ATI Fundamentals Proctored Exam Study Guide 3 -Nurselytic

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ATI Fundamentals Proctored Exam Study Guide 3 Questions

Extract:


Question 1 of 5

Nurse manager is reviewing guidelines to prevent injury with staff nurses. Which of the following should nurse manager include in teaching? (Select all that apply.)

Correct Answer: A,B,D

Rationale: The correct answers are A, B, and D. These guidelines are crucial for preventing injury among staff nurses.
A) Requesting assistance when repositioning a client reduces the risk of musculoskeletal injuries.
B) Avoiding twisting the spine or bending at the waist helps maintain proper body mechanics and prevents back injuries.
D) Using smooth movements when lifting and moving clients minimizes strain on muscles and reduces the likelihood of injury.


Choice C is incorrect because keeping knees slightly lower than hips when sitting for long periods does not directly relate to preventing injury with client care activities.
Choice E is incorrect as taking breaks from repetitive movements to flex and stretch joints is important for general health but not directly related to preventing injury with client care activities.

Question 2 of 5

Nurse providing discharge instructions to client with prescription for oxygen use in home. Which should nurse teach about using oxygen safely in his home? (Select all that apply.)

Correct Answer: B,C,E

Rationale: Correct answer: B, C, E


Rationale:
B: Nail polish contains flammable substances that can ignite in the presence of oxygen. Hence, it should not be used near a client receiving oxygen to prevent fire hazards.
C: Placing a 'No Smoking' sign on the front door helps reinforce the importance of avoiding smoking near the client using oxygen, reducing the risk of fire accidents.
E: Having a fire extinguisher readily available in the home is crucial for immediate response in case of a fire emergency related to oxygen use, ensuring the safety of the client and the household.

Summary:
A: While it is important for family members who smoke to maintain a safe distance from the client, the specific distance requirement of 10 ft is not universally recognized for oxygen safety.
D: Replacing cotton bedding/clothing with wool items is unrelated to oxygen safety and does not mitigate fire risks associated with oxygen use.

Question 3 of 5

Nurse is reviewing hand hygiene techniques with a group of APs. Which instructions should the nurse include when discussing handwashing? (Select all that apply.)

Correct Answer: B,D

Rationale:
Correct Answer: B,D


Rationale:
B: Washing hands with soap & water for at least 15 seconds is essential to effectively remove dirt, germs, and contaminants.
D: Using a clean paper towel to turn off hand faucets after washing prevents re-contamination of hands.

Summary:
A: Applying 3-5 mL of liquid soap is not specified and may lead to excessive or insufficient soap usage.
C: Rinsing with hot water is unnecessary and may cause skin irritation.
E: Allowing hands to air dry is acceptable but not a critical instruction for handwashing.

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. In this scenario, the nurse using a head-to-toe approach demonstrates discipline by following a systematic method to ensure no area is overlooked. This approach helps in gathering comprehensive data for the surgery. Confidence (
A) is important but not directly related to the method used. Perseverance (
B) and integrity (
C) are valuable traits but not specifically demonstrated in this context.

Question 5 of 5

Nurse educator is reviewing with a newly hired nurse the difference in clinical manifestations of localized vs. systemic infection. The nurse indicates understanding when she states that which are manifestations of systemic infection? (Select all that apply.)

Correct Answer: A,B,E

Rationale: The correct answers are A, B, and E. Fever is a common manifestation of systemic infection due to the body's response to infection. Malaise, a general feeling of discomfort or unease, is a typical symptom seen in systemic infections. An increase in pulse and respiratory rate is a sign of the body's attempt to fight off infection and maintain homeostasis. Edema, pain/tenderness are more indicative of localized infections rather than systemic ones. In summary, A, B, and E are related to the body's overall response to infection, while C and D are more specific to localized infections.

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