Questions 58

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ATI Nur 231 Fundamentals Exam Questions

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Question 1 of 5

A charge nurse is planning a room assignment for a client who has a productive cough, a questionable chest x-ray, and a positive Mantoux test. Room 208 is a private, negative-pressure airflow room: room 212 is a semi-private, positive-pressure airflow room: 214 is a negative-pressure. semi-private room; and room 216 is a private, positive-pressure airflow room. To which of the following rooms should the nurse assign the client?

Correct Answer: C

Rationale: 208: Room 208 is a private, negative-pressure airflow room. This is the most appropriate assignment for the client with a productive cough and a positive Mantoux test, as negative-pressure rooms help contain airborne pathogens and prevent their spread to other areas. The private setting also reduces the risk of exposing other patients to potential infection.

Question 2 of 5

The nurse prepares to meet with assigned clients after receiving hand-off communication. Which statement or question demonstrates that the nurse is in the termination phase with a client?

Correct Answer: D

Rationale: I’m going to miss talking with you every day but you are better and ready to go home now: This statement clearly indicates the termination phase of the nurse-client relationship. It acknowledges the emotional aspect of the relationship while confirming that the client is prepared for discharge, signifying the conclusion of the care provided.

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: A

Rationale: Droplet: Pertussis, also known as whooping cough, is transmitted through respiratory droplets when an infected person coughs or sneezes.
Therefore, droplet precautions are necessary to prevent the spread of the infection to others.

Question 4 of 5

A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Turn the client to the side: Turning the client to the side is the best action as it helps prevent aspiration of secretions or fluids during oral care.

Question 5 of 5

The nurse assesses patients to determine their risk for healthcare acquired infections. Which hospitalized patient would the nurse consider most at risk for developing this type of infection?

Correct Answer: A

Rationale: A 60 year old patient who is on a mechanical ventilator: This patient is at the highest risk for healthcare-acquired infections (HAIs) due to the use of mechanical ventilation.

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