ATI Quiz 1

A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate? a. Protective b. Contact c. Airborne d. Droplet

Droplet

A nurse is removing PPE after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first? a. Gloves b. Gown c. Mask d. Face Shield

Gloves

A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to prevent the transmission of the client's infection? a. Performing hand hygiene before, during, and after direct contact with the client. b. Placing the client in a room with positive-pressure airflow. c. Changing the client's bed linens each day. d. Encouraging the client to consume a high-protein diet.

Performing hand hygiene before, during, and after direct contact with the client.

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 client's meal tray? a. Mask b. Goggles c. Gown d. Gloves

a. Mask

A charge nurse is planning a room assignment for a client who has a productive cough, a questionable chest x-ray, and a positive Mantoux test. Room 208 is a private, negative-pressure, semi-private positive-pressure airflow room; 214 is a negative-pressure, semi-private room; Room 216 is a private, positive-pressure airflow room. Which of the following rooms should the nurse assign to the client? a. 208 b. 212 c. 216 d. 214

208 - CORRECT A client who has or might have tuberculosis requires airborne precautions. That means a private room with negative-pressure airflow. Room 208 is the only one of these options that fits these requirements. 212 - INCORRECT A client who has or might have tuberculosis requires airborne precautions. That means a private room with negative-pressure airflow. In a semi-private room, such as 212, another client would have exposure to the new client's infectious airborne particles. 216 - INCORRECT A client who has or might have tuberculosis requires a room that has negative-pressure airflow. Room 216 has positive-pressure airflow. 214 - INCORRECT A client who has or might have tuberculosis requires airborne precautions. That means a private room with negative-pressure airflow. In a semi-private room, such as 214, another client would have exposure to the new client's infectious airborne particles.

A nurse is caring for a client who requires isolation for active pulmonary tuberculosis. Which of the following precautions should the nurse include when creating a sign to post outside of the client's room? a. Protective Mask b. A closed door sign c. Gown d. Puncture-proof sharps container e. Hand Hygiene

A protective mask is correct. Clients who have active pulmonary tuberculosis require airborne precautions. Everyone entering the room requires respiratory protection, in the form of an appropriate filtration mask. A closed door is correct. Clients who have active pulmonary tuberculosis require airborne precautions. Everyone entering or leaving the room should close the door behind them. A gown is incorrect. Gowns are unnecessary for every individual entering the room; however, any staff who anticipate contact with body fluids should wear them. A puncture-proof sharps container is correct. Nurses must always dispose of needles and sharp instruments in puncture-proof sharps containers. Hand hygiene is correct. Hand hygiene is essential before and after all contact with clients.

A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the nurse wear protective eye equipment? a. Emptying a urinary drainage bag for a client who has pneumonia. b. Suctioning a client's new tracheostomy tube. c. Providing hygiene care to a client who is HIV-positive d. Irrigating a client's abdominal wound e. Transporting a cerebrospinal fluid specimen to the laboratory.

Providing hygiene care to a client who is HIV-positive is incorrect. Unless the nurse has any reason to believe that the client's body fluids will splash into her eyes, the nurse does not need to wear eye protection. Emptying a urinary drainage bag for a client who has pneumonia is incorrect. Unless the nurse has any reason to believe that the client's body fluids will splash into her eyes, the nurse does not need to wear eye protection. Irrigating a client's abdominal wound is correct. The nurse should wear protective eyewear when irrigating a wound because wound exudate and fluids could splash into her eyes. Transporting a cerebrospinal fluid specimen to the laboratory is incorrect. The cerebrospinal fluid is in a sealed specimen container, so there is no reason for the nurse to anticipate it splashing into her eyes. Suctioning a client's new tracheostomy tube is correct. The nurse should wear protective eyewear when performing tracheal suctioning because the client's secretions could splash into her eyes.

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take? a. Wear protective eyewear b. Wear a gown. c. Wear clean gloves. d. Wear sterile gloves.

a. Wear protective eyewear INCORRECT the nurse should wear protective eyewear when there is a risk of splash contamination, such as during a dressing change. b. Wear a gown. INCORRECT The nurse should wear a gown if there will be direct client contact with the wound, secretions, or contaminated surfaces. c. Wear clean gloves. CORRECT The nurse should wear clean gloves to prevent the transmission of MRSA d. Wear sterile gloves. INCORRECT The nurse should wear sterile gloves when performing a sterile procedure

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following situations requires that the nurse wear gloves? a. Delivering a food try to a client who has AIDS

b. Changing an ostomy pouch c. Providing oral care e. Emptying urine from an indwelling urine collection bag.

A nurse is planning care for a client who requires airborne precautions. Which of the following actions should the nurse take? a. Provide a positive-pressure airflow room. b. Stand 1.8m (6 feet) away from the client. c. Allow the client to ambulate in the hall. d. Wear an N95 respiratory mask.

d. Wear an N95 respiratory mask