ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Question 1 of 5
A nurse reviews an immobilized patient's laboratory results and discovers hypercalcemia. Which condition will the nurse monitor for most closely in this patient?
Correct Answer: B
Rationale: The correct answer is B: Renal calculi. Hypercalcemia can lead to the formation of kidney stones (renal calculi) due to increased levels of calcium in the blood being excreted by the kidneys. The nurse should monitor for signs and symptoms of renal colic, such as severe flank pain, hematuria, and urinary urgency.
Incorrect choices:
A: Hypostatic pneumonia - Hypercalcemia does not directly lead to pneumonia.
C: Pressure ulcers - Hypercalcemia does not increase the risk of pressure ulcers.
D: Thrombus formation - While hypercalcemia can predispose to blood clot formation, it is not the most closely monitored condition in this scenario.
Question 2 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 3 of 5
The nurse is assessing a patient who reports a previous fall and is using the SPLATT acronym. Which questions will the nurse ask the patient? Select all that apply.
Correct Answer: A, B, C, D
Rationale: The correct answers are A, B, C, and D. The SPLATT acronym stands for Symptoms, Previous falls, Location, Activity during the fall, Time of the fall, and Trauma sustained.
Therefore, the nurse should ask where the patient fell (
A), what time the fall occurred (
B), what the patient was doing when they fell (
C), and what types of injuries occurred after the fall (
D) to gather comprehensive information about the fall event. These questions help assess the circumstances surrounding the fall, potential risk factors, and any resulting injuries.
Choices E and F are incorrect as they do not directly align with the components of the SPLATT acronym and may not provide relevant information for assessing the fall event.
Question 4 of 5
Nurse is talking with parents of toddler. Which should nurse suggest regarding discipline?
Correct Answer: A
Rationale: The correct answer is A: Establish consistent boundaries. This is important because toddlers thrive on routine and predictability. Consistent boundaries help them understand what is expected of them and provide a sense of security.
Choice B is inappropriate as isolating a child can lead to feelings of abandonment.
Choice C is ineffective as toddlers need guidance and supervision to learn appropriate behavior.
Choice D may lead to unhealthy eating habits and does not address the underlying behavior.
Question 5 of 5
Nurse wearing sterile gloves in prep for performing sterile procedure. Which of following objects may nurse touch without breaching sterile technique?
Correct Answer: C,D,E
Rationale: The correct choices are C, D, and E. The nurse can touch the inner wrapping of an item on the sterile field because it is considered sterile. The nurse can touch the irrigation syringe on the sterile field as long as it is also considered sterile and part of the field. The nurse can also touch one gloved hand with the other gloved hand, as the gloves are considered sterile.
Choices A and B are incorrect because touching the bottle or the edge of the drape would breach sterile technique.