ATI Ns 117 Fundamentals

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Sample questions from ATI Ns 117 Fundamentals

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

1. 1.In the emergency department, a client with a draining wound caused by a methicillin-resistant Staphylococcus aureus infection is admitted. Which action should the nurse take when entering the room to provide care?

   • A.Perform hand hygiene and wear a gown and gloves.
   • B.Place the client in a negative-pressure room.
   • C.Wear a surgical mask and keep the door closed.
   • D.Wear sterile gloves and a face shield for all care.

   Rationale: Contact precautions require hand hygiene and a gown and gloves when entering the room or anticipating contact with the client or environment. A surgical mask and negative-pressure room are used for airborne precautions, not routine contact precautions. Sterile gloves and a face shield are not required for all contact with this client.

2. 2.Which action is appropriate when a nurse removes a used needle from a medication syringe?

   • A.Carry the uncapped needle to the medication preparation area.
   • B.Break the needle before placing it in the waste container.
   • C.Recap the needle using both hands before disposal.
   • D.Place the needle in a puncture-resistant sharps container immediately.

   Rationale: Used needles should be disposed of immediately in an approved puncture-resistant sharps container without recapping, bending, or breaking them. Two-handed recapping increases needlestick risk. Breaking the needle and carrying it elsewhere also create avoidable exposure hazards.

3. 3.During orientation, a nurse reviews actions that reduce the risk of a needlestick injury. Which actions should the nurse include? Select all that apply.

   • A.Place a full sharps container in the regular trash.
   • B.Avoid passing an exposed sharp directly from one person to another.
   • C.Activate the safety device immediately after using a needle.
   • D.Dispose of used sharps in a designated sharps container.
   • E.Use a mechanical device or forceps to handle a dropped sharp.
   • F.Recap a used needle if the sharps container is not nearby.

   Rationale: Activating the safety feature, using the sharps container, avoiding hand-to-hand passing, and using a mechanical device for a dropped sharp reduce injury risk. Recapping a used needle is unsafe, even when disposal is inconvenient. A sharps container must not be placed in regular trash, and overfilled containers should be replaced according to policy.

4. 4.A client with suspected pulmonary tuberculosis is being transported to radiology. Which action is appropriate?

   • A.Ask the client to cover the mouth only when coughing.
   • B.Place a surgical mask on the client during transport.
   • C.Transport the client in a negative-pressure wheelchair.
   • D.Place an N95 respirator on the client during transport.

   Answer and rationale are in the full material.

5. 5.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.Wear a gown and gloves when entering the room to provide care.
   • B.Place the client in a negative-pressure room.
   • C.Perform hand hygiene after removing gloves.
   • D.Use dedicated equipment for the client's care.
   • E.Keep the room door closed as the primary means of preventing transmission.
   • F.Wear a fit-tested N95 respirator for every room entry.

   Answer and rationale are in the full material.