ATI 2318 Fundamentals

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Sample questions from ATI 2318 Fundamentals

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

1. 1.During a home visit, a client receiving oxygen by nasal cannula reports feeling short of breath. Which action should the nurse take first?

   • A.Place a humidifier in the client's room
   • B.Assess the client's respiratory rate and oxygen saturation
   • C.Increase the oxygen flow rate by 2 L/min
   • D.Call the health care provider

   Rationale: Assessing respiratory status establishes the client's current condition and guides the next action. Increasing oxygen without an order may be unsafe, while calling the provider or adding humidification does not replace immediate assessment. The exam takeaway is to assess an unexpected change before intervening when the client is not in immediate danger.

2. 2.A client is admitted with suspected pulmonary tuberculosis. Which actions should the nurse take to reduce transmission? Select all that apply.

   • A.Place the client in an airborne infection isolation room
   • B.Keep the room door closed
   • C.Wear a fit-tested N95 respirator when entering the room
   • D.Have the client wear a surgical mask during transport
   • E.Use a surgical mask instead of a respirator when providing direct care

   Rationale: An airborne infection isolation room, a closed door, and a fit-tested N95 respirator reduce exposure to airborne particles. A surgical mask on the client during transport limits spread into shared areas. A surgical mask worn by staff is not an adequate substitute for a respirator during direct care for suspected tuberculosis.

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

   • A.Remove the mask before leaving the client's room
   • B.Perform hand hygiene only if the hands look soiled
   • C.Remove gloves before the gown
   • D.Touch the front of the gown while removing it

   Rationale: Gloves are removed first because they are usually the most contaminated item, followed by careful removal of the gown. The mask is generally removed after leaving the room when required by the isolation protocol, and the contaminated front of the gown should not be touched. Hand hygiene is required after PPE removal even when hands appear clean.

4. 4.Which action best reduces a client's risk of injury from a fall when the client is confused and attempts to get out of bed?

   • A.Keep the room dark so the client will rest
   • B.Raise all four side rails
   • C.Apply wrist restraints before leaving the room
   • D.Keep the bed in its lowest position with the call light within reach

   Answer and rationale are in the full material.

5. 5.A client with an indwelling urinary catheter is at risk for a catheter-associated urinary tract infection. Which nursing actions help reduce that risk? Select all that apply.

   • A.Review the need for the catheter each day
   • B.Maintain a closed drainage system
   • C.Disconnect the tubing daily to clean the connection
   • D.Keep the drainage bag below the level of the bladder
   • E.Secure the catheter to prevent traction

   Answer and rationale are in the full material.