ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is observing a newly licensed nurse provide client care. Which of the following actions by the newly licensed nurse requires intervention by the nurse?
Correct Answer: D
Rationale: Using scissors to remove tape securing a peripheral IV catheter is unsafe risking injury to the client’s skin or catheter. This requires intervention. Enema tube insertion at 8 cm elevating the head post-mortem and using a clean washcloth for catheter care are appropriate and do not require intervention.
Question 2 of 5
A nurse is planning care for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse include to reduce the client's risk for ventilator-associated pneumonia?
Correct Answer: C
Rationale: Swabbing with chlorhexidine reduces bacterial growth lowering ventilator-associated pneumonia risk. Daily oral care is insufficient firm-bristle brushes risk tissue trauma and a 15° head elevation is inadequate compared to chlorhexidine’s direct antimicrobial effect.
Question 3 of 5
A nurse is leaving a client's isolation room. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?
Correct Answer: A
Rationale: Gloves are removed first as they are most likely contaminated from direct contact preventing pathogen spread during PPE removal. Goggles gown and mask are removed subsequently in a sequence that minimizes contamination risk.
Question 4 of 5
A nurse is caring for a client who is receiving intermittent enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take when administering the feeding?
Correct Answer: A
Rationale: Unclamping the tube allows free flow of the feeding into the stomach. Verifying a pH of 7 is unnecessary adjusting syringe height is imprecise and sterile gloves are not required for feeding administration though clean gloves are used for infection control.
Question 5 of 5
A nurse is caring for a client who has coronary artery disease and has a BMI of 30. Which of the following strategies should the nurse implement first to develop teaching that promotes lifestyle changes?
Correct Answer: C
Rationale: Establishing mutual learning goals fosters partnership and aligns teaching with client needs increasing lifestyle change success. Assessing knowledge identifying resources and scheduling sessions follow goal-setting.