ATI PN FUNDAMENTALS PROCTORED EXAM TEST
BANK (2025/2026)
Complete Question Set with Verified Answers &
Rationales
EXAM OVERVIEW
This comprehensive test bank provides 150+ scenario-based questions for the ATI PN
Fundamentals Proctored Exam, updated for the 2025/2026 academic year. Each question
includes the correct answer and a detailed rationale to reinforce clinical judgment. Topics cover
infection control, safety, medication administration, patient care, and the nursing process .
SECTION 1: INFECTION CONTROL & SAFETY (Questions 1-20)
Q1. A nurse is preparing to enter a room with a client who has MRSA. What is the priority
action?
A) Wear a surgical mask
B) Don gloves and gown
C) Apply an N95 respirator
D) Wash hands with alcohol gel
Answer: B) Don gloves and gown
Rationale: MRSA requires contact precautions. Gloves and gown must be worn to prevent
transmission via direct contact. Surgical masks are not sufficient for contact precautions .
Q2. A client is on airborne precautions for tuberculosis. What PPE should the nurse wear?
A) Gloves only
B) N95 respirator
C) Surgical mask
D) Face shield
Answer: B) N95 respirator
,Rationale: Airborne precautions require an N95 respirator (or higher) because TB particles
remain suspended in the air and can be inhaled. Surgical masks do not provide adequate
filtration for airborne pathogens .
Q3. When cleaning a spill of body fluids, what should the nurse use?
A) Water only
B) Bleach solution
C) Alcohol wipes
D) Soap and water
Answer: B) Bleach solution
Rationale: A bleach solution (typically 1:10 dilution) is recommended for disinfecting body fluid
spills per infection control protocols. Bleach effectively kills bloodborne pathogens .
Q4. A nurse is disposing of used needles. Where should they be placed?
A) Regular trash
B) Sharps container
C) Biohazard bag
D) Laundry bin
Answer: B) Sharps container
Rationale: Needles must be disposed of immediately in a puncture-resistant sharps
container to prevent needlestick injuries and comply with OSHA standards. Never recap
needles .
Q5. A client with C. difficile requires which precaution?
A) Droplet
B) Contact
C) Airborne
D) Standard
Answer: B) Contact
, Rationale: Contact precautions are required for C. difficile to prevent fecal-oral transmission.
Hand hygiene with soap and water (not alcohol-based hand rub) is essential because alcohol
does not kill C. diff spores .
Q6. A nurse is teaching hand hygiene. When should hands be washed?
A) Only after meals
B) Before client contact
C) Once daily
D) After documentation
Answer: B) Before client contact
Rationale: Hand hygiene before client contact prevents the spread of pathogens from
healthcare worker to patient. This is a key moment in the WHO "5 Moments for Hand Hygiene" .
Q7. A client has a urinary catheter. What prevents infection?
A) Change the catheter daily
B) Clean the meatus regularly
C) Use alcohol-based cleaner
D) Keep the bag above the bladder
Answer: B) Clean the meatus regularly
Rationale: Regular meatal cleaning with soap and water reduces the risk of catheter-associated
urinary tract infections (CAUTI). The drainage bag must remain below the level of the bladder .
Q8. What is the correct sequence for removing PPE?
A) Mask, gown, gloves
B) Gloves, gown, mask
C) Gown, mask, gloves
D) Gloves, mask, gown
Answer: B) Gloves, gown, mask
Rationale: The correct doffing sequence is gloves first (most contaminated), then gown, then
mask. This prevents contamination of the face and mucous membranes .
BANK (2025/2026)
Complete Question Set with Verified Answers &
Rationales
EXAM OVERVIEW
This comprehensive test bank provides 150+ scenario-based questions for the ATI PN
Fundamentals Proctored Exam, updated for the 2025/2026 academic year. Each question
includes the correct answer and a detailed rationale to reinforce clinical judgment. Topics cover
infection control, safety, medication administration, patient care, and the nursing process .
SECTION 1: INFECTION CONTROL & SAFETY (Questions 1-20)
Q1. A nurse is preparing to enter a room with a client who has MRSA. What is the priority
action?
A) Wear a surgical mask
B) Don gloves and gown
C) Apply an N95 respirator
D) Wash hands with alcohol gel
Answer: B) Don gloves and gown
Rationale: MRSA requires contact precautions. Gloves and gown must be worn to prevent
transmission via direct contact. Surgical masks are not sufficient for contact precautions .
Q2. A client is on airborne precautions for tuberculosis. What PPE should the nurse wear?
A) Gloves only
B) N95 respirator
C) Surgical mask
D) Face shield
Answer: B) N95 respirator
,Rationale: Airborne precautions require an N95 respirator (or higher) because TB particles
remain suspended in the air and can be inhaled. Surgical masks do not provide adequate
filtration for airborne pathogens .
Q3. When cleaning a spill of body fluids, what should the nurse use?
A) Water only
B) Bleach solution
C) Alcohol wipes
D) Soap and water
Answer: B) Bleach solution
Rationale: A bleach solution (typically 1:10 dilution) is recommended for disinfecting body fluid
spills per infection control protocols. Bleach effectively kills bloodborne pathogens .
Q4. A nurse is disposing of used needles. Where should they be placed?
A) Regular trash
B) Sharps container
C) Biohazard bag
D) Laundry bin
Answer: B) Sharps container
Rationale: Needles must be disposed of immediately in a puncture-resistant sharps
container to prevent needlestick injuries and comply with OSHA standards. Never recap
needles .
Q5. A client with C. difficile requires which precaution?
A) Droplet
B) Contact
C) Airborne
D) Standard
Answer: B) Contact
, Rationale: Contact precautions are required for C. difficile to prevent fecal-oral transmission.
Hand hygiene with soap and water (not alcohol-based hand rub) is essential because alcohol
does not kill C. diff spores .
Q6. A nurse is teaching hand hygiene. When should hands be washed?
A) Only after meals
B) Before client contact
C) Once daily
D) After documentation
Answer: B) Before client contact
Rationale: Hand hygiene before client contact prevents the spread of pathogens from
healthcare worker to patient. This is a key moment in the WHO "5 Moments for Hand Hygiene" .
Q7. A client has a urinary catheter. What prevents infection?
A) Change the catheter daily
B) Clean the meatus regularly
C) Use alcohol-based cleaner
D) Keep the bag above the bladder
Answer: B) Clean the meatus regularly
Rationale: Regular meatal cleaning with soap and water reduces the risk of catheter-associated
urinary tract infections (CAUTI). The drainage bag must remain below the level of the bladder .
Q8. What is the correct sequence for removing PPE?
A) Mask, gown, gloves
B) Gloves, gown, mask
C) Gown, mask, gloves
D) Gloves, mask, gown
Answer: B) Gloves, gown, mask
Rationale: The correct doffing sequence is gloves first (most contaminated), then gown, then
mask. This prevents contamination of the face and mucous membranes .
