ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is receiving a provider prescription by phone for morphine for a client who is reporting moderate to severe pain. Which of the following actions are appropriate?
Correct Answer: A,B,C
Rationale:
Correct Answer: A,B,C
Rationale:
A: Repeating details back to the provider ensures accuracy and clarity, reducing the risk of errors.
B: Having another nurse listen provides a second verification step to prevent misunderstandings.
C: Obtaining the prescriber's signature within 24 hours ensures proper documentation and legality.
Summary:
D: Declining the prescription is not appropriate as the client is in pain and requires timely treatment.
E: Informing the charge nurse alone does not ensure the prescription is properly confirmed and documented.
Question 2 of 5
Nurse has removed sterile pack from its outside cover & placed it on clean work surface in prep for invasive procedure. Which of following flaps should nurse unfold first?
Correct Answer: D
Rationale: The correct answer is D: Flap farthest from the body. The rationale is to maintain sterility. By unfolding the flap farthest from the body first, the nurse can prevent contamination from reaching the sterile contents inside. This method ensures that the nurse minimizes the risk of introducing any potential pathogens onto the sterile field. Unfolding the closest flap or the side flaps first increases the chances of accidental contamination from the nurse's body or the work surface.
Therefore, unfolding the flap farthest from the body is the most appropriate step to maintain aseptic technique during the preparation for the invasive procedure.
Question 3 of 5
Nurse providing discharge instructions to client with a prescription for oxygen use at home. What should the nurse teach about using oxygen safely? (Select all that apply)
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E.
B: Nail polish contains flammable substances, which can ignite in the presence of oxygen.
C: A 'No Smoking' sign is crucial to prevent any source of ignition near oxygen use.
E: Having a fire extinguisher readily available is important in case of any fire emergency related to oxygen use.
Incorrect choices:
A: Although it's important for family members who smoke to be away from the client, the distance of 10 ft may not be enough to ensure safety.
D: Replacing cotton bedding with wool is unnecessary for oxygen safety.
In summary, the correct answers emphasize avoiding sources of ignition, while the incorrect choices are not directly related to oxygen safety.
Question 4 of 5
A nurse reviews an immobilized patient's laboratory results and discovers hypercalcemia. Which condition will the nurse monitor for most closely in this patient?
Correct Answer: B
Rationale: The correct answer is B: Renal calculi. Hypercalcemia can lead to the formation of kidney stones due to excessive calcium in the blood being excreted by the kidneys. The nurse should monitor for signs and symptoms of renal calculi, such as flank pain, hematuria, and urinary urgency.
Incorrect
Choices:
A: Hypostatic pneumonia - Hypercalcemia does not directly predispose a patient to pneumonia.
C: Pressure ulcers - Hypercalcemia is not typically associated with an increased risk of pressure ulcers.
D: Thrombus formation - While hypercalcemia can affect blood clotting, it is not the primary concern in an immobilized patient with hypercalcemia.
Question 5 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.