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ATI Nur 231 Fundamentals Exam Questions

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Question 1 of 5

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

Correct Answer: B

Rationale: WBC count: An elevated white blood cell (WB
C) count is a classic indicator of infection. The body responds to infection by increasing the production of white blood cells to fight off pathogens. A significantly elevated WBC count, especially if accompanied by a shift to the left (an increase in immature neutrophils), suggests an acute inflammatory response and the presence of an infection, making this the correct answer.

Question 2 of 5

A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to prevent the transmission of the client's infection?

Correct Answer: D

Rationale: Performing hand hygiene before, during, and after direct contact with the client: Hand hygiene is one of the most effective strategies to prevent the transmission of infections in healthcare settings. Proper handwashing or use of alcohol-based hand rubs significantly reduces the risk of spreading pathogens and protects both the patient and healthcare providers from infections. This strategy is essential in breaking the chain of infection.

Question 3 of 5

A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

Correct Answer: B

Rationale: Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds: This emphasizes the importance of thoroughly applying an alcohol-based hand rub to all areas of the hands, including the back, between fingers, and under nails. Using the rub for 20 to 30 seconds allows for effective disinfection, reducing the risk of transmitting infections.

Question 4 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.

Question 5 of 5

What color and consistency would you expect serous drainage from a Jackson-Pratt (JP) drain to have?

Correct Answer: C

Rationale: Clear, watery fluid with a pale yellow tint: This describes serous drainage, which is typically light in color and has a watery consistency. Serous fluid is a normal finding in the early stages of wound healing, as it contains plasma and does not indicate infection or excessive bleeding.

Similar Questions

Which of the following interventions is most appropriate for a patient that gets 30 points on the Morse Fall Scale? (Select All that Apply.)
The nurse is notifying the HCP of the client's change in status using the SBAR format. In which order should the nurse place the statements? 1. 'I suggest that the client be transferred to the critical care unit, and I would like you to come evaluate the client.' 2. 'The client is deteriorating, and I'm afraid the client is going to arrest.' 3. 'I am calling about (client name and location). Vital signs are BP=100/50, P=120, RR=30, T=100.4°F (38°C).' 4. 'The client is becoming confused and agitated. The skin is pale, mottled, and diaphoretic. The client is very dyspneic with an oxygen saturation of 85% despite placing a nonrebreather mask.'
Clients with special needs require specific communication techniques. Which specific communication techniques should a nurse utilize when caring for a client who is cognitively impaired?
A nurse is caring for a client who has dementia. The client is agitated and is having difficulty staying in his chair. Which of the following actions should the nurse take first?
A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

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