ATI LPN Fundamentals Test

Extract:

A client with suspected appendicitis

Question 1 of 5

The nurse is caring for a client with suspected appendicitis. Nursing interventions for this client would include:

A. Withholding food and fluids until a diagnosis is established.B. Administering prophylactic IV antibiotics.C. Giving the client a heating pad to place on the abdomen for comfort.D. Administering a cleansing enema in preparation for surgery.E. Having the client ambulate at least once every hour.

Correct Answer: A,B

Rationale: A: Withholding food and fluids prevents complications if surgery is needed. B: Prophylactic antibiotics reduce infection risk.

Extract:

Question 2 of 5

The nurse is aware that family education is necessary for the control of the most common helminth infection, which is:

A. Roundworms.B. Hookworms.C. Tapeworms.D. Pinworms.

Correct Answer: D

Rationale: Pinworms are the most common helminth infection, especially in children, and family education on hygiene practices is crucial to prevent their spread.

Extract:

Family members about hand hygiene in the home

Question 3 of 5

A nurse teaching family members about hand hygiene in the home would emphasize:

A. Using disposable gloves after hand hygiene when feeding the infant.B. Keeping fingernails short and avoiding wearing rings.C. Washing hands up to the elbows for 2 minutes the first time in the day, and for 1 minute after a diaper change.D. Home care requires less attention to medical asepsis, so hand hygiene is necessary only after toileting or handling soiled diapers.

Correct Answer: B

Rationale: Short nails and no rings reduce pathogen harboring, enhancing hand hygiene effectiveness.

Extract:

A nurse preparing a sterile field

Question 4 of 5

A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

A. Opening the sterile tray by first unfolding the flap furthest from his body.B. Holding a sterile item at just above waist level.C. Placing a sterile dressing 5 cm (2 in) from the border of the sterile field.D. Opening a sterile package directly over the middle of the sterile field.

Correct Answer: D

Rationale: Opening a package over the sterile field risks dropping contaminants into it, compromising sterility.

Extract:

A patient's bed sheet contaminated with fecal matter

Question 5 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.

ATI LPN Fundamentals Test | Nurselytic

Nurselytic

ATI LPN

ATI LPN