ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an AP?
Correct Answer: C
Rationale: The correct answer is C. Reapplying a condom catheter for a client with urinary incontinence is a task appropriate to assign to an Assistive Personnel (AP) because it is a routine, non-invasive procedure that does not require specialized nursing knowledge or assessment skills. The AP can be trained to perform this task safely under the supervision of the nurse.
Choice A is incorrect because feeding a client with aspiration pneumonia requires careful monitoring and assessment to prevent complications.
Choice B is incorrect as reinforcing teaching requires nursing judgment and assessment to ensure the client's safety during ambulation with a quad cane.
Choice D is incorrect since applying a sterile dressing to a pressure ulcer involves wound care knowledge and assessment that should be done by a licensed nurse.
Question 2 of 5
Nurse is preparing discharge summary for client whose had knee surgery & is going home. Which following info about client should nurse include in it?
Correct Answer: B,C,E
Rationale: The correct answer is B, C, and E. B, Where to go for follow-up care, is crucial for ensuring the client continues to receive necessary treatment post-surgery. C, Instructions for diet/meds, are essential for the client's recovery and to prevent complications. E, Contact info for home healthcare agency, is important for arranging any additional support needed at home. A, Advance directives status, is not directly related to the client's immediate post-operative care. D, Most recent vital sign data, may not be relevant for a discharge summary. F, Follow-up care, and G, Medication, are redundant as they are covered by the other options.
Question 3 of 5
Nurse reviewing CDC's immunization recommendations with parents of adolescent. Which should nurse include in this discussion? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct choices are B (Varicella), D (HPV), and E (Seasonal influenza) because they are recommended immunizations for adolescents by the CDC. Varicella protects against chickenpox, HPV protects against certain types of cancer, and seasonal influenza helps prevent the flu. Rotavirus (
A) is typically given to infants, not adolescents. Herpes zoster (
C) is for older adults to prevent shingles. The empty choices (F and G) are not relevant to adolescent immunization discussions.
Question 4 of 5
Nurse has prepared sterile field for assisting provider with chest tube insertion. Which should nurse recognize as contaminating sterile field?
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Moistening a cotton ball with sterile normal saline and placing it on the sterile field introduces moisture from a non-sterile source, contaminating the field.
C: Delaying the procedure for 1 hour can lead to airborne contaminants settling on the sterile field, compromising its sterility.
D: Turning to speak to someone who enters behind the nurse can result in the nurse inadvertently breaching the sterile field by turning away from it.
Summary of Incorrect
Choices:
A: Although dropping a sterile instrument near the sterile field is not ideal, it does not directly contaminate the sterile field.
E: A client's hand brushing against the outer edge of the sterile field is a potential contamination, but not the most significant in this scenario.
Question 5 of 5
A nurse is providing range of motion to the shoulder and must perform external rotation. Which action will the nurse take?
Correct Answer: D
Rationale: The correct answer is D. The nurse should move the patient's arm until the thumb is upward and lateral to the head with the elbow flexed to perform external rotation. This position maximizes the external rotation movement of the shoulder joint, allowing for a full range of motion.
Choice A, moving the arm in a full circle, does not specifically target external rotation.
Choice B, moving the arm across the body, is more indicative of internal rotation.
Choice C, moving the arm behind the body with the elbow straight, is associated with shoulder extension rather than external rotation.
Therefore, choice D is the most appropriate action for achieving external rotation of the shoulder joint.