ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse is caring for many clients during mass casualty event. Which client is highest priority?
Correct Answer: C
Rationale: The correct answer is C: Client with partial & full-thickness burns to face. This client is the highest priority due to airway compromise risk from facial burns. Airway is a top priority in mass casualty events to prevent respiratory distress or failure. Crush injuries (
A) may be severe but not immediately life-threatening. Laceration (
B) to head can be managed with proper wound care. Clients with neck (
D) or chest (E) injuries may have potential serious complications, but airway takes precedence in this scenario.
Question 2 of 5
Nurse on med-surg unit is informed that mass casualty event occurred & it's necessary to discharge clients to make beds available for injury victims. Which clients can be safely discharged? (Select all that apply.)
Correct Answer: C,D
Rationale: The correct answers are C and D.
C: The client scheduled for a TURP (transurethral resection of the prostate) can be safely discharged as this surgery is elective and not urgent.
D: The client who is 24 hours post-op after a mastectomy can also be discharged as they are stable and beyond the immediate post-operative phase.
A: Client receiving IV fluids for dehydration should not be discharged as they require ongoing treatment and monitoring.
B: Client with an NG tube for a small bowel obstruction should not be discharged as they require close observation and treatment.
E: Client scheduled for an appendectomy should not be discharged as this procedure is likely urgent and may require immediate attention.
Question 3 of 5
Nurse educator is discussing facility protocol for tornados with staff. Which should nurse include in instructions? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. Placing blankets over clients in beds provides protection from debris. Moving beds away from windows minimizes the risk of glass injuries. Drawing shades and closing drapes can prevent glass shards from entering the room. Opening doors to client rooms (
A) is incorrect as it can create a draft and increase the risk of injury. Relocating ambulatory clients back to rooms (E) is unnecessary if they are safe in hallways.
Choices F and G are not provided in the question. In summary, the correct instructions focus on protecting clients from debris and glass injuries during a tornado.
Question 4 of 5
Occupational health nurse is caring for employee with chemical burn from unknown chemical. Which intervention should nurse include in care plan?
Correct Answer: C
Rationale: The correct answer is C: Brush chemical off skin & clothing. This intervention is crucial because removing the chemical from the skin and clothing helps prevent further exposure and damage. Irrigating the affected area with running water (choice
A) may spread the chemical and worsen the burn. Washing with antibacterial soap (choice
B) is not recommended for chemical burns. Applying a neutralizing agent (choice
D) can be harmful if the chemical is unknown. The key is to remove the chemical by brushing it off to minimize skin contact and reduce the risk of absorption.
Question 5 of 5
Security officer reviewing actions to take in event of bomb threat by phone. Which statement indicates proper understanding of procedure?
Correct Answer: D
Rationale: The correct answer is D because listening for background noises can provide crucial information to identify the location or nature of the threat. By actively listening, the security officer can gather valuable details without alerting the caller.
Choice A is incorrect because abruptly ending the call may prevent gathering important information.
Choice B is incorrect as overhead paging may cause panic.
Choice C is incorrect as asking questions can elicit useful details.