ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse contributing to a care plan for a client being admitted to a facility with suspected pertussis. Which should the nurse include in the care plan? (Select all that apply.)
Correct Answer: B,C,E
Rationale:
Correct Answer: B, C, E
Rationale:
1. (
B) Wearing a mask within 3 ft of the client helps prevent the spread of pertussis through respiratory droplets.
2. (
C) Placing a mask on the client during unavoidable transportation reduces the risk of spreading the infection.
3. (E) Wearing a gown during care involving secretions minimizes the nurse's exposure to contaminated fluids, reducing transmission risk.
Incorrect
Choices:
A: Negative air pressure is not necessary for pertussis; it is more applicable for airborne diseases like TB.
D: Sterile gloves are not required for pertussis; standard precautions suffice.
F, G: No additional information provided, so these choices are irrelevant.
Question 2 of 5
Nurse admitting a client with acute cholecystitis to the med-surg unit. Which of the following actions are essential to the admission procedure? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. A is important to clarify roles, B to start planning early, C for legal purposes, and E to promote socialization.
Choices D, F, and G are incorrect as they are not essential for the admission procedure and are not directly related to the immediate care and comfort of the client.
Question 3 of 5
Nurse transferring a client from an acute-care hospital to a rehab facility. Which of the following info about the client should the nurse include in the transfer report? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. A - Alert and oriented status is important for the rehab facility to know the client's mental status. C - Shellfish allergy is critical information to prevent allergic reactions. D - Knowing the client's request for morphine every 4 hours is essential for appropriate pain management. B - Refusing to eat spinach is not crucial for the transfer report. E - Missing cats is not pertinent medical information for the rehab facility.
Question 4 of 5
Nurse is caring for client who is 24h post-op following abdominal surgery. Nurse suspects client's pain management is inadequate. Which of following data reinforce suspicion? (Select all that apply.)
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
-
Choice B: Nonadherence to post-op respiratory exercises can lead to atelectasis and pneumonia, indicating inadequate pain management.
-
Choice C: Accepting pain meds beyond prescribed interval suggests inadequate pain relief.
-
Choice E: Elevated heart rate and blood pressure indicate physiological response to pain, reinforcing inadequate pain control.
Incorrect
Choices:
-
Choice A: Agitation can be due to various factors, not necessarily inadequate pain management.
-
Choice D: Tenderness in lower leg may indicate other issues like DVT, not necessarily related to pain management.
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.