ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 5
A student asks the faculty to explain best practices when communicating with a person from the LGBTQ community. What answer by the faculty is most accurate?
Correct Answer: B
Rationale: The correct answer is B: Don't make assumptions about their health needs. Rationale: 1. LGBTQ individuals have diverse health needs. 2. Making assumptions can lead to inappropriate or inadequate care. 3. By not assuming, you show respect and promote open communication. 4. This approach fosters trust and ensures individualized care. Other choices: A: Avoiding questions can hinder understanding and communication. C: Generalizing that most LGBTQ individuals do not share information is inaccurate. D: Differences exist in the LGBTQ community that should be acknowledged for effective communication.
Question 2 of 5
A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the client's blood pressure is much higher than previous readings & the client's mental status has changed. What action by the nurse would most likely have prevented this negative outcome?
Correct Answer: C
Rationale: The correct answer is C: Providing more appropriate supervision of the UAP. By providing adequate supervision, the nurse can ensure that the UAP is performing tasks correctly and can intervene if any issues arise. This would have likely prevented the negative outcome as the nurse could have identified the high blood pressure and changed mental status earlier. A: Determining if the UAP knew how to take blood pressure - While assessing the UAP's competence is important, it does not address the need for ongoing supervision and oversight. B: Double-checking the UAP by taking another blood pressure - This approach does not address the root cause of the issue, which is the lack of appropriate supervision. D: Taking the blood pressure instead of delegating the task - This is not a sustainable solution as delegating tasks to UAPs is a common practice in healthcare settings. Providing appropriate supervision is key to ensuring safe and effective delegation.
Question 3 of 5
A client is moving to a new state and needs to find a new doctor and hospital there. What advice by the nurse is best?
Correct Answer: C
Rationale: The correct answer is C: Find a hospital that is accredited by The Joint Commission. This is the best advice because The Joint Commission accreditation ensures that the hospital meets high-quality standards in patient care, safety, and performance. Accreditation indicates the hospital's commitment to providing excellent healthcare services. A: Asking about nurse-client ratios is important for patient safety, but it is not the most critical factor when choosing a hospital. B: Choosing a hospital based solely on technology does not guarantee quality care or safety. D: Using a facility affiliated with a medical or nursing school may provide access to cutting-edge research and expertise, but it does not guarantee overall quality of care provided by the hospital.
Question 4 of 5
A newly graduated nurse in the hospital states that, since she is so new, she cannot participate in quality improvement (QI) projects. What response by the precepting nurse is best?
Correct Answer: B
Rationale: The correct answer is B because even as a new nurse, one can contribute to improving care by implementing activities. This response encourages the new nurse to actively engage in the quality improvement process, fostering a sense of ownership and commitment to enhancing patient outcomes. Choice A is incorrect as participation in QI projects is not solely based on tenure. Choice C is incorrect as identifying indicators requires knowledge and experience. Choice D is incorrect as it suggests a specific assignment rather than empowering the new nurse to take initiative in improving care.
Question 5 of 5
How can a nurse manager best improve hand-off communication among the staff? (SATA)
Correct Answer: D
Rationale: The correct answer is D because utilizing the SHARE model helps standardize hand-off reports and communication. 1. S stands for Situation: providing context. 2. H stands for History: outlining relevant information. 3. A stands for Assessment: sharing assessment findings. 4. R stands for Recommendation: suggesting actions. 5. E stands for Explanation: clarifying any questions. This model ensures all necessary information is communicated effectively. A, B, and C are incorrect because attending hand-off rounds, conducting audits, and creating templates may not ensure standardized communication like the SHARE model does.