ATI proctored final exam questions and answers
2026\2027 A+ Grade
How can an RN delegate surgical aesepsis responsibilities to UAP's?
- correct answer 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.
How can an RN delegate transmission-based precaution responsibilities to UAP's?
- correct answer 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.
When should traditional hand washing be used instead of using alcohol-based sanitizer?
- correct answer When hands are visibly soiled
After touching bodily fluids
Before and after applying sterile gloves
After using sanitizer 10 or more times
Contradictions of good hand hygiene
- correct answer Nail polish
Long nails
Using lotions
Wearing jewelry
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
- correct answer E. All of the above
Personal Protective Equipment is the single most effective way to prevent the transmission of infection.
(TRUE or FALSE)
- correct answer True
Two potential sites for nosocomial infections:
- correct answer 1. A hospital
2. Homecare
Potential causes of nosocomial infections:
- correct answer 1. Pt has suppressed immune system
2. Failure to follow isolation precautions or aseptic technique
3. Hospital error
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?
- correct answer Standard precautions
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?
- correct answer A bacterial, nosocomial infection
Medical abbreviation: CBR, BR
- correct answer complete bedrest, bedrest
,T/F: Frequent bathing for the older client is necessary to prevent skin breakdown.
- correct answer False
A ____ bath can be helpful in soaking a client's pelvic area in warm water to decrease inflammation.
- correct answer sitz
List at least three guidelines for providing patient-centered care when addressing a client's hygiene
needs
- correct answer 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?
- correct answer Date and time
Type of bath
Abnormal findings/pt reaction
When might the RN need to collaborate a colleague for personal care?
- correct answer If a patient is not ambulatory and is too heavy to be moved alone
What are the components of the Braden scale?
Is a high score good or bad?
- correct answer Sensory perception, moisture, activity, mobility, nutrition, friction & shear
High score indicates low risk.
Trochanter roll
- correct answer Keeps hips in a neutral position
Hemiparesis
- correct answer Weakness on one sign of the body
, Hemiplegia
- correct answer Paralysis on one side of the body
Prone position
- correct answer Lying on the abdomen
Sim's position
- correct answer Lying on left side w/ left leg straight and right knee bent
Foot drop
- correct answer Gait w/ drop of the forefoot
Fracture pan
- correct answer A bedpan used for someone w/ a hip fracture
Fecal impaction
- correct answer Dry, hard stool stuck in the rectum
Hand roll
- correct answer Hand placed in the palm to prevent fractures
Medical abbreviation: WNL
- correct answer Within normal limits
Medical abbreviation: BRP
- correct answer bathroom privileges
Medical abbreviation: BUS
- correct answer Bladder ultrasonic scanner
Factors to consider when delegating to UAP
- correct answer Scope of practice
Facility, state regulations
2026\2027 A+ Grade
How can an RN delegate surgical aesepsis responsibilities to UAP's?
- correct answer 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.
How can an RN delegate transmission-based precaution responsibilities to UAP's?
- correct answer 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.
When should traditional hand washing be used instead of using alcohol-based sanitizer?
- correct answer When hands are visibly soiled
After touching bodily fluids
Before and after applying sterile gloves
After using sanitizer 10 or more times
Contradictions of good hand hygiene
- correct answer Nail polish
Long nails
Using lotions
Wearing jewelry
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
- correct answer E. All of the above
Personal Protective Equipment is the single most effective way to prevent the transmission of infection.
(TRUE or FALSE)
- correct answer True
Two potential sites for nosocomial infections:
- correct answer 1. A hospital
2. Homecare
Potential causes of nosocomial infections:
- correct answer 1. Pt has suppressed immune system
2. Failure to follow isolation precautions or aseptic technique
3. Hospital error
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?
- correct answer Standard precautions
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?
- correct answer A bacterial, nosocomial infection
Medical abbreviation: CBR, BR
- correct answer complete bedrest, bedrest
,T/F: Frequent bathing for the older client is necessary to prevent skin breakdown.
- correct answer False
A ____ bath can be helpful in soaking a client's pelvic area in warm water to decrease inflammation.
- correct answer sitz
List at least three guidelines for providing patient-centered care when addressing a client's hygiene
needs
- correct answer 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?
- correct answer Date and time
Type of bath
Abnormal findings/pt reaction
When might the RN need to collaborate a colleague for personal care?
- correct answer If a patient is not ambulatory and is too heavy to be moved alone
What are the components of the Braden scale?
Is a high score good or bad?
- correct answer Sensory perception, moisture, activity, mobility, nutrition, friction & shear
High score indicates low risk.
Trochanter roll
- correct answer Keeps hips in a neutral position
Hemiparesis
- correct answer Weakness on one sign of the body
, Hemiplegia
- correct answer Paralysis on one side of the body
Prone position
- correct answer Lying on the abdomen
Sim's position
- correct answer Lying on left side w/ left leg straight and right knee bent
Foot drop
- correct answer Gait w/ drop of the forefoot
Fracture pan
- correct answer A bedpan used for someone w/ a hip fracture
Fecal impaction
- correct answer Dry, hard stool stuck in the rectum
Hand roll
- correct answer Hand placed in the palm to prevent fractures
Medical abbreviation: WNL
- correct answer Within normal limits
Medical abbreviation: BRP
- correct answer bathroom privileges
Medical abbreviation: BUS
- correct answer Bladder ultrasonic scanner
Factors to consider when delegating to UAP
- correct answer Scope of practice
Facility, state regulations
