ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing teaching with a newly licensed nurse about documenting vital signs. Which of the following documentation made by the nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Documenting pulse with position shows understanding, as position affects readings, unlike the other options lacking context.
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 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: VRE requires contact precautions due to its spread via contaminated surfaces or hands, not airborne transmission.
Question 5 of 5
A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain assessment scales should the nurse use to determine the infant's pain level?
Correct Answer: D
Rationale: The FLACC scale assesses pain in non-verbal infants through behavior observation, suitable for a 6-month-old.