1|Page
# ATI CAPSTONE- FUNDAMENTALS PRE-
ASSESSMENT 2026/2027
## COMPLETE EXAM BANK WITH 200+
PRACTICE QUESTIONS & DETAILED
RATIONALES
### FIRST-TIME PASS GUARANTEE | VERIFIED
ANSWERS | LATEST UPDATE
## SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-25)
**1.** A nurse is admitting a client who has tuberculosis and a productive cough.
Which of the following types of isolation precautions should the nurse initiate for
the client?
A. Contact
B. Droplet
C. Protective
D. Airborne
**Answer: D (Airborne)**
**Rationale:** Airborne precautions are required for infections that spread through
small droplets that remain airborne for longer periods, such as tuberculosis,
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measles, and varicella. The client requires a negative-pressure airflow room, and
staff should wear an N95 respirator when in contact with the client.
---
**2.** A nurse is caring for a client who has influenza and isolation precautions in
place. Which of the following actions should the nurse take to prevent the spread
of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room
D. Place the client in a negative airflow room
**Answer: A (Wear a mask when working within 3 feet of the client)**
**Rationale:** Influenza requires droplet precautions. Droplets travel
approximately 3 feet, so a mask should be worn when within 3 feet of the client. A
negative airflow room is required for airborne precautions, not droplet. Protective
eyewear is not routinely required for droplet precautions unless there is risk of
splash.
---
**3.** Match the following precautions with the correct disease:
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1. Pertussis
2. VRE
3. Measles
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
**Answer: 1-A, 2-B, 3-C**
**Rationale:** Pertussis (whooping cough) spreads via respiratory droplets →
Droplet precautions. VRE (Vancomycin-Resistant Enterococcus) spreads via direct
contact → Contact precautions. Measles spreads via airborne particles → Airborne
precautions with N95 respirator and negative-pressure room.
---
**4.** A nurse is caring for a client who has a closed head injury. When pressure is
applied to the client's nail beds, the client's eyes open and adduction of the arms
with flexion of the elbows and wrists is noted. The client also moans with
stimulation. What is this client's Glasgow Coma Score?
A. 4
B. 7
C. 9
D. 10
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**Answer: B (7)**
**Rationale:** GCS scoring: Eye opening to pain = 2 points; Verbal response
(moans-incomprehensible sounds) = 2 points; Motor response (decorticate posture-
flexion) = 3 points. Total = 7. A score of 7 indicates coma. Decorticate posturing
(adduction of arms, flexion of elbows/wrists) indicates damage above the red
nucleus.
---
**5.** A nurse obtains a prescription for wrist restraints for a client who is trying
to pull out his NG tube. Which of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed
B. Apply the restraints to allow as little movement as possible
C. Allow room for two fingers to fit between the client's skin and the restraints
D. Remove the restraints every 4 hours
**Answer: C (Allow room for two fingers to fit between the client's skin and the
restraints)**
**Rationale:** Restraints should be applied snugly but must allow two fingers to
fit between the restraint and the client's skin to prevent circulatory compromise.
Restraints should NEVER be attached to side rails (can cause injury if side rails are
lowered). They should be removed and skin assessed every 2 hours, not every 4
hours.
# ATI CAPSTONE- FUNDAMENTALS PRE-
ASSESSMENT 2026/2027
## COMPLETE EXAM BANK WITH 200+
PRACTICE QUESTIONS & DETAILED
RATIONALES
### FIRST-TIME PASS GUARANTEE | VERIFIED
ANSWERS | LATEST UPDATE
## SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-25)
**1.** A nurse is admitting a client who has tuberculosis and a productive cough.
Which of the following types of isolation precautions should the nurse initiate for
the client?
A. Contact
B. Droplet
C. Protective
D. Airborne
**Answer: D (Airborne)**
**Rationale:** Airborne precautions are required for infections that spread through
small droplets that remain airborne for longer periods, such as tuberculosis,
,2|Page
measles, and varicella. The client requires a negative-pressure airflow room, and
staff should wear an N95 respirator when in contact with the client.
---
**2.** A nurse is caring for a client who has influenza and isolation precautions in
place. Which of the following actions should the nurse take to prevent the spread
of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room
D. Place the client in a negative airflow room
**Answer: A (Wear a mask when working within 3 feet of the client)**
**Rationale:** Influenza requires droplet precautions. Droplets travel
approximately 3 feet, so a mask should be worn when within 3 feet of the client. A
negative airflow room is required for airborne precautions, not droplet. Protective
eyewear is not routinely required for droplet precautions unless there is risk of
splash.
---
**3.** Match the following precautions with the correct disease:
,3|Page
1. Pertussis
2. VRE
3. Measles
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
**Answer: 1-A, 2-B, 3-C**
**Rationale:** Pertussis (whooping cough) spreads via respiratory droplets →
Droplet precautions. VRE (Vancomycin-Resistant Enterococcus) spreads via direct
contact → Contact precautions. Measles spreads via airborne particles → Airborne
precautions with N95 respirator and negative-pressure room.
---
**4.** A nurse is caring for a client who has a closed head injury. When pressure is
applied to the client's nail beds, the client's eyes open and adduction of the arms
with flexion of the elbows and wrists is noted. The client also moans with
stimulation. What is this client's Glasgow Coma Score?
A. 4
B. 7
C. 9
D. 10
, 4|Page
**Answer: B (7)**
**Rationale:** GCS scoring: Eye opening to pain = 2 points; Verbal response
(moans-incomprehensible sounds) = 2 points; Motor response (decorticate posture-
flexion) = 3 points. Total = 7. A score of 7 indicates coma. Decorticate posturing
(adduction of arms, flexion of elbows/wrists) indicates damage above the red
nucleus.
---
**5.** A nurse obtains a prescription for wrist restraints for a client who is trying
to pull out his NG tube. Which of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed
B. Apply the restraints to allow as little movement as possible
C. Allow room for two fingers to fit between the client's skin and the restraints
D. Remove the restraints every 4 hours
**Answer: C (Allow room for two fingers to fit between the client's skin and the
restraints)**
**Rationale:** Restraints should be applied snugly but must allow two fingers to
fit between the restraint and the client's skin to prevent circulatory compromise.
Restraints should NEVER be attached to side rails (can cause injury if side rails are
lowered). They should be removed and skin assessed every 2 hours, not every 4
hours.
