ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse counseling middle adult who describes having difficulty with many issues. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: B
Rationale: The correct answer is B because the client's difficulty with intimate relationships can significantly impact their mental health and overall well-being. Establishing intimate connections is crucial for emotional fulfillment and social support. The nurse should assess the client's past experiences, beliefs, and current challenges in forming intimate relationships to provide appropriate interventions. Option A focuses on accepting aging parents, which is important but may not be as pressing as the client's struggles with intimacy. Options C and D involve personal values and family dynamics, respectively, which are significant but not as immediate as addressing intimate relationship issues.
Question 2 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 3 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 4 of 5
RN is making assignments for client care to LPN at beginning of shift. Which of following assignments should LPN question?
Correct Answer: D
Rationale: The LPN should question assignment D: Replacing cartridge & tubing on PCA pump. This task requires specialized knowledge and training that typically falls within the scope of practice of a registered nurse (RN) rather than a licensed practical nurse (LPN). LPNs are not typically trained to handle complex medication administration tasks such as managing a patient-controlled analgesia (PC
A) pump. Furthermore, errors in changing the cartridge or tubing on a PCA pump could have serious consequences for the patient's pain management and safety.
Therefore, the LPN should question this assignment to ensure that it is appropriate for their level of training and expertise. Other choices are less likely to require specialized RN-level skills, making them more suitable for LPN assignment.
Question 5 of 5
Nurse manager of med-surg unit is assigning care responsibilities for oncoming shift. Client is awaiting transfer back to unit from PACU following thoracic surgery. To which staff member should nurse assign to this client?
Correct Answer: B
Rationale: The correct answer is B: RN. A registered nurse (RN) is the most suitable staff member to care for a client awaiting transfer from PACU after thoracic surgery due to their advanced training and skills in managing complex post-surgical care. RNs are trained to assess, monitor, and provide specialized care to patients with critical needs, such as those recovering from surgery. The charge nurse (choice
A) may have administrative duties and may not be available to provide direct patient care. LPNs (choice
C) have a more limited scope of practice compared to RNs and may not have the necessary skills to care for a post-thoracic surgery patient. Assistive personnel (AP) (choice
D) are not qualified to provide the level of care and monitoring required for a patient in this condition.