ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help prevent an incisional infection?
Correct Answer: D
Rationale: The correct answer is D: Perform hand hygiene prior to dressing changes. This is important to prevent introducing harmful bacteria to the surgical wound, reducing the risk of infection. Hand hygiene is a crucial infection control measure as it helps to minimize the transfer of microorganisms. Initiating protective isolation (
A) is not necessary for preventing incisional infections. Allowing the wound to air periodically (
B) can actually increase the risk of contamination. Cleaning the incision with soap and water (
C) may not be appropriate as it can irritate the wound and disrupt the healing process.
Question 2 of 5
A nurse is caring for a client who requires contact precautions. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Dedicate equipment and supplies for use with the client. This is essential for preventing the spread of infection. By dedicating equipment to the client, the nurse reduces the risk of contaminating other clients.
Choice A is incorrect because wearing a mask is not necessary for contact precautions unless respiratory droplets are a concern.
Choice B is irrelevant to contact precautions.
Choice C is incorrect as allowing the client to leave the room frequently can increase the risk of spreading infection.
Question 3 of 5
A nurse is caring for a client who is unconscious. With the help of an assistive personnel, the nurse has repositioned the client from a left lateral to a right lateral position. The client's daughter asks why the nurse keeps her father lying on his side. Which of the following rationales should the nurse give the family member?
Correct Answer: B
Rationale: The correct answer is B:
To prevent aspiration problems. When a client is lying on their side, it helps prevent the pooling of secretions in the back of the throat, reducing the risk of aspiration. This is crucial for unconscious clients who may have difficulty protecting their airway.
Choice A is incorrect because lying on the side does not specifically relate to the extension of hip and knee joints.
Choice C is incorrect as lying on the side does not directly promote lung expansion.
Choice D is incorrect as lying on the side does not prevent abdominal distention.
Question 4 of 5
A nurse is preparing to insert an indwelling urinary catheter for a female client. After opening the catheter kit and preparing the supplies, which of the following steps should the nurse perform next?
Correct Answer: B
Rationale: The correct next step is to don sterile gloves (choice
B). This is essential to maintain aseptic technique and prevent infection during catheter insertion. Sterile gloves create a barrier between the nurse's hands and the client's urinary tract, reducing the risk of introducing pathogens. Cleansing the meatus (choice
A) or labia (choice
C) should come after donning sterile gloves to prevent contamination. Lubricating the catheter (choice
D) should be done just before insertion to facilitate a smooth and comfortable procedure.
Question 5 of 5
A nurse is reinforcing teaching with a client who is to collect stool at home for a fecal occult blood test (FOBT). Which of the following should the nurse instruct the client to avoid for at least 3 days before the test?
Correct Answer: B
Rationale: The correct answer is B: Magnesium hydroxide. This is because magnesium hydroxide, commonly found in antacids and laxatives, can cause false-positive results in a fecal occult blood test (FOBT) due to its chemical reaction with the test reagents. Instructing the client to avoid magnesium hydroxide for at least 3 days before the test ensures accurate results.
Incorrect choices:
A: Whole grain cereal - Whole grain cereal does not interfere with FOBT results.
C: Orange juice - Orange juice does not impact FOBT results.
D: Acetaminophen - Acetaminophen does not affect FOBT results.
Therefore, avoiding magnesium hydroxide is crucial to obtaining reliable results in the FOBT.