ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 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: The correct choices for safe discharge during a mass casualty event are C and D. Client C, scheduled for TURP, does not require immediate medical intervention and can safely be discharged. Client D, 24h post-op after mastectomy, should be stable enough for discharge as long as there are no complications.
Client A, who is dehydrated and receiving IV fluids, requires ongoing treatment and monitoring, making discharge unsafe. Client B, with an NG tube for small bowel obstruction, also requires ongoing treatment and should not be discharged. Client E, scheduled for an appendectomy, is likely in need of urgent surgery and should not be discharged during a mass casualty event.
Question 2 of 5
Nurse observes smoke coming from under door of staff lounge. Which is priority action by the nurse?
Correct Answer: C
Rationale: The priority action by the nurse in this scenario is to evacuate the clients (choice
C). This is because ensuring the safety of the clients is the top priority in any emergency situation. Evacuating the clients will remove them from potential harm and allow them to be in a safe environment. Pulling the fire alarm (choice
B) is important but should come after ensuring the clients' safety. Extinguishing the fire (choice
A) may put the nurse at risk and should be left to the fire department. Closing all open doors on the unit (choice
D) may help contain the fire but is not as critical as evacuating the clients.
Question 3 of 5
Nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. The presentation of linear clusters of fluid-containing vesicles with crusting is characteristic of herpes zoster, also known as shingles. This condition is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution of the vesicles along a dermatome is a key distinguishing feature of herpes zoster. Allergic reactions typically present with generalized rash and itching, not linear clusters of vesicles. Ringworm is a fungal infection that presents with circular, scaly lesions, not linear vesicles. Systemic lupus erythematosus is an autoimmune disease that can present with a variety of symptoms, but linear clusters of vesicles are not characteristic of this condition.
Question 4 of 5
Nurse contributing to a care plan for a client being admitted to a facility with suspected pertussis. Which should the nurse include in the care plan? (Select all that apply.)
Correct Answer: B,C,E
Rationale:
Correct Answer: B, C, E
Rationale:
1. (
B) Wearing a mask within 3 ft of the client helps prevent the spread of pertussis through respiratory droplets.
2. (
C) Placing a mask on the client during unavoidable transportation reduces the risk of spreading the infection.
3. (E) Wearing a gown during care involving secretions minimizes the nurse's exposure to contaminated fluids, reducing transmission risk.
Incorrect
Choices:
A: Negative air pressure is not necessary for pertussis; it is more applicable for airborne diseases like TB.
D: Sterile gloves are not required for pertussis; standard precautions suffice.
F, G: No additional information provided, so these choices are irrelevant.
Question 5 of 5
Nurse collecting data to evaluate middle adult's psychosocial development. Nurse should expect middle adults to demonstrate which capabilities?
Correct Answer: C, E
Rationale: The correct answers are C and E. Middle adults are typically in the generativity vs. stagnation stage according to Erikson's psychosocial theory.
Choice C is correct because middle adults are expected to welcome opportunities to be creative and productive, contributing to society and leaving a legacy. This reflects generativity.
Choice E is also correct as middle adults are likely to become involved in community issues and activities, showing a concern for the welfare of society.
Choices A and B are incorrect as middle adults are not expected to accept diminished strength or feel frustrated about time limitations.
Choice D is incorrect because while finding friendship and companionship is important, it does not solely capture the essence of middle adulthood psychosocial capabilities.