ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 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 2 of 5
Nurse has prepared a sterile field for assisting a provider with chest tube insertion. Which should the nurse recognize as contaminating the sterile field? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Moistening a cotton ball with sterile NS and placing it on the sterile field introduces moisture and potentially non-sterile elements, contaminating the field.
C: Any delay increases the risk of contamination as the sterile field may no longer be maintained sterile for the intended procedure.
D: Turning away from the sterile field to speak to someone allows for potential contaminants to enter the sterile area.
Incorrect
Choices:
A: While dropping a sterile instrument near the field is not ideal, it may not necessarily contaminate the field.
E: The client's hand brushing against the outer edge of the sterile field is a concern, but it is not a direct cause of contamination in the field.
Question 3 of 5
Nurse is talking with 45 yo client with no specific family hx of cancer or DM, about planning routine screenings. Which client statement indicates client understands how to proceed?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The correct answer is B because the client understands the importance of continuing to have a mammogram each year. This shows good knowledge of routine screening practices for early detection of breast cancer.
Choice A: Incorrect. The client should have a colon cancer screening procedure as recommended by guidelines, not wait 2-3 years.
Choice C: Incorrect. Annual pap smears are recommended, so the client should come back annually, not just next year.
Choice D: Incorrect. Annual blood glucose testing is recommended for early detection of diabetes, so the client should have it done each year.
In summary, choice B is correct as it aligns with recommended screening guidelines, while the other choices do not demonstrate an understanding of routine screening practices.
Question 4 of 5
Nurse is reviewing nutrition guidelines with parents of 2 yo. Which parent statement should indicate to nurse that they understand feeding guidelines for this age group?
Correct Answer: C
Rationale: The correct answer is C. Giving a 2-year-old about 2 tablespoons of each food at mealtimes aligns with appropriate portion sizes for toddlers, promoting balanced nutrition and preventing overeating. This statement indicates an understanding of feeding guidelines for this age group.
Choice A is incorrect as whole milk is recommended until 2 years old, then switching to low-fat milk.
Choice B is incorrect as excessive juice consumption can lead to excessive sugar intake.
Choice D is incorrect as popcorn can pose a choking hazard for young children.
Question 5 of 5
Nurse preparing instructional session about managing stress incontinence for older adult. Which actions should nurse take first when meeting with client?
Correct Answer: D
Rationale: The correct answer is D: Determine what client knows about stress incontinence. This is the first step because it allows the nurse to assess the client's existing knowledge and understanding of the condition. By understanding the client's baseline knowledge, the nurse can tailor the instructional session accordingly, ensuring that the information provided is appropriate and effective. This step also helps in building rapport and establishing a foundation for effective communication.
Choice A (Encourage client to participate actively in learning) is important but should come after assessing the client's existing knowledge.
Choice B (Select instructional materials appropriate for older adult) can be done after understanding the client's knowledge level.
Choice C (Identify goals nurse & client can agree are reasonable) is essential but should be based on the assessment of the client's knowledge.