ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Question 1 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: B
Rationale: The correct answer is B: Droplet precautions. Pertussis is transmitted through respiratory droplets, making droplet precautions the most appropriate. These precautions include wearing a mask and placing the client in a private room. Airborne precautions (choice
A) are for diseases transmitted through tiny airborne particles, like tuberculosis. Protective (choice
C) and contact precautions (choice
D) are not indicated for pertussis. Protective precautions are used for immunocompromised clients, while contact precautions are for diseases spread through direct contact.
Question 2 of 5
The nurse is preparing to change the linens on the bed of a client who has a draining sacral wound infected by MRSA. Which PPE items should the nurse plan to use? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct PPE items for changing linens on a client with a draining sacral wound infected by MRSA are gown, surgical mask, and gloves. A gown will protect the nurse's clothing from contamination. A surgical mask will prevent inhaling infectious particles. Gloves will prevent direct contact with contaminated fluids. Shoe covers are not necessary for this task as the focus is on protecting the upper body and hands. An N95 respirator is not needed unless performing a procedure that generates aerosols.
Question 3 of 5
A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Explain to the client what is about to happen. This is essential to ensure the older adult client feels informed, respected, and comfortable during the physical examination. By explaining the procedure, the nurse promotes trust and reduces anxiety.
Choice A is incorrect as older adults may prefer a warmer room temperature.
Choice B, providing music, may not be appropriate for all older adults and could potentially be distracting.
Choice C, informing the client about examining sensitive areas first, may cause unnecessary stress and discomfort.
Question 4 of 5
A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?
Correct Answer: C
Rationale: The correct answer is C: Antimicrobial soap. The nurse should use antimicrobial soap for hand hygiene when caring for a client with Clostridium difficile infection, as it effectively eliminates this spore-forming bacterium. Alcohol-based hand rub (
B) and chlorhexidine (
D) are not as effective against C. difficile spores. Povidone-iodine (
A) is not recommended due to its limited sporicidal activity. Other choices (E, F, G) are not relevant to the specific infection control needed for C. difficile.
Question 5 of 5
A nurse is preparing to obtain an electronic blood pressure measurement on a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Align the artery indicator on the blood pressure cuff with the client's brachial artery. This is crucial for obtaining an accurate blood pressure measurement. Aligning the cuff correctly ensures that the pressure is being measured at the brachial artery, which is the most accurate location for blood pressure readings. This action helps to avoid false readings and ensures the measurement is reliable. Elevating the client's arm above the level of the heart (
A) is a correct step but not specific to obtaining an electronic blood pressure measurement. Selecting a cuff that covers 50% of the client's upper arm (
B) and placing the cuff 5 cm above the client's antecubital space (
C) are incorrect as they do not specifically address the proper alignment with the brachial artery, which is essential for accurate readings.