ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 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:
Correct
Answer: B
Rationale: Option B is correct because rubbing all surfaces of hands with an alcohol rub for 20 to 30 seconds effectively kills most germs and is a recommended method for hand hygiene by CDC. This thorough technique ensures proper disinfection of hands.
Summary of Incorrect
Choices:
A: Incorrect. Wearing gloves is not a substitute for handwashing as gloves can still harbor germs and proper hand hygiene is essential even when wearing gloves.
C: Incorrect. Alcohol rubs are effective in killing germs even when hands are not visibly soiled, making this statement unnecessary.
D: Incorrect. Even without visible symptoms, hands can still carry germs and infect others, emphasizing the importance of hand hygiene for everyone.
Question 2 of 5
A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: B,D,E
Rationale: The correct answer is B, D, and E. Immobility can lead to contractures of extremities due to muscle atrophy, pressure ulcers from prolonged pressure on the skin, and crackles in the lungs due to decreased lung expansion and secretion retention. Diarrhea (
A) and polyuria (
C) are not typically associated with immobility complications.
Question 3 of 5
A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?
Correct Answer: D
Rationale: The correct answer is D because fidelity refers to being faithful and keeping promises. By keeping an appointment with a client, the nurse is demonstrating reliability and fulfilling their commitment to provide care.
Choice A involves compassion and support, not fidelity.
Choice B relates to confidentiality, not fidelity.
Choice C pertains to autonomy and informed consent, not fidelity. In summary, choices A, B, and C are incorrect because they do not directly relate to the ethical principle of fidelity in nursing practice.
Question 4 of 5
A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Lock the wheels of the bed and the wheelchair. This action is crucial to ensure safety during the transfer process, as it prevents both the bed and wheelchair from moving unexpectedly. Locking the wheels provides stability and reduces the risk of falls or accidents. Elevating the bed for the nurse's comfort (choice
A) is not a priority over client safety. Placing the wheelchair at a 90° angle to the bed (choice
C) may not guarantee stability. Acquiring help from others (choice
D) is beneficial but not as essential as securing the wheels.
Question 5 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: The correct answer is B: WBC count. An elevation in WBC count indicates an immune response to an infection. White blood cells increase to help combat pathogens. Potassium (
A), BUN (
C), and RBC count (
D) are not specific indicators of infection. Potassium levels can be affected by renal function, BUN reflects kidney function, and RBC count indicates oxygen-carrying capacity.
Therefore, an elevation in WBC count is the most relevant marker for infection in this scenario.