ATI RN Fundamentals 2026

Free preview · Original latest version

Sample questions from ATI RN Fundamentals 2026

This material has 60 questions with answers and rationales. Here are the first 5.

1. 1.During a home visit, a caregiver asks how to reduce the risk of medication-related injury for a toddler who has begun opening cabinets. Which instruction is most appropriate?

   • A.Store medications in a locked container out of the child's sight and reach.
   • B.Move medications to child-resistant bottles and leave them in a purse.
   • C.Teach the toddler not to touch medication containers.
   • D.Keep medications on a high shelf so the child cannot see them.

   Rationale: Locked storage out of sight and reach reduces access even as a toddler becomes more mobile and curious. A high shelf alone may still be reachable, and a purse is not a secure storage location. Child-resistant packaging is not childproof, and a toddler cannot reliably follow safety instructions without environmental protections.

2. 2.In a medical-surgical unit, a client with suspected pulmonary tuberculosis is admitted from the emergency department. Which room placement is appropriate?

   • A.A room near the nurses' station with the door open for observation
   • B.A private room with positive-pressure airflow and the door closed
   • C.A room with another client who has a nonproductive cough
   • D.A private room with negative-pressure airflow and the door closed

   Rationale: Suspected pulmonary tuberculosis requires airborne precautions in a negative-pressure room, with the door kept closed to contain airborne particles. Positive pressure pushes room air outward and is used to protect certain immunocompromised clients, not to contain tuberculosis. Cohorting with a client who has an unrelated cough or leaving the door open does not provide appropriate airborne isolation.

3. 3.Refer to the client's chart. Which actions should the nurse take to reduce the risk of transmission while caring for this client? Select all that apply.

   • A.Wear a gown and gloves when entering the room to provide care.
   • B.Use a dedicated blood pressure cuff for the client.
   • C.Keep the client's door open because the infection is not airborne.
   • D.Use an N95 respirator for every interaction with the client.
   • E.Place the client in a private room and use contact precautions.

   Rationale: The chart documents a draining wound with a positive MRSA culture, so a private room and contact precautions are appropriate. Gown and gloves are indicated when entering to provide care, and dedicated equipment such as a blood pressure cuff helps prevent transmission. An open door is not required and does not replace precautions, while an N95 respirator is not routinely needed for contact transmission.

4. 4.At change of shift, the nurse receives report on four clients. Which client should be assessed first?

   • A.A client with a cast who reports itching beneath the cast
   • B.A client with a new tracheostomy who is restless and has audible gurgling respirations
   • C.A client with diabetes who has a scheduled blood glucose check in 30 minutes
   • D.A client with a urinary catheter who reports mild bladder discomfort

   Answer and rationale are in the full material.

5. 5.While preparing a sterile field in a clinic, the nurse notices that the edge of the sterile drape has become wet. What is the correct action?

   • A.Continue using the field if the wet area is not touched.
   • B.Place a sterile towel over the wet area and continue.
   • C.Replace the sterile field because moisture can allow microorganisms to pass through.
   • D.Dry the drape with sterile gauze before placing supplies on it.

   Answer and rationale are in the full material.