ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse has noticed several times in past week when another nurse on unit seemed drowsy & unable to focus. Today, she found nurse asleep in chair in break room when she was not on a break. Which of the following actions should nurse take?
Correct Answer: C
Rationale: The correct answer is C: Report observations to nurse manager on unit. This action is important because it addresses the safety concern of the drowsy nurse potentially compromising patient care. The nurse manager is in a position to intervene and ensure that appropriate measures are taken to address the issue and prevent any potential harm to patients.
Choice A is not the best option because simply reminding the drowsy nurse about safe client care may not address the underlying issue of their drowsiness and inability to focus.
Choice B is not as effective as reporting to the nurse manager, as it may delay the necessary intervention and resolution of the situation.
Choice D is incorrect because it dismisses the seriousness of the situation and the responsibility of the nurse to ensure patient safety.
In summary, reporting the observations to the nurse manager is the most appropriate action to take in this situation to prioritize patient safety and address the concerning behavior of the drowsy nurse effectively.
Question 2 of 5
Nurse caring for client who has new prescription. Prior to admin, nurse uses electronic database to gather info about med & effects it might have on this client. Which following component of critical thinking is nurse using when he reviews med info?
Correct Answer: A
Rationale: The correct answer is A: knowledge. In this scenario, the nurse is utilizing knowledge by accessing the electronic database to gather information about the medication and its potential effects on the client. Knowledge involves understanding facts, information, and principles related to the situation at hand. By reviewing the medication information, the nurse can make informed decisions based on evidence and data.
Summary:
B: Experience is not the correct choice in this context as the nurse is utilizing factual information rather than personal past experiences.
C: Intuition is not relevant here as the nurse is relying on concrete data from the electronic database rather than gut feelings.
D: Competence, while important, is not the primary component being demonstrated in this situation. It is more about the nurse's knowledge of the medication.
Question 3 of 5
Charge nurse is designating room assignments for clients. Based on her knowledge of fall prevention, which should be assigned to room closest to nursing station?
Correct Answer: D
Rationale: The correct answer is D: 79 yo client post-op following below-the-knee amputation. This client is at highest risk for falls due to mobility impairment after surgery. Placing them closest to the nursing station allows for closer monitoring and quick assistance if needed.
Choice A is less critical as laparoscopic cholecystectomy typically has lower fall risk.
Choice B, telemetry for MI, may require immediate intervention but not necessarily closer proximity.
Choice C, ankle surgery, may have mobility limitations but generally less severe than an amputation.
Question 4 of 5
Nursing instructor is reviewing steps of nursing process with group of students. Students should identify which of following data as objective? (Select all that apply.)
Correct Answer: A, D, E, F
Rationale: The correct answers are A, D, E, and F because they all represent objective data in the nursing process. Objective data are observable and measurable information that can be verified by multiple people.
A: Respiratory rate of 22/min with even, unlabored respirations is measurable and observable.
D: Skin pink, warm, dry - skin condition can be visually assessed and documented.
E: Urine output 300 mL/8 hr is quantifiable and measurable.
F: Dressing clean, dry, intact - the condition of the dressing is observable.
The incorrect choices are B and C because they represent subjective data, which are based on the patient's feelings or experiences and cannot be objectively measured or observed by others.
Question 5 of 5
Nursing instructor is reviewing which actions nurses can initiate w/o provider's prescription. Students should identify which of following as nurse-initiated? (Select all that apply.)
Correct Answer: C, D, E
Rationale:
Correct Answer: C, D, E
Rationale:
- C: Nurses can educate clients on various techniques for relaxation like progressive muscle relaxation without a provider's prescription to promote self-care and stress management.
- D: Performing daily bath after an evening meal is a routine nursing intervention that promotes hygiene and comfort, which can be initiated by a nurse without a prescription.
- E: Re-positioning a client every 2 hours to reduce pressure ulcer risk is a standard nursing practice aimed at preventing complications, and nurses can initiate this intervention without needing a provider's order.
Summary:
- A: Administering morphine sulfate IV and inserting NG tubes are invasive procedures that require a provider's prescription.
- B: Inserting an NG tube is an invasive procedure that necessitates a provider's order.
- F & G: No information provided.