ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray?
Correct Answer: A
Rationale: Have the client wear a mask: When transporting a client with active pulmonary tuberculosis, having the client wear a surgical mask helps to contain respiratory droplets and reduce the risk of airborne transmission to others in the facility. This is an important measure to help prevent the spread of TB while the client is being moved through the hospital.
Question 2 of 5
Which of the following interventions is most appropriate for a patient that gets 30 points on the Morse Fall Scale? (Select All that Apply.)
Correct Answer: D,E
Rationale: Implementing a fall prevention protocol: This is the most appropriate intervention for a patient with a high risk of falling. Educating the patient on using the call light system: This intervention is important for ensuring the patient feels safe and can call for assistance when needed.
Question 3 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.
Question 4 of 5
A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazards for the client? (Select All that Apply.)
Correct Answer: A,C,D,E
Rationale: The hot water heater is set at 54°C (130° F): This temperature poses a risk of burns, especially for a client who may have impaired mobility or sensation due to a stroke. Area rugs are placed in the living room: Area rugs can create tripping hazards, especially for clients who may have difficulty with balance or mobility after a stroke. Medications are stored in a clear bag: While storing medications in a clear bag may provide visibility, it does not ensure safety. Dim lighting installed throughout the house: Dim lighting can increase the risk of falls, especially for clients with visual impairments or those who may not be able to navigate their environment safely after a stroke.
Question 5 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 actions should the nurse take?
Correct Answer: C
Rationale: Wear clean gloves: Wearing clean gloves is the appropriate action when interacting with a client who has MRSA. This helps to prevent the transmission of bacteria and protects both the client and the nurse.