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Practice Question

 A nurse is caring for a client on a medical-surgical unit.

Answer Choices:

Correct Answer:

Don a gown when entering the client's room.

Rationale:

🟩 Don a gown when entering the client's room. Clostridium difficile requires contact precautions, which includes wearing gloves and a gown to prevent spore transmission.

🟩 The client also has influenza, which adds a droplet precaution layer, but contact precautions still mandate a gown.

🟩 This action prevents contamination of clothing and reduces the risk of spreading infection to others.

🟩 Provide a mask for the client when they are outside their room. Influenza is transmitted through respiratory droplets, so the client must wear a mask if they leave the room.

🟩 Wearing a mask prevents droplets from spreading into the environment and exposing other vulnerable clients.

🟩 This measure is essential anytime a droplet-precaution client moves outside their controlled room environment.

🟩 When removing personal protective equipment, remove gloves first. Gloves are the most contaminated part of PPE when caring for a client with C. difficile and influenza.

🟩 Removing gloves first reduces the chance of contaminating other PPE or clean areas of the body.

🟩 This follows standard CDC PPE removal sequence for infection control.

Perform hand hygiene with at least 4 to 5 mL of hand sanitizer when leaving the client's room.

🟩 Alcohol-based sanitizer does not kill C. difficile spores.

🟩 Handwashing with soap and water is required after caring for this client.

Place the client in a room with positive air flow.

🟩 Positive airflow rooms push air out, which increases the spread risk of influenza.

🟩 Droplet and contact precautions do not require positive-pressure rooms.

Want to practice more questions like this?

This question is from RN Fundamentals Final 2023 -Fall 2025 which contains 72 questions.

More Questions from This Exam
A nurse is caring for a client in a wound center.

Answer Choices:

A. Today: Client presents for evaluation of wound vac therapy that was applied to surgical wound on their left knee 1 week ago. Client rates pain as 8 on a scale of 0 to 10 in their left knee. Client reports no relief with pain medications. Respirations even and nonlabored. Heart rate regular and fast. Abdomen soft and nondistended. Left knee wound vac dressing removed. Left knee wound is 3 cm by 2 cm with 1 cm depth. Wound bed vascular with some approximation of the edges. Mild1 week ago: Temperature 37.1°C (98.9°F) Heart rate 94/min Respiratory rate 22/min Blood pressure 110/70 mm Hg Oxygen saturation 98% on room air Today. Temperature 38.6°C (101.4°F) Heart rate 104/min Respiratory rate 24/min Blood pressure 134/88 mm Hg Oxygen saturation 95% on room air purulent drainage noted.
 A nurse is caring for a client on a medical-surgical unit.

Answer Choices:

A. Reposition the client every 3 hr.
B. Place the client on a donut-shaped cushion.
C. Elevate the head of the bed to 450.
D. Request a consult with a registered dietitian.
E. Provide a support pressure-redistribution surface.
F. Perform a skin risk assessment weekly.
G. Use a moisture barrier ointment after cleaning the client's skin.
A nurse is caring for a client who has a urinary tract infection.

Answer Choices:

A. Hold the dose of levothyroxine.
B. Request a prescription for an antiemetic medication.
C. Place the client on contact precautions.
D. Ensure the client wears a surgical mask when they are outside of their room.
E. Clarify the prescription for amoxicillin with the provider.
F. Recommend increasing the dose of metoprolol.
Client is 1 day postoperative following an open appendectomy.

Answer Choices:

A. Administer acetaminophen.
B. Administer supplemental oxygen.
C. Ambulate the client 30 min after administering analgesia.
D. Instruct the client to use the incentive spirometer five times per hour.
E. Administer ondansetron.
F. Encourage the client to cough and breathe deeply.
G. Encourage the client to splint the abdomen.
From Exam
RN Fundamentals Final 2023 -Fall 2025

72 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Fundamentals of Nursing
  • Answer Choices: 5
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