Extract:

Question 1 of 5

A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?

A. Use sterile gloves to obtain the sputum specimen.B. Place the sputum specimen in a clean container.C. Collect the sputum specimen in the morning.D. Obtain the sputum specimen after the client uses mouthwash.

Correct Answer: C

Rationale: Morning collection (
C) captures overnight sputum accumulation for better yield. Sterile gloves (
A) aren’t needed (clean suffice), sterile containers (
B) are required (not clean), and mouthwash (
D) interferes.

Question 2 of 5

A nurse is providing discharge teaching to a client who is at risk for falls. Which of the following information should the nurse include in the teaching?

A. Ensure carpeting on stairs is secured with tacks.'B. Secure extension cords to the floor with paper tape.'C. Place furniture in the hallway to hold onto when walking.'D. Place a small rug on the floor next to the bathtub.'

Correct Answer: A

Rationale: Secured stair carpeting (
A) prevents tripping. Paper tape (
B) is weak, furniture in hallways (
C) blocks paths, and small rugs (
D) slip when wet— increasing fall risk.

Question 3 of 5

A nurse is observing a newly licensed nurse care for a client who is at increased risk for infection. Which of the following actions indicate the newly licensed nurse is following recommended medical asepsis practices?

A. The newly licensed nurse uses a paper towel to turn off the faucet after washing their hands.B. The newly licensed nurse uses an alcohol-based hand rub and begins patient care before their hands dry.C. The newly licensed nurse uses soap and cold water to wash their hands.D. The newly licensed nurse uses an alcohol-based hand rub to clean visibly soiled hands.

Correct Answer: A

Rationale: Using a paper towel (
A) prevents recontamination post-handwashing, per asepsis. Wet hands (
B), cold water (
C), and rub on soiled hands (
D) reduce effectiveness.

Question 4 of 5

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A. Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.B. Use fingertips to lightly depress the right lower quadrant of the client's abdomen.C. Systematically percuss the client's abdomen.D. Observe the contours of the client's abdomen using a penlightE. Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Correct Answer: D,E,C,B,A

Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.

Question 5 of 5

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

A. Two-point alternating gaitB. Swing-through gaitC. Four-point alternating gaitD. Three-point gait

Correct Answer: D

Rationale: The three-point gait (
D) advances crutches and the affected leg together, then the unaffected leg, ideal for one-leg weight-bearing. Two-point (
A) and four-point (
C) require bilateral weight, and swing-through (
B) is for non-weight-bearing.

Nurselytic

ATI RN

ATI RN

ATI RN Fundamentals 2023 Exam 3 Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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