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ATI Nursing Fundamentals FULL EXAM 2025–2026 |
Complete 200-Question Proctored Exam with Answers
& Rationales
Question 1 – Infection Control
A nurse is preparing to provide care to a client with Clostridium difficile
(C. diff) infection. Which of the following infection control measures
should the nurse implement?
A. Wear a surgical mask when entering the client’s room
B. Use alcohol-based hand sanitizer after removing gloves
C. Wash hands with soap and water before leaving the room
D. Dispose of linen in the regular laundry bag
Correct Answer: C. Wash hands with soap and water before leaving the
room
Rationale: C. diff spores are resistant to alcohol-based hand sanitizers.
Handwashing with soap and water is the most effective method to
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remove spores. Contact precautions should also be maintained, and
contaminated linens must be handled with special care.
Question 2 – Vital Signs
A nurse is assessing an adult client and notes a respiratory rate of
10/min. How should the nurse interpret this finding?
A. Within normal range
B. Bradypnea
C. Tachypnea
D. Apnea
Correct Answer: B. Bradypnea
Rationale: A normal adult respiratory rate is 12–20 breaths per minute. A
rate of 10/min indicates bradypnea, or abnormally slow breathing, which
may suggest opioid use, increased intracranial pressure, or sedation.
Question 3 – Safety
Which of the following actions should the nurse take when using a gait
belt to ambulate a client?
A. Fasten the belt loosely around the client's waist
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B. Place the belt over bare skin for stability
C. Walk on the client’s strong side while holding the belt
D. Grasp the belt at the back while standing behind the client
Correct Answer: D. Grasp the belt at the back while standing behind the
client
Rationale: The nurse should use a secure grip at the back of the gait belt
and walk slightly behind and to the side of the client to provide support
in case of instability or fall.
Question 4 – Documentation
A nurse forgets to document a dressing change that was completed
earlier in the shift. What should the nurse do?
A. Skip documentation since the task is done
B. Document the procedure later with the current time
C. Enter a late entry with the actual time of the dressing change
D. Ask another nurse to document it
Correct Answer: C. Enter a late entry with the actual time of the dressing
change
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Rationale: Proper documentation must include all care provided. If a
nurse forgets, they should use a late entry, noting the time the care was
actually given and the time of the entry.
Question 5 – Ethical Principles
A client refuses a prescribed medication. The nurse respects the client's
decision. Which ethical principle is the nurse upholding?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Correct Answer: C. Autonomy
Rationale: Autonomy refers to respecting the client’s right to make their
own health decisions. Even if the nurse believes the medication is
beneficial, the client has the right to refuse treatment.
Question 6 – PPE
Which PPE should the nurse wear when suctioning a client’s
tracheostomy?
ATI Nursing Fundamentals FULL EXAM 2025–2026 |
Complete 200-Question Proctored Exam with Answers
& Rationales
Question 1 – Infection Control
A nurse is preparing to provide care to a client with Clostridium difficile
(C. diff) infection. Which of the following infection control measures
should the nurse implement?
A. Wear a surgical mask when entering the client’s room
B. Use alcohol-based hand sanitizer after removing gloves
C. Wash hands with soap and water before leaving the room
D. Dispose of linen in the regular laundry bag
Correct Answer: C. Wash hands with soap and water before leaving the
room
Rationale: C. diff spores are resistant to alcohol-based hand sanitizers.
Handwashing with soap and water is the most effective method to
, 2
remove spores. Contact precautions should also be maintained, and
contaminated linens must be handled with special care.
Question 2 – Vital Signs
A nurse is assessing an adult client and notes a respiratory rate of
10/min. How should the nurse interpret this finding?
A. Within normal range
B. Bradypnea
C. Tachypnea
D. Apnea
Correct Answer: B. Bradypnea
Rationale: A normal adult respiratory rate is 12–20 breaths per minute. A
rate of 10/min indicates bradypnea, or abnormally slow breathing, which
may suggest opioid use, increased intracranial pressure, or sedation.
Question 3 – Safety
Which of the following actions should the nurse take when using a gait
belt to ambulate a client?
A. Fasten the belt loosely around the client's waist
, 3
B. Place the belt over bare skin for stability
C. Walk on the client’s strong side while holding the belt
D. Grasp the belt at the back while standing behind the client
Correct Answer: D. Grasp the belt at the back while standing behind the
client
Rationale: The nurse should use a secure grip at the back of the gait belt
and walk slightly behind and to the side of the client to provide support
in case of instability or fall.
Question 4 – Documentation
A nurse forgets to document a dressing change that was completed
earlier in the shift. What should the nurse do?
A. Skip documentation since the task is done
B. Document the procedure later with the current time
C. Enter a late entry with the actual time of the dressing change
D. Ask another nurse to document it
Correct Answer: C. Enter a late entry with the actual time of the dressing
change
, 4
Rationale: Proper documentation must include all care provided. If a
nurse forgets, they should use a late entry, noting the time the care was
actually given and the time of the entry.
Question 5 – Ethical Principles
A client refuses a prescribed medication. The nurse respects the client's
decision. Which ethical principle is the nurse upholding?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Correct Answer: C. Autonomy
Rationale: Autonomy refers to respecting the client’s right to make their
own health decisions. Even if the nurse believes the medication is
beneficial, the client has the right to refuse treatment.
Question 6 – PPE
Which PPE should the nurse wear when suctioning a client’s
tracheostomy?
