ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has insomnia. The nurse should identify that which of the following is likely to disrupt sleep?
Correct Answer: C
Rationale: Alcohol consumption before bedtime disrupts sleep quality and causes awakenings, making it the most likely factor to negatively affect sleep.
Question 2 of 5
A nurse is reinforcing teaching with a group of assistive personnel (AP) about hand hygiene. Which of the following statements by an AP should the nurse identify as an indication that the AP requires further teaching?
Correct Answer: C
Rationale: Changing gloves is not a substitute for hand hygiene; washing hands before and after glove use is essential to prevent pathogen transmission, indicating a need for further teaching.
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 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.
Question 5 of 5
A nurse is caring for a group of clients. For which of the following tasks should the nurse plan to wear protective eye equipment?
Correct Answer: C
Rationale: Suctioning a tracheostomy tube carries a high risk of forceful secretion expulsion, necessitating eye protection to prevent mucous membrane exposure.