ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 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 2 of 5
RN is making assignments for client care to LPN at beginning of shift. Which of following assignments should LPN question?
Correct Answer: D
Rationale: The LPN should question assignment D: Replacing cartridge & tubing on PCA pump. This task requires specialized knowledge and training that typically falls within the scope of practice of a registered nurse (RN) rather than a licensed practical nurse (LPN). LPNs are not typically trained to handle complex medication administration tasks such as managing a patient-controlled analgesia (PC
A) pump. Furthermore, errors in changing the cartridge or tubing on a PCA pump could have serious consequences for the patient's pain management and safety.
Therefore, the LPN should question this assignment to ensure that it is appropriate for their level of training and expertise. Other choices are less likely to require specialized RN-level skills, making them more suitable for LPN assignment.
Question 3 of 5
Nurse is caring for many clients during mass casualty event. Which client is highest priority?
Correct Answer: C
Rationale: The correct answer is C: Client with partial & full-thickness burns to face, neck, chest. This client is the highest priority because burns to the face, neck, and chest can lead to airway compromise and respiratory distress, which are life-threatening. In a mass casualty event, prioritizing clients based on potential for immediate harm is crucial. Clients with crush injuries (choice
A) or fractures (choice
D) may need urgent care, but they are not at immediate risk of airway compromise. The client with a 4-inch laceration to the head (choice
B) may require stitches but is not in immediate danger of respiratory distress.
Therefore, the client with burns to critical areas should be the top priority for the nurse to ensure airway patency and prevent further complications.
Question 4 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 5 of 5
Nurse educator presenting on basic first aid for new home health nurses. She evaluates teaching as effective when new nurse states client who has heat stroke will have which of following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. In heat stroke, the body's cooling system fails, leading to a rapid rise in body temperature. This can cause vasodilation, leading to decreased blood pressure (hypotension) as the body tries to cool down. Bradycardia (
B) is unlikely because the body typically increases heart rate to try to cool itself down. Clammy skin (
C) is a common symptom of heat exhaustion, not heat stroke. Bradypnea (
D) refers to slow breathing, which is not typically associated with heat stroke. Overall, hypotension is the most relevant response as it directly relates to the body's response to heat stroke and the failure of its cooling mechanisms.