ATI LPN Fundamentals Test

Extract:

A patient's bed sheet contaminated with fecal matter

Question 1 of 5

Fecal matter has contaminated the patient's bed sheet. The nurse should:

A. Use PPE to remove the sheet and place it in a pillowcase on the floor; then replace it with a clean sheet.B. Contact don nonsterile gloves and gown, remove the soiled sheet, replace it with a clean one, and then dispose of the sheet in a plastic bag to prevent skin or clothing.C. Remove the soiled sheet without exposure of skin or clothing to the sheet and rinse it in the patient's bathroom sink to dilute or remove as much feces as possible.D. Place a folded clean, dry sheet or plastic-backed protector over the soiled sheet until it dries and then change the sheet.

Correct Answer: B

Rationale: Using nonsterile gloves and a gown, removing the soiled sheet, and disposing of it in a plastic bag minimizes contamination risk, adhering to infection control standards.

Extract:

A patient with a nursing diagnosis of infection

Question 2 of 5

A patient has a nursing diagnosis of infection, related to inadequate primary defenses, as evidenced by surgical incision and intravenous (IV) line access. An appropriate nursing intervention for this patient is to:

A. Require the use of a facemask by nursing staff when they are providing care.B. Maintain 'clean' technique in the change of wound dressing and IV site.C. Assess and document skin condition around the incision and IV site at each shift.D. Limit visitors to immediate family to decrease exposure to infection.

Correct Answer: C

Rationale: Assessing and documenting skin condition at each shift allows early detection of infection signs, enabling timely intervention.

Extract:

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

Question 3 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 used facemask

Question 4 of 5

When removing a used facemask, the nurse correctly:

A. Lowers it below his chin to use the next time he enters that patient's room.B. Removes the mask first before removing any other PPE.C. Discards the mask only if it is wet; otherwise, he folds and stores it to reuse the next time.D. Unties the bottom ties first, then the top, and disposes of the mask without touching it.

Correct Answer: D

Rationale: Untying ties in the correct order and disposing without touching the mask prevents contamination during removal.

Extract:

A client who requires isolation

Question 5 of 5

A nurse caring for a client who requires isolation has just finished a care procedure. Which of the following pieces of personal protective equipment (PPE) should the nurse remove last?

A. Gloves.B. Gown.C. Eyewear.D. Mask.

Correct Answer: D

Rationale: The mask is removed last to protect against inhaling contaminants until all other PPE is removed, minimizing exposure.

ATI LPN Fundamentals Test | Nurselytic

Nurselytic

ATI LPN

ATI LPN