ATI RN Fundamentals Practice Tests A & B
A charge nurse is discussing the responsibility of nurses caring
for clients who have a Clostridium difficle infection. Which of the
following information should the nurse include in the teaching?
Assign the client to a room with a negative airflow system
Use alcohol based hand sanitizer when leaving the client's room
Clean contaminated surfaces in the client's room with a phenol
solution
Have family members wear a gown and gloves when visiting - . .
ANSWER ✓✓ Have family members wear a gown and gloves
when visiting
A charge nurse is observing a newly licensed nurse prepare a
sterile field for a dressing change. Which of the following actions
by the newly licensed nurse requires intervention by the charge
nurse?
The newly licensed nurse places the cap of a bottle of sterile
saline solution on the sterile field
The newly licensed nurse places sterile objects 2.5 cm (1 inch)
within the border of the field
The new licensed nurse holds the bottle of sterile saline outside
the edge of the field when pouring
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The sterile field is positioned at the level of the newly licensed
nurse's waist - . . ANSWER ✓✓ The newly licensed nurse places
the cap of a bottle of sterile saline solution on the sterile field
A client in non ambulatory notifies the nurse that his trash can is
on fire. After the nurse confirms the presence of the fire, which
of the following actions should the nurse take next?
Activate the emergency fire alarm
Extinguish the fire
Evacuate the client
Confine the fire - . . ANSWER ✓✓ Evacuate the client
A client who is postoperative is verbalizing as a 2 on a pain scale
of 0 to 10. Which of the following statements should the nurse
identify as an indication that the client understands the
preoperative teaching she received about pain management?
"I think I should take my pain medication more often, since its not
controlling my pain"
"Breathing faster will help me keep my mind off of the pain"
"It might help me listen to music while lying in bed"
"I don't want to walk today because I have some pain" - . .
ANSWER ✓✓ "It might help me listen to music while lying in bed"
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A community health nurse is checking blood pressures for a
group of clients at community health screening. Which of the
following clients is at an increased risk for hypertension?
A client who is 52 years old
A client who smokes 1 pack of cigarettes a day
A client who walks for 30 min every day
A client who drinks 1 glass of wine 3 times per week - . .
ANSWER ✓✓ A client who smokes 1 pack of cigarettes a day
A home health nurse is completing an admission assessment of
an older adult client who has their caregiver present. Which of
the following findings should the nurse identify as a potential
indication of elder abuse?
The caregiver is the client's financial power of attorney
The client is in a wheelchair with the wheels locked
The client reports receiving a full bath twice each week
The caregiver insists on remaining in the room - . . ANSWER ✓✓
The caregiver insists on remaining in the room
A home health nurse is performing a follow up visit for a client
who as a gastrostomy tube through which they receive
intermittent feedings and medications. The client has recently
developed diarrhea. Which of the following findings should the
nurse identify as a possible cause of the diarrhea?
The client is receiving formula at room temperature
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The feedings infuse at a slow, continuous drip over 8 hour each
night
The client's caregiver washes out the feedings bag with warm
water once every 24 hours
The client's caregiver flushes the tubing with water before and
after administering medications - . . ANSWER ✓✓ The client's
caregiver washes out the feedings bag with warm water once
every 24 hours
A middle adult client tells the nurse, "I feel so useless now that
my children do not need me anymore." Which of the following
responses should the nurse make?
"Most people are happy when their children grow up and leave
home"
"You should be proud that your children are becoming
independent"
"Maybe you should consider why you are feeling useless"
"People in middle adulthood often find satisfaction in nurturing
and guiding young people" - . . ANSWER ✓✓ "People in middle
adulthood often find satisfaction in nurturing and guiding young
people"
A new is assessing an older adult client's risk for falls. Which of
the following assessments should the nurse use to identify the
client's safety needs? (select all that apply)
Lacrimal apparatus