ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 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 2 of 5
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The nurse should see the client with new onset dyspnea 24 hours after a total hip arthroplasty first. Dyspnea following surgery can indicate a potentially life-threatening complication like pulmonary embolism. Prompt assessment and intervention are crucial to prevent further complications. Acute abdominal pain (choice
A) can be urgent but is less likely to be immediately life-threatening compared to dyspnea post-surgery. Pneumonia with oxygen saturation of 96% (choice
B) and a urinary tract infection with low-grade fever (choice
C) may require attention, but they are less urgent compared to potential respiratory distress post-surgery.
Question 3 of 5
A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)
Correct Answer: A, B,E
Rationale: The correct choices are A, B, and E. Comparing the medication administration record against the medication container while removing medication (
A) ensures accuracy in medication selection. Before selecting the medication container (
B), helps verify the right medication. At the client's bedside before administering the medication (E) ensures the right patient receives the correct medication.
Choice C is incorrect because documenting occurs after administering the medication.
Choice D is incorrect as educating the client does not involve verifying the medication.
Question 4 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Prepare the client for a central venous line. Parenteral nutrition (PN) with high dextrose concentrations and fat emulsions can be hypertonic and irritating to peripheral veins, leading to phlebitis and tissue damage.
Therefore, a central venous line is more appropriate for PN administration to prevent vein damage and complications. Changing the PN bag every 48 hours (
A) is not directly related to the administration of PN through a central line. Obtaining a random blood glucose daily (
B) is important but not specific to the administration of PN through a central line. Administering the PN and fat emulsion separately (
D) is not recommended as they are often combined in one solution for administration.
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.