Week 4 ATI questions from modules

A nurse is educating a newly licensed nurse about The Joint Commission’s National Patient Safety Goals. Which of the following goals does the nurse include?

A. Preventing diabetes
B. Preventing surgical-site infections
C. Preventing myocardial infarctions
D. Preventing cerebrovascular accidents

✅ Correct answer: B. Preventing surgical-site infections
(HAIs, including SSIs, are part of NPSGs for infection prevention)

CAUTI (Catheter-Associated Urinary Tract Infection)

Infection that occurs when pathogens enter the urinary system via a catheter inserted into the bladder.

CLABSI (Central Line-Associated Bloodstream Infection)

Infection that occurs when pathogens enter the bloodstream through a central line in a large vein.

SSI (Surgical-Site Infection)

Infection that occurs in the area of the body where surgery was performed.

Pneumonia that develops while a client is on a ventilator

VAP (Ventilator-Associated Pneumonia)

Which of the following conditions warrants a call out to the RRT?

Low oxygen saturation despite efforts to oxygenate 

Seizure

Chest pain despite the administration of nitroglycerine 

Sudden change in client’s mental status 

One high blood glucose level 

Low oxygen saturation despite efforts to oxygenate 

Seizure

Chest pain despite the administration of nitroglycerine 

Sudden change in client’s mental status 

To enhance client safety on the unit, the nurse should prioritize

Select...

, followed by ensuring effective

Select...

and utilizing

Select...

for critical situations.

Hourly rounding, Handoff communication, RRT

Drag the client specific information below into the correct sequence for ISBARR. 

Identity, Situation, Background, Assessment, Recommendation, Read back

Drag the components of the ISBARR tool in the left column to match the definition in the right column. 


Introduce yourself and where you are calling from. 

Client name and age, admitting diagnosis, and chief complaint

Medical history including current medications and advanced directives (if any)

General client impression and significant findings through assessment, diagnostic, tests, lab work, and vital signs

Read back the message or prescription from the provider, which allows for clarification of any miscommunication.

Treatment provided and the client’s response to the treatment 

Identity

Background

Asessment
Read Back

Reccomendations
Situation

Introduce yourself and where you are calling from. 

Identity

Client name and age, admitting diagnosis, and chief complaint

Situation

Medical history including current medications and advanced directives (if any)

Background

General client impression and significant findings through assessment, diagnostic, tests, lab work, and vital signs

Assessment

Read back the message or prescription from the provider, which allows for clarification of any miscommunication.

Read back

Treatment provided and the client’s response to the treatment 

Recommendations

A nurse is discussing the differences between adverse events, near misses, sentinel events, and client safety events with another nurse. Match these types of unexpected events with the correct example of each.

A client falls out of bed and sprains a wrist.

A nurse is performing medication reconciliation and notices that a client who routinely takes Celebrex (a nonsteroidal anti-inflammatory drug) at home is prescribed Celexa (an antidepressant) instead. The client does not have a history of depression.

A client has signed an operative consent for a lumpectomy of the right breast but receives mastectomy of the left breast.

A client who is NPO (nothing by mouth) prior to a procedure is delivered a food tray, which the client consumes. The procedure is delayed.

Adverse Event

Near Miss

Sentinel Event

Client safety event

Adverse Event

A client falls out of bed and sprains a wrist.

Near Miss

A nurse is performing medication reconciliation and notices that a client who routinely takes Celebrex (a nonsteroidal anti-inflammatory drug) at home is prescribed Celexa (an antidepressant) instead. The client does not have a history of depression.

Sentinel Event

A client has signed an operative consent for a lumpectomy of the right breast but receives mastectomy of the left breast.

Client Safety Event

A client who is NPO (nothing by mouth) prior to a procedure is delivered a food tray, which the client consumes. The procedure is delayed.

Which of the following are examples of events that must be documented in an occurrence report?

Select all that apply.

a

Visitor falls in hallway 

b

Unexpected reaction to an antibiotic 

c

Incorrect medication administered to a client 

d

Family upset with the care their family member has received 

e

Staff member is exposed to client’s blood during a procedure 

a

Visitor falls in hallway 

b

Unexpected reaction to an antibiotic 

c

Incorrect medication administered to a client 

e

Staff member is exposed to client’s blood during a procedure 

Match the safety risk with the most affected age group.

infants/preschool-age children, school-age children, adolescents, middle-aged adults, older adults.

• Infants/preschool-age children → Burns from hot liquids

• School-age children → Sports injuries

• Adolescents → Peer bullying and violence

• Middle-aged adults → Workplace accidents

• Older adults → Falls

A nurse is discussing steps to reduce home hazards. Which of the following statements should the nurse include in the teaching? 

a

“Use a manual razor for shaving.” 

b

“Secure electrical cords to the edges of the floor.” 

c

"Reduce the water heater temperature to 54.4° C (130° F).” 

d

“Use several paint colors throughout the house.

b

“Secure electrical cords to the edges of the floor.” 

Drag the type of fire extinguisher in the left column to match it with the correct definition in the right column. 

A CO₂-based fire extinguisher for oils, gasoline, paints, grease, and other caustic materials

A water-based fire extinguisher for general combustible materials such as paper, wood, plastics, rubber, and cloth

A dry chemical-based fire extinguisher specific for electrical fires, including those involving wiring, fuse boxes, computers, and other electrical devices

A fire extinguisher specific for kitchen fires involving flammable oils and fats

A fire extinguisher for fires involving metals or flammable metal shavings from elements such as titanium, magnesium, potassium, and sodium

A multipurpose fire extinguisher that contains a dry chemical suitable for use on flammable materials and liquids or electric equipment

Class A – Water-based; for ordinary combustibles (paper, wood, plastics, rubber, cloth)
Class B – CO₂ or dry chemical; for flammable liquids (oils, gasoline, grease, paints)
Class C – Dry chemical; for electrical fires (wiring, outlets, fuse boxes, appliances)
Class D – Specialized dry powder; for combustible metals (magnesium, sodium, potassium, titanium)
Class K – Wet chemical; for kitchen fires involving cooking oils and fats
Class ABC – Multipurpose dry chemical; works on Class A, B, and C fires

In this scenario, a fire containing paper products was ignited in the trashcan. Which fire extinguisher is best used for this fire?

a

Class A

b

Class B

c

Class C

d

Class D

a

Class A

A nurse is caring for a client who has been exposed to high levels of radiation. Which of the following manifestations should the nurse identify as initial findings of radiation contact?

Select all that apply. 

a

Vomiting  

b

Hypertension

c

Burns

d

Alopecia

e

Diarrhea

a

Vomiting  

c

Burns

d

Alopecia

e

Diarrhea

Drag the category of radiation in the left column to match it with the correct definition in the right column. 

The middle level of risk. This radiation travels a small distance. Specialized clothing is needed to prevent exposure. 

The least amount of risk. This radiation does not penetrate clothing and travels only a few centimeters.  

The most serious of the three types. This radiation can travel greater distances, penetrating through clothing and body tissue. 

Gamma
Beta

Alpha

The middle level of risk. This radiation travels a small distance. Specialized clothing is needed to prevent exposure. 

Beta

The least amount of risk. This radiation does not penetrate clothing and travels only a few centimeters.  

Alpha

The most serious of the three types. This radiation can travel greater distances, penetrating through clothing and body tissue. 

Gamma

Medical Conditions
Mental Health and Behavioral Disorders
Vision, Communication, and Cognitive Disability Conditions


Use of anticoagulant medications
Schizophrenia
Macular degeneration
Multiple sclerosis
Alcohol use disorder
Dementia
Depression
Hearing impairment
Alzheimer’s disease
Attention-deficit/hyperactivity disorder

Medical Conditions

Use of anticoagulant medications

Multiple sclerosis

Mental Health and Behavioral Disorders

Schizophrenia

Alcohol use disorder

Attention-deficit/hyperactivity disorder

Depression

Vision, Communication, and Cognitive Disability Conditions

Macular degeneration

Dementia

Alzheimer’s disease

Hearing impairment

Fall Risk
No Fall Risk



An infant who has diarrhea
An adolescent who is receiving opioids for pain management
A toddler who is preoperative for placement of tubes in the ears
An adult who has a nasogastric tube to suction
An older adult who has an indwelling urinary catheter
An adult who requires medication titration for treatment of schizophrenia
An older adult client who is taking a blood pressure medication
A school-age child who has seizures
A school-age child who is undergoing testing for an ulcer
An adolescent who is pregnant and has continuous hiccups

Fall Risk

An infant who has diarrhea

An adolescent who is receiving opioids for pain management

A toddler who is preoperative for placement of tubes in the ears

An adult who has a nasogastric tube to suction

An older adult who has an indwelling urinary catheter

An adult who requires medication titration for treatment of schizophrenia

An older adult client who is taking a blood pressure medication

A school-age child who has seizures

No Fall Risk

A school age child who is undergoing testing for an ulcer

An adolescent who is pregnant and has continuous hiccups

Physical Restraint
Mechanical Restraint
Chemical Restraint
Barrier Restraint / Seclusion


Mummy restraint
Hand mittens restraint
Soft belt restraint
Four-point restraint
Elbow restraint
Lorazepam injection
Placed in a locked room by themselves
Bed enclosure
Four bedrails up

Physical Restraint

Mummy restraint

Mechanical Restraint

Hand mittens restraint

Soft belt restraint

Four-point restraint

Elbow restraint

Chemical Restraint

Lorazepam injection

Barrier Restraint/Seclusion

Placed in a locked room by themselves

Bed enclosure

Four bedrails up

A nurse is preparing to apply wrist restraints to a client. Which of the following actions should the nurse take? (Select all that apply.)

a

Pad bony prominences before applying the restraint.

b

Secure the restraint by tying it to the side rail of the bed.

c

Use a quick-release knot when securing the restraint. 

d

Apply the restraint so that two fingers can be inserted between the restraint the client’s wrist.

e

Apply the restraint so that minimal arm movement is possible.

a

Pad bony prominences before applying the restraint.

c

Use a quick-release knot when securing the restraint. 

d

Apply the restraint so that two fingers can be inserted between the restraint the client’s wrist.

Pad the side rails
Establish two IV lines
Ensure oxygen is set up at the bedside
Ensure suction equipment is at the bedside
Ask the client if they have an aura
Check a gag reflex
Obtain an EEG
Obtain a laboratory toxicology screen
Determine if the client can follow directions
Obtain a blood drug level of the client's anticonvulsant medications

Preseizure nursing care
Post-seizure nursing care

Preseizure nursing care

Pad the side rails.

Establish two IV lines.

Ensure oxygen is set up at the bedside.

Ensure suction equipment is at the bedside.

Ask the client if they have an aura.

Post-seizure nursing care

Check a gag reflex.

Obtain an EEG. 

Obtain a laboratory toxicology screen.

Determine if the client can follow directions.

Obtain a blood drug level of the client's anticonvulsant medications.

A postpartum client had an epidural for childbirth. She is trying to get up for the first time.
A client who weighs 456 pounds needs assistance with moving their legs in bed.
A client who is on a ventilator and has multiple sclerosis needs assistance repositioning in the bed.
A paraplegic client wants to get up to their specially designed wheelchair.

A sit-to-stand lift
PolyGlide sheets / friction-reducing fabric (small pieces)
Glide or turn sheet
Ceiling lift

A sit-to-stand lift

A postpartum client had an epidural for childbirth. She is trying to get up for the first time.

PolyGlide Sheets or friction-reducing fabric in small pieces

A client who weighs 456 pounds needs assistance with moving their legs in bed.

Glide or turn sheet

A client who is on a ventilator and has multiple sclerosis needs assistance repositioning in the bed.

Ceiling lift

A paraplegic client wants to get up to their specially designed wheelchair.