ATI Fundamental of Nuring

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Sample questions from ATI Fundamental of Nuring

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

1. 1.During a home visit, a client with influenza is coughing frequently. Which action best reduces transmission to others?

   • A.Ask the client to wear an N95 respirator while alone in the bedroom
   • B.Keep the client's bedroom door open to improve air circulation
   • C.Use sterile gloves whenever entering the client's home
   • D.Wear a surgical mask when within close range of the client and perform hand hygiene

   Rationale: A surgical mask for close contact and consistent hand hygiene are appropriate routine measures for droplet precautions. Sterile gloves are not needed for ordinary contact, and an open door does not prevent droplet transmission. A client generally does not need an N95 respirator while alone.

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

   • A.Touch the outside of the gloves with bare fingers to loosen them
   • B.Wash the gloves with soap and water before removing them
   • C.Remove the gloves, then perform hand hygiene
   • D.Remove the gloves and immediately put on a clean pair without hand hygiene

   Rationale: Gloves should be removed without contaminating the hands, followed by hand hygiene. Washing gloves is not an acceptable substitute for removal and hand hygiene. Putting on clean gloves without hand hygiene or touching contaminated glove surfaces with bare fingers can spread microorganisms.

3. 3.A client is placed on contact precautions for a draining wound infected with a multidrug-resistant organism. Which actions should the nurse take? Select all that apply.

   • A.Wear an N95 respirator for every room entry
   • B.Don gown and gloves on room entry when providing care
   • C.Remove personal protective equipment before leaving the room
   • D.Use dedicated equipment when possible
   • E.Place the client in a private room or cohort according to policy

   Rationale: A gown and gloves, dedicated equipment, and appropriate room placement help limit contact transmission. Removing protective equipment before exiting reduces contamination of the hallway, followed by hand hygiene. An N95 respirator is used for airborne precautions, not routinely for contact precautions.

4. 4.At change of shift, a client receiving oxygen by nasal cannula is found with a smoking lighter on the bedside table. What is the nurse's priority action?

   • A.Ask the client to keep the lighter in a bedside drawer
   • B.Remove the lighter and explain the fire risk to the client
   • C.Document the lighter and discuss it during rounds
   • D.Turn off the oxygen until the client asks for it

   Answer and rationale are in the full material.

5. 5.In the emergency department, a client with suspected pulmonary tuberculosis is awaiting evaluation. Which room placement is appropriate?

   • A.A negative-pressure room with the door closed
   • B.A semiprivate room with a client who has pneumonia
   • C.A room near the nurses' station with the door open
   • D.A positive-pressure room with the door open

   Answer and rationale are in the full material.