ATI ADVANCED MED SURG PROCTORED 2024-
2025(WITH GLASGOW COMA SCALE) LATEST
ACTUAL EXAM 50 QUESTIONS AND CORRECT
DETAILED ANSWERS
Terms in this set (50)
A nurse is admitting a client Droplet.
who has pertusis. Which of The nurse should initiate droplet precautions for clients
the following types of who have infections that spread by droplets larger than
transmission-based 5 microns, including mumps, streptococcal pharyngitis,
precaution should the nurse and pertussis.
intiate?
A nurse is teaching a newly Perfom hand hygiene frequently and consistently.
hired group of assistive The greatest risk to all clients and staff on the unit is
personnel (AP) about infection from cross contamination; therefore, the
infection-control measures priority action is hand hygiene. It is one of the most
on the unit. It is crucial for important and effective ways to prevent pathogen
the nurse to remind the APs transmission. It applies to every health care setting and is
that which of the following a consistent imperative during client care.
is the most effective way to
prevent the spread of
pathogens during client
care?
,A nurse is caring for a client Have the client wear a mask.
who has active pulmonary When a client who has a communicable disease must
tuberculosis(TB). The client leave his room, it is important to protect everyone with
requires airborne whom the client comes in contact. Having the client
precautions and is receiving wear a mask protects others from airborne particles
multidrug therapy. Which of should the client cough.
the following precautions
should the nurse take to
transport and client safely
to the radiology
department for a chest x-
ray?
A nurse is providing 10 mL
discharge to the parent of a
child who is prescribed
diphenhydramine 25 mg
elixir every 4 hr as needed.
The amount available is
diphenhydramine elixir
12.5mg/5mL. How many mL
should the nurse administer
per dose? ( round to the
tenth).
, 1. emptung urine from an indwelling urine collection bag.
2. providing oral care. 3. Changing an ostomy pouch.
Delivering a food tray to a client who has AIDS is
incorrect. Standard precautions indicate that the nurse
A nurse is caring for a does not have to wear gloves unless in direct contact
group of clients on a with bodily fluids, nonintact skin, mucous membranes or
medical-surgical unit. Which contaminated items. Delivering food trays to clients is
of the following situations not included in standard precautions. Placing oral
requires that the nurse wear medication tablets into a client's hand is incorrect.
gloves? (selct all that apply) Standard precautions indicate that the nurse does not
have to wear gloves unless in direct contact with bodily
fluids, nonintact skin, mucous membranes or
contaminated items. Administering medications to a
client is not included in standard precautions.
A nurse has completed care Glove
procedures for a client who The nurse should remove the gloves first, as they are the
requires airborne most contaminated.
precautions. Which of the
following items of personal
protective equipment(PPE)
should the nurse remove
first ?
A nurse is caring for client 125 mL/hr
who has sepsis and a
prescription for vancomycin
1 g in 250 mL dextrose 5%
(D5W) over 2 hr IV
intermittent bolous. The
nurse should set the IV
pump to deliver how many
mL/hr? (round to the whole
number).
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