ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 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 2 of 5
A client complains of an inability to sleep through the night since admission three days ago. Which of the following factors is most likely to negatively affect the patient's sleep patterns?
Correct Answer: C
Rationale: The presence of pain is a significant factor that can disrupt sleep by making it difficult to find a comfortable position and causing frequent awakenings, making it the most likely negative influence.
Question 3 of 5
A nurse is caring for a client who has a wound infection that contains vancomycin-resistant Enterococcus (VRE). Which of the following types of precautions should the nurse plan to take while caring for this client?
Correct Answer: D
Rationale: Contact precautions are required for VRE, which spreads through contact with contaminated surfaces or hands, not through air or droplets.
Question 4 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 5 of 5
A nurse is reinforcing teaching about promoting rest and sleep with a client who reports insomnia. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
Correct Answer: A
Rationale: Avoiding fluids before bed prevents sleep disruptions from urination, showing understanding of sleep promotion.