ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client's room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: C
Rationale: The correct answer is C: Gloves. The nurse should remove gloves first because they are the most likely to be contaminated. Removing gloves first prevents cross-contamination when touching other parts of the PPE. Removing the gown next helps prevent contamination of the nurse's clothing. Eyewear and mask should be removed last as they provide protection to the nurse's mucous membranes. Removing the mask last ensures protection of the nurse's respiratory system.
Question 2 of 5
I can give you the contact information for someone to assist you with recovering your password.' Which of the following responses should the nurse make to a newly licensed nurse who forgot their computer password?
Correct Answer: D
Rationale: The correct answer is D because it follows proper security protocols. By providing the contact information for someone to assist with password recovery, the nurse is ensuring that the process is handled by the appropriate personnel trained in password security.
Choice A is incorrect as sharing client information with the charge nurse is not relevant to password recovery.
Choice B is incorrect as sharing personal passwords is a security risk.
Choice C is incorrect as going to the supervisor for a temporary password may not be the standard procedure and could potentially compromise security.
Question 3 of 5
A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Roll the client as one unit in a smooth, continuous motion. This is the correct action to prevent any unnecessary strain or injury to the client's lower back. Rolling the client as one unit maintains the alignment of the spine and minimizes twisting movements that could exacerbate the injury. Placing the client's arms at their sides (
A) is not as crucial as maintaining proper spinal alignment. Placing the client on the side of the bed nearest the direction they will be turned (
B) does not ensure proper alignment during repositioning. Flexing the client's knees (
C) may not be necessary if the client can be rolled smoothly. Overall, rolling the client as one unit is the safest and most effective method for repositioning a client with a lower back injury.
Question 4 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Answer B is correct because the Braden Scale assesses six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Understanding this demonstrates comprehension of the scale's components. Answer A is incorrect because a higher score actually indicates a lower pressure injury risk. Answer C is incorrect as the client's age is not a component of the Braden Scale. Answer D is incorrect because not all elements have a range from one to five points; some elements have different scoring ranges.
Question 5 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma. This is important to prevent irritation and damage to the stoma. If the pouch is too tight, it can constrict blood flow and cause injury. Rubbing the peristomal skin dry (
A) can cause irritation, applying the pouch while the skin is damp (
B) can lead to poor adhesion, and changing the pouch every 24 hours (
C) is unnecessary unless leakage or skin irritation occurs.