ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 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 because clients with partial & full-thickness burns to face, neck, chest are the highest priority during a mass casualty event. This is due to the potential for airway compromise and risk of respiratory distress. Burns to these areas can cause swelling and compromise the airway, leading to respiratory distress and possible respiratory failure. Immediate intervention is crucial to ensure adequate oxygenation and ventilation. Clients with crush injuries (
A) or fractures (
D) may have serious injuries but are not at immediate risk of airway compromise. A laceration to the head (
B) may require urgent attention but is not as life-threatening as airway compromise.
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, D
Rationale:
1. Client scheduled for TURP (prostate resection): This client can be safely discharged as the procedure is elective and not urgent.
2. Client who is 24h post-op after mastectomy: This client is stable post-operation and can be discharged with appropriate follow-up care.
Summary of other choices:
A: Client who's dehydrated & receiving IV fluid/electrolytes - This client needs continued treatment and monitoring.
B: Client with NG tube to treat small bowel obstruction - This client requires ongoing treatment and observation.
E: Client scheduled for appendectomy - This client needs urgent surgical intervention and cannot be safely discharged.
Question 3 of 5
Nurse educator is discussing facility protocol for tornados with staff. Which should nurse include in instructions? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. B: Placing blankets over confined clients helps protect them from debris. C: Moving beds away from windows reduces the risk of injury from shattered glass. D: Drawing shades and closing drapes can prevent glass from shattering and flying into the room. A: Opening doors to client rooms can increase the risk of debris entering and injuring clients. E: Relocating ambulatory clients back to rooms can expose them to more danger in case of a tornado.
Question 4 of 5
Occupational health nurse is caring for employee with chemical burn from unknown chemical. Which intervention should nurse include in care plan?
Correct Answer: C
Rationale: The correct answer is C: Brush chemical off skin & clothing. This intervention is crucial to prevent further exposure and damage from the unknown chemical. By brushing off the chemical, the nurse can minimize the contact time and reduce the risk of more severe burns. Irrigating with water (choice
A) may spread the chemical or react with it, worsening the burn. Washing with antibacterial soap (choice
B) can also react with the chemical and cause more harm. Applying a neutralizing agent (choice
D) can potentially worsen the burn if the wrong agent is used.
Therefore, choice C is the best initial intervention to prevent further harm.
Question 5 of 5
Security officer reviewing actions to take in event of bomb threat by phone. Which statement indicates proper understanding of procedure?
Correct Answer: D
Rationale: The correct answer is D because listening for background noises can provide crucial information such as location, type of environment, and potential threats. By gathering this information discreetly, security personnel can better assess the situation and coordinate an appropriate response.
Choice A is incorrect because abruptly ending the call can hinder the ability to gather vital details.
Choice B is incorrect as using overhead paging may cause panic and compromise safety.
Choice C is incorrect because not asking questions can lead to missing important information.