ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?
Correct Answer: D
Rationale: The correct answer is D because moving each joint just to the point of resistance during passive ROM exercises helps prevent injury and avoids causing pain to the patient. Moving beyond the point of resistance can result in muscle strain or joint damage. This technique allows the nurse to safely improve joint mobility without causing harm.
Choice A is incorrect because the patient may not be able to repeat the movement 5 times due to their impaired mobility.
Choice B is incorrect because continuing movement until the patient experiences pain is harmful and can lead to injury.
Choice C is incorrect because moving quickly and smoothly may not allow the nurse to gauge the patient's tolerance and could potentially cause harm.
Question 2 of 5
A nursing instructor is reviewing documentation with students. Which of the following legal guidelines should they follow when documenting in a client record?
Correct Answer: B,C
Rationale: The correct answers are B and C. Putting date and time on all entries ensures accuracy and accountability. Documenting objective data maintains professionalism and avoids subjective bias.
Choice A is incorrect as it can be considered tampering with records.
Choice D is incorrect as opinions should be avoided for objectivity.
Choice E is incorrect as excessive abbreviations can lead to misinterpretation.
Question 3 of 5
Nurse is admitting older adult who lost 4.5 kg since last admission 6 months ago. Which questions should nurse ask to investigate source of weight loss? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: The correct answers are A, C, D, and E.
A: Asking if the person eats alone or with someone helps to assess social factors influencing eating habits, such as loneliness or lack of social interaction affecting appetite.
C: Inquiring about new medications can reveal potential side effects like appetite changes, nausea, or malabsorption leading to weight loss.
D: Knowing the foods consumed in the past 24 hours helps identify dietary patterns that may contribute to weight loss, such as poor nutrition or reduced intake.
E: Asking about a fixed income can uncover financial constraints affecting food choices and access to nutritious meals, potentially leading to weight loss.
Summary:
B: Watching TV while eating is not directly related to weight loss causes.
F and G: Not provided in the question, so no basis to consider them as relevant questions for investigating weight loss.
Question 4 of 5
Nurse admitting client with acute cholecystitis to med-surg unit. Which of the following actions are essential to admission procedure?
Correct Answer: A,B,C,E
Rationale: The correct choices (A, B, C, E) are essential for admission procedure. A is important to clarify roles of staff for effective care delivery. B is necessary to start discharge planning early for continuity of care. C ensures the client's preferences for future care are known. E helps the client feel comfortable by introducing them to their roommate.
Choices D, F, and G are incorrect as they are not essential components of the admission procedure for acute cholecystitis.
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 answers are B and D. Option B instructs to wash hands with soap and water for at least 15 seconds, which is recommended by CDC for thorough handwashing. Option D advises using a clean paper towel to turn off hand faucets to avoid recontaminating hands after washing. This is crucial to prevent the spread of germs.
Explanation for other choices:
A: Applying 3-5 mL of liquid soap to dry hands is not mentioned in hand hygiene guidelines.
C: Rinsing hands with hot water is not necessary and can actually be harmful to the skin.
E: Allowing hands to air dry is acceptable, but it is not a crucial instruction for handwashing.