ATI FUNDAMENTALS PROCTORED
EXAM: COMPREHENSIVE TOPIC TEST
(2026 UPDATE) QUESTIONS AND
ANSWERS WITH RATIONALES/GRADED
A+/2026 UPDATE/100% CORRECT
/INSTANT DOWNLOAD
DOMAIN I: SAFETY & INFECTION CONTROL
(Questions 1-10)
Question 1
A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which technique requires surgical asepsis?
A) Donning clean gloves to perform perineal care
B) Opening the sterile catheter package onto the sterile field
C) Cleaning the urinary meatus with antiseptic swabs
D) Emptying the urine from the drainage bag
Correct Answer: B – Opening the sterile catheter package onto the
sterile field
Rationale: Indwelling urinary catheter insertion requires surgical asepsis
(sterile technique) because it involves entering a sterile body cavity. Opening
the sterile package onto a sterile field maintains the sterility of the catheter.
Perineal care and cleaning the meatus use clean technique and sterile
swabs/gloves respectively, but the critical step of maintaining sterile field
integrity requires surgical asepsis.
,Question 2
A nurse is caring for a client who has a Clostridium difficile infection. Which
hand hygiene method is most appropriate?
A) Alcohol-based hand sanitizer before and after client contact
B) Hand washing with soap and water for 15-20 seconds
C) Alcohol-based hand sanitizer followed by soap and water
D) Hand washing with soap and water followed by alcohol rub
Correct Answer: B – Hand washing with soap and water for 15-20
seconds
Rationale: C. difficile spores are NOT killed by alcohol-based hand sanitizers.
Mechanical friction and rinsing with soap and water are required to physically
remove spores. The CDC recommends soap and water for C. diff, norovirus,
and when hands are visibly soiled. Alcohol-based sanitizers are effective for
most other pathogens.
Question 3
A nurse is applying wrist restraints to a client who is trying to pull out their
nasogastric tube. Which action is most important?
A) Ensure two fingers can fit between the restraint and the client's wrist
B) Tie the restraint straps to the side rail of the bed
C) Apply the restraint over the client's gown
D) Remove the restraint every 8 hours for skin assessment
Correct Answer: A – Ensure two fingers can fit between the restraint
and the client's wrist
Rationale: Two-finger width (approximately 1-2 cm) prevents circulatory
compromise and nerve damage while maintaining effectiveness. Restraints
should NEVER be tied to side rails (can cause injury if rail is lowered).
Restraints require assessment every 1-2 hours, with removal every 2 hours
for range of motion and skin assessment (not every 8 hours).
, Question 4
A nurse is caring for a client on contact precautions. Which personal
protective equipment (PPE) is required when providing direct care?
A) Surgical mask and face shield
B) N95 respirator and gown
C) Gown and gloves
D) Gloves only
Correct Answer: C – Gown and gloves
Rationale: Contact precautions require gown and gloves. Mask and face
shield are for droplet/airborne precautions (influenza, COVID-19). N95
respirator is for airborne precautions (tuberculosis, measles). Gloves alone
are insufficient because contact precautions prevent transmission via
direct/indirect contact with contaminated surfaces.
Question 5
A nurse discovers a small fire in a client's trash can. What is the priority
action according to the RACE protocol?
A) Pull the fire alarm
B) Evacuate the client
C) Extinguish the fire with a fire extinguisher
D) Close all doors and windows
Correct Answer: B – Evacuate the client
Rationale: RACE protocol:
Rescue anyone in immediate danger
Activate the fire alarm
Contain the fire (close doors/windows)
Extinguish (if safe to do so) or evacuate
The priority is removing the client from immediate danger before any other
action.
EXAM: COMPREHENSIVE TOPIC TEST
(2026 UPDATE) QUESTIONS AND
ANSWERS WITH RATIONALES/GRADED
A+/2026 UPDATE/100% CORRECT
/INSTANT DOWNLOAD
DOMAIN I: SAFETY & INFECTION CONTROL
(Questions 1-10)
Question 1
A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which technique requires surgical asepsis?
A) Donning clean gloves to perform perineal care
B) Opening the sterile catheter package onto the sterile field
C) Cleaning the urinary meatus with antiseptic swabs
D) Emptying the urine from the drainage bag
Correct Answer: B – Opening the sterile catheter package onto the
sterile field
Rationale: Indwelling urinary catheter insertion requires surgical asepsis
(sterile technique) because it involves entering a sterile body cavity. Opening
the sterile package onto a sterile field maintains the sterility of the catheter.
Perineal care and cleaning the meatus use clean technique and sterile
swabs/gloves respectively, but the critical step of maintaining sterile field
integrity requires surgical asepsis.
,Question 2
A nurse is caring for a client who has a Clostridium difficile infection. Which
hand hygiene method is most appropriate?
A) Alcohol-based hand sanitizer before and after client contact
B) Hand washing with soap and water for 15-20 seconds
C) Alcohol-based hand sanitizer followed by soap and water
D) Hand washing with soap and water followed by alcohol rub
Correct Answer: B – Hand washing with soap and water for 15-20
seconds
Rationale: C. difficile spores are NOT killed by alcohol-based hand sanitizers.
Mechanical friction and rinsing with soap and water are required to physically
remove spores. The CDC recommends soap and water for C. diff, norovirus,
and when hands are visibly soiled. Alcohol-based sanitizers are effective for
most other pathogens.
Question 3
A nurse is applying wrist restraints to a client who is trying to pull out their
nasogastric tube. Which action is most important?
A) Ensure two fingers can fit between the restraint and the client's wrist
B) Tie the restraint straps to the side rail of the bed
C) Apply the restraint over the client's gown
D) Remove the restraint every 8 hours for skin assessment
Correct Answer: A – Ensure two fingers can fit between the restraint
and the client's wrist
Rationale: Two-finger width (approximately 1-2 cm) prevents circulatory
compromise and nerve damage while maintaining effectiveness. Restraints
should NEVER be tied to side rails (can cause injury if rail is lowered).
Restraints require assessment every 1-2 hours, with removal every 2 hours
for range of motion and skin assessment (not every 8 hours).
, Question 4
A nurse is caring for a client on contact precautions. Which personal
protective equipment (PPE) is required when providing direct care?
A) Surgical mask and face shield
B) N95 respirator and gown
C) Gown and gloves
D) Gloves only
Correct Answer: C – Gown and gloves
Rationale: Contact precautions require gown and gloves. Mask and face
shield are for droplet/airborne precautions (influenza, COVID-19). N95
respirator is for airborne precautions (tuberculosis, measles). Gloves alone
are insufficient because contact precautions prevent transmission via
direct/indirect contact with contaminated surfaces.
Question 5
A nurse discovers a small fire in a client's trash can. What is the priority
action according to the RACE protocol?
A) Pull the fire alarm
B) Evacuate the client
C) Extinguish the fire with a fire extinguisher
D) Close all doors and windows
Correct Answer: B – Evacuate the client
Rationale: RACE protocol:
Rescue anyone in immediate danger
Activate the fire alarm
Contain the fire (close doors/windows)
Extinguish (if safe to do so) or evacuate
The priority is removing the client from immediate danger before any other
action.
