ATI RN
ATI Fundamentals Carugda Custom Exam Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: High Fowler’s position (C 45-60 degrees) reduces abdominal pressure promotes lung expansion and prevents aspiration aiding recovery. Tap water irrigation (
A) risks infection daily girth measurement (
B) is insufficient for rapid changes and ambulation (
D) may dislodge drains or cause discomfort early post-surgery.
Question 2 of 5
A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control?
Correct Answer: A
Rationale: Placing clean linen that touched the floor in the soiled bag (
A) prevents contamination. Shaking linen (
B) disperses pathogens placing on the floor (
C) contaminates it and holding against the body (
D) risks personal contamination.
Question 3 of 5
A nurse on a medical-surgical unit suspects that several patients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. What actions should the nurse plan to take while waiting for the patients' lab results?
Correct Answer: D
Rationale: Contact precautions (
D) prevent C. difficile spread via fecal-oral route. Antibiotics (
A) may worsen infection alcohol rubs (
B) are ineffective against spores and universal stool cultures (
C) risk false positives.
Question 4 of 5
A nurse is reinforcing teaching with a group of assistive personnel (AP) about infection control measures on the unit. Which of the following is the most effective way to prevent the spread of pathogens during patient care?
Correct Answer: A
Rationale: Frequent hand hygiene (
A) is the most effective way to prevent pathogen spread. Disposing equipment (
B) discarding syringes (
C) and changing linens (D E) are important but secondary to hand hygiene.
Question 5 of 5
An LPN is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration?
Correct Answer: B, C, D
Rationale: The document incorrectly lists blood osmolarity 260 mOsm/kg (
A) as a dehydration sign but normal is 275-295 mOsm/kg; low values suggest overhydration. Hypotension (
B) from reduced blood volume high urine specific gravity (C 1.035 normal 1.005-1.030) from concentrated urine and elevated sodium (D 150 mEq/L normal 135-145) from water loss indicate dehydration.