ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse is reviewing hand hygiene techniques with group of AP, which instructions should nurse include when discussing handwashing?
Correct Answer: B,D
Rationale: The correct answer is B and D. Washing hands with soap and water for at least 15 seconds is crucial to effectively remove germs. Using a clean paper towel to turn off hand faucets prevents recontamination.
Choice A is incorrect as applying 3-5 mL of liquid soap to dry hands may not effectively clean hands.
Choice C is incorrect as hot water can be too harsh on the skin.
Choice E is incorrect as air drying can lead to recontamination.
Question 2 of 5
A nurse caring for a client with a new prescription checks the electronic database for medication information. Which component of critical thinking is the nurse using?
Correct Answer: A
Rationale: The correct answer is A: Knowledge. The nurse is using the component of critical thinking related to knowledge by accessing the electronic database to gather information about the new prescription. This demonstrates the nurse's ability to seek and utilize relevant information to make informed decisions. Knowledge is essential in critical thinking as it allows the nurse to interpret data, analyze situations, and apply evidence-based practices.
Other choices are incorrect because:
B: Experience - While experience is valuable, in this scenario, the nurse is specifically relying on information from the database rather than personal experience.
C: Intuition - Intuition involves a gut feeling or instinct, which is not demonstrated by looking up information in the database.
D: Competence - Competence refers to the nurse's overall ability and skills, but in this case, the focus is on accessing medication information rather than general competency.
Question 3 of 5
Nurse contributing to care plan for client being admitted to facility with suspected dx of pertussis. Which should nurse include in care plan?
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E. B is correct because wearing a mask within 3 ft of the client helps prevent the spread of pertussis via respiratory droplets. C is important to prevent transmission during transportation. E is necessary to protect the nurse from contamination during care involving secretions. A is incorrect because negative air pressure is not necessary for pertussis. D is incorrect as sterile gloves are not needed, regular gloves are sufficient. Overall, B, C, and E are crucial for preventing the spread of pertussis and ensuring the safety of both the client and the healthcare provider.
Question 4 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.
Question 5 of 5
A nursing instructor is reviewing actions nurses can initiate without a provider's prescription. Which of the following are nurse-initiated?
Correct Answer: C,D,E
Rationale: The correct answers are C (Show client how to use progressive muscle relaxation), D (Perform daily bath after evening meal), and E (Re-position client every 2h to reduce pressure ulcer risk). These actions can be initiated by nurses without a provider's prescription as they fall within the scope of nursing practice.
Choice A involves administering medication, which typically requires a provider's prescription.
Choice B, inserting an NG tube, is an invasive procedure that requires a provider's order.
Choices C, D, and E are within the nurse's scope of practice to promote patient education, provide hygiene care, and implement preventive measures. Nurses can independently teach relaxation techniques, perform routine hygiene tasks, and re-position patients to prevent pressure ulcers. Thus, these choices are appropriate for nurse-initiated actions.