ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. Which finding will indicate goal achievement for the nurse's action?
Correct Answer: D
Rationale: The correct answer is D: Prevention of joint contractures. Passive ROM exercises and splinting help maintain joint mobility and prevent joint contractures in at-risk patients. Joint contractures can result from prolonged immobility, leading to permanent stiffness and limited range of motion. By performing passive ROM and splinting, the nurse aims to preserve the patient's joint flexibility and prevent contractures.
Incorrect choices:
A: Prevention of atelectasis - Atelectasis is the collapse of lung tissue, which is not directly related to passive ROM and splinting.
B: Prevention of renal calculi - Renal calculi are kidney stones, not influenced by joint mobility exercises.
C: Prevention of pressure ulcers - Pressure ulcers are prevented by proper skin care and pressure relief, not by passive ROM exercises.
In summary, the correct choice, D, directly aligns with the goal of maintaining joint mobility, while the other choices are not related to the outcomes of performing passive ROM and spl
Question 2 of 5
Nurse caring for client just admitted after falling. This client is oriented x3 & can follow directions. Which action(s) by nurse are appropriate to decrease risk of fall? (Select all that apply)
Correct Answer: C,D,E
Rationale:
Correct Answer: C, D, E
Rationale:
C: Ensuring client's call light is within reach allows client to easily request assistance, reducing risk of attempting to get up independently.
D: Providing client with nonskid footwear helps improve traction and stability, reducing risk of slipping or falling.
E: Completing a fall-risk assessment helps identify specific factors putting the client at risk, allowing for tailored interventions to prevent falls.
Incorrect
Choices:
A: Placing a belt restraint on the client is considered a restrictive measure and should only be used as a last resort due to potential negative effects on mobility and dignity.
B: Keeping bed in low position with full side rails up can lead to increased risk of falls as it restricts client's movement and independence, increasing the likelihood of attempting to get out of bed unsafely.
Question 3 of 5
A nursing instructor is reviewing actions nurses can initiate without a provider's prescription. Which of the following are nurse-initiated?
Correct Answer: C,D,E
Rationale: The correct answers are C (Show client how to use progressive muscle relaxation), D (Perform daily bath after evening meal), and E (Re-position client every 2h to reduce pressure ulcer risk). These actions can be initiated by nurses without a provider's prescription as they fall within the scope of nursing practice.
Choice A involves administering medication, which typically requires a provider's prescription.
Choice B, inserting an NG tube, is an invasive procedure that requires a provider's order.
Choices C, D, and E are within the nurse's scope of practice to promote patient education, provide hygiene care, and implement preventive measures. Nurses can independently teach relaxation techniques, perform routine hygiene tasks, and re-position patients to prevent pressure ulcers. Thus, these choices are appropriate for nurse-initiated actions.
Question 4 of 5
Nurse contributing to care plan for client being admitted to facility with suspected dx of pertussis. Which should nurse include in care plan?
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E. B is correct because wearing a mask within 3 ft of the client helps prevent the spread of pertussis via respiratory droplets. C is important to prevent transmission during transportation. E is necessary to protect the nurse from contamination during care involving secretions. A is incorrect because negative air pressure is not necessary for pertussis. D is incorrect as sterile gloves are not needed, regular gloves are sufficient. Overall, B, C, and E are crucial for preventing the spread of pertussis and ensuring the safety of both the client and the healthcare provider.
Question 5 of 5
Nurse is reviewing hand hygiene techniques with group of AP, which instructions should nurse include when discussing handwashing?
Correct Answer: B,D
Rationale: The correct answer is B and D. Washing hands with soap and water for at least 15 seconds is crucial to effectively remove germs. Using a clean paper towel to turn off hand faucets prevents recontamination.
Choice A is incorrect as applying 3-5 mL of liquid soap to dry hands may not effectively clean hands.
Choice C is incorrect as hot water can be too harsh on the skin.
Choice E is incorrect as air drying can lead to recontamination.