ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse cautioning mother of 8 mo infant about safety. Which statement by mother indicates understanding of safety for infant?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Removing the crib gym shows an understanding of safety as they are often a suffocation hazard for infants. Soft mattresses and fluffy pillows increase the risk of Sudden Infant Death Syndrome (SIDS). The child-safety gate is a positive step but not as critical as removing a potential suffocation hazard.
Question 2 of 5
As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for a client with dementia. Which component is the priority to determine from their family?
Correct Answer: D
Rationale: The correct answer is D: Any difficulty swallowing. This is the priority component to determine because individuals with dementia are at higher risk of dysphagia, which can lead to aspiration pneumonia. Identifying any swallowing difficulties early on can help prevent complications and ensure appropriate dietary modifications are made.
A: BMI is important, but not the priority as immediate concerns related to swallowing should be addressed first.
B: Usual times for meals/snacks are important for establishing a routine, but not as critical as identifying swallowing issues.
C: Favorite foods are relevant for providing patient-centered care, but not as urgent as assessing swallowing function.
Question 3 of 5
Nurse enters a client's room & finds him sitting in his chair. He states, 'I fell in the shower, but I got myself back up & into my chair.' How should nurse document this in client's chart?
Correct Answer: B
Rationale: The correct answer is B because it accurately reflects the client's statement and actions. By documenting that the client fell in the shower but was able to get back into the chair, the nurse captures the client's experience while also noting his ability to self-recover.
Choice A is incorrect because it does not mention the client's ability to get back up.
Choice C is incorrect as important information provided by the client should be documented.
Choice D is incorrect as it does not reflect the client's ability to get back up.
Question 4 of 5
Nurse is giving presentation about accident prevention to group of parents & toddlers. Which strategies should nurse include? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct strategies are A, C, and D. A: Keeping toxic agents in locked cabinets prevents accidental poisoning. C: Turning pot handles toward the back of the stove prevents toddlers from pulling them down. D: Safety gates across stairways prevent falls. B: Keeping toilet seats up could lead to drowning accidents. E: Fully inflated balloons pose a choking hazard.
Therefore, choices B and E are incorrect for a presentation on accident prevention.
Question 5 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.