ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first?
Correct Answer: D
Rationale: Gloves: Gloves should be the first item removed when taking off personal protective equipment. This is because gloves are the most likely to be contaminated with infectious materials. Removing them first minimizes the risk of transferring pathogens to other areas of the body or clothing during the process of doffing PPE.
Question 2 of 5
A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Turn the client to the side: Turning the client to the side is the best action as it helps prevent aspiration of secretions or fluids during oral care.
Question 3 of 5
In a clinical setting, a patient with a chronic wound is scheduled for debridement. Which of the following is the primary purpose of wound debridement?
Correct Answer: B
Rationale:
To remove necrotic tissue to promote healing: The primary purpose of wound debridement is to remove necrotic (dead) or devitalized tissue from the wound bed. This process promotes healing by creating a clean wound environment, facilitating granulation tissue formation, and reducing the risk of infection, making this option the most accurate.
Question 4 of 5
The nurse is assigned to the care of the following patients. In planning nursing care, the nurse knows to use touch cautiously when communicating with which patient?
Correct Answer: A
Rationale: Middle-aged man experiencing the acute phase of myocardial infarction (MI): During the acute phase of an MI, the patient may be experiencing significant physical and emotional stress.
Touch may be perceived as intrusive or overwhelming.
Question 5 of 5
A charge nurse is planning a room assignment for a client who has a productive cough, a questionable chest x-ray, and a positive Mantoux test. Room 208 is a private, negative-pressure airflow room: room 212 is a semi-private, positive-pressure airflow room: 214 is a negative-pressure. semi-private room; and room 216 is a private, positive-pressure airflow room. To which of the following rooms should the nurse assign the client?
Correct Answer: C
Rationale: 208: Room 208 is a private, negative-pressure airflow room. This is the most appropriate assignment for the client with a productive cough and a positive Mantoux test, as negative-pressure rooms help contain airborne pathogens and prevent their spread to other areas. The private setting also reduces the risk of exposing other patients to potential infection.