ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the partner of a client who has a linear incision site following an open cholecystectomy. Which of the following wound care instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use sterile gloves when removing the old dressing. This is important to prevent introducing infection to the wound. Sterile gloves help maintain aseptic technique and reduce the risk of contamination. Changing the dressing four times per day (choice
A) can lead to excessive handling and potential contamination. Applying tincture of benzoin prior to removing the dressing (choice
B) is unnecessary and may irritate the skin. Cleaning from the incision to the surrounding skin (choice
D) risks introducing pathogens into the incision site.
Question 2 of 5
A nurse is teaching a class about the guidelines for the standards of care for nursing. Which of the following defines the nursing scope of practice?
Correct Answer: D
Rationale: The correct answer is D: State Nurse Practice Acts. State Nurse Practice Acts outline the legal scope of practice for nurses in each state, defining what tasks and responsibilities nurses are allowed to perform. These acts ensure that nurses practice safely and within legal boundaries. The other choices, A, B, and C, are unrelated to defining the nursing scope of practice and do not provide any guidelines or legal framework for nursing care.
Therefore, State Nurse Practice Acts is the correct answer as it directly pertains to the standards of care and legal boundaries for nursing practice.
Question 3 of 5
A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: The client has a symmetrical smile. Cranial nerve VII, the facial nerve, controls facial expressions including smiling. Assessing for a symmetrical smile helps determine if the nerve is functioning properly. A is incorrect as it relates to cranial nerve XI. B is incorrect as it relates to cranial nerve XII. C is incorrect as it relates to cranial nerve II.
Question 4 of 5
A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)
Correct Answer: A, B,E
Rationale: The correct choices are A, B, and E. Comparing the medication administration record against the medication container while removing medication (
A) ensures accuracy in medication selection. Before selecting the medication container (
B), helps verify the right medication. At the client's bedside before administering the medication (E) ensures the right patient receives the correct medication.
Choice C is incorrect because documenting occurs after administering the medication.
Choice D is incorrect as educating the client does not involve verifying the medication.
Question 5 of 5
A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to take deep, rhythmic breaths. Deep breathing can help the client relax, distract from pain, and improve oxygenation, reducing perception of pain. This method is non-invasive and can be easily implemented by the client.
Choice A may provide temporary relief but is not recommended for prolonged periods as it can lead to skin damage.
Choice C may exacerbate the pain as ice is not indicated for mild back pain.
Choice D may help create a calming environment but does not directly address the pain.