Fund Week 1 ATI
The nurse wears a high-efficiency particulate air (HEPA) filter mask
A charge nurse is observing a staff member caring for a client who has multiple skin lesions from a varicella zoster infection. Which of the following actions should the charge nurse identify as an indication that the nurse understands the precautions to take when caring for a client who has this infection?
Remove the bottle cap. Place the bottle cap inside up on clean surface. Pick up the bottle cap with the label facing his palm. Pour 1 to 2mL into a receptacle. Pour solution onto the gauze.
A nurse assisting a provider with a sterile procedure prepares to pour a sterile solution onto a piece of gauzes. In which order should the nurse perform the steps of pouring the solution?
Mask
A nurse caring for a client who requires isolation has just finished a care procedure. Which of the following pieces of personal protective equipment(PPE) should the nurse remove last?
Wash the puncture site with soap and water.
A nurse has accidentally punctured his fingers with a needle he used to give am IM injection to a client. Which of the following actions should the nurse take?
N95 mask
A nurse has completed care procedures for a client who required airborne precautions. Which of the following items of personal protective equipment(PPE) should the nurse remove last?
Gloves
A nurse has completed morning care for a client who requires airborne precautions. Which of the following items of personal protective equipment(PPE) should the nurse remove first?
Places clean linen that touched the floor in the soil linen bag.
A nurse in a long-term care facility is observing an assistant personnel(AP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principle of infection control?
Standard precautions
A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for the client?
Contact
A nurse is assisting with the admission of a toddler who has respiratory syncytial virus. Which of the following types of transmission based precautions should the nurse initiate?
Carotid
A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the clients brain, which of the following pulse sites should the nurse use?
Wear an N95 respirator mask
A nurse is assisting with the developing a plan of care for a client who requires airborne precautions. Which of the following actions should the nurse suggest?
Use pictures to reinforce instructions given to the client.
A nurse is assisting with the plan of care for a client who does not speak the same language as the nurse. Which of the following should the nurse include in the plan?
Use intermittent eye contact
A nurse is caring for a client and using active listening skills. Which of the following actions should the nurse take?
Changing a wound dressing?
A nurse is caring for a client who is HIV positive and is 1 day postoperative following an appendectomy. Which of the following actions requires the nurse to wear a gown as personal protective equipment(PPE)?
Reflection
A nurse is caring for a client who is discussing his post-traumatic stress disorder and state, "everyone thinks you should be able to out it out of your mind. It happened so long ago-just get over it!" The nurse responds, "It must be very frustrating to encounter this kind of attitude." This response by the nurse is an example of which of the following therapeutic communication techniques?
Dedicate equipment and supplies for use with the client.
A nurse is caring for a client who requires contact precautions. Which of the following actions should the nurse take?
Mask
A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the nurse wear when setting up the clients meal tray?
Tuberculosis
A nurse is caring for a group of clients on an infectious disease unit. The nurse should wear an N95 respirator mask when caring for a client who has which of the following disorders?
Withdrawing cord blood from a neonate. Suctioning secretions from a childs newly placed tracheostomy tube.
A nurse is caring for a group of clients. For which of the following tasks should the nurse plan to wear protective eye equipment?
Emptying urine from an indwelling catheter. Providing oral care. Changing an ostomy pouch.
A nurse is caring for a group of clients. For which of the following tasks should the nurse wear gloves?
Count the apical pulsations for a full minute.
A nurse is checking the apical pulse of a client who is taking sever cardiovascular medications. Which of the following actions should the nurse take?
Education Feedback Perception
A nurse is having difficulty caring for a client due to interpersonal variables affecting the communication process. Which of the following is an interpersonal variable?
Carefully remove the gloves and follow with had hygiene.
A nurse is inserting an intravenous catheter for a client which results in a blood spill on her gloved hand. The client has no documented blood stream infection. Which of the following actions should the nurse take?
Insert the probe with a circular motion.
A nurse is measuring an adult clients tympanic temperature. Which of the following actions should the nurse take?
The clients sociocultural background influences nonverbal communication.
A nurse is observing a clients nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles that influence nonverbal communication?
Place sterile package on work surface. Open the outer most flap away from the body. Open side flaps Open the innermost flap toward the body. Use the inner surface of package as sterile field.
A nurse is preparing a sterile field for the insertions of a urinary catheter. Identify the sequence of actions the nurse should follow.
Opening a sterile package directly over the middle of the sterile field.
A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?
Center the sterile pack on the work surface.
A nurse is preparing a sterile filed. Which of the following actions should the nurse take first?
Urinary catheterization
A nurse is preparing an in-service presentation about preventing health care- associated infections (HAIs). The nurse should include which of the following as a common cause of these infections?
Gloves Eyewear Gown Mask
A nurse is preparing to exit the room of a client who has a draining wound that contains methicillin-resistant Staphylococcus aureus (MRSA) and requires contact precautions. Identify the sequence the nurse should follow to remove personal protective equipment(PPE) after caring for this client.
Wait 30 min and return to measure the clients oral temperature.
A nurse is preparing to measure a clients oral temperature. The clients states that he has just has some ice chips in his mouth. Which of the following actions should the nurse take?
Soak sponges used for cleaning in a bleach solution after use.
A nurse is reinforcing discharge teaching with a client who has AIDS. Which of the following statements should the nurse make regarding home infection control?
"I will use ink pens for writing."
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of a latex allergy. Which of the following statements by the client indicates an understanding of the teaching?
Change glove between tasks on the same client.
A nurse is reinforcing infection control practices for hand hygiene with a group of unit nurses. Which of the following information should the nurse reinforce in the teaching?
Address the client by her last name.
A nurse is reinforcing preoperative teaching with a client of Chinese heritage who speaks limited English. Which of the following methods of communication by the nurse demonstrates cultural competence?
"I should wash my hands until they appear clean."
A nurse is reinforcing teaching with a client about hand hygiene. Which of the following client statements indicates a need for further teaching?
Paresthesia Redness swelling Appearance of vesicles Weeping blisters Crusted lesions
A nurse is reinforcing teaching with a client who has herpes zoster about the order of occurrence of findings associated with this disorder. In what order should the nurse identify the typical occurrence of findings?
"As long as I change my gloves between clients, it is not necessary to wash my hands."
A nurse is reinforcing teaching with a group of assistive personnel(AP) about hand hygiene. Which of the following statements by an AP should the nurse identify as an indication that the AP required further teaching?
Performing hand hygiene frequency and consistently.
A nurse is reinforcing teaching with a group of assistive personnel(AP) about infection control measures on the unit. The nurse should remind the AP's that which of the following is the most effective way to prevent the spread of pathogens during client care?
"Make sure the client wash their hands before they eat."
A nurse is reinforcing teaching with a new group of assistive personnel(AP) about the importance of hand hygiene. Which of the following statements should the nurse include?
"I will wear gloves and a gown when bathing a client who has open skin lesions."
A nurse is reinforcing teaching with an assistive personnel(AP) about using personal protective equipment(PPE) while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?
Place the clients arm above the level of the heart.
A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?
Untie the front waist ties, remove the gloves and unties the neck ties
A nurse is removing an isolation gown that has waist ties in the front after caring for a client who requires contact precautions. Which of the following steps should the nurse take?
Places sterile supplies within the 2.5cm(1in) border of the sterile field.
A nurse is setting up sterile field to perform wound irrigation on clients leg. Which of the following actions should the nurse identify as contaminating the sterile field?
Chlorine bleach solution
A nurse notes that a clients IV tubing has disconnected from the IV catheter, resulting in the clients blood spilling onto the side of the bed and the floor. Which of the following solutions should the nurse use to disinfect the spill?
Give the AP the appropriate PPE
A nurse observes an assistive personnel(AP) entering the room if a client who is under contact precautions without wearing personal protective equipment(PPE). Which of the following actions should the nurse take?
The linen bags securely at the top.
A nurse on a medical unit is reinforcing teaching with a group of assistive personnel(AP) about handling clients bed linens safely. Which of the following instructions should the nurse include?
Low BP and high pulse
A nurse us measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect ?
"Wear a mask when entering the clients room."
An assistive personnel(AP) asks a nurse what precautions he should take when measuring the vital signs of a client who has pneumonia. Which of the following responses should the nurse make?
Performing hand hygiene before, during and after direct contact with the client.
Nurse is caring for a client who has an infection. The nurse should use which of the following strategies to interrupt the transmission of the clients infection?
