ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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:
Correct Answer: C and D
Rationale:
C: A client scheduled for TURP (prostate resection) is stable and elective surgery can be safely postponed to accommodate more critical patients.
D: A client who is 24 hours post-op after mastectomy is likely stable and can be safely discharged with appropriate discharge instructions.
Incorrect
Choices:
A: Client who's dehydrated & receiving IV fluid/electrolytes may require ongoing treatment and monitoring, not safe for discharge.
B: Client with NG tube for small bowel obstruction requires close monitoring and intervention, not safe for discharge.
E: Client scheduled for appendectomy is likely in need of urgent surgery, not safe for discharge.
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 is caring for client with SARS. Nurse is aware that healthcare professionals are required to report communicable & infectious diseases. Which of these illustrate rationale for reporting?
Correct Answer: A,B,C,E
Rationale: The correct answers A, B, C, and E are essential in the context of reporting communicable and infectious diseases.
A: Reporting helps in planning and evaluating control and prevention strategies by providing data on disease spread.
B: It aids in determining public health priorities by identifying which diseases are prevalent and require immediate attention.
C: Reporting ensures proper medical treatment for affected individuals by enabling healthcare professionals to track and manage cases effectively.
E: It assists in monitoring for common-source outbreaks, which is crucial for early detection and prevention of further spread.
Therefore, these choices align with the purpose of reporting communicable diseases, while options D and F are incorrect as they are not directly related to the rationale for reporting in this scenario.
Question 4 of 5
Nurse providing discharge instructions to client with a prescription for oxygen use at home. What should the nurse teach about using oxygen safely? (Select all that apply)
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E.
B: Nail polish contains flammable substances, which can ignite in the presence of oxygen.
C: A 'No Smoking' sign is crucial to prevent any source of ignition near oxygen use.
E: Having a fire extinguisher readily available is important in case of any fire emergency related to oxygen use.
Incorrect choices:
A: Although it's important for family members who smoke to be away from the client, the distance of 10 ft may not be enough to ensure safety.
D: Replacing cotton bedding with wool is unnecessary for oxygen safety.
In summary, the correct answers emphasize avoiding sources of ignition, while the incorrect choices are not directly related to oxygen safety.
Question 5 of 5
Nurse reviewing CDC's immunizations recommendations with middle adult. Which should nurse include in this discussion? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct choices for the nurse to include in the discussion with the middle adult are Varicella, Herpes zoster, and Seasonal influenza. Varicella (chickenpox) and Herpes zoster (shingles) are important vaccinations to prevent these viral infections, especially in middle-aged adults who may be at higher risk. Seasonal influenza vaccination is also crucial for middle adults to protect against flu-related complications. Haemophilus influenzae type b is typically given to children under 5, so it is not relevant for this age group. HPV vaccination is recommended for younger individuals to prevent certain cancers.