ATI RN
ATI Msn De5320 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: C. difficile spores resist alcohol sanitizers, requiring soap and water handwashing for at least 20 seconds. Negative pressure rooms are for airborne infections, 10-second washing is inadequate, and masks are unnecessary as C. difficile spreads via fecal-oral transmission.
Question 2 of 5
A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?
Correct Answer: C
Rationale: Multiple sclerosis impairs balance and coordination, heightening fall risk. Hernias cause discomfort, hyperlipidemia affects lipids, and hyperthyroidism causes tremors, but they don’t directly affect mobility.
Question 3 of 5
A nurse is preparing a teaching plan for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: Assessing readiness to learn ensures the teaching plan matches the client’s mental state and comprehension, optimizing education. Providing materials, demonstrating skills, or setting goals assumes readiness.
Question 4 of 5
A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?
Correct Answer: C
Rationale: Multiple sclerosis causes muscle weakness, balance issues, and coordination problems, increasing fall risk. Inguinal hernia may cause discomfort, hyperlipidemia affects cholesterol, and hyperthyroidism may cause tremors, but none directly impact balance as significantly.
Question 5 of 5
Which nursing action would be appropriate to protect a patient during a seizure?
Correct Answer: A,B,D,E
Rationale: Padding the head, avoiding oral objects, turning to the side, and using pillows prevent injury and aspiration. Moving to bed during a seizure risks harm.