ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the Weber's test?
Correct Answer: C
Rationale: The correct action for the Weber's test is to place an activated tuning fork in the middle of the client's forehead. This is done to assess for lateralization of sound in cases of unilateral hearing loss. When the tuning fork is placed on the forehead, the sound is conducted through bone conduction to both ears equally. In a normal hearing individual, the sound should be heard equally in both ears. If the client has unilateral hearing loss, they will hear the sound louder in the better ear due to bone conduction. This helps to differentiate between conductive and sensorineural hearing loss. The other choices are incorrect as they do not pertain to the specific procedure of the Weber's test and do not provide the necessary information to assess for lateralization of sound.
Question 2 of 5
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D. Assigning the task of assisting with ambulation for a client who has a pulmonary infection to an assistive personnel is appropriate because it is a routine activity that does not require specialized nursing knowledge or skills. Ambulation is a basic care task that can be safely performed by assistive personnel under the supervision of a nurse. It helps promote mobility and prevent complications in clients with pulmonary infections.
Choices A, B, and C involve more complex and skilled nursing interventions that require assessment, critical thinking, and nursing judgment. Inserting a suppository, teaching how to use an incentive spirometer, and irrigating a wound all require specialized nursing knowledge and skills.
Therefore, they should not be assigned to assistive personnel.
In summary, assigning tasks that are routine and do not require nursing judgment to assistive personnel helps optimize nursing resources and promote safe and efficient care delivery.
Question 3 of 5
A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?
Correct Answer: B
Rationale: The correct answer is B: Performing a simple dressing change. This task can be safely delegated to an assistive personnel as it is within their scope of practice and does not require specialized nursing knowledge or assessment skills. The nurse should provide clear instructions and supervise the task. Tasks such as inserting an NG tube (
A) require specialized training and should be performed by a licensed nurse. Evaluating healing of an incision (
C) involves assessment and interpretation of findings, which is a nursing responsibility. Changing IV tubing (
D) involves potential risks and requires nursing assessment and intervention.
Question 4 of 5
A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Hold the bottle of sterile solution so that the label is facing the palm of the hand. This action is important to maintain the sterility of the solution. By holding the bottle with the label facing the palm, the nurse ensures that the solution does not come into contact with the outside of the bottle, which could introduce contaminants. This practice helps prevent the introduction of microorganisms into the sterile field, reducing the risk of infection for the client.
Incorrect options:
A: Applying sterile gloves before opening the bottle of sterile solution is not necessary for preparing the sterile field.
B: Placing the lid of the sterile solution bottle face down on the sterile drape can lead to contamination.
D: Pouring the sterile solution from a height of 20 cm (8 in) above the sterile bowl may create splashing and increase the risk of contamination.
Question 5 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Contract your pelvic muscle when performing the exercises. Kegel exercises aim to strengthen the pelvic floor muscles, which support the bladder and bowel functions. Contracting the pelvic muscles during these exercises helps to improve control over urinary incontinence. Holding your breath (
A) is not recommended as it can increase intra-abdominal pressure. Expecting improvement after 2 weeks (
C) is not accurate; it may take longer to see results. Tightening the buttocks (
D) does not target the pelvic muscles effectively.