ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 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 2 of 5
Nurse talking to parents of school-age child who describe many issues that concern them. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: A
Rationale: The correct answer is A. This indicates a potential physical issue affecting the child's ability to keep up with peers in physical activities, which could point to an underlying health concern that requires immediate attention. Other choices focus on behavioral, academic, or social issues that are not as urgent as a possible physical limitation impacting the child's physical development and well-being. It is crucial to prioritize assessing and intervening in physical health concerns to ensure the child's overall health and development.
Question 3 of 5
Nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. The presentation of linear clusters of fluid-containing vesicles with crusting is characteristic of herpes zoster, also known as shingles. This condition is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution of the vesicles along a dermatome is a key distinguishing feature of herpes zoster. Allergic reactions typically present with generalized rash and itching, not linear clusters of vesicles. Ringworm is a fungal infection that presents with circular, scaly lesions, not linear vesicles. Systemic lupus erythematosus is an autoimmune disease that can present with a variety of symptoms, but linear clusters of vesicles are not characteristic of this condition.
Question 4 of 5
Nurse caring for 19 yo client who is sexually active & has come to college health clinic for first time for checkup. Which intervention should nurse perform to determine client's health promotion & disease prevention?
Correct Answer: C
Rationale: The correct answer is C: Determine client's risk factors. This is crucial to assess the client's current health status, identify potential health risks, and develop a personalized health promotion plan. By understanding the client's risk factors such as sexual behaviors, substance use, family history, and lifestyle habits, the nurse can tailor education and interventions to promote health and prevent diseases specific to the client's needs.
A: Measuring vital signs is important but does not directly address health promotion and disease prevention strategies in this context.
B: Encouraging HIV screening is important, but it focuses on a specific test rather than a comprehensive assessment of risk factors.
D: Instructing the client to use condoms is a good preventive measure, but determining risk factors provides a broader picture for a more comprehensive approach.
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.