ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse is caring for a client with SARS. The nurse is aware that healthcare professionals are required to report communicable & infectious diseases. Which of these illustrate the rationale for reporting? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. Reporting communicable diseases helps in planning and evaluating control and prevention strategies by providing data to understand the spread and implement measures. It aids in determining public health priorities by identifying trends and areas needing intervention. Reporting ensures proper medical treatment for affected individuals and helps in monitoring common-source outbreaks to prevent further transmission.
Choices D, F, and G are incorrect as they do not directly relate to the rationale for reporting communicable and infectious diseases.
Question 2 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 3 of 5
During evaluation, nurse must gather info about the client to...
Correct Answer: A
Rationale: The correct answer is A because during evaluation, nurses must gather information about the client to identify whether client outcomes have been met. This step helps assess the effectiveness of interventions and the progress towards achieving the desired goals. Gathering this information allows nurses to make informed decisions about the next steps in the client's care.
Choice B is incorrect because organizing resources to implement interventions is part of the planning phase, not evaluation.
Choice C is incorrect as establishing client-centered outcomes is part of the planning phase as well.
Choice D is incorrect because determining the priority of care and appropriate interventions is part of the assessment phase, not evaluation.
Question 4 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.
Question 5 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.