ATI PN LEADERSHIP PROCTORED EXAM
1. The nurse on the surgical team and the surgeon have completed a surgery. After
donning gloves, gathering
... [Show More] instruments, and placing in the transport carrier, what is
the next step in handling the instruments used during the procedure?
a. Sending to central sterile for cleaning and sterilization
b. Sending to central sterile for cleaning and disinfection
c. Sending to central sterile for cleaning and boiling
d. Sending to central sterile for cleaning
ANS: A
Surgical instruments need to be cleaned and sterilized. Disinfecting, boiling, or
cleaning is not utilized on critical items that will be reused on patients in the
hospital environment. Items that are used on sterile tissue or in the vascular system
present a high risk of infection if they become contaminated with bacteria.
2. The nurse is observing a family member changing a dressing for a patient in the
home health environment. Which observation indicates the family member has a
correct understanding of how to manage contaminated dressings?
a. The family member places the used dressings in a plastic bag.
b. The family member saves part of the dressing because it is clean.
c. The family member removes gloves and
gathers items for disposal. The family
member wraps the used dressing in toilet
tissue before
d. placing in trash.
ANS: A
Contaminated dressings and other infectious, disposable items should be placed in
impervious plastic or brown paper bags and then disposed of properly in garbage
containers. Gloves should be worn during this process.
Parts of the dressing should not be saved, even though they may seem clean,
because microbes may be present.
3. The nurse is caring for a group of patients. Which patient will the nurse see first?
a. A patient with Clostridium difficile in droplet precautions
b. A patient with tuberculosis in airborne precautions
c. A patient with MRSA infection in contact precautions
d. A patient with a lung transplant in protective environment precautions
ANS: A
A patient with Clostridium difficile should be on contact precautions, not droplet;
therefore, the nurse will see this patient first to correct the precautions. All the rest
are on correct precautions. Patients with tuberculosis belong in airborne
precautions; patients with MRSA infection belong in contact precautions; and
patients with lung transplants belong in protective environment precautions. [Show Less]