ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for a client with dementia. Which component is the priority to determine from their family?
Correct Answer: D
Rationale: The correct answer is D: Any difficulty swallowing. This is the priority component to determine because clients with dementia are at higher risk for dysphagia, which can lead to aspiration pneumonia and malnutrition. Identifying swallowing difficulties early can help prevent complications.
A: BMI is important but not the priority in this case.
B: Usual times for meals/snacks may be important but not as critical as identifying swallowing issues.
C: Favorite foods can provide insight into preferences but do not address immediate health risks.
In summary, identifying any difficulty swallowing is crucial for the safety and well-being of the client with dementia.
Question 2 of 5
When entering a client's room to change a dressing, the nurse notes the client is coughing & sneezing. When preparing a sterile field, it's important the nurse...
Correct Answer: C
Rationale: The correct answer is C because placing a mask on the client helps limit the spread of microorganisms into the surgical wound. This is crucial to prevent infection.
Choice A is incorrect because the distance does not necessarily prevent microorganism spread.
Choice B is unrealistic as it's difficult for a client to control coughing/sneezing.
Choice D does not address the prevention of microorganism spread.
Question 3 of 5
Nurse wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects may the nurse touch without breaching sterile technique? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Correct
Answer: C, D, E
Rationale:
C: The nurse can touch the inner wrapping of an item on the sterile field because it is considered part of the sterile field and does not compromise the sterility.
D: The nurse can touch the irrigation syringe on the sterile field as it is within the sterile field and maintaining sterility.
E: The nurse can touch one gloved hand with the other gloved hand as long as both hands are sterile.
Summary:
A: Incorrect - Nurse should not touch a bottle containing sterile solution as it is not part of the sterile field.
B: Incorrect - Nurse should avoid touching the edge of a sterile drape at the base of the field as it is considered unsterile.
F & G: Not applicable.
Question 4 of 5
Nurse has removed a sterile pack from its outside cover & placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?
Correct Answer: D
Rationale: The correct answer is D: Flap farthest from the body. Unfolding this flap first ensures that the sterile contents inside the pack remain protected from contamination by the nurse's body and hands. Starting with the farthest flap minimizes the risk of accidental touching or contamination of the sterile instruments or supplies. Unfolding the closest flap (choice
A) or the side flaps (choices B and
C) first could potentially expose the sterile contents to contamination.
Therefore, unfolding the flap farthest from the body is the most appropriate and logical step to maintain sterility and ensure safe patient care during the procedure.
Question 5 of 5
Nurse is reviewing hand hygiene techniques with a group of APs. Which instructions should the nurse include when discussing handwashing? (Select all that apply.)
Correct Answer: B,D
Rationale:
Correct
Answer: B, D
Rationale:
B: Washing hands with soap & water for at least 15 seconds is crucial to ensure thorough cleaning and removal of germs.
D: Using a clean paper towel to turn off hand faucets helps prevent recontamination of clean hands.
Incorrect
Choices:
A: Applying 3-5 mL of liquid soap to dry hands is not specified in handwashing guidelines.
C: Rinsing hands with hot water can strip the skin of natural oils and may not be necessary for effective hand hygiene.
E: Allowing hands to air dry after washing may not be sufficient to eliminate germs and is not a recommended step in hand hygiene protocols.