ATI LPN Fundamentals Test

Extract:

A patient with an open wound that is still infected

Question 1 of 5

A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:

A. Use gowns, gloves, and masks for any family contact with him.B. Maintain medical asepsis and proper handling of the contaminated dressings.C. Wash hands thoroughly before the dressing change.D. Be the only person to perform the dressing changes, thus eliminating the risk of infection to other family members.

Correct Answer: B

Rationale: Maintaining medical asepsis and proper dressing disposal prevents pathogen spread to family members.

Extract:

Question 2 of 5

The nurse clarifies that the difference between the use of earlier types of isolation procedures and the use of current Standard Procedures plus Transmission-Based Precautions as outlined by the CDC:

A. Is complicated and hard to follow.B. Is that new diseases have continued to appear for which the older isolation techniques were ineffective.C. Is based on newer knowledge of how HIV is spread, to better protect health care workers from blood-borne pathogens.D. Is based on the premise in the new procedures that all body substances except sweat may be infectious, even when the person is not known to have a specific disease.

Correct Answer: D

Rationale: Standard Precautions assume all body fluids except sweat may be infectious, enhancing universal protection.

Extract:

A patient who is in isolation

Question 3 of 5

A nurse is caring for a patient who is in isolation. The nurse would correctly do which of the following?

A. Shake linen when removing it from the bed.B. Turn faucets on and off using a paper towel.C. Freely take items in and out of the isolation room.D. Consider items dropped on the floor usable.

Correct Answer: B

Rationale: Using a paper towel to turn faucets prevents recontamination of hands after washing, maintaining infection control.

Extract:

A mother and her 2-week-old infant exposed to chicken pox

Question 4 of 5

A mother and her 2-week-old infant, who is breastfed, have been exposed to chicken pox. Although the mother had chicken pox as a child, she is concerned about her baby. The nurse explains:

A. The baby should receive immune globulin to protect him from the infection.B. The infant is at risk because the baby has not been immunized against the disease.C. Both infant and mother are at risk because the mother's immunity was acquired too long ago to be effective.D. Neither are at risk, because the mother has naturally acquired immunity, and she passes antibodies to the baby through the breast milk.

Correct Answer: D

Rationale: The motherâ€™s natural immunity provides antibodies via breast milk, protecting the infant from chicken pox.

Extract:

A syringe and needle to give a patient an injection

Question 5 of 5

When the nurse is using a syringe and needle to give a patient an injection, he or she should:

A. Throw the needle and syringe immediately in a covered garbage can with a red plastic liner to indicate the materials are biohazards.B. Recap the needle and place it carefully on the patient's table until leaving the room, then discard it in a garbage container in the nurses' medication room.C. Carefully break the needle from the syringe, using the needle cover to prevent reuse of a used syringe and needle.D. Never recap the needle afterward to avoid risk of needle stick.

Correct Answer: D

Rationale: Avoiding recapping and disposing of the needle in a sharps container immediately reduces needle stick injury risk.

ATI LPN Fundamentals Test | Nurselytic

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ATI LPN

ATI LPN