ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse manager is reviewing care of client with seizures with nurses on unit. Which statement by a nurse requires more instruction?
Correct Answer: B
Rationale: The correct answer is B: "I will go to the nurses' station for assistance." This statement indicates the nurse is leaving the client alone during a seizure, which is unsafe. The nurse should stay with the client, ensure a safe environment, and provide immediate assistance. Going to the nurses' station delays prompt intervention. Placing the client on the side (
A) is correct for airway protection. Administering meds as prescribed (
C) is appropriate for seizure management. Being prepared to insert an airway (
D) is also important in case of prolonged seizures.
Question 2 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.
Question 3 of 5
A nurse is preparing a care plan for a patient who is immobile. Which psychosocial aspect will the nurse consider?
Correct Answer: D
Rationale: The correct answer is D: Loss of hope. When a patient is immobile, they may experience feelings of hopelessness, helplessness, and depression. Addressing the patient's psychosocial needs, such as providing emotional support and encouragement, is crucial in their care plan. Loss of bone mass (
A), loss of strength (
B), and loss of weight (
C) are important physiological considerations in immobility but do not directly address the patient's emotional well-being. Hence, they are incorrect choices in this context.
Question 4 of 5
Nurse uses head-to-toe approach to conduct physical assessment of a client who will undergo surgery in 1 week. Which of following attitudes did nurse demonstrate?
Correct Answer: D
Rationale: The correct answer is D: Discipline. By using a head-to-toe approach for physical assessment, the nurse demonstrates discipline in following a systematic and thorough process. This approach ensures no areas are missed and all necessary information is gathered. Confidence (
A), perseverance (
B), and integrity (
C) are important traits but not directly related to the specific method of assessment used. Confidence is about self-assurance, perseverance is about determination, and integrity is about honesty and ethics. In this scenario, discipline is key for a structured and comprehensive assessment process.
Question 5 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.