ATI RN Fundamental Exam

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Sample questions from ATI RN Fundamental Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.Which action is appropriate when removing contaminated gloves after providing wound care?

   • A.Pull both gloves off by grasping their cuffs and discard them.
   • B.Remove one glove by pulling on its fingertips, then remove the other glove by its cuff.
   • C.Grasp the outside of one glove near the wrist, peel it off inside out, and hold it in the remaining gloved hand.
   • D.Wash the gloved hands with soap and water before removing the gloves.

   Rationale: Peeling the first glove inside out while avoiding contact with bare skin, then sliding bare fingers under the remaining cuff, limits contact with contaminated surfaces. Pulling both gloves off by their cuffs can contaminate the hands, and washing gloves does not replace proper removal and hand hygiene. Pulling on the fingertips also risks contaminating the skin. Perform hand hygiene immediately after removing gloves.

2. 2.During a home visit, a parent asks how to reduce the risk of infection for a newborn. Which instruction should the nurse provide?

   • A.Limit the newborn's feeding frequency to reduce exposure to germs.
   • B.Ask visitors with respiratory symptoms to postpone visits and have all visitors clean their hands before holding the newborn.
   • C.Have visitors wear gloves when holding the newborn, even when their hands are clean.
   • D.Use hand sanitizer instead of handwashing after changing a diaper, even when hands are visibly soiled.

   Rationale: Newborns are vulnerable to infection, so symptomatic visitors should postpone visits and everyone should clean their hands before contact. Gloves are not routinely needed for holding a healthy newborn and do not replace hand hygiene. Reducing feeding frequency is unsafe and does not prevent infection. When hands are visibly soiled, soap and water are preferred over alcohol-based hand sanitizer.

3. 3.Refer to the client's chart. Which actions should the nurse take to reduce transmission of the client's infection? Select all that apply.

   • A.Use dedicated equipment or disinfect shared equipment before use with another client.
   • B.Wear a fit-tested N95 respirator when entering the room.
   • C.Place a surgical mask on the client during necessary transport.
   • D.Use contact precautions only; respiratory protection is not needed.
   • E.Place the client in a private room with the door closed.
   • F.Wear a surgical mask instead of an N95 respirator when entering the room.

   Rationale: The chart documents suspected pulmonary tuberculosis, so airborne precautions include a private room with the door closed and a fit-tested N95 respirator for staff. A surgical mask on the client helps contain respiratory particles during necessary transport, and dedicated or properly disinfected equipment reduces cross-contamination. A surgical mask does not provide the respiratory protection required for staff entering the room. Contact precautions alone are insufficient for suspected tuberculosis.

4. 4.At change of shift, the nurse receives report on four clients. Which client should the nurse assess first for a potential safety emergency?

   • A.A client with a history of seizures who is newly confused and has a blood glucose of 42 mg/dL.
   • B.A client who is 1 day postoperative and asks for help getting out of bed.
   • C.A client receiving contact precautions who needs a clean gown.
   • D.A client who reports pain rated 6 on a 0-to-10 scale after physical therapy.

   Answer and rationale are in the full material.

5. 5.A client states, "I take my new blood pressure medicine and sometimes feel dizzy when I stand." Which teaching should the nurse provide to reduce the risk of a fall?

   • A.Avoid using a call light because it may delay independent mobility.
   • B.Walk barefoot to improve sensation in the feet.
   • C.Stand up quickly so the body can adjust to the change in position.
   • D.Sit at the side of the bed before standing and ask for help if dizziness continues.

   Answer and rationale are in the full material.