ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse counseling young adult who describes having difficulty dealing with several issues. Which problem should nurse identify as priority for further assessment & intervention?
Correct Answer: C
Rationale: The correct answer is C because the young adult expressing stress about starting a family indicates a significant emotional burden that may require immediate attention. This statement implies potential anxiety, fear, and uncertainty about future responsibilities. Addressing this issue is crucial to prevent negative outcomes like depression, relationship strain, or poor decision-making regarding family planning.
Choices A, B, D, and E are important concerns, but they do not directly indicate immediate distress or potential harm as much as the fear and stress related to starting a family.
Question 2 of 5
Nurse has removed a sterile pack from its outside cover & placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?
Correct Answer: D
Rationale: The correct answer is D: Flap farthest from the body. Unfolding this flap first ensures that the sterile contents inside the pack remain protected from contamination. By starting with the flap farthest from the body, the nurse minimizes the risk of accidental contamination from reaching the sterile items. Unfolding the other flaps first could potentially expose the sterile contents to non-sterile surfaces, compromising the aseptic technique needed for the procedure.
Therefore, unfolding the flap farthest from the body is the most appropriate step to maintain the sterility of the pack and its contents.
Question 3 of 5
Nurse in clinic caring for 21 yo client who reports sore throat. Client tells nurse he hasn't seen a doctor since high school. Which health screening should nurse expect provider to perform for this client?
Correct Answer: A
Rationale: The correct answer is A: Testicular exam. This is because the client is a 21-year-old male, and testicular cancer is most common in younger men. The provider would likely perform a testicular exam to screen for any abnormalities. Blood glucose (
B) is more relevant for diabetes screening, which is not indicated based on the client's sore throat complaint. Fecal occult blood (
C) is used to screen for colon cancer, which is not age-appropriate for a 21-year-old. Prostate-specific antigen (
D) screening is typically done for older men to detect prostate cancer.
Question 4 of 5
Nurse manager is reviewing guidelines to prevent injury with staff nurses. Which of the following should nurse manager include in teaching? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. These guidelines are crucial for preventing injury among staff nurses.
A) Requesting assistance when repositioning a client reduces the risk of musculoskeletal injuries.
B) Avoiding twisting the spine or bending at the waist helps maintain proper body mechanics and prevents back injuries.
D) Using smooth movements when lifting and moving clients minimizes strain on muscles and reduces the likelihood of injury.
Choice C is incorrect because keeping knees slightly lower than hips when sitting for long periods does not directly relate to preventing injury with client care activities.
Choice E is incorrect as taking breaks from repetitive movements to flex and stretch joints is important for general health but not directly related to preventing injury with client care activities.
Question 5 of 5
Nurse is caring for client receiving enteral tube feedings due to dysphagia. Which of following bed positions is appropriate for safe care of this client?
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler's. This position allows for optimal digestion and absorption of the enteral feedings by decreasing the risk of aspiration. Semi-Fowler's position helps prevent reflux and aspiration as it promotes proper alignment of the gastrointestinal tract. Supine position (choice
A) can increase the risk of aspiration. Semi-prone (choice
C) and Trendelenburg (choice
D) positions are not appropriate for enteral feedings due to potential complications like aspiration and reflux.