the nurse is correct?
• A. Leave a dedicated stethoscope in the client's room
• B. Wear the same gloves for all clients on the unit
• C. Remove gown and mask before exiting the room
• D. Use alcohol rub instead of hand washing after care
Answer: A
Rationale: A dedicated stethoscope left in the room prevents cross-
contamination. Gloves must be changed between clients. Gown is
removed before exiting, but mask is removed after exiting the doorway.
Alcohol rub is acceptable unless hands are visibly soiled, but hand
washing is preferred after contact precautions.
3. A nurse is applying restraints to a confused client. Which action
requires immediate correction?
, • A. Obtain a provider's order within 1 hour
• B. Tie the restraint to the movable bed frame
• C. Use a quick-release knot
• D. Remove the restraint every 2 hours for assessment
Answer: B
Rationale: Restraints must be tied to the bed frame (not the side rail)
and never to a movable part. A provider's order must be obtained
within 1 hour (ATI standard). Quick-release knots and 2-hour removal
checks are correct.
4. Which client is at highest risk for a fall?
• A. A 45-year-old post-operative day 2
• B. A 70-year-old with urinary frequency and sedation
• C. A 30-year-old with a fractured ankle on crutches
• D. A 55-year-old with stable angina
Answer: B
Rationale: Urinary frequency increases the need to get up to the
bathroom, and sedation impairs judgment and coordination. Age over
65 is a risk factor, and this client has multiple risk factors combined.
5. A nurse enters a client's room and finds a small fire in the trash can.
After removing the client, what is the next action?
• A. Close the door to the room
• B. Pull the fire alarm
• C. Use a fire extinguisher
• D. Run to get help
