ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to prevent the transmission of the client's infection?
Correct Answer: D
Rationale: Performing hand hygiene before, during, and after direct contact with the client: Hand hygiene is one of the most effective strategies to prevent the transmission of infections in healthcare settings. Proper handwashing or use of alcohol-based hand rubs significantly reduces the risk of spreading pathogens and protects both the patient and healthcare providers from infections. This strategy is essential in breaking the chain of infection.
Question 2 of 5
Which activity should the nurse implement to decrease shearing force on a client's stage II pressure injury?
Correct Answer: A
Rationale: Preventing the client from sliding in bed: This activity directly addresses shearing forces, which occur when the skin is pulled in one direction while the underlying tissues move in another.
Question 3 of 5
A 65-year-old post-operative patient presents with a sudden opening of their surgical abdominal wound. What is the most appropriate immediate nursing action to take for this patient experiencing wound dehiscence?
Correct Answer: B
Rationale: Apply a sterile saline dressing and notify the surgeon immediately: This is the most appropriate immediate action in the event of wound dehiscence. Applying a sterile saline dressing helps protect the exposed tissue and prevent infection, while notifying the surgeon is crucial for further evaluation and intervention. Wound dehiscence is a surgical emergency that requires prompt attention.
Question 4 of 5
A nurse accidentally sticks her hand with a syringe after administering an IM injection to a client. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Wash the area of the puncture thoroughly with soap and water: The first action the nurse should take after a needlestick injury is to immediately wash the area with soap and water. This is crucial for minimizing the risk of infection and exposure to potentially infectious materials.
Question 5 of 5
The client has protective precautions (reverse isolation) in place due to a severely depressed neutrophil count. Which statement by the client demonstrates a good understanding of the precautions?
Correct Answer: D
Rationale: Persons entering my room should perform hand hygiene before entering: This statement accurately reflects an understanding of the precautions needed in reverse isolation. Hand hygiene is critical in preventing the introduction of pathogens.