ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Rationale for Correct Answer C: The nurse should secure the restraints using a quick-release tie to ensure the client's safety in case of an emergency. Quick-release ties allow for easy and rapid removal of restraints when necessary, preventing any delays in providing urgent care. This practice also aligns with patient rights and safety guidelines, promoting ethical and appropriate restraint use.
Summary of Incorrect
Choices:
A: Anticipating removing restraints every 4 hr is a general guideline for restraints, but securing them with a quick-release tie is more crucial.
B: Ensuring four fingers fit under restraints is important for proper fit but does not address the safety aspect provided by a quick-release tie.
D: Securing restraints to the lowest bar of the side rail may not facilitate quick release in emergencies and could potentially hinder easy removal.
Question 2 of 5
A nurse is teaching a class about the transition from novice to expert nurse. The nurse should include that a nurse who is a preceptor to new staff members is at which of the following stages?
Correct Answer: B
Rationale: The correct answer is B: Proficient. A nurse who is a preceptor to new staff members is at the proficient stage of Benner's stages of clinical competence. At this stage, nurses have gained enough experience to effectively teach and guide others, demonstrating competency in their clinical skills. This nurse is able to provide mentorship and support to novice nurses, helping them transition from beginner to competent practitioners.
Incorrect answers:
A: Advanced beginner - Nurses at this stage have limited experience and are still developing their skills, making them unlikely candidates for preceptorship.
C: Expert - Experts have extensive experience and advanced clinical judgment, typically focused on their own practice rather than teaching others.
D: Competent - Competent nurses have developed their skills but may not have the depth of knowledge and experience required to effectively mentor new staff members.
Question 3 of 5
An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks. Which of the following resources should the nurse anticipate that the client will require upon discharge?
Correct Answer: A
Rationale: The correct answer is A: Skilled nursing. The client will require skilled nursing services postoperatively to monitor their recovery progress, manage any potential complications, provide wound care, and assist with physical therapy sessions. Skilled nursing care is typically provided in a short-term basis following surgery to help the client regain independence and transition back to their normal activities of daily living.
Summary of incorrect choices:
B: Assisted living - Typically for individuals who require minimal assistance with activities of daily living, not intensive postoperative care.
C: Long-term care - Provides ongoing care for individuals with chronic conditions or disabilities, not typically needed postoperatively for a short-term period.
D: Palliative care - Focuses on providing relief from symptoms and stress of a serious illness, not specific to postoperative care needs.
Question 4 of 5
A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart-healthy diet. Which of the following concepts is the nurse demonstrating to the client?
Correct Answer: A
Rationale: The correct answer is A: Health promotion. Health promotion focuses on empowering individuals to take control of their health through education and behavior changes. In this scenario, the nurse is educating the client on improving their health by following a heart-healthy diet, which aligns with the principles of health promotion. This approach aims to prevent disease and enhance well-being.
Other choices are incorrect because:
B: Holistic health typically involves considering physical, mental, and spiritual aspects of health, which may not directly relate to the specific instruction given by the nurse.
C: Health education is a component of health promotion but doesn't encompass the broader concept of empowering individuals to take control of their health.
D: Primary prevention focuses on preventing disease before it occurs, such as immunizations or lifestyle modifications in individuals without the disease, which may not apply to this client with existing heart disease.
Question 5 of 5
A nurse overhears two assistive personnel (APs) disagreeing about client care assignments. Which of the following actions by the nurse demonstrates conflict resolution?
Correct Answer: C
Rationale:
Correct Answer: C - Confront the APs to discuss their argument.
Rationale: Confronting the APs to discuss their argument is the best approach for conflict resolution. By addressing the issue directly, the nurse can facilitate communication, clarify misunderstandings, and guide the APs towards finding a resolution. This approach promotes a professional and respectful work environment.
Summary:
A: Telling the APs they are acting immature may escalate the conflict and not address the underlying issues.
B: Allowing the APs to resolve their issues without intervention may lead to unresolved conflict and potential negative outcomes.
D: Reporting the APs to the charge nurse may create tension and distrust among the team members.