ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse is completing discharge teaching to client with COPD. Client verbalizes understanding of orthopneic position when he states, 'When I have difficulty breathing at night, I will...'
Correct Answer: C
Rationale: The correct answer is C: Sit on the side of my bed & rest my arms over pillows on top of my raised bedside table. This position is known as the orthopneic position, which helps improve lung expansion and ease breathing difficulties in COPD patients. Sitting upright with arms supported on pillows on a raised surface allows for better chest expansion and less pressure on the diaphragm, facilitating easier breathing.
A: Lie on my back with head & shoulders elevated on a pillow - This position does not provide as much support for chest expansion and may not be as effective in improving breathing.
B: Lie flat on my stomach with head to one side - This position can restrict breathing and is not recommended for COPD patients.
D: Lie on my side with my weight on my hips & shoulder with my arms flexed in front of me - This position does not promote optimal chest expansion and may make breathing more difficult for COPD patients.
Question 2 of 5
Nurse collecting history & physical exam data from middle adult. Nurse should expect to find decreases in which physiologic functions?
Correct Answer: A, C, E
Rationale: The correct answer is A, C, and E. As people age, metabolism decreases due to changes in hormone levels and muscle mass. Gastric secretion also decreases, leading to slower digestion. Glomerular filtration rate decreases, affecting kidney function. The other choices are incorrect. The ability to hear low-pitched sounds typically declines with age, but this is not specific to middle adulthood. Far vision may decline with age, but it is not a consistent finding in middle adulthood.
Question 3 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: The correct choices for safe discharge during a mass casualty event are C and D. Client C, scheduled for TURP, does not require immediate medical intervention and can safely be discharged. Client D, 24h post-op after mastectomy, should be stable enough for discharge as long as there are no complications.
Client A, who is dehydrated and receiving IV fluids, requires ongoing treatment and monitoring, making discharge unsafe. Client B, with an NG tube for small bowel obstruction, also requires ongoing treatment and should not be discharged. Client E, scheduled for an appendectomy, is likely in need of urgent surgery and should not be discharged during a mass casualty event.
Question 4 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.
Question 5 of 5
Nurse reviewing car seat safety with parents of 1 mo infant. When reviewing this, which instructions should nurse include?
Correct Answer: B
Rationale:
Correct Answer: B. Position car seat so that infant is rear-facing.
Rationale: Rear-facing position is safest for infants as it provides better support for their head, neck, and spine in case of sudden stops or crashes. This position reduces the risk of injury and is recommended by safety experts. It is crucial for the nurse to emphasize this to ensure the infant's safety.
Summary of other choices:
A: Using a car seat with a 3-point harness may not be the best choice as it may not provide optimal protection for the infant.
C: Placing the car seat in the front passenger seat is not recommended as it can be dangerous due to airbag deployment in case of a crash.
D: Putting soft padding behind the infant's back and neck is not recommended as it can interfere with the proper fit and functionality of the car seat, potentially compromising the infant's safety.