ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse caring for client just admitted after falling. This client is oriented x3 & can follow directions. Which action(s) by nurse are appropriate to decrease risk of fall? (Select all that apply)
Correct Answer: C,D,E
Rationale:
Correct Answer: C, D, E
Rationale:
C: Ensuring client's call light is within reach allows client to easily request assistance, reducing risk of attempting to get up independently.
D: Providing client with nonskid footwear helps improve traction and stability, reducing risk of slipping or falling.
E: Completing a fall-risk assessment helps identify specific factors putting the client at risk, allowing for tailored interventions to prevent falls.
Incorrect
Choices:
A: Placing a belt restraint on the client is considered a restrictive measure and should only be used as a last resort due to potential negative effects on mobility and dignity.
B: Keeping bed in low position with full side rails up can lead to increased risk of falls as it restricts client's movement and independence, increasing the likelihood of attempting to get out of bed unsafely.
Question 2 of 5
Nurse is caring for a client receiving enteral tube feedings due to dysphagia. Which bed position is appropriate for safe care of this client?
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler's position. This position promotes proper digestion and reduces the risk of aspiration during enteral tube feedings by ensuring that the client's head is elevated at a 30-45 degree angle. This helps prevent reflux and aspiration of feeding into the lungs. Supine position (
A) can increase the risk of aspiration, semi-prone (
C) and Trendelenburg (
D) positions are not appropriate for enteral feedings as they do not provide the necessary elevation for safe feeding.
Question 3 of 5
Nurse performing an admission assessment for older adult client. After gathering assessment data & performing review of systems
Correct Answer: A
Rationale: The correct answer is A: which of the following actions is a priority for nursing? In this scenario, the priority is to identify any urgent or critical issues that require immediate attention to ensure the safety and well-being of the older adult client. By prioritizing actions based on assessment data, the nurse can address any immediate needs or concerns promptly. Orienting the client to the room (
B), conducting a client care conference (
C), reviewing medical orders (
D), and developing a plan of care (E) are important tasks but are not as urgent as addressing any critical issues identified during the assessment. Prioritizing the actions ensures that the client's immediate needs are met first before proceeding with other tasks.
Question 4 of 5
During evaluation
Correct Answer: A
Rationale: The correct answer is A because during evaluation, the nurse needs to gather information about the client to assess progress, identify any changes, and determine the effectiveness of interventions. This step helps in understanding the client's current status and adjusting the care plan accordingly.
Choice B is incorrect as it refers to the outcome evaluation stage.
Choice C is incorrect as it pertains to the planning phase.
Choice D is incorrect as it focuses on providing client-centered care rather than evaluating it.
Choice E is incorrect as it relates to setting measurable outcomes during the planning phase. Gathering information during evaluation is crucial to assess the impact of care provided and make informed decisions for the client's well-being.
Question 5 of 5
The nurse is caring for a group of medical-surgical patients. The unit has been notified of a fire on an adjacent wing of the hospital. The nurse quickly formulates a plan to keep the patients safe. Which actions will the nurse take? Select all that apply
Correct Answer: A, B, C, D
Rationale: The correct answers are A, B, C, and D. A: Closing all doors helps contain the fire and smoke. B: Noting evacuation routes ensures a safe exit plan. C: Noting oxygen shut-offs prevents fueling the fire. D: Moving bedridden patients in their bed ensures their safety during evacuation. These actions prioritize patient safety and prevent harm during a fire emergency. Other choices are incorrect: E: Waiting for the fire department can waste crucial time. F: Using type B fire extinguishers for electrical fires can be dangerous and ineffective.