ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled for surgery. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.
Correct Answer: A,B,C,E
Rationale: The correct answer is A, B, C, and E. Hyperlipidemia (
A), diabetes mellitus (
B), certain medications in the medication history (
C), and low prealbumin level (E) can all contribute to delayed wound healing. Hyperlipidemia and diabetes can impair blood flow and decrease the body's ability to fight infection. Certain medications may interfere with the healing process. A low prealbumin level indicates poor nutritional status, which is essential for wound healing. Cholesterol level (
D) alone does not directly impact wound healing. A, B, C, and E are all factors that can directly affect the body's ability to heal wounds efficiently.
Question 2 of 5
A community health nurse is caring for a client who has noticed that their drinking water isn't clear and reports they haven't been feeling well. The nurse should identify the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Waterborne disease. The client's symptoms of unclear drinking water and feeling unwell suggest possible contamination. Waterborne diseases are caused by pathogens in contaminated water, leading to gastrointestinal illnesses or other health issues. The nurse should consider testing the water source and advising the client to avoid using it until it is deemed safe.
Incorrect options:
A: Stroke. There is no direct link between unclear drinking water and stroke.
B: Asthma. Unclear drinking water does not typically cause asthma.
D: Clostridium difficile. This bacterium is not typically associated with water quality issues.
Question 3 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 4 of 5
A nurse is caring for a client who is scheduled for surgery. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.
Correct Answer: A,B,C,E
Rationale: The correct answer is A, B, C, and E. Hyperlipidemia (
A), diabetes mellitus (
B), certain medications in the medication history (
C), and low prealbumin level (E) can all contribute to delayed wound healing. Hyperlipidemia and diabetes can impair blood flow and decrease the body's ability to fight infection. Certain medications may interfere with the healing process. A low prealbumin level indicates poor nutritional status, which is essential for wound healing. Cholesterol level (
D) alone does not directly impact wound healing. A, B, C, and E are all factors that can directly affect the body's ability to heal wounds efficiently.
Question 5 of 5
A nurse is teaching a newly licensed nurse about incident reports. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Identify other people involved with the event in the incident report. This is crucial as it helps in documenting all individuals connected to the incident for further investigation or follow-up. Including a note in the medical record (
A) is important but not specific to incident reports. Including personal opinions (
C) can bias the report and compromise its objectivity. Identifying the person responsible (
D) is important but should not be the sole focus as other parties involved should also be documented.