ATI PN Fundamentals 2023 Exam 4

Extract:

Question 1 of 5

A charge nurse is observing a newly licensed nurse who is caring for a group of clients. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

A. I will use disinfectant to clean the blood pressure cuff after use on a client. B. I will double-bag a client's linens each day. C. I will wear sterile gloves when bathing a client who is incontinent. D. I will rinse the contaminants from a bedpan with hot water.

Correct Answer: A

Rationale: Disinfecting the cuff reduces cross-contamination, aligning with infection control standards.

Question 2 of 5

A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps?

Order the Items

Source Container

Unlock and remove the inner cannula.

Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.

Scrub the inside and outside of the inner cannula with a small brush.

Wipe the inside of the inner cannula with a folded pipe cleaner.

Cleanse the stoma site with 0.9% sodium chloride solution.

Correct Answer: B,A,C,D,E

Rationale: B: Prepare solution. A: Remove cannula. C: Scrub cannula. D: Wipe cannula. E: Cleanse stoma maintains sterility.

Question 3 of 5

A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A. Avoid placing toilet tissue in the bedpan after defecation. B. Urinate after the specimen collection. C. Place 1.3 cm (0.5 in) of formed stool into a culture tube. D. Keep the specimen in a warm area.

Correct Answer: A

Rationale: Avoiding toilet tissue prevents contamination, ensuring specimen integrity.

Question 4 of 5

A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?

A. Flex hips and knees when assisting the client to a standing position. B. Pivot on the foot farthest from the bed when assisting the client into the chair. C. Stand on the client's stronger side when moving the client into the chair. D. Raise the bed to waist level before moving the client.

Correct Answer: A

Rationale: Flexing hips and knees uses proper mechanics, reducing injury risk during transfer.

Question 5 of 5

A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?

A. Restrict the number of visitors for clients. B. Turn on loud music in client care areas. C. Offer the clients many choices regarding care. D. Assign different nurses to provide care for clients each day.

Correct Answer: A

Rationale: Restricting visitors minimizes noise and stress, promoting a healing environment.

ATI PN Fundamentals 2023 Exam 4 | Nurselytic

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ATI LPN

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