ATI Fundamentals Proctored Exam (21 Latest Versions, 2022)
/ Fundamentals ATI Proctored Exam / ATI Proctored
Fundamentals Exam |Real + Practice Exam, Verified Q & A|
Section 1: Safety & Infection Control
1. A nurse is disposing of a contaminated needle. Which action
is correct?
• A) Recap the needle using the one-handed scoop technique
• B) Break the needle before disposal
• C) Dispose in a regular trash can if sharps container is full
• D) Remove the needle from the syringe before disposal
✅ Correct Answer: A
Rationale: One-handed scoop technique prevents needlestick injury.
Never break (B), bend, or recap two-handed. Never dispose in
regular trash (C).
2. A nurse is caring for a client with C. difficile. Which hand
hygiene method is appropriate?
• A) Alcohol-based hand rub
• B) Soap and water for 15 seconds
• C) Soap and water for at least 30 seconds
• D) Chlorhexidine wipes
, ✅ Correct Answer: C
*Rationale: C. diff spores are not killed by alcohol-based rub. Soap
and water for 30+ seconds with friction is required.*
3. A nurse is caring for a client on airborne precautions. Which
of the following is required?
• A) Negative pressure room
• B) Surgical mask for staff
• C) Positive pressure room
• D) Contact precautions sign on door
✅ Correct Answer: A
Rationale: Airborne precautions require negative pressure room
(airborne infection isolation room). N95 respirator (not surgical
mask, B) is also required.
4. A nurse is preparing a sterile field. Which action contaminates
the field?
• A) Opening sterile package away from body
• B) Reaching across the sterile field to retrieve an item • C)
Keeping sterile field above waist level
• D) Draping with 1-inch border considered non-sterile
✅ Correct Answer: B
, *Rationale: Reaching across contaminates the field. Maintain 1inch
border, keep above waist, open away from body are correct
techniques.*
5. A client falls while getting out of bed. What is the nurse's
priority action?
• A) Complete an incident report
• B) Assess the client for injury
• C) Notify the provider
• D) Place a fall risk sign on the door
✅ Correct Answer: B
Rationale: First assess the client for injury (ABCD: Airway,
Breathing, Circulation). Documentation and notification come after.
6. A nurse is teaching a client about home oxygen safety. Which
statement indicates understanding?
• A) "I can store my oxygen tank under my bed"
• B) "I will avoid using wool blankets near my oxygen"
• C) "I can use an electric razor while on oxygen"
• D) "I will keep my tank upright and secured"
✅ Correct Answer: D
Rationale: Oxygen tanks must be upright and secured to prevent
falling. No open flames, no electric razors (sparks), wool generates
static electricity.
, 7. A nurse is preparing to insert an NG tube for a client who
has a bowel obstruction. Which of the following actions
should the nurse take FIRST?
• A) Lubricate the tip of the NG tube
• B) Measure the length of the tube to be inserted
• C) Explain the procedure to the client
• D) Place the client in High-Fowler's position
✅ Correct Answer: C
Rationale: Using the nursing process, assessment and explanation
come first to reduce anxiety and gain cooperation. Physical actions
(A, B, D) occur after.
8. A nurse is caring for a client who has a tracheostomy and
requires suctioning. Which action should the nurse take?
• A) Apply suction while inserting the catheter
• B) Hyperoxygenate the client before suctioning
• C) Limit suctioning time to 20 seconds per pass
• D) Insert the catheter until resistance is met
✅ Correct Answer: B
*Rationale: Pre-oxygenation prevents hypoxemia. Suction is
applied only during withdrawal (not A), limit to 10-15 seconds
(not C), and insert only to carina (not D).*
/ Fundamentals ATI Proctored Exam / ATI Proctored
Fundamentals Exam |Real + Practice Exam, Verified Q & A|
Section 1: Safety & Infection Control
1. A nurse is disposing of a contaminated needle. Which action
is correct?
• A) Recap the needle using the one-handed scoop technique
• B) Break the needle before disposal
• C) Dispose in a regular trash can if sharps container is full
• D) Remove the needle from the syringe before disposal
✅ Correct Answer: A
Rationale: One-handed scoop technique prevents needlestick injury.
Never break (B), bend, or recap two-handed. Never dispose in
regular trash (C).
2. A nurse is caring for a client with C. difficile. Which hand
hygiene method is appropriate?
• A) Alcohol-based hand rub
• B) Soap and water for 15 seconds
• C) Soap and water for at least 30 seconds
• D) Chlorhexidine wipes
, ✅ Correct Answer: C
*Rationale: C. diff spores are not killed by alcohol-based rub. Soap
and water for 30+ seconds with friction is required.*
3. A nurse is caring for a client on airborne precautions. Which
of the following is required?
• A) Negative pressure room
• B) Surgical mask for staff
• C) Positive pressure room
• D) Contact precautions sign on door
✅ Correct Answer: A
Rationale: Airborne precautions require negative pressure room
(airborne infection isolation room). N95 respirator (not surgical
mask, B) is also required.
4. A nurse is preparing a sterile field. Which action contaminates
the field?
• A) Opening sterile package away from body
• B) Reaching across the sterile field to retrieve an item • C)
Keeping sterile field above waist level
• D) Draping with 1-inch border considered non-sterile
✅ Correct Answer: B
, *Rationale: Reaching across contaminates the field. Maintain 1inch
border, keep above waist, open away from body are correct
techniques.*
5. A client falls while getting out of bed. What is the nurse's
priority action?
• A) Complete an incident report
• B) Assess the client for injury
• C) Notify the provider
• D) Place a fall risk sign on the door
✅ Correct Answer: B
Rationale: First assess the client for injury (ABCD: Airway,
Breathing, Circulation). Documentation and notification come after.
6. A nurse is teaching a client about home oxygen safety. Which
statement indicates understanding?
• A) "I can store my oxygen tank under my bed"
• B) "I will avoid using wool blankets near my oxygen"
• C) "I can use an electric razor while on oxygen"
• D) "I will keep my tank upright and secured"
✅ Correct Answer: D
Rationale: Oxygen tanks must be upright and secured to prevent
falling. No open flames, no electric razors (sparks), wool generates
static electricity.
, 7. A nurse is preparing to insert an NG tube for a client who
has a bowel obstruction. Which of the following actions
should the nurse take FIRST?
• A) Lubricate the tip of the NG tube
• B) Measure the length of the tube to be inserted
• C) Explain the procedure to the client
• D) Place the client in High-Fowler's position
✅ Correct Answer: C
Rationale: Using the nursing process, assessment and explanation
come first to reduce anxiety and gain cooperation. Physical actions
(A, B, D) occur after.
8. A nurse is caring for a client who has a tracheostomy and
requires suctioning. Which action should the nurse take?
• A) Apply suction while inserting the catheter
• B) Hyperoxygenate the client before suctioning
• C) Limit suctioning time to 20 seconds per pass
• D) Insert the catheter until resistance is met
✅ Correct Answer: B
*Rationale: Pre-oxygenation prevents hypoxemia. Suction is
applied only during withdrawal (not A), limit to 10-15 seconds
(not C), and insert only to carina (not D).*
