ATI PN Fundamentals 2020 NGN Exam 1

Extract:

Question 1 of 5

A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others?

A. Clean hands with an alcohol-based hand rub immediately after removing gloves. B. Remove the cover gown in the client's room after providing care. C. Place the client in a room with negative-pressure airflow. D. Wear a mask when administering oral medications to the client.

Correct Answer: B

Rationale: Removing the gown in the client's room contains C. difficile spores, preventing spread, as they resist alcohol-based rubs and aren't airborne.

Question 2 of 5

A nurse and an assistive personnel (AP) are providing postmortem care for a deceased client before visitation by the family. Which of the following actions by the AP requires intervention by the nurse?

A. Gathering the client's personal belongings. B. Removing the client's dentures. C. Placing absorbent pads under the client's buttocks. D. Closing the client's eyes.

Correct Answer: B

Rationale: Removing dentures requires intervention as they should stay in place to maintain the deceased's natural facial appearance.

Question 3 of 5

A nurse is contributing to the plan of care for four clients. For which of the following clients should the nurse initiate airborne precautions?

A. A client who has pneumonia. B. A client who has measles. C. A client who has pertussis. D. A client who has methicillin-resistant Staphylococcus aureus (MRSA).

Correct Answer: B

Rationale: Measles is an airborne disease requiring precautions like N95 masks and negative pressure rooms, unlike the others which spread differently.

Question 4 of 5

A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence?

A. A client who plans to leave the facility against medical advice. B. A client who informs the nurse that they have made their funeral arrangements. C. A client who tells the nurse that the night shift nurse did not bring their medication. D. A client who has just experienced the death of their child.

Correct Answer: D

Rationale: Silence supports a client grieving a child's death, offering space to process intense emotions, unlike the other scenarios needing active engagement.

Question 5 of 5

A client who is scheduled to undergo surgery tells the nurse that they do not understand the procedure and are reconsidering their decision to have it. Which of the following actions should the nurse take?

A. Offer information about alternative therapies to the procedure. B. Contact a family member to convince the client to change their mind. C. Tell the client the benefits of the surgery. D. Notify the charge nurse of the client's concerns.

Correct Answer: D

Rationale: Notifying the charge nurse ensures the client's concerns are addressed by the surgeon, respecting their autonomy and need for informed consent.

ATI PN Fundamentals 2020 NGN Exam 1 | Nurselytic

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