ATI RN
ATI Msn De5320 Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse is reviewing interventions written for a client. Which of the following should the nurse consider as being independent?
Correct Answer: B
Rationale: Repositioning is an independent nursing action to prevent complications, requiring no order. Medication administration and IV antibiotics are dependent, needing physician orders.
Question 2 of 5
A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: C. difficile spores resist alcohol sanitizers, requiring soap and water handwashing for at least 20 seconds. Negative pressure rooms are for airborne infections, 10-second washing is inadequate, and masks are unnecessary as C. difficile spreads via fecal-oral transmission.
Question 3 of 5
Which nursing action would be appropriate to protect a patient during a seizure?
Correct Answer: A,B,D,E
Rationale: Padding the head, avoiding oral objects, turning to the side, and using pillows prevent injury and aspiration. Moving to bed during a seizure risks harm.
Question 4 of 5
The nurse is reviewing interventions written for a client. Which of the following should the nurse consider as being independent?
Correct Answer: B
Rationale: Repositioning is an independent nursing action to prevent complications, requiring no order. Medication administration and IV antibiotics are dependent, needing physician orders.
Question 5 of 5
A charge nurse is planning a room assignment for a client who has a productive cough, a questionable chest x-ray, and a positive Mantoux test. Room 208 is a private, negative-pressure airflow room; room 212 is a semi-private, positive-pressure airflow room; 214 is a negative-pressure, semi-private room; and room 216 is a private, positive-pressure airflow room. To which of the following rooms should the nurse assign the client?
Correct Answer: D
Rationale: A private, negative-pressure room (208) is ideal for suspected tuberculosis, preventing airborne pathogen spread. Semi-private rooms (214, 212) risk infecting others, and positive-pressure rooms (212, 216) are unsuitable for airborne infections.