ATI RN FUNDAMENTALS PROCTORED EXAM
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VERSION 1
A nurse is reviewing safety precautions w/a group of young adults at a community health fair.
Which of the following recommendations should the nurse include specifically for this age
group? Select all.
A. Install bath rails & grab bars in bathrooms
B. Wear a helmet while skiing
C. Install a carbon monoxide detector
D. Secure firearms in a safe location
E. Remove throw rugs from the home
B, C, D
Rational: A is recommended for older adults and E as well for risk of falls
lOMoAR cPSD| 6457222
lOMoAR cPSD| 6457222
A nurse is reviewing the CDC's immunization recommendations w/a young adult client. Which
of the following recommendations should the nurse include in this discussion? Select all.
A. Human papillomavirus
B. Measles, mumps, rubella
C. Varicella
D. Haemophilus influenzae type b
E. Polio
A, B, C
Rational: D is not for after 18 months of age and polio is also given as a child and not usually
beyond 18 yrs old
A nurse is caring for an 82-yr-old client in the ER who has an oral body temp of 38.3 C (101 F), a
pulse rate of 114/min, & a RR of 22/min. He is restless & his skin is warm. Which of the
following are appropriate nursing interventions for this client? Select all.
A. Obtain culture specimens before initiating antimicrobials
,B. Restrict the client's oral fluid intake
C. Encourage the client to limit activity & rest
D. Allow the client to shiver to dispel excess heat
E. Assist the client w/oral hygiene frequently
A, C, E
Rational: The nurse should prevent shivering & encourage the client to increase fluids. Oral
hygiene helps prevent cracking of dry mucous membranes of the mouth 1
A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse
is aware that health care professionals are required to report communicable & infectious
diseases. Which of the following illustrate the rationale for reporting? Select all.
A. Planning & evaluating control & prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common-source outbreaks A, B, C, E
Rational: Not D because endemic disease is already prevalent within a population, so
reporting is not necessary
A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a
suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of
care? Select all.
A. Place the client in a room that has negative air pressure of at least 6 exchanges/hr
B. Wear a mask when providing care within 3 ft of the client
C. Place a surgical mask on the client if transportation to another dept is unavoidable D. Use
sterile gloves when handling soiled linens
E. Wear a gown when preforming care that may result in contamination from secretions
B, C, E
Rational: Private room w/droplet precautions indicated for this client.
The nurse should wear a gown when contamination from body fluids might happen
, A nurse is caring for a client who presents w/linear clusters of fluid-containing vesicles w/some
crustings. Which of the following should the nurse suspect?
A. Allergic reaction
B. Ringworm
C. Systemic lupus erythematosus
D. Herpes zoster
D. Herpes zoster
lOMoAR cPSD| 6457222
Rational: pink body rash=allergic reaction,
red circles w/white centers=ringworm,
red cheek rash bilaterally=lupus
A nurse is caring for a client who reports severe sore throat, pain when swallowing, & swollen
lymph nodes. The client is experiencing which of the following stages of infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness
D. Illness
Rational: specific s/s present is the illness stage
A nurse educator is reviewing w/a newly hired nurse the difference in clinical manifestations of
a localized vs. a systemic infection. The nurse indicates understanding when she states that
which of the following are clinical manifestations of a systemic infection? Select all.
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse & respiratory rate
A, B, E
Rational: Edema and pain and tenderness is localized
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