ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse has accidentally punctured his finger with a needle he used to give an IM injection to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Per CDC guidelines, washing with soap and water is the first step to cleanse the puncture site and minimize infection risk.
Question 2 of 5
Prior to taking the health history, the nurse should first do which of the following?
Correct Answer: C
Rationale: Establishing rapport builds trust and facilitates effective communication, making it the essential first step.
Question 3 of 5
A nurse caring for a client who requires isolation has just finished a care procedure. Which of the following pieces of personal protective equipment (PPE) should the nurse remove last?
Correct Answer: D
Rationale: The mask is removed last to protect the mucous membranes of the mouth and nose from infectious droplets until all other potentially contaminated PPE is removed.
Question 4 of 5
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following items should the nurse wear?
Correct Answer: A
Rationale: Clean gloves prevent contact transmission of MRSA when checking the pulse near an infected wound.
Question 5 of 5
A nurse is changing the dressing on a client's wound. The nurse should recognize that which of the following findings is an indication of a wound infection?
Correct Answer: A
Rationale: Edema indicates inflammation and fluid accumulation, a common sign of wound infection, unlike the other options which relate to different conditions or normal healing.