ATI Fundamental of Nursing Proctored

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Sample questions from ATI Fundamental of Nursing Proctored

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

1. 1.During a home visit, a client with influenza asks how to reduce the chance of spreading the infection to family members. Which instruction is most appropriate?

   • A.Use sterile gloves when handling used tissues.
   • B.Share drinking glasses only after rinsing them.
   • C.Keep windows closed to prevent germs from entering the home.
   • D.Cover coughs and sneezes with a tissue, then perform hand hygiene.

   Rationale: Covering respiratory secretions and performing hand hygiene reduce transmission. Sharing glasses can spread infection, and sterile gloves are not needed for routine household care. Ventilation is generally helpful; closing windows does not prevent the spread of pathogens.

2. 2.Which action is appropriate when removing personal protective equipment after caring for a client on contact precautions?

   • A.Wear the same gloves while removing the gown.
   • B.Remove the gown by pulling its contaminated front over the uniform.
   • C.Remove gloves first, then perform hand hygiene.
   • D.Remove the mask first while standing in the client's room.

   Rationale: Gloves are generally the most contaminated item and are removed first, followed by hand hygiene as indicated by the facility's sequence. Removing the mask inside the room can expose the nurse to contaminants. Touching the gown's contaminated front or retaining gloves risks contaminating clothing and hands.

3. 3.An adolescent is admitted with suspected meningococcal meningitis. Which actions should the nurse take? Select all that apply.

   • A.Discontinue precautions as soon as the first antibiotic dose is given.
   • B.Wear a surgical mask when providing close care.
   • C.Place a surgical mask on the client during transport.
   • D.Use a negative-pressure room.
   • E.Initiate droplet precautions.

   Rationale: Meningococcal meningitis requires droplet precautions, including a surgical mask for close contact and masking the client during transport. Negative-pressure rooms are used for airborne precautions, not routine droplet precautions. Droplet precautions are maintained for the period specified by policy, commonly until at least 24 hours of effective antimicrobial therapy, rather than ending immediately after the first dose.

4. 4.A client states, "I feel dizzy when I get up, but I can walk to the bathroom alone." Which response best promotes safety?

   • A."Walk slowly and hold on to the furniture."
   • B."Use the call light before getting up, and I will assist you."
   • C."Ask your family to bring your walking shoes later."
   • D."Sit at the edge of the bed until the dizziness passes, then walk alone."

   Answer and rationale are in the full material.

5. 5.Which action is correct when a nurse finds a small spill of blood on the floor?

   • A.Put on gloves and use an approved disinfectant according to facility policy.
   • B.Wipe it up with a dry paper towel using bare hands.
   • C.Cover it with a towel and notify environmental services at the end of the shift.
   • D.Spray air freshener and place a warning sign nearby.

   Answer and rationale are in the full material.