ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nursing instructor is reviewing actions nurses can initiate without a provider's prescription. Which of the following are nurse-initiated?
Correct Answer: C,D,E
Rationale: The correct answers are C (Show client how to use progressive muscle relaxation), D (Perform daily bath after evening meal), and E (Re-position client every 2h to reduce pressure ulcer risk). These actions can be initiated by nurses without a provider's prescription as they fall within the scope of nursing practice.
Choice A involves administering medication, which typically requires a provider's prescription.
Choice B, inserting an NG tube, is an invasive procedure that requires a provider's order.
Choices C, D, and E are within the nurse's scope of practice to promote patient education, provide hygiene care, and implement preventive measures. Nurses can independently teach relaxation techniques, perform routine hygiene tasks, and re-position patients to prevent pressure ulcers. Thus, these choices are appropriate for nurse-initiated actions.
Question 2 of 5
Nurse is teaching young adult about health promotion & illness prevention. Which client statement indicates understanding?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Option B demonstrates understanding of health promotion and illness prevention because scheduling routine healthcare visits, even when feeling well, allows for preventive screenings and early detection of potential health issues. This proactive approach aligns with the principles of preventative healthcare, helping to maintain overall well-being.
Summary of other choices:
A: Incorrect. Past immunizations do not provide lifelong protection, and regular boosters may be necessary.
C: Incorrect. Visiting an urgent care center only when experiencing discomfort is reactive, not proactive.
D: Incorrect. Ignoring stress as an expected part of life can lead to negative health outcomes if not managed properly.
Question 3 of 5
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? Select all that apply
Correct Answer: B, C, E, F
Rationale: The correct answer includes documenting when the patient was placed in restraints (
B) to ensure accurate monitoring and compliance with regulations, noting the presence of bilateral radial pulses (
C) to assess circulation, recording unsuccessful attempts to distract the patient (E) to document interventions tried, and documenting when the patient was released from restraints and range-of-motion exercises completed (F) for continuity of care.
Choices A and D are not essential information related to the patient's care in restraints, as the family member going to lunch does not impact the patient's immediate care and the presence of straps with quick-release buckles is standard equipment.
Question 4 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 5 of 5
Nurse talking with adolescent who describes having difficulty dealing with several issues. Which problem should nurse identify as priority for further assessment & intervention?
Correct Answer: C
Rationale: The correct answer is C because the adolescent expressing feelings of inadequacy and lack of ability is indicative of low self-esteem and potential mental health issues. This should be the priority as it can significantly impact their overall well-being. Option A is about unrequited love, which is common in adolescence but not a priority for intervention. Option B involves peer dynamics, which are important but not as urgent as addressing self-esteem issues. Option D pertains to career aspirations, which can be addressed in the long term and are not immediate concerns for intervention.