ATI RN
ATI Fundamentals Exam Questions
Question 1 of 5
A nurse is preparing a sterile field. Which of the following actions should the nurse perform when opening the sterile pack?
Correct Answer: A
Rationale: The correct answer is A. When opening a sterile pack, the nurse should reach around the pack and open the top flap away from the body to prevent contamination. This action helps maintain the sterility of the contents inside. Opening the pack in this manner also minimizes the risk of accidentally touching non-sterile surfaces.
Choice B is incorrect because moving to the opposite side of the pack can increase the chances of contamination.
Choice C is incorrect as placing the pack on a sterile work surface is essential but not specific to the act of opening the pack.
Choice D is incorrect because opening the right flap with the left hand can lead to contamination as it may involve crossing over non-sterile areas.
Question 2 of 5
A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Genetics. Genetics is a nonmodifiable risk factor for stroke, meaning it cannot be changed or controlled by lifestyle modifications. Individuals inherit certain genetic factors that can predispose them to an increased risk of stroke. This risk factor is important for older adult clients to be aware of, as it highlights the importance of regular monitoring and management of other modifiable risk factors.
Incorrect choices:
A: History of smoking - This is a modifiable risk factor that can be addressed through smoking cessation.
B: Obesity - This is a modifiable risk factor that can be managed through lifestyle changes such as diet and exercise.
D: History of hypertension - While hypertension is a significant risk factor for stroke, it is modifiable through medication and lifestyle changes.
Question 3 of 5
The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning, what should the nurse anticipate?
Correct Answer: D
Rationale: The correct answer is D. The patient's behavior of smoking again after being smoke-free for 2 weeks indicates a relapse, moving the patient back to the contemplation or precontemplation phase of the stages of change model. This phase involves reconsidering the decision to change and reflecting on the reasons for quitting smoking. The other choices are incorrect because A assumes immediate continuity, B focuses on lifestyle changes, and C makes a definitive statement about the patient's future behavior without considering relapse as a common part of the quitting process.
Question 4 of 5
A nurse is assisting with the admission of a child who has measles - measles. Which of the following isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: The correct answer is C: Airborne precautions. Measles is transmitted through airborne droplets, making airborne precautions necessary to prevent the spread of the virus. This includes placing the child in a negative pressure room with the door closed, using an N95 mask for healthcare providers, and ensuring proper ventilation. Droplet precautions (
Choice
A) are used for diseases spread by respiratory droplets larger than 5 microns. Contact precautions (
Choice
B) are used for diseases spread by direct or indirect contact. Protective environment (
Choice
D) is used for immunocompromised patients to protect them from external organisms.
Question 5 of 5
A newly licensed nurse applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Secure the restraints using a quick-release tie. This is crucial to ensure the client's safety in case of an emergency. Quick-release ties allow for rapid removal of restraints if needed to prevent harm.
Choice A is incorrect because it does not address the safety aspect of quick release in emergencies.
Choice B is incorrect as securing restraints to the lowest bar can lead to entrapment hazards.
Choice D is incorrect because restraints should be checked at least every 2 hours, not every 4 hours, for circulation and skin integrity.