Nursing 111 Final Exam Review. ATI Questions (Current
topics done: Pain, Sensory, Oxygen, Elimination, Nutrition,
Med. Admin., and Asepsis) Questions With Complete
SOLUTIONS
A charge nurse is reviewing guidelines for initiating airborne
precautions. Which of the following clients should the nurse
identify as requiring airborne precautions?
a) a client who has scabies
b) a client who has pertussis
c) a client who has streptococcal pharyngitis
d) a client who has measles Correct Answer d) a client who
has measles
A client who has measles requires airborne precautions as well
as a negative pressure room.
A client receives a wrong medication. The nurse who made the
medication error should take which of the following actions
first?
a) call the client's provider
b) assess the client
,c) notify the nurse manager
d) complete an incident report Correct Answer b) assess the
client
The first action the nurse should take using the nursing process
is to assess the client. The nurse must first determine whether or
not the error has caused the client any harm and also provide any
relevant interventions.
A nurse has just finished a wound irrigation for a client ho
requires contact precautions. Which of the following pieces of
personal protective equipment (PPE) should the nurse remove
first?
a) gloves
b) gown
c) face shield
d) mask Correct Answer a) gloves
The greatest risk to safety is pathogen transmission. The gloves
are the most contaminated item of PPE, so the nurse should
remove them first. Failing to remove the most contaminated
item first increases this risk.
,A nurse in a long-term care facility is caring for an older adult
client who has dementia and begins to have frequent episodes of
urinary incontinence. After the provider determines no medical
cause for the client's incontinence, which of the following
interventions should the nurse initiate to manage this behavior?
a) Remind the client to tell the nurse when he has to urinate.
b) Use adult diapers to prevent frequent clothing changes.
c) Take the client to the bathroom every 2 hr.
d) Request a prescription for an indwelling urinary catheter.
Correct Answer c) Take the client to the bathroom every 2 hr.
By assisting the client to the bathroom every 2 hr, the staff
establishes a regular pattern of toileting, and the client learns to
trust that the staff places value on his bladder-training needs. He
also learns a physical pattern that promotes bladder control.
A nurse in a long-term care facility is observing an assistant
personnel (AP) changing linen for a client who has fecal
incontinence. Which of the following actions indicates that the
AP understands the principles of infection control?
a) Shakes the soiled linen to remove any toilet paper remnants
b) Places the soiled linen on the floor before bagging it
, c) Holds the soiled linen against her body while carrying it to the
linen bag
d) Places clean linen that touched the floor in the soiled linen
bag Correct Answer d) Places clean linen that touched the
floor in the soiled linen bag
Linen that touches the floor or the AP drops requires laundering.
A nurse in a public clinic is planning a health fair for older adult
client in the community. And teaching medication, safety, which
of the following foods should the nurse advisor clients to avoid
when taking their prescriptions?
a) carbonated beverage
b) milk
c) orange juice
d) grapefruit juice Correct Answer d) grapefruit juice
there is a high rate of blood drug interactions between grapefruit
juice and many medication, frequently taken by older adults,
especially lipid lowering agents. It is thought that one or more of
the chemicals in grapefruit juice alter the activity of specific
enzymes in the intestinal tract. These enzymes decrease the rate
at which medication enter the systemic circulation. This could
topics done: Pain, Sensory, Oxygen, Elimination, Nutrition,
Med. Admin., and Asepsis) Questions With Complete
SOLUTIONS
A charge nurse is reviewing guidelines for initiating airborne
precautions. Which of the following clients should the nurse
identify as requiring airborne precautions?
a) a client who has scabies
b) a client who has pertussis
c) a client who has streptococcal pharyngitis
d) a client who has measles Correct Answer d) a client who
has measles
A client who has measles requires airborne precautions as well
as a negative pressure room.
A client receives a wrong medication. The nurse who made the
medication error should take which of the following actions
first?
a) call the client's provider
b) assess the client
,c) notify the nurse manager
d) complete an incident report Correct Answer b) assess the
client
The first action the nurse should take using the nursing process
is to assess the client. The nurse must first determine whether or
not the error has caused the client any harm and also provide any
relevant interventions.
A nurse has just finished a wound irrigation for a client ho
requires contact precautions. Which of the following pieces of
personal protective equipment (PPE) should the nurse remove
first?
a) gloves
b) gown
c) face shield
d) mask Correct Answer a) gloves
The greatest risk to safety is pathogen transmission. The gloves
are the most contaminated item of PPE, so the nurse should
remove them first. Failing to remove the most contaminated
item first increases this risk.
,A nurse in a long-term care facility is caring for an older adult
client who has dementia and begins to have frequent episodes of
urinary incontinence. After the provider determines no medical
cause for the client's incontinence, which of the following
interventions should the nurse initiate to manage this behavior?
a) Remind the client to tell the nurse when he has to urinate.
b) Use adult diapers to prevent frequent clothing changes.
c) Take the client to the bathroom every 2 hr.
d) Request a prescription for an indwelling urinary catheter.
Correct Answer c) Take the client to the bathroom every 2 hr.
By assisting the client to the bathroom every 2 hr, the staff
establishes a regular pattern of toileting, and the client learns to
trust that the staff places value on his bladder-training needs. He
also learns a physical pattern that promotes bladder control.
A nurse in a long-term care facility is observing an assistant
personnel (AP) changing linen for a client who has fecal
incontinence. Which of the following actions indicates that the
AP understands the principles of infection control?
a) Shakes the soiled linen to remove any toilet paper remnants
b) Places the soiled linen on the floor before bagging it
, c) Holds the soiled linen against her body while carrying it to the
linen bag
d) Places clean linen that touched the floor in the soiled linen
bag Correct Answer d) Places clean linen that touched the
floor in the soiled linen bag
Linen that touches the floor or the AP drops requires laundering.
A nurse in a public clinic is planning a health fair for older adult
client in the community. And teaching medication, safety, which
of the following foods should the nurse advisor clients to avoid
when taking their prescriptions?
a) carbonated beverage
b) milk
c) orange juice
d) grapefruit juice Correct Answer d) grapefruit juice
there is a high rate of blood drug interactions between grapefruit
juice and many medication, frequently taken by older adults,
especially lipid lowering agents. It is thought that one or more of
the chemicals in grapefruit juice alter the activity of specific
enzymes in the intestinal tract. These enzymes decrease the rate
at which medication enter the systemic circulation. This could
