ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 of 5
A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct answers are B, D, and E. B is essential as the client must have legal authority to give informed consent. D is crucial as the client's signature in the nurse's presence ensures authenticity. E is important to confirm that the client was not coerced.
Choice A is incorrect as language proficiency does not determine consent validity.
Choice C is incorrect as having a mental health condition does not automatically invalidate consent.
Question 2 of 5
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
Correct Answer: A
Rationale: The correct answer is A because taking antihypertensive medication can lead to orthostatic hypotension, increasing fall risk.
Choice B is incorrect as securing electrical wires actually reduces tripping hazards.
Choice C is incorrect as rubber-sole shoes provide better traction.
Choice D is incorrect as 20/40 visual acuity alone may not directly contribute to fall risk.
Question 3 of 5
A nurse is administering multiple types of ophthalmic drugs to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wait 5 min between the administration of each medication. This is important to prevent dilution or interaction between the different ophthalmic medications. Administering multiple medications too close together can reduce the effectiveness of each medication. Holding the dropper at a specific distance (
A) is not as critical as allowing time between administrations. Asking the client to close their eyes tightly (
B) or massaging the eyelids (
C) after instillation can disrupt the medication and should be avoided. Waiting for 5 minutes allows each medication to be properly absorbed before the next one is administered, ensuring optimal therapeutic effects.
Question 4 of 5
A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: The client has a symmetrical smile. Cranial nerve VII, the facial nerve, controls facial expression including smiling. When assessing this nerve, the nurse would expect the client to have a symmetrical smile indicating intact function. This is because cranial nerve VII innervates the muscles of facial expression.
Choices A, B, and C are incorrect as they are not specific to cranial nerve VII assessment. The turning of the head against resistance (
A) would be more related to cranial nerve XI, the accessory nerve. The tongue position (
B) is controlled by cranial nerve XII, the hypoglossal nerve. Pupillary constriction in response to light (
C) is regulated by cranial nerve II, the optic nerve.
Question 5 of 5
A nurse is providing discharge teaching to the partner of a client who has a linear incision site following an open cholecystectomy. Which of the following wound care instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use sterile gloves when removing the old dressing. This is important to prevent introducing infection to the incision site. Sterile gloves help maintain asepsis during the dressing change, reducing the risk of contamination. Changing the dressing four times per day (
A) may disrupt the wound healing process by removing necessary protective barriers. Applying tincture of benzoin (
B) can cause skin irritation and is unnecessary for routine dressing changes. Cleaning from the incision to the surrounding skin (
D) can introduce microorganisms from the surrounding skin to the incision site, increasing infection risk.