ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is reviewing transmission precautions with an assistive personnel (AP) who is providing care for a client who has a Clostridium difficile infection. Which of the following statements by the AP indicates an understanding of the teaching?
Correct Answer: D
Rationale: Wearing gloves when changing the gown prevents transmission of C. difficile spores which spread through contact. Isopropyl alcohol and alcohol-based sanitizers are ineffective against C. difficile requiring sporicidal disinfectants and soap-and-water handwashing. Masks are unnecessary as C. difficile is not airborne.
Question 2 of 5
A nurse is planning teaching for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse take prior to performing the teaching?
Correct Answer: A
Rationale: Establishing the client’s learning needs identifies knowledge gaps and tailors education effectively. Literacy readiness computer access and learning style are secondary steps after determining what the client needs to learn.
Question 3 of 5
A nurse is reviewing the ABG results for a client. The client's results are pH 7.47,PaCO2 30 mm Hg HCO3 25 mEq/L,and SaO2 90%. The nurse should identify that the client is experiencing which of the following acid-base imbalances?
Correct Answer: C
Rationale: Metabolic alkalosis is indicated by elevated pH (7.47) and normal-to-elevated HCO3 (25 mEq/L) with PaCO2 (30 mm Hg) slightly low as compensation. Metabolic acidosis has low pH and HCO3 respiratory acidosis has high PaCO2 and respiratory alkalosis has low PaCO2 with high pH.
Question 4 of 5
A nurse receives a telephone call from a client's family member,who asks the nurse for an update on the client's condition. Which of the following actions should the nurse take to maintain the client's confidentiality?
Correct Answer: C
Rationale: Referring the family member to the client's provider ensures that accurate and appropriate information is shared by the authorized source maintaining confidentiality and adhering to privacy regulations. Requesting the caller's relationship does not fully address confidentiality concerns. Providing a general update over the phone risks disclosing sensitive information. Encouraging direct contact with the client may compromise privacy if the client does not wish to share details.
Question 5 of 5
A nurse is planning care for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse include to reduce the client's risk for ventilator-associated pneumonia?
Correct Answer: C
Rationale: Swabbing with chlorhexidine reduces bacterial growth lowering ventilator-associated pneumonia risk. Daily oral care is insufficient firm-bristle brushes risk tissue trauma and a 15° head elevation is inadequate compared to chlorhexidine’s direct antimicrobial effect.