ATI Proctored Final Exam
1.How can an RN delegate surgical aesepsis responsibilities to UAP's?
As the circulating nurse, the RN can have UAPs under her supervision involved in
activities requiring surgical asepsis. On the unit, situations requiring surgical
asepsis are not delegated to UAP.
2.How can an RN delegate transmission-based precaution responsibilities to
UAP's?
The RN can delegate care of a client requiring precautions to UAP. The nurse
cannot delegate the assessment of need for precautions, evaluation of
effectiveness of client compliance with precautions, or teaching of client & family
member's precaution techniques. The nurse delegating care of an isolated client
should be sure the UAP knows appropriate procedures.
3.When should traditional hand washing be used instead of using alcohol-based
sanitizer?
When hands are visibly soiled
After touching bodily fluids
Before and after applying sterile gloves
After using sanitizer 10 or more times
,4.Contradictions of good hand hygiene
Nail polish
Long nails
Using lotions
Wearing jewelry
5.Which of the following is a potential route of entry into the body for bloodborne
pathogens:
a. Mucous membranes
b. Puncture wounds
c. Burns on hands
d. Blood
e. All of the above
E. All of the above
6.Personal Protective Equipment is the single most effective way to prevent the
transmission of infection. (TRUE or FALSE)
True
7.Two potential sites for nosocomial infections:
,1. A hospital
2. Homecare
8.Potential causes of nosocomial infections:
1. Pt has suppressed immune system
2. Failure to follow isolation precautions or aseptic technique
3. Hospital error
9.You are assisting in the evaluation of a pt with acute onset of severe headache,
fever and some confusion. The physician is preparing to perform a lumbar
puncture. The suspected diagnosis is bacterial meningitis. What type of
precaution is needed?
Standard precautions
10.A 70 y. male develops new diarrhea and a high WBC while in the hospital
recovering from MV Replacement surgery which was complicated by a CVA. He is
bed bound and incontinent of stool. What do you suspect is the cause for his
diarrhea?
A bacterial, nosocomial infection
Medical abbreviation: CBR, BR
, complete bedrest, bedrest
11.T/F: Frequent bathing for the older client is necessary to prevent skin
breakdown.
False
12.A ____ bath can be helpful in soaking a client's pelvic area in warm water to
decrease inflammation.
sitz
List at least three guidelines for providing patient-centered care when addressing
a client's hygiene needs
Be respectful to cultural values.
Ask the pt in what order they would like to complete their hygiene routine.
Provide hygienic care as often as necessary (but not too often) and as gently as
necessary.
What should be included in documentation of a bath?
Date and time
Type of bath
Abnormal findings/pt reaction
1.How can an RN delegate surgical aesepsis responsibilities to UAP's?
As the circulating nurse, the RN can have UAPs under her supervision involved in
activities requiring surgical asepsis. On the unit, situations requiring surgical
asepsis are not delegated to UAP.
2.How can an RN delegate transmission-based precaution responsibilities to
UAP's?
The RN can delegate care of a client requiring precautions to UAP. The nurse
cannot delegate the assessment of need for precautions, evaluation of
effectiveness of client compliance with precautions, or teaching of client & family
member's precaution techniques. The nurse delegating care of an isolated client
should be sure the UAP knows appropriate procedures.
3.When should traditional hand washing be used instead of using alcohol-based
sanitizer?
When hands are visibly soiled
After touching bodily fluids
Before and after applying sterile gloves
After using sanitizer 10 or more times
,4.Contradictions of good hand hygiene
Nail polish
Long nails
Using lotions
Wearing jewelry
5.Which of the following is a potential route of entry into the body for bloodborne
pathogens:
a. Mucous membranes
b. Puncture wounds
c. Burns on hands
d. Blood
e. All of the above
E. All of the above
6.Personal Protective Equipment is the single most effective way to prevent the
transmission of infection. (TRUE or FALSE)
True
7.Two potential sites for nosocomial infections:
,1. A hospital
2. Homecare
8.Potential causes of nosocomial infections:
1. Pt has suppressed immune system
2. Failure to follow isolation precautions or aseptic technique
3. Hospital error
9.You are assisting in the evaluation of a pt with acute onset of severe headache,
fever and some confusion. The physician is preparing to perform a lumbar
puncture. The suspected diagnosis is bacterial meningitis. What type of
precaution is needed?
Standard precautions
10.A 70 y. male develops new diarrhea and a high WBC while in the hospital
recovering from MV Replacement surgery which was complicated by a CVA. He is
bed bound and incontinent of stool. What do you suspect is the cause for his
diarrhea?
A bacterial, nosocomial infection
Medical abbreviation: CBR, BR
, complete bedrest, bedrest
11.T/F: Frequent bathing for the older client is necessary to prevent skin
breakdown.
False
12.A ____ bath can be helpful in soaking a client's pelvic area in warm water to
decrease inflammation.
sitz
List at least three guidelines for providing patient-centered care when addressing
a client's hygiene needs
Be respectful to cultural values.
Ask the pt in what order they would like to complete their hygiene routine.
Provide hygienic care as often as necessary (but not too often) and as gently as
necessary.
What should be included in documentation of a bath?
Date and time
Type of bath
Abnormal findings/pt reaction
