ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Client who will undergo neurosurgery in 1 week tells the nurse in office that he will prepare his advance directives before he goes to the hospital. Which of the following statements by the client indicates to the nurse that he understands them?
Correct Answer: C
Rationale: The correct answer is C because the client demonstrates understanding of advance directives by stating a specific preference regarding life-sustaining treatment. Choosing not to be kept on a breathing machine shows a clear decision about a specific medical intervention. This indicates the client's awareness of the purpose and content of advance directives.
Option A does not indicate understanding as the client mentions a preference without specifying a particular treatment choice. Option B focuses on the necessity of advance directives for surgery but does not show comprehension of their content. Option D mentions involving the regular doctor but does not demonstrate understanding of advance directives' purpose.
Question 2 of 5
Nurse talking to parents of school-age child who describe many issues that concern them. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: A
Rationale: The correct answer is A. This indicates a potential physical issue affecting the child's ability to keep up with peers in physical activities, which could point to an underlying health concern that requires immediate attention. Other choices focus on behavioral, academic, or social issues that are not as urgent as a possible physical limitation impacting the child's physical development and well-being. It is crucial to prioritize assessing and intervening in physical health concerns to ensure the child's overall health and development.
Question 3 of 5
A Client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse providing pre-op care regarding informed consent? (Select all that apply.)
Correct Answer: A, B
Rationale:
Correct Answer: A, B
Rationale:
A: Making sure the surgeon obtained the client's consent is crucial to ensure the client is fully aware and has given permission for the procedure.
B: Witnessing the client's signature on the consent form verifies that the client voluntarily and knowingly consented to the surgery.
Summary:
C: Explaining risks/benefits and D: Describing consequences are important but typically the responsibility of the healthcare provider, not the nurse. E: Discussing alternatives is also typically done by the healthcare provider.
Question 4 of 5
Nurse on med-surg unit is informed that mass casualty event occurred & it's necessary to discharge clients to make beds available for injury victims. Which clients can be safely discharged? (Select all that apply.)
Correct Answer: C,D
Rationale: The correct choices for safe discharge during a mass casualty event are C and D. Client C, scheduled for TURP, does not require immediate medical intervention and can safely be discharged. Client D, 24h post-op after mastectomy, should be stable enough for discharge as long as there are no complications.
Client A, who is dehydrated and receiving IV fluids, requires ongoing treatment and monitoring, making discharge unsafe. Client B, with an NG tube for small bowel obstruction, also requires ongoing treatment and should not be discharged. Client E, scheduled for an appendectomy, is likely in need of urgent surgery and should not be discharged during a mass casualty event.
Question 5 of 5
Security officer reviewing actions to take in event of bomb threat by phone. Which statement indicates proper understanding of procedure?
Correct Answer: D
Rationale: The correct answer is D because listening for background noises can provide critical information about the location or nature of the threat, which can assist in assessing the level of danger and informing the appropriate response. This step is crucial in bomb threat situations as it can help security officers make informed decisions to protect the safety of the facility and its occupants.
Choice A is incorrect because abruptly ending the call can hinder gathering important details.
Choice B is incorrect as overhead paging can cause panic and potentially aid the perpetrator.
Choice C is incorrect since listening and gathering information is vital in assessing the threat.