ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse is caring for client sitting in chair & asks to return to bed. What is the priority action for the nurse?
Correct Answer: D
Rationale: The correct answer is D: Assess client's ability to help with transfer. This is the priority action as it ensures the client's safety during the transfer process. By assessing the client's ability, the nurse can determine if the client can assist in the transfer, which can prevent falls or injuries. Obtaining a walker (choice
A) may not be necessary if the client can transfer independently. Calling for additional personnel (choice
B) may be excessive if the client is able to assist. Using a transfer belt (choice
C) is important but should come after assessing the client's ability. The key is to prioritize the assessment to provide safe and effective care.
Question 2 of 5
Nurse observes smoke coming from under the door of the staff lounge. What is the priority action by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Evacuate the clients. This is the priority action because ensuring the safety of the clients is paramount in any emergency situation. Evacuating them to a safe location away from potential harm should be the nurse's first response. Pulling the fire alarm (
B) can be done after ensuring the clients are safely evacuated. Extinguishing the fire (
A) should be left to the trained professionals to avoid putting oneself at risk. Closing all open doors on the unit (
D) may help contain the fire but is not as critical as evacuating the clients.
Question 3 of 5
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? Select all that apply
Correct Answer: B, C, E, F
Rationale: The correct answer includes documenting when the patient was placed in restraints (
B) to ensure accurate monitoring and compliance with regulations, noting the presence of bilateral radial pulses (
C) to assess circulation, recording unsuccessful attempts to distract the patient (E) to document interventions tried, and documenting when the patient was released from restraints and range-of-motion exercises completed (F) for continuity of care.
Choices A and D are not essential information related to the patient's care in restraints, as the family member going to lunch does not impact the patient's immediate care and the presence of straps with quick-release buckles is standard equipment.
Question 4 of 5
Nurse on peds unit is caring for adolescent with multiple fractures. Which interventions are appropriate for client? (Select all that apply.)
Correct Answer: B,E
Rationale: The correct answers are B and E. Providing TV & DVDs and allowing the adolescent to perform his own morning care promotes independence and helps maintain a sense of normalcy during hospitalization. This fosters psychological well-being and empowerment.
Choice A may not be appropriate as it could infringe on the adolescent's privacy and autonomy.
Choice C could be too restrictive, limiting emotional support from friends.
Choice D is important but providing autonomy and distraction are more immediate priorities in this case.
Question 5 of 5
Nurse preparing instructional session about managing stress incontinence for older adult. Which actions should nurse take first when meeting with client?
Correct Answer: D
Rationale: The correct answer is D: Determine what client knows about stress incontinence. This is the first step because it allows the nurse to assess the client's current knowledge and understanding of the condition. By knowing the client's baseline knowledge, the nurse can tailor the instructional session accordingly, ensuring that the information provided is at an appropriate level for the client's understanding. This also helps establish a foundation for further education and discussion.
Option A (Encourage client to participate actively in learning) is important but should come after assessing the client's knowledge. Option B (Select instructional materials appropriate for older adults) and Option C (Identify goals nurse & client can agree are reasonable) are also important but should follow the initial assessment of the client's knowledge.