ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
A home health nurse is discussing dangers of carbon monoxide poisoning with client. Which of following info should nurse include in her counseling?
Correct Answer: D
Rationale: The correct answer is D: Carbon monoxide binds with Hgb in the body. This is crucial information to include in counseling as carbon monoxide binds with hemoglobin in the blood, reducing the blood's ability to carry oxygen. This can lead to tissue hypoxia and potentially fatal consequences.
Choice A is incorrect because carbon monoxide is odorless.
Choice B is not directly related to carbon monoxide poisoning prevention.
Choice C is not the primary mechanism of harm from carbon monoxide poisoning.
Question 2 of 5
Nurse is completing discharge teaching to client with COPD. Client verbalizes understanding of orthopneic position when he states, 'When I have difficulty breathing at night, I will...'
Correct Answer: C
Rationale: The correct answer is C: Sit on the side of my bed & rest my arms over pillows on top of my raised bedside table. This position is known as the orthopneic position, which helps improve lung expansion and ease breathing difficulties in COPD patients. Sitting upright with arms supported on pillows on a raised surface allows for better chest expansion and less pressure on the diaphragm, facilitating easier breathing.
A: Lie on my back with head & shoulders elevated on a pillow - This position does not provide as much support for chest expansion and may not be as effective in improving breathing.
B: Lie flat on my stomach with head to one side - This position can restrict breathing and is not recommended for COPD patients.
D: Lie on my side with my weight on my hips & shoulder with my arms flexed in front of me - This position does not promote optimal chest expansion and may make breathing more difficult for COPD patients.
Question 3 of 5
Nurse transferring a client from an acute-care hospital to a rehab facility. Which of the following info about the client should the nurse include in the transfer report? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. A - Alert and oriented status is important for the rehab facility to know the client's mental status. C - Shellfish allergy is critical information to prevent allergic reactions. D - Knowing the client's request for morphine every 4 hours is essential for appropriate pain management. B - Refusing to eat spinach is not crucial for the transfer report. E - Missing cats is not pertinent medical information for the rehab facility.
Question 4 of 5
Nurse has prepared a sterile field for assisting a provider with chest tube insertion. Which should the nurse recognize as contaminating the sterile field? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Moistening a cotton ball with sterile NS and placing it on the sterile field introduces moisture and potentially non-sterile elements, contaminating the field.
C: Any delay increases the risk of contamination as the sterile field may no longer be maintained sterile for the intended procedure.
D: Turning away from the sterile field to speak to someone allows for potential contaminants to enter the sterile area.
Incorrect
Choices:
A: While dropping a sterile instrument near the field is not ideal, it may not necessarily contaminate the field.
E: The client's hand brushing against the outer edge of the sterile field is a concern, but it is not a direct cause of contamination in the field.
Question 5 of 5
Nurse tells client that she will call surgeon & ask about his request. Surgeon hears nurse's report & prescribes full liquid diet. Nurse used which of following levels of critical thinking?
Correct Answer: A
Rationale: The correct answer is A: basic. The nurse in this scenario demonstrated basic critical thinking by following the surgeon's request without questioning or analyzing it further. She simply relayed the information and implemented the prescribed full liquid diet. The other choices are incorrect because: B: commitment implies a higher level of dedication and involvement, C: complex involves analyzing and synthesizing information which was not demonstrated in this situation, and D: integrity relates to honesty and ethical behavior rather than critical thinking level.