ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 of 5
A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: The client has a symmetrical smile. Cranial nerve VII, the facial nerve, controls facial expressions including smiling. Assessing for a symmetrical smile helps determine if the nerve is functioning properly. A is incorrect as it relates to cranial nerve XI. B is incorrect as it relates to cranial nerve XII. C is incorrect as it relates to cranial nerve II.
Question 2 of 5
A nurse is teaching a class about the guidelines for the standards of care for nursing. Which of the following defines the nursing scope of practice?
Correct Answer: D
Rationale: The correct answer is D: State Nurse Practice Acts. State Nurse Practice Acts outline the legal scope of practice for nurses in each state, defining what tasks and responsibilities nurses are allowed to perform. These acts ensure that nurses practice safely and within legal boundaries. The other choices, A, B, and C, are unrelated to defining the nursing scope of practice and do not provide any guidelines or legal framework for nursing care.
Therefore, State Nurse Practice Acts is the correct answer as it directly pertains to the standards of care and legal boundaries for nursing practice.
Question 3 of 5
A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using restraints, which of the following actions must the nurse take first?
Correct Answer: C
Rationale:
Correct Answer: C - Attempt less restrictive alternatives.
Rationale: Before resorting to restraints, the nurse must try less restrictive measures to ensure the client's safety. This includes using soft restraints, diversion techniques, or involving family members. This approach aligns with the principles of patient autonomy and least restrictive interventions. It also helps prevent potential harm or discomfort that may be caused by the use of restraints.
Summary of other choices:
A: Obtaining a prescription is important, but exploring alternatives should come first.
B: While communication is key, trying other options for safety takes precedence.
D: Documentation is necessary but should follow the exploration of less restrictive methods.
Overall, attempting less restrictive alternatives is crucial for ethical and safe care.
Question 4 of 5
A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: C
Rationale: The correct answer is C: Occupational therapist. An occupational therapist specializes in helping individuals improve their ability to perform daily living activities, such as eating. They assess and address physical, cognitive, and environmental factors affecting a person's ability to function independently. In this case, the client needs to relearn how to use eating utensils, which falls under the expertise of an occupational therapist. Referring the client to a physical therapist (choice
A) would focus more on mobility and strength training, while a speech-language pathologist (choice
B) would address communication and swallowing issues. A social worker (choice
D) typically helps with emotional and social support, not direct rehabilitation for physical tasks.
Question 5 of 5
A nurse is providing discharge teaching to the partner of a client who has a linear incision site following an open cholecystectomy. Which of the following wound care instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use sterile gloves when removing the old dressing. This is important to prevent introducing infection to the wound. Sterile gloves help maintain aseptic technique and reduce the risk of contamination. Changing the dressing four times per day (choice
A) can lead to excessive handling and potential contamination. Applying tincture of benzoin prior to removing the dressing (choice
B) is unnecessary and may irritate the skin. Cleaning from the incision to the surrounding skin (choice
D) risks introducing pathogens into the incision site.