PN ATI NCLEX Exam 2 From Chapter 10 to 17 Fundamentals of Nursing

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Sample questions from PN ATI NCLEX Exam 2 From Chapter 10 to 17 Fundamentals of Nursing

This material has 150 questions with answers and rationales. Here are the first 5.

1. 1.On a medical unit, a client with frequent watery stools tests positive for Clostridioides difficile. Which action should the practical nurse take when providing care?

   • A.Place the client in a positive-pressure room and wear an N95 respirator.
   • B.Wear a surgical mask and keep the room door open to improve air circulation.
   • C.Use alcohol-based hand rub after removing gloves and leave the gown outside the room.
   • D.Wear a gown and gloves on entry, and wash hands with soap and water after care.

   Rationale: Contact precautions, including gown and gloves, are indicated for C. difficile, and soap-and-water handwashing helps remove spores. Alcohol hand rub alone is not a substitute for soap and water when leaving a C. difficile room. A positive-pressure room and an N95 respirator are used for different transmission risks, while a surgical mask and open door do not provide appropriate precautions.

2. 2.During a home visit, a client who uses oxygen by nasal cannula says, "I will put petroleum jelly on my dry nostrils and smoke on the porch." Which response is the priority?

   • A."Turn off the oxygen while smoking, then restart it when you return indoors."
   • B."Use a water-based lubricant, and do not smoke anywhere near oxygen equipment."
   • C."Smoking is safe outside as long as the oxygen flow is below 2 L/min."
   • D."Petroleum jelly is acceptable if you apply only a small amount."

   Rationale: Oxygen supports combustion, so smoking near oxygen equipment is a serious fire hazard even if the client is outdoors or turns off the flow. Petroleum-based products can ignite; a water-based lubricant is the safer choice. Turning off the oxygen does not make smoking near the equipment safe, and flow rate does not remove the fire risk.

3. 3.Refer to the client's chart. Which actions should the practical nurse take now while reporting the change in condition to the RN? Select all that apply.

   • A.Keep the client with suspected infection in the shared room until a private room becomes available.
   • B.Initiate droplet precautions and place a surgical mask on the client during transport.
   • C.Perform hand hygiene and use gloves when handling the client's secretions.
   • D.Notify the RN promptly about the rising temperature, tachycardia, and decreasing oxygen saturation.
   • E.Apply supplemental oxygen only if it is already prescribed by protocol or an authorized order, and promptly report the low saturation.
   • F.Give the next scheduled dose of the prescribed antipyretic and reassess before reporting the findings.

   Rationale: The chart shows a rising temperature from 38.1 C to 39.2 C, heart rate from 132 to 158/min, and SpO2 falling from 95% to 90%, so the practical nurse should promptly report these changes and follow the suspected respiratory-infection precautions. A mask for transport, hand hygiene, and gloves for secretion exposure reduce transmission risk. Waiting to report until after an antipyretic or leaving the client in a shared room delays appropriate action; oxygen may be given only within an existing order or protocol and the decline still requires reporting.

4. 4.After noticing that a scheduled oral medication was given to the wrong client, a practical nurse confirms that the client has no symptoms. What should the practical nurse do first?

   • A.Assess the client for effects of the medication and promptly notify the RN.
   • B.Wait until the end of the shift to report the error if no symptoms develop.
   • C.Ask the client to sign an incident report acknowledging the medication error.
   • D.Document that the medication was given and continue the medication pass.

   Answer and rationale are in the full material.

5. 5.At change of shift, a practical nurse receives report on four clients. Which client should the practical nurse check first?

   • A.A client waiting for assistance to walk to the bathroom after breakfast.
   • B.A client with chronic back pain requesting the next dose of prescribed analgesic.
   • C.A client who is newly confused and trying to climb over the bedrails.
   • D.A client with a healing leg ulcer who needs a scheduled dressing change.

   Answer and rationale are in the full material.