ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Mother of 7 mo infant tells nurse that her baby has been fussy with occasional loose stools since she started feeding him fruits & veggies. Which responses by nurse are appropriate? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Making a list of foods helps identify triggers for fussiness and loose stools.
C: Identifying if symptoms started after a specific food can pinpoint the issue.
D: Asking about vomiting helps assess if there's a more serious reaction to new foods.
Incorrect Answers:
A: Bananas can exacerbate loose stools due to their high fiber content.
E: Not all babies react with indigestion to new foods; it's not a general rule.
Question 2 of 5
Nurse is reviewing hand hygiene techniques with a group of APs. Which instructions should the nurse include when discussing handwashing? (Select all that apply.)
Correct Answer: B,D
Rationale:
Correct Answer: B,D
Rationale:
B: Washing hands with soap & water for at least 15 seconds is essential to effectively remove dirt, germs, and contaminants.
D: Using a clean paper towel to turn off hand faucets after washing prevents re-contamination of hands.
Summary:
A: Applying 3-5 mL of liquid soap is not specified and may lead to excessive or insufficient soap usage.
C: Rinsing with hot water is unnecessary and may cause skin irritation.
E: Allowing hands to air dry is acceptable but not a critical instruction for handwashing.
Question 3 of 5
Nurse is collecting data from mother of 1 yo. Client states her child is old enough for toilet training. Following teaching by nurse, client now states her earlier ideas have changed. She's now willing to postpone toilet training until child is older. Learning has occurred in which of following domains?
Correct Answer: B
Rationale: The correct answer is B: Affective. Affective domain refers to changes in attitudes, values, beliefs, and emotions. In this scenario, the mother's willingness to postpone toilet training indicates a shift in her emotional response and attitude towards the topic. The change in her willingness demonstrates a transformation in her emotional domain, reflecting learning in the affective domain.
Incorrect choices:
A: Cognitive domain involves changes in knowledge, understanding, and thinking processes, which are not explicitly demonstrated in this scenario.
C: Psychomotor domain involves changes in physical skills and abilities, which are not relevant to the mother's change in attitude.
D: Kinesthetic domain specifically relates to physical movements and sensations, which are not applicable in this context.
Question 4 of 5
A nurse on med-surg unit has received change-of-shift report & will care for 4 clients. Which of following client's needs may nurse assign to AP?
Correct Answer: C
Rationale: The correct answer is C. The nurse can assign reapplying a condom catheter for a client with urinary incontinence to an assistive personnel (AP). This task is within the scope of practice for an AP as it does not require specialized nursing knowledge or assessment skills. It is a routine task that can be safely delegated. The other options require nursing assessment, critical thinking, or specialized skills, making them inappropriate for delegation to an AP. For example, feeding a client with aspiration pneumonia requires monitoring for signs of aspiration; reinforcing teaching for walking with a quad cane requires assessing the client's gait and balance; applying a sterile dressing to a pressure ulcer requires knowledge of wound care principles. Assigning these tasks to an AP could compromise client safety and outcomes.
Question 5 of 5
Occupational health nurse is caring for employee with chemical burn from unknown chemical. Which intervention should nurse include in care plan?
Correct Answer: C
Rationale: The correct answer is C: Brush chemical off skin & clothing. This intervention is crucial to prevent further absorption of the unknown chemical into the skin. Brushing off the chemical helps to remove any remaining particles from the skin and clothing, reducing the risk of prolonged exposure and further damage. Irrigating with water (choice
A) may spread the chemical and worsen the burn. Washing with antibacterial soap (choice
B) is not effective for chemical burns. Applying a neutralizing agent (choice
D) can be harmful if the chemical is unknown. In this case, immediate removal of the chemical is the priority to minimize damage.