ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse is caring for a client with SARS. The nurse is aware that healthcare professionals are required to report communicable & infectious diseases. Which of these illustrate the rationale for reporting? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. Reporting communicable diseases helps in planning and evaluating control strategies by identifying trends and risk factors. It also aids in determining public health priorities by allocating resources effectively. Reporting ensures proper medical treatment for infected individuals and helps in monitoring for common-source outbreaks to prevent further spread. Incorrect choices: D - Reporting does not specifically identify endemic diseases; F & G -
Choices are not provided.
Question 2 of 5
Nurse contributing to a care plan for a client being admitted to a facility with suspected pertussis. Which should the nurse include in the care plan? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E.
B: Wearing a mask within 3 ft of the client helps prevent the spread of pertussis, which is transmitted through respiratory secretions.
C: Placing a mask on the client during transportation reduces the risk of spreading the infection to others.
E: Wearing a gown during care that may result in contamination from secretions further prevents transmission.
A: Negative air pressure is not necessary for pertussis transmission control.
D: Sterile gloves are not required for handling soiled linens in pertussis cases.
In summary, the correct answers focus on preventing the spread of pertussis through respiratory secretions, while the incorrect choices are not directly related to infection control measures for this condition.
Question 3 of 5
Nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. The presentation of linear clusters of fluid-containing vesicles with crusting is characteristic of herpes zoster, also known as shingles. This is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution along a dermatome is a key feature distinguishing it from other conditions. Allergic reaction (
A) typically presents with hives or erythema, not vesicles. Ringworm (
B) presents with a circular, scaly rash. Systemic lupus erythematosus (
C) is an autoimmune disease with a different presentation.
Question 4 of 5
Nurse caring for a client who reports severe sore throat, pain with swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?
Correct Answer: D
Rationale: The correct answer is D: Illness. In this stage, the client exhibits specific signs and symptoms of infection, such as severe sore throat, pain with swallowing, and swollen lymph nodes. This indicates active replication of the pathogen and the body's immune response. Other choices are incorrect because: A: Prodromal is the initial stage with vague, non-specific symptoms. B: Incubation is the period between exposure to the pathogen and the onset of symptoms. C: Convalescence is the recovery stage after the illness.
Question 5 of 5
Nurse educator is reviewing with a newly hired nurse the difference in clinical manifestations of localized vs. systemic infection. The nurse indicates understanding when she states that which are manifestations of systemic infection? (Select all that apply.)
Correct Answer: A,B,E
Rationale: The correct answer is A, B, and E. Fever is a hallmark sign of a systemic infection as the body's response to infection. Malaise, a general feeling of discomfort, is also common in systemic infections due to the body's immune response. An increase in pulse and respiratory rate occurs in systemic infections as the body tries to combat the infection. Edema and pain/tenderness are more indicative of localized infections and are not typically seen in systemic infections.
Therefore, choices C and D are incorrect in this context.