ATI RN MENTAL HEALTH
PROCTORED EXAM
1. The nurse is caring for a group of patients. Which patient will the nurse see first?
a. A patient with Clostridium difficile in droplet precautions
b. A patient with tuberculosis in airborne precautions
c. A patient with MRSA infection in contact precautions
d. A patient with a lung transplant in protective environment precautions
ANS: A
A patient with Clostridium difficile should be on contact precautions, not droplet; therefore, the nurse will
see this patient first to correct the precautions. All the rest are on correct precautions. Patients with
tuberculosis belong in airborne precautions; patients with MRSA infection belong in contact precautions;
and patients with lung transplants belong in protective environment precautions.
2. The home health nurse is teaching a patient and family about hand hygiene in the home. Which
situation will cause the nurse to emphasize washing hands before and after?
a. Shaking hands
b. Performing treatments
c. Opening the refrigerator
d. Working on a computer
ANS: B
Patients and family members should perform hand hygiene before and after treatments and when
coming in contact with body fluids. Shaking hands does not require washing of hands before and
after. Washing hands before and after opening the refrigerator and using the computer is not
required.
3. The surgical mask the perioperative nurse is wearing becomes moist. Which action will the
perioperative nurse take next?
a. Apply a new mask.
b. Reapply the mask after it air-dries.
c. Change the mask when relieved by next shift.
d. Do not change the mask if the nurse is comfortable.
ANS: A
After the mask is worn for several hours, it can become moist. The mask should be changed as soon as
possible because moisture does not provide a barrier to microorganisms and is ineffective. Waiting to
change the mask, air-drying it, or wearing it because it is comfortable does not support the principles of
infection control.
4. The nurse is caring for a patient on contact precautions. Which action will be most appropriate to
prevent the spread of disease?
a. Place the patient in a room with negative airflow.
Wear a gown, gloves, face mask, and goggles for interactions with the
b. patient.
Transport the patient safely and quickly when going to the radiology
c. department.
Use a dedicated blood pressure cuff that stays in the room and is used
d. for that patient only.
,ANS: D
Contact precautions are a type of isolation precaution used for patients with illness that can be
transmitted through direct or indirect contact. Patients who are on contact precautions should have
dedicated equipment wherever possible. This would mean, for example, that one blood pressure cuff
andone stethoscope would stay in the room with the patient and would be used for that patient only. A
gown and gloves may be required for interactions with a patient who is on contact precautions. A face
mask and goggles are not part of contact precautions. A room with negative airflow is needed for
patients placed on airborne precautions; it is not necessary for a patient on contact precautions. When
a patient on contact precautions needs to be transported, the patient should wear clean gown, and
hands cleaned, and the infectious material is contained or covered.
5. The nurse is caring for a patient who has cultured positive for Clostridium difficile. Which action
will the nurse take next?
a. Instruct assistive personnel to use soap and water rather than sanitizer.
b. Wear an N95 respirator when entering the patient room.
c. Place the patient on droplet precautions.
d. Teach the patient cough etiquette.
ANS: A
Clostridium difficile is a spore-forming organism that can be transmitted through direct and indirect
patient contact. Because Clostridium difficile is a spore-forming organism, hand sanitizer is not effective
in preventing its transmission. Hands must be washed with soap and water to prevent transmission.
Thisorganism is not transmitted via the droplet route; therefore, droplet precautions are not needed.
An N95 respirator is used primarily for patients with airborne illness, especially tuberculosis. While all
patients should be taught cough etiquette, this action is not specifically related to the patient having
Clostridium difficile.
6. The nurse is changing linens for a postoperative patient and feels a prick in the left hand. A
nonactivated safe needle is noted in the linens. For which condition is the nurse most at risk?
a. Diphtheria
b. Hepatitis B
c. Clostridium difficile
d. Methicillin-resistant Staphylococcus aureus
ANS: B
Bloodborne pathogens such as those associated with hepatitis B and C are most commonly transmitted by
contaminated needles. Clostridium difficile and MRSA are spread by contact. Diphtheria is spread by
droplets when one is within 3 feet of the patient.
7. The nurse is caring for a patient who has a bloodborne pathogen. The nurse splashes blood above
the glove to intact skin while discontinuing an intravenous (IV) infusion. Which step(s) will the nurse
take next?
Obtain an alcohol swab, remove the blood with an alcohol swab, and
a. continue care.
Immediately wash the site with soap and running water, and seek
b. guidance from the manager.
Do nothing; accidentally getting splashed with blood happens
c. frequently and is part of the job.
Delay washing of the site until the nurse is finished providing care to
d. the patient.
ANS: B
After getting splashed with blood from a patient who has a known bloodborne pathogen, it is
importantto cleanse the site immediately and thoroughly with soap and running water and notify the
manager for
, guidance on next steps in the process. Removing the blood with an alcohol swab, delaying washing,
and doing nothing because the splash was to intact skin could possibly spread the blood within the
room and could spread the infection. Contain contamination immediately to prevent contact spread.
8. Which process will be required after exposure of a nurse to blood by a cut from a used
scalpel in the operative area?
a. Placing the scalpel in a needle safe container
b. Testing the patient and offering treatment to the nurse
c. Removing sterile gloves and disposing of in kick bucket
d. Providing a medical evaluation of the nurse to the manager
ANS: B
Follow-up for risk of infection begins with patient testing. Patients should be tested for HIV and
hepatitis B and C. Testing of the nurse is dependent on the results of patient testing; if the patient is
positive for one of these infections, the nurse will be started on testing and treatment. Removing
sterilegloves and placing sharps in appropriate containers are always part of the perioperative process
and are not the process for postexposure. A confidential medical evaluation is provided to the nurse,
not the manager.
9. The nurse is caring for a patient who needs a protective environment. The nurse has provided the
care needed and is now leaving the room. In which order will the nurse remove the personal
protective equipment, beginning with the first step?
1. Remove eyewear/face shield and goggles.
2. Perform hand hygiene, leave room, and close door.
3. Remove gloves.
4. Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly.
5. Remove mask by strings; do not touch outside of mask.
6. Dispose of all contaminated supplies and equipment in designated receptacles.
a. 3, 1, 4, 5, 6, 2
b. 1, 4, 5, 3, 6, 2
c. 1, 4, 5, 3, 2, 6
d. 3, 1, 4, 5, 2, 6
ANS: D
The correct order for removing personal protective equipment for a patient in a protective
environmentand for performing associated tasks is to remove gloves, remove eyewear, remove gown,
remove mask,perform hand hygiene, leave room and close doors, and dispose of all contaminated
supplies and equipment in a manner that prevents the spread of microorganisms.
LINKS FOR ALL ATI RESOURCES:
ATI COMPREHENSIVE PREDICTOR EXAM ( 14 LATEST
VERSION ,2021) / COMPREHENSIVE ATI
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