ATI RN
ATI Fundamental Exams Questions
Question 1 of 5
A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control?
Correct Answer: B
Rationale: The correct answer is B because placing clean linen that touched the floor in the soiled linen bag prevents cross-contamination. Placing soiled linen on the floor (
A) increases the risk of spreading infection. Holding soiled linen against the body (
C) can also lead to contamination. Shaking soiled linen (
D) can release infectious particles into the air.
Question 2 of 5
A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates the client's understanding of hospice care focusing on symptom management and comfort rather than curative treatment. Hospice teams provide support for physical, emotional, and spiritual needs at the end of life.
Choice A is incorrect as hospice care can be provided at home or in a hospice facility, not necessarily in a long-term care facility.
Choice B is incorrect because hospice care does not focus on curative treatments but on palliative care.
Choice D is incorrect as hospice care is typically provided to patients with a prognosis of six months or less, not solely based on being deemed terminally ill.
Question 3 of 5
A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate?
Correct Answer: C
Rationale: The correct answer is C: Droplet precautions. Pertussis is transmitted through respiratory droplets when the infected person coughs or sneezes. By implementing droplet precautions, the nurse can prevent the spread of the disease to others. Airborne precautions (choice
A) are used for diseases like tuberculosis, which require smaller particles to transmit. Contact precautions (choice
B) are for direct contact with the infected person or their environment. Protective precautions (choice
D) is not a standard transmission-based precaution.
Question 4 of 5
A nurse is caring for a postoperative patient. Which finding will alert the nurse to a potential wound dehiscence?
Correct Answer: B
Rationale:
Correct
Answer: B - Report by patient that something has given way
Rationale: A patient reporting that something has given way is a key indicator of potential wound dehiscence. This is because the patient may feel a sudden release of tension or pain, indicating that the wound has opened up. This finding is crucial as it can prompt immediate intervention to prevent further complications such as evisceration.
Summary of Incorrect
Choices:
A: Chronic drainage of fluid through the incision site - While this can indicate a wound issue, it is not as specific to dehiscence as the patient's report of something giving way.
C: Drainage that is odorous and purulent - This finding suggests infection rather than wound dehiscence.
D: Protrusion of visceral organs through a wound opening - This indicates evisceration, a severe complication that usually follows dehiscence. It is a more advanced sign than the patient's report of something giving way.
Question 5 of 5
A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as Indications that the client has an infection? (Select all that apply)
Correct Answer: A,E
Rationale: The correct answers are A and E. Localized edema is a common sign of infection, as inflammation and fluid accumulation occur at the site. An increase in neutrophils is also indicative of an infection, as these white blood cells are the first responders to fight off bacterial infections.
Choices B, C, and D are incorrect. An increase in RBCs (
Choice
B) is not typically associated with infection. Bradycardia (
Choice
C) refers to a slow heart rate and is not a specific indicator of infection. An increase in platelets (
Choice
D) is more commonly seen in response to bleeding or clotting issues rather than infection.