ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Question 1 of 5
A nurse is disinfecting the room of a client who has a Clostridium difficile infection. Which of the following solutions should the nurse use?
Correct Answer: B
Rationale: Chlorine bleach is effective against Clostridium difficile spores, unlike alcohol, chlorhexidine, or triclosan, which are insufficient for this purpose.
Question 2 of 5
A nurse observes an assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: D
Rationale: Using two gloved fingers to open the client's mouth for cleaning is unsafe. This method can cause injury to the AP if the patient bites down reflexively. A padded tongue blade should be used instead. The other actions are appropriate for mouth care in an unconscious client.
Question 3 of 5
A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?
Correct Answer: B
Rationale: Oral temperature elevated at 0800' is specific and accurate, indicating an abnormal finding that requires monitoring. The other options lack specificity or detail required for proper documentation.
Question 4 of 5
A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?
Correct Answer: A
Rationale: Gloves are the first piece of personal protective equipment that the nurse should remove, as they are the most contaminated and can transfer microorganisms to other surfaces. The sequence then proceeds with goggles, gown, and mask to minimize contamination risk.
Question 5 of 5
A nurse is reinforcing teaching with a client who needs to increase vitamin C intake to promote wound healing. Which of the following foods should the nurse recommend as the best source of vitamin C?
Correct Answer: C
Rationale: A small pink grapefruit contains 38.4 mg of vitamin C, the highest among the options, making it the best source for wound healing. Banana, pear, and apple have significantly less.