ATI FUNDAMENTALS PROCTORED EXAM Q&A

ATI FUNDAMENTALS PROCTORED EXAM Q&A 9. A nurse is leading an education session about disposing of biohazardous materials. Which of the following instructions should the nurse include in the teaching? A. Use isopropyl alcohol to clean blood spills -incorrect: Chlorine bleach should be used to clean blood spills to reduce the risk of transmission of microorganisms. B. Discard empty blood bags in a bedside trash can -incorrect: Empty blood bags should be returned to the blood bank in case transfusion reaction occurs and to reduce the risk of transmission of microorganisms. C. Break used needles before disposing -incorrect: To reduce the risk of injury, used needles should not be broken or bent. D. Place soiled linen in a single linen bag -Soiled linen should be placed in a single bag that is tightly secured to reduce the risk of transmission of microorganisms. 10. A nurse is reviewing measures to prevent back injuries with assistive personnel (AP). Which of the following instructions should the nurse include? A. Stand 3 feet from the client when assisting with lifting -incorrect: The AP should stand as close as possible to the client to reduce back strain. B. Lock your knees when standing for long periods of time -incorrect: The AP should bend the knees and hips and rest the feet one at a time on a footrest when standing for long periods of time. C. Life up to 22.6 kg (50lb) without the use of assistive devices -The AP should use an assistive device or another person to lift an object weighing more than 15.8 kg (35 lb) D. When lifting an object, spread your feet apart to provide a wide base of support -The AP should spread the feet apart because a wide base of support increases stability. 11. A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take? A. Wash the gloved hands and then throw the gloves away -incorrect: Washing the hands while still gloved is not a recommended action. B. Prepare an incident report to document the event -incorrect: Unless there is a break in the nurse‟s skin, there is no need for an incident report. C. Carefully remove the gloves and proceed with hand hygiene -Standard precautions require the use of gloves and hand hygiene in the care of all clients. D. Ask the provider to order a blood culture to determine the risk of infection -incorrect: Unless there is a break in the nurse‟s skin, there is no need for further investigation. 12. A community health nurse is conducting a class about body mechanics for county office workers. Which of the following instructions should the nurse include? (SATA) A. “Sit with your back supported” B. “Keep your knees at hip level” C. “Use an ergonomically designed computer keyboard” -Using lumbar support in a straight-back chair helps maintain posture and prevent back pain. Keeping the knees at the level of the hips or higher helps reduce the risk of lordosis, which is an exaggeration of the curve of the lumbar spine. Using a keyboard that maintains ergonomic positioning of the wrists can help prevent carpal tunnel syndrome. D. “Keep your elbows away from your body.” -incorrect: Keeping the upper arms and elbows close to the body limits straining of the shoulders and the upper back muscles. E. “Adjust the monitor screen so that you have to tilt your head slightly to look at it” -incorrect: Tilting the screen and tilting the head to look at it can strain the cervical spine. 13. A nurse is caring for a client who requires wrist restraints. Which of the following actions should the nurse take? A. Tie a secure knot with the restraint straps -incorrect: The nurse must attach the restraint with a quick-release buckle or a knot that does not tighten when pulled. B. Attach the restraint‟s straps to the bedside rails -incorrect: Attaching the restraints straps to the bedside rails can lead to client injury. C. Make sure 3 fingers fir beneath the restraints -incorrect: The nurse should make sure 2 fingers fit under the restraints. If 3 fingers fit, the restraints are too loose. If only 1 finger fits, the restraints are too tight. D. Remove the restraints at least every 2 hours -The nurse should remove the restraints at least every 2 hours to reposition the client, provide fluids and nutrients, assist with ROM exercises, and evaluate the client‟s overall wellbeing. 14. A nurse is admitting a client who has measles. Which of the following types of transmission precautions should the nurse initiate? A. Airborne -Airborne precautions are required for clients who have infections that spread via dropl