ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is planning a community education session about the basic principles of first aid. Which of the following teaching strategies should the nurse implement for a group of adult learners in a community setting?
Correct Answer: A
Rationale: The correct answer is A: Teach the most crucial content early in the session. This strategy is effective for adult learners in a community setting because it captures their attention and sets the foundation for the rest of the session. By presenting the most important information first, learners are more likely to stay engaged and retain key concepts. It also helps them understand the significance of the topic and motivates them to learn more.
Summary of why other choices are incorrect:
B: Assuming learners have no prior knowledge may lead to underestimating their existing knowledge and could result in a disengaged audience.
C: Avoiding repetition may hinder learning as repetition is essential for reinforcement and retention of new information.
D: Dividing the program into several sessions may disrupt the continuity of learning and make it harder for learners to connect and apply the information effectively.
Question 2 of 5
A nurse is setting up a sterile field prior to changing a client's dressing. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to place a sterile kit on the overbed table above waist level. This is important to maintain the sterility of the field as placing it above waist level reduces the risk of contamination. Placing it on the overbed table provides a clean and stable surface for the sterile field. Opening the outermost flap toward the body (
B) can introduce contamination. Turning the back to the sterile field when coughing (
C) can contaminate the field. Holding the gauze package 30.5 cm (12 in) above the field when dropping it (
D) is unnecessary and can lead to accidental dropping or contamination.
Question 3 of 5
A nurse is performing a focused assessment of a client's sensory functions. Which of the following tests should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Finger-to-nose test. This test assesses coordination, proprioception, and cerebellar function. The nurse instructs the client to touch their nose with their index finger with eyes open and then closed to evaluate for any differences. This test helps to assess for any deficits in fine motor coordination and proprioception. Walking gait test (
A) assesses balance and coordination, not sensory functions. Plantar reflex test (
B) assesses the integrity of the spinal cord and peripheral nerves, not sensory functions. Romberg test (
D) assesses proprioception and vestibular function, but not specifically sensory functions.
Question 4 of 5
A nurse is performing a bladder irrigation for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Slowly instill 400 to 500 mL of the prescribed solution. This is the appropriate action because bladder irrigation involves flushing the bladder through the catheter to maintain patency. Slowly instilling the prescribed solution helps prevent discomfort and bladder spasm. Clamping the drainage tubing distal to the injection port (choice
B) is incorrect because it can cause backflow and increase the risk of infection. Using a syringe with a 19-gauge needle (choice
C) is not necessary for bladder irrigation and may cause trauma. Withdrawing the irrigation solution into the syringe (choice
D) is incorrect as it defeats the purpose of flushing the bladder.
Question 5 of 5
A nurse is reviewing transmission precautions with an assistive personnel (AP) who is providing care for a client who has a Clostridium difficile infection. Which of the following statements by the AP indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: I will wear gloves when changing the client's hospital gown. This is correct because Clostridium difficile is transmitted through contact with feces. Wearing gloves during gown changes helps prevent the spread of the infection.
Choice A is incorrect as isopropyl alcohol is not effective against C. difficile spores.
Choice B is incorrect because hand sanitizer is not enough to remove C. difficile spores.
Choice C is incorrect as wearing a mask is not necessary for C. difficile transmission.