ATI FUNDAMENTALS PROCTORED CUMULATIVE FINAL EXAM COMPLETE QNS &
ANS FINAL LATEST 2023
• The nurse is preparing a 4 year old for surgery. Which technique is most
appropriate?
• a.allow the child to handle safe medical equipment
b.limit the teaching to one 1 hour session
c.explain to the child that she will be put to sleep for the
procedure
d.use an anatomically correct doll to explain the procedure
• The nurse is admitting a patient with a methicillin-resistant Staphylococcus aureus
(MRSA) infection isolated in
his stage III pressure ulcer. The nurse places the patient on:
a.contact precautions.
b.airborne precautions.
c.droplet precautions.
d.protective environment.
• The nurse is caring for a school-aged child who has injured the right leg after a
bicycleaccident.
Which signs and symptoms will the nurse assess for to determine if the child is
experiencinga
localized inflammatory response?
• Malaise, anorexia, enlarged lymph nodes, and increased white blood cells
• Chest pain, shortness of breath, and nausea and vomiting
• Dizziness and disorientation to time, date, and place
• Edema, redness, tenderness, and loss of function
• A diabetic patient presents to the clinic for a dressing change. The wound is located
on theright
foot and has purulent yellow drainage. Which action will the nurse take to prevent
thespread of
infection?
• Position the patient comfortably on the stretcher.
• Explain the procedure for dressing change to the patient.
• Review the medication list that the patient brought from home.
• Don gloves and other appropriate personal protective equipment.
• The nurse is caring for a patient in labor and delivery. When near completing an
assessment of
the patient’s cervix, the electronic infusion device being used on the intravenous (IV)
infusion
alarms. Which sequence of actions is mostappropriate for the nurse to take?
• Complete the assessment, remove gloves, and silence the alarm.
, • Discontinue the assessment, silence the alarm, and assess the intravenous site.
• Complete the assessment, remove gloves, wash hands, and assess the
intravenous infusion.
• Discontinue the assessment, remove gloves, use hand gel, and assess the
intravenous infusion.
• The nurse is dressed and is preparing to care for a patient in the perioperative
area. Thenurse has
scrubbed hands and has donned a sterile gown and gloves. Which action will indicate a break in
sterile technique?
• Touching clean protective eyewear
• Standing with hands above waist area
• Accepting sterile supplies from the surgeon
• Staying with the sterile table once it is open
• The nurse is caring for a patient with an incision. Which actions will best
indicate anunderstanding of medical and surgical asepsis for a sterile dressing
change?
• Donning clean goggles, gown, and gloves to dress the wound
• Donning sterile gown and gloves to remove the wound dressing
• Utilizing clean gloves to remove the dressing and sterile supplies for
the newdressing
• Utilizing clean gloves to remove the dressing and clean supplies for the new
dressing
• The nurse is caring for a patient who has just delivered a neonate. The nurse is
checking thepatient for excessive vaginal drainage. Which precaution will the nurse
use?
• Contact
• Droplet
• Standard
• Protective environment
• The nurse is performing hand hygiene before assisting a health care provider with
insertion of achest tube. While washing hands, the nurse touches the sink. Which action
will the nurse take next?
• Inform the health care provider and recruit another nurse to assist.
• Rinse and dry hands, and begin assisting the health care provider.
• Extend the handwashing procedure to 5 minutes.
• Repeat handwashing using antiseptic soap.
• The nurse is caring for a patient on contact precautions. Which action will be most
appropriateto
prevent the spread of disease?
• Place the patient in a room with negative airflow.
• Wear a gown, gloves, face mask, and goggles for interactions with the patient.
• Transport the patient safely and quickly when going to the radiology department.
, • Use a dedicated blood pressure cuff that stays in the room and is used for that
patient only.
• The nurse is caring for a patient who has cultured positive for Clostridium difficile.
Whichaction
will the nurse take next?
• Instruct assistive personnel to use soap and water rather than sanitizer.
• Wear an N95 respirator when entering the patient room.
• Place the patient on droplet precautions.
• Teach the patient cough etiquette.
• The nurse is caring for a patient who has a bloodborne pathogen. The nurse splashes
bloodabove
the glove to intact skin while discontinuing an intravenous (IV) infusion. Which step(s) will
thenurse
take next?
• Obtain an alcohol swab, remove the blood with an alcohol swab, and continue
care.
• Immediately wash the site with soap and running water, and seek guidance
from the manager.
• Do nothing; accidentally getting splashed with blood happens frequently and
is part of the job.
• Delay washing of the site until the nurse is finished providing care to the patient.
• The nurse has received a report from the emergency department that a patient with
tuberculosis will be coming to the unit. Which items will the nurse need to care for this
patient? (Select all that
apply.)
• Private room
• Negative-pressure airflow in room
• Surgical mask, gown, gloves, eyewear
• N95 respirator, gown, gloves, eyewear
• Communication signs for droplet precautions
• Communication signs for airborne precautions
• When providing hygiene for an older-adult patient, the nurse closely assesses the skin.
What isthe
• rationale for the nurse’s action?
• Outer skin layer becomes more resilient.
• Less frequent bathing may be required.
• Skin becomes less subject to bruising.
• Sweat glands become more active.
• The patient has been brought to the emergency department following a motor vehicle
accident.The patient is unresponsive. The driver’s license states that glasses are needed
to operate a motor
ANS FINAL LATEST 2023
• The nurse is preparing a 4 year old for surgery. Which technique is most
appropriate?
• a.allow the child to handle safe medical equipment
b.limit the teaching to one 1 hour session
c.explain to the child that she will be put to sleep for the
procedure
d.use an anatomically correct doll to explain the procedure
• The nurse is admitting a patient with a methicillin-resistant Staphylococcus aureus
(MRSA) infection isolated in
his stage III pressure ulcer. The nurse places the patient on:
a.contact precautions.
b.airborne precautions.
c.droplet precautions.
d.protective environment.
• The nurse is caring for a school-aged child who has injured the right leg after a
bicycleaccident.
Which signs and symptoms will the nurse assess for to determine if the child is
experiencinga
localized inflammatory response?
• Malaise, anorexia, enlarged lymph nodes, and increased white blood cells
• Chest pain, shortness of breath, and nausea and vomiting
• Dizziness and disorientation to time, date, and place
• Edema, redness, tenderness, and loss of function
• A diabetic patient presents to the clinic for a dressing change. The wound is located
on theright
foot and has purulent yellow drainage. Which action will the nurse take to prevent
thespread of
infection?
• Position the patient comfortably on the stretcher.
• Explain the procedure for dressing change to the patient.
• Review the medication list that the patient brought from home.
• Don gloves and other appropriate personal protective equipment.
• The nurse is caring for a patient in labor and delivery. When near completing an
assessment of
the patient’s cervix, the electronic infusion device being used on the intravenous (IV)
infusion
alarms. Which sequence of actions is mostappropriate for the nurse to take?
• Complete the assessment, remove gloves, and silence the alarm.
, • Discontinue the assessment, silence the alarm, and assess the intravenous site.
• Complete the assessment, remove gloves, wash hands, and assess the
intravenous infusion.
• Discontinue the assessment, remove gloves, use hand gel, and assess the
intravenous infusion.
• The nurse is dressed and is preparing to care for a patient in the perioperative
area. Thenurse has
scrubbed hands and has donned a sterile gown and gloves. Which action will indicate a break in
sterile technique?
• Touching clean protective eyewear
• Standing with hands above waist area
• Accepting sterile supplies from the surgeon
• Staying with the sterile table once it is open
• The nurse is caring for a patient with an incision. Which actions will best
indicate anunderstanding of medical and surgical asepsis for a sterile dressing
change?
• Donning clean goggles, gown, and gloves to dress the wound
• Donning sterile gown and gloves to remove the wound dressing
• Utilizing clean gloves to remove the dressing and sterile supplies for
the newdressing
• Utilizing clean gloves to remove the dressing and clean supplies for the new
dressing
• The nurse is caring for a patient who has just delivered a neonate. The nurse is
checking thepatient for excessive vaginal drainage. Which precaution will the nurse
use?
• Contact
• Droplet
• Standard
• Protective environment
• The nurse is performing hand hygiene before assisting a health care provider with
insertion of achest tube. While washing hands, the nurse touches the sink. Which action
will the nurse take next?
• Inform the health care provider and recruit another nurse to assist.
• Rinse and dry hands, and begin assisting the health care provider.
• Extend the handwashing procedure to 5 minutes.
• Repeat handwashing using antiseptic soap.
• The nurse is caring for a patient on contact precautions. Which action will be most
appropriateto
prevent the spread of disease?
• Place the patient in a room with negative airflow.
• Wear a gown, gloves, face mask, and goggles for interactions with the patient.
• Transport the patient safely and quickly when going to the radiology department.
, • Use a dedicated blood pressure cuff that stays in the room and is used for that
patient only.
• The nurse is caring for a patient who has cultured positive for Clostridium difficile.
Whichaction
will the nurse take next?
• Instruct assistive personnel to use soap and water rather than sanitizer.
• Wear an N95 respirator when entering the patient room.
• Place the patient on droplet precautions.
• Teach the patient cough etiquette.
• The nurse is caring for a patient who has a bloodborne pathogen. The nurse splashes
bloodabove
the glove to intact skin while discontinuing an intravenous (IV) infusion. Which step(s) will
thenurse
take next?
• Obtain an alcohol swab, remove the blood with an alcohol swab, and continue
care.
• Immediately wash the site with soap and running water, and seek guidance
from the manager.
• Do nothing; accidentally getting splashed with blood happens frequently and
is part of the job.
• Delay washing of the site until the nurse is finished providing care to the patient.
• The nurse has received a report from the emergency department that a patient with
tuberculosis will be coming to the unit. Which items will the nurse need to care for this
patient? (Select all that
apply.)
• Private room
• Negative-pressure airflow in room
• Surgical mask, gown, gloves, eyewear
• N95 respirator, gown, gloves, eyewear
• Communication signs for droplet precautions
• Communication signs for airborne precautions
• When providing hygiene for an older-adult patient, the nurse closely assesses the skin.
What isthe
• rationale for the nurse’s action?
• Outer skin layer becomes more resilient.
• Less frequent bathing may be required.
• Skin becomes less subject to bruising.
• Sweat glands become more active.
• The patient has been brought to the emergency department following a motor vehicle
accident.The patient is unresponsive. The driver’s license states that glasses are needed
to operate a motor
