ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse is counseling older adult who describes having difficulty with several issues. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: D
Rationale: The correct answer is D. The priority issue for assessment & intervention is the older adult struggling with helping out in the community. This indicates a potential loss of purpose and meaning in life, which can negatively impact mental health. It may also suggest decreased social engagement, which is crucial for overall well-being in older adults. This issue requires immediate attention to prevent further decline in mental health and overall quality of life.
A: While feeling regret about retirement is important, it does not pose an immediate risk to the individual's well-being.
B: Depending on family for help is common in older age but does not indicate an urgent need for intervention.
C: Grieving the loss of friends is significant, but it may not be the priority issue for immediate intervention.
E, F, G:
Choices are not provided, but they would likely be incorrect as they are not the priority issue for assessment & intervention.
Question 2 of 5
A nursing instructor is reviewing documentation with students. Which of the following legal guidelines should they follow when documenting in a client record?
Correct Answer: B,C
Rationale:
Correct Answer: B,C
Rationale:
B: Putting date & time on all entries is crucial for maintaining a clear timeline of events, aiding in continuity of care, and ensuring accuracy.
C: Documenting objective data is essential for providing a factual, unbiased account of the client's condition, treatment, and response.
Summary:
A: Covering errors with correction fluid can be seen as tampering with the record, leading to legal and ethical issues.
D: Leaving out opinions is important, but not the sole legal guideline for documentation.
E: Using too many abbreviations can lead to misinterpretation and errors in communication.
Question 3 of 5
Nurse has prepared sterile field for assisting provider with chest tube insertion. Which should nurse recognize as contaminating sterile field?
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Moistening a cotton ball with sterile normal saline and placing it on the sterile field introduces moisture from a non-sterile source, contaminating the field.
C: Delaying the procedure for 1 hour can lead to airborne contaminants settling on the sterile field, compromising its sterility.
D: Turning to speak to someone who enters behind the nurse can result in the nurse inadvertently breaching the sterile field by turning away from it.
Summary of Incorrect
Choices:
A: Although dropping a sterile instrument near the sterile field is not ideal, it does not directly contaminate the sterile field.
E: A client's hand brushing against the outer edge of the sterile field is a potential contamination, but not the most significant in this scenario.
Question 4 of 5
Nurse wearing sterile gloves in prep for performing sterile procedure. Which of following objects may nurse touch without breaching sterile technique?
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E. A nurse wearing sterile gloves can touch the inner wrapping of an item on the sterile field because the outer surface of the wrapper is considered sterile. This allows the nurse to access the item without contaminating it. The nurse can also touch the irrigation syringe on the sterile field as it is part of the sterile field and has already been deemed sterile. Lastly, the nurse can touch one gloved hand with the other gloved hand as both hands are considered sterile since they are covered by the sterile gloves.
Choices A and B are incorrect because touching the bottle containing sterile solution or the edge of the sterile drape at the base of the field would breach sterile technique by potentially transferring contaminants.
Question 5 of 5
Charge nurse is designating room assignments for clients. Based on her knowledge of fall prevention, which client should be assigned to room closest to the nursing station?
Correct Answer: D
Rationale: The correct answer is D - 79-year-old client post-op following below-the-knee amputation. This client should be assigned to the room closest to the nursing station for fall prevention due to the increased risk of falls associated with post-amputation status. Patients who have undergone amputations may experience balance issues, weakness, and difficulty with mobility, increasing their risk of falls. Placing this client closer to the nursing station allows for closer monitoring and quicker response in case of any potential fall risks or incidents.
Choice A is incorrect because a 43-year-old client post-op following laparoscopic cholecystectomy typically does not have the same level of fall risk as a post-amputation patient.
Choice B is incorrect as a 61-year-old client being admitted for telemetry to rule out MI does not necessarily have an increased fall risk compared to a post-amputation patient.
Choice C is incorrect as a 50-year-old client post-op following open reduction internal fixation of an ankle may have