ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse has prepared sterile field for assisting provider with chest tube insertion. Which should nurse recognize as contaminating sterile field?
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Moistening a cotton ball with sterile normal saline and placing it on the sterile field introduces moisture from a non-sterile source, contaminating the field.
C: Delaying the procedure for 1 hour can lead to airborne contaminants settling on the sterile field, compromising its sterility.
D: Turning to speak to someone who enters behind the nurse can result in the nurse inadvertently breaching the sterile field by turning away from it.
Summary of Incorrect
Choices:
A: Although dropping a sterile instrument near the sterile field is not ideal, it does not directly contaminate the sterile field.
E: A client's hand brushing against the outer edge of the sterile field is a potential contamination, but not the most significant in this scenario.
Question 2 of 5
Nurse on med-surg unit is informed that mass casualty event occurred & it's necessary to discharge clients to make beds available for injury victims. Which clients can be safely discharged? (Select all that apply.)
Correct Answer: C,D
Rationale:
Correct Answer: C and D
Rationale:
C: A client scheduled for TURP (prostate resection) is stable and elective surgery can be safely postponed to accommodate more critical patients.
D: A client who is 24 hours post-op after mastectomy is likely stable and can be safely discharged with appropriate discharge instructions.
Incorrect
Choices:
A: Client who's dehydrated & receiving IV fluid/electrolytes may require ongoing treatment and monitoring, not safe for discharge.
B: Client with NG tube for small bowel obstruction requires close monitoring and intervention, not safe for discharge.
E: Client scheduled for appendectomy is likely in need of urgent surgery, not safe for discharge.
Question 3 of 5
Nurse evaluating how well client learned the info presented in teaching about heart-healthy diet. Client states she understands what to do now. Which actions by nurse should assist evaluation of client's learning?
Correct Answer: B
Rationale: The correct answer is B: Ask client to explain how to select or prepare meals. This action allows the nurse to assess the client's understanding and application of the heart-healthy diet information. By explaining the process of selecting and preparing meals, the client demonstrates practical knowledge and comprehension. Encouraging questions (choice
A) may gauge curiosity but not necessarily understanding. Filling out an evaluation form (choice
C) assesses completion but not comprehension. Inquiring about further resources (choice
D) tests awareness but not application.
Question 4 of 5
Nurse planning diversionary activities for children on an inpatient unit. Which should nurse incorporate as appropriate play activities for toddler? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answer includes filling & emptying containers, playing with blocks, and looking at books.
Toddlers benefit from activities that promote sensory exploration, fine motor skills, and cognitive development. Filling & emptying containers helps with hand-eye coordination. Playing with blocks enhances spatial awareness and problem-solving skills. Looking at books fosters language development and imagination. Building simple models (
A) may be too complex for toddlers. Working with clay (
B) may pose a choking hazard. The other choices do not target the specific developmental needs of toddlers.
Question 5 of 5
The nurse is caring for a group of medical-surgical patients. The unit has been notified of a fire on an adjacent wing of the hospital. The nurse quickly formulates a plan to keep the patients safe. Which actions will the nurse take? Select all that apply
Correct Answer: A, B, C, D
Rationale: The correct answers are A, B, C, and D. A: Closing all doors helps contain the fire and smoke. B: Noting evacuation routes ensures a safe exit plan. C: Noting oxygen shut-offs prevents fueling the fire. D: Moving bedridden patients in their bed ensures their safety during evacuation. These actions prioritize patient safety and prevent harm during a fire emergency. Other choices are incorrect: E: Waiting for the fire department can waste crucial time. F: Using type B fire extinguishers for electrical fires can be dangerous and ineffective.