ATI RN LEADERSHIP PROCTORED 2026-2027 NEWEST VERSION ACTUAL 70
QUESTION AND CORRECT DETAILED VERIFIED ANSWERS FROM VERIFIED
SOURCES BY EXPERT RATED A GRADE.
A nurse is admitting a client who has rubella. Which of the following
types of transmission-based precautions should the nurse initiate?
A) Droplet
B) Airborne
C) Contact
D) Protective environment
Correct Answer: A
Rationale
Droplet precautions are required for clients who have infections that
spread via droplet nuclei that are larger than 5 microns in diameter,
including influenza, rubella, meningococcal pneumonia, and
streptococcal pharyngitis. Option B is incorrect because airborne
precautions are required for infections that spread via droplet nuclei
smaller than 5 microns, including varicella, tuberculosis, and
measles. Option C is incorrect because contact precautions are
required for infections that spread via direct contact with another
person or contact with the environment, including vancomycin-
resistant enterococci, methicillin-resistant Staphylococcus aureus,
and scabies. Option D is incorrect because a protective environment
is required for clients who have a compromised immune system,
such as those who have had an allogeneic hematopoietic stem cell
transplant. Therefore, droplet precautions are the correct
transmission-based precautions for rubella.
,Home Oxygen Concentrator Teaching
The nurse is providing discharge teaching for a client who has a new
prescription for a home oxygen concentrator. Which of the following
instructions should the nurse provide to the client and his family?
(Select all that apply.)
A) Check the cord routinely for frays and tearing.
B) Keep the unit at least 1.2 m (4 feet) away from a gas stove.
C) Consider purchasing a generator for power backup.
D) Observe for signs of hypoxia.
E) Select synthetic clothing and bedding.
Correct Answer: A, C, D
Rationale
Option A is correct because oxygen concentrators require electrical
power. Safe use includes assessing the electrical function of the
device; therefore, the nurse should instruct the client to routinely
check the condition of the cord. Option C is correct because loss of
electricity prevents the oxygen concentrator from functioning and
could deprive the client of necessary oxygen. The nurse should also
instruct the family to have the client placed on their municipality's
priority list for restoring power after an outage occurs. Option D is
correct because the nurse should instruct the family to observe for
signs of hypoxia. Option B is incorrect because safe use of home
oxygen equipment includes keeping the unit at least 3.05 m (10 feet)
away from open flames, such as from a fireplace or a gas stove, and
at least 2.4 m (8 feet) away from other heat sources. Option E is
incorrect because cotton clothing and bedding are preferred over
synthetic materials to reduce static electricity. Therefore, checking
the cord, purchasing a generator, and observing for signs of hypoxia
are appropriate instructions.
,Fluid Intake Documentation
A nurse is calculating a client's fluid intake over the past 8 hours. Which
of the following should the nurse plan to document on the client's
intake and output record as 120 mL of fluid?
A) 2 cups of soup
B) 1 quart of water
C) 8 oz of ice chips
D) 6 oz of tea
Correct Answer: C
Rationale
The nurse should document half of the volume of ice chips when
calculating fluid intake to account for the air in between the chips.
The nurse should understand that 4 oz of liquid water is equal to 120
mL of fluid. Option A is incorrect because 2 cups of soup are
equivalent to 480 mL of fluid. Option B is incorrect because 1 quart
of water is equivalent to 960 to 1,000 mL of fluid. Option D is
incorrect because 6 oz of tea is equal to 180 mL of fluid. Therefore, 8
oz of ice chips should be documented as 120 mL of fluid.
Clostridium difficile Precautions
A charge nurse is discussing the responsibility of nurses caring for
clients who have Clostridium difficile infection. Which of the
following information should the nurse include in the teaching?
A) Assign the client to a room with a negative airflow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol
solution.
D) Have family members wear a gown and gloves when visiting.
Correct Answer: D
, Rationale
Nurses are responsible for ensuring that family members wear a
gown and gloves to prevent the transmission of Clostridium difficile
spores. Staff must also wear gowns and gloves. Option A is
incorrect because a client who has a Clostridium difficile infection
requires a private room, but a negative airflow system is not
necessary. Option B is incorrect because the nurse should use soap
and water for hand hygiene because alcohol-based hand sanitizer
does not kill Clostridium difficile spores. Option C is incorrect
because the nurse should use a phenol solution to clean surfaces
contaminated with bacteria and fungi; however, phenol does not kill
Clostridium difficile spores. Chlorine bleach is an example of a
disinfectant that kills spores. Therefore, having family members
wear gowns and gloves is the correct information.
Change-of-Shift Report Priority
A nurse is giving change-of-shift report about a client they admitted
earlier that day who has pneumonia. Which of the following pieces
of information is the priority for the nurse to provide?
A) Admitting diagnosis
B) Breath sounds
C) Body temperature
D) Diagnostic test results
Correct Answer: B
Rationale
When using the airway, breathing, circulation approach to client
care, the nurse should determine that the priority information to
provide is the current status of the client's breath sounds. Option A
is incorrect while knowing the admitting diagnosis is essential for
planning care, it is not the priority. Option C is incorrect while
QUESTION AND CORRECT DETAILED VERIFIED ANSWERS FROM VERIFIED
SOURCES BY EXPERT RATED A GRADE.
A nurse is admitting a client who has rubella. Which of the following
types of transmission-based precautions should the nurse initiate?
A) Droplet
B) Airborne
C) Contact
D) Protective environment
Correct Answer: A
Rationale
Droplet precautions are required for clients who have infections that
spread via droplet nuclei that are larger than 5 microns in diameter,
including influenza, rubella, meningococcal pneumonia, and
streptococcal pharyngitis. Option B is incorrect because airborne
precautions are required for infections that spread via droplet nuclei
smaller than 5 microns, including varicella, tuberculosis, and
measles. Option C is incorrect because contact precautions are
required for infections that spread via direct contact with another
person or contact with the environment, including vancomycin-
resistant enterococci, methicillin-resistant Staphylococcus aureus,
and scabies. Option D is incorrect because a protective environment
is required for clients who have a compromised immune system,
such as those who have had an allogeneic hematopoietic stem cell
transplant. Therefore, droplet precautions are the correct
transmission-based precautions for rubella.
,Home Oxygen Concentrator Teaching
The nurse is providing discharge teaching for a client who has a new
prescription for a home oxygen concentrator. Which of the following
instructions should the nurse provide to the client and his family?
(Select all that apply.)
A) Check the cord routinely for frays and tearing.
B) Keep the unit at least 1.2 m (4 feet) away from a gas stove.
C) Consider purchasing a generator for power backup.
D) Observe for signs of hypoxia.
E) Select synthetic clothing and bedding.
Correct Answer: A, C, D
Rationale
Option A is correct because oxygen concentrators require electrical
power. Safe use includes assessing the electrical function of the
device; therefore, the nurse should instruct the client to routinely
check the condition of the cord. Option C is correct because loss of
electricity prevents the oxygen concentrator from functioning and
could deprive the client of necessary oxygen. The nurse should also
instruct the family to have the client placed on their municipality's
priority list for restoring power after an outage occurs. Option D is
correct because the nurse should instruct the family to observe for
signs of hypoxia. Option B is incorrect because safe use of home
oxygen equipment includes keeping the unit at least 3.05 m (10 feet)
away from open flames, such as from a fireplace or a gas stove, and
at least 2.4 m (8 feet) away from other heat sources. Option E is
incorrect because cotton clothing and bedding are preferred over
synthetic materials to reduce static electricity. Therefore, checking
the cord, purchasing a generator, and observing for signs of hypoxia
are appropriate instructions.
,Fluid Intake Documentation
A nurse is calculating a client's fluid intake over the past 8 hours. Which
of the following should the nurse plan to document on the client's
intake and output record as 120 mL of fluid?
A) 2 cups of soup
B) 1 quart of water
C) 8 oz of ice chips
D) 6 oz of tea
Correct Answer: C
Rationale
The nurse should document half of the volume of ice chips when
calculating fluid intake to account for the air in between the chips.
The nurse should understand that 4 oz of liquid water is equal to 120
mL of fluid. Option A is incorrect because 2 cups of soup are
equivalent to 480 mL of fluid. Option B is incorrect because 1 quart
of water is equivalent to 960 to 1,000 mL of fluid. Option D is
incorrect because 6 oz of tea is equal to 180 mL of fluid. Therefore, 8
oz of ice chips should be documented as 120 mL of fluid.
Clostridium difficile Precautions
A charge nurse is discussing the responsibility of nurses caring for
clients who have Clostridium difficile infection. Which of the
following information should the nurse include in the teaching?
A) Assign the client to a room with a negative airflow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol
solution.
D) Have family members wear a gown and gloves when visiting.
Correct Answer: D
, Rationale
Nurses are responsible for ensuring that family members wear a
gown and gloves to prevent the transmission of Clostridium difficile
spores. Staff must also wear gowns and gloves. Option A is
incorrect because a client who has a Clostridium difficile infection
requires a private room, but a negative airflow system is not
necessary. Option B is incorrect because the nurse should use soap
and water for hand hygiene because alcohol-based hand sanitizer
does not kill Clostridium difficile spores. Option C is incorrect
because the nurse should use a phenol solution to clean surfaces
contaminated with bacteria and fungi; however, phenol does not kill
Clostridium difficile spores. Chlorine bleach is an example of a
disinfectant that kills spores. Therefore, having family members
wear gowns and gloves is the correct information.
Change-of-Shift Report Priority
A nurse is giving change-of-shift report about a client they admitted
earlier that day who has pneumonia. Which of the following pieces
of information is the priority for the nurse to provide?
A) Admitting diagnosis
B) Breath sounds
C) Body temperature
D) Diagnostic test results
Correct Answer: B
Rationale
When using the airway, breathing, circulation approach to client
care, the nurse should determine that the priority information to
provide is the current status of the client's breath sounds. Option A
is incorrect while knowing the admitting diagnosis is essential for
planning care, it is not the priority. Option C is incorrect while
