ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse performing an admission assessment for an older adult client. After gathering assessment data & performing a review of systems, which of the following actions is the priority for nursing?
Correct Answer: A
Rationale: The correct answer is A: Orient client to his room. This is the priority as it ensures the client's safety and comfort upon admission. Orienting the client to the room helps reduce confusion and anxiety, promoting a positive experience. Conducting a client care conference (
B) and reviewing medical orders (
C) can wait until after the client is settled. Developing a plan of care (
D) is important but should come after the client is oriented to the environment.
Question 2 of 5
Nurse caring for client who has new prescription. Prior to admin, nurse uses electronic database to gather info about med & effects it might have on this client. Which following component of critical thinking is nurse using when he reviews med info?
Correct Answer: A
Rationale: The correct answer is A: knowledge. In this scenario, the nurse is utilizing knowledge by accessing the electronic database to gather information about the medication and its potential effects on the client. Knowledge involves understanding facts, information, and principles related to the situation at hand. By reviewing the medication information, the nurse can make informed decisions based on evidence and data.
Summary:
B: Experience is not the correct choice in this context as the nurse is utilizing factual information rather than personal past experiences.
C: Intuition is not relevant here as the nurse is relying on concrete data from the electronic database rather than gut feelings.
D: Competence, while important, is not the primary component being demonstrated in this situation. It is more about the nurse's knowledge of the medication.
Question 3 of 5
Nurse receives prescription for antibiotic for client with cellulitis. Nurse checks client's med record, discovers she's allergic to it, & calls provider to request different one. Which of following attitudes did the nurse demonstrate?
Correct Answer: B
Rationale: The correct answer is B: responsibility. The nurse demonstrated responsibility by checking the client's medication record, recognizing the allergy, and taking action to ensure the client's safety by requesting a different antibiotic. This shows accountability and commitment to the client's well-being.
Choice A: Fairness is not applicable in this situation as it does not relate to the nurse's actions towards the client's allergy.
Choice C: Risk-taking is not demonstrated here as the nurse's actions were based on patient safety and following proper procedures.
Choice D: Creativity is not relevant in this scenario as the nurse's actions were guided by established protocols and patient safety concerns.
Overall, the nurse's responsible actions in ensuring the client's safety by addressing the allergy to the prescribed antibiotic make choice B the correct answer.
Question 4 of 5
Nurse caring for 5 yo whose parents report she fears painful procedures, like shots. Which strategies should nurse use to try to help ease child's fear? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct strategies are A, D, and E. A: Involving the child in non-threatening activities like mealtime can build trust. D: Bringing in a favorite toy from home provides comfort and distraction. E: Engaging in pretend play with a medical kit allows the child to explore and understand medical procedures in a safe environment. These strategies empower the child, provide comfort, and help them understand and cope with their fears. Other choices are incorrect: B: Clustering invasive procedures may increase anxiety. C: Assigning familiar caregivers may help, but not directly address the fear.
Question 5 of 5
A nurse on med-surg unit has received change-of-shift report & will care for 4 clients. Which of following client's needs may nurse assign to AP?
Correct Answer: C
Rationale: The correct answer is C. The nurse can assign reapplying a condom catheter for a client with urinary incontinence to an assistive personnel (AP). This task is within the scope of practice for an AP as it does not require specialized nursing knowledge or assessment skills. It is a routine task that can be safely delegated. The other options require nursing assessment, critical thinking, or specialized skills, making them inappropriate for delegation to an AP. For example, feeding a client with aspiration pneumonia requires monitoring for signs of aspiration; reinforcing teaching for walking with a quad cane requires assessing the client's gait and balance; applying a sterile dressing to a pressure ulcer requires knowledge of wound care principles. Assigning these tasks to an AP could compromise client safety and outcomes.