ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse preparing instructional session about managing stress incontinence for older adult. Which actions should nurse take first when meeting with client?
Correct Answer: D
Rationale: The correct answer is D: Determine what client knows about stress incontinence. This is the first step because it allows the nurse to assess the client's current knowledge and understanding of the condition. By knowing the client's baseline knowledge, the nurse can tailor the instructional session accordingly, ensuring that the information provided is at an appropriate level for the client's understanding. This also helps establish a foundation for further education and discussion.
Option A (Encourage client to participate actively in learning) is important but should come after assessing the client's knowledge. Option B (Select instructional materials appropriate for older adults) and Option C (Identify goals nurse & client can agree are reasonable) are also important but should follow the initial assessment of the client's knowledge.
Question 2 of 5
Nurse performing an admission assessment for older adult client. After gathering assessment data & performing review of systems
Correct Answer: A
Rationale: The correct answer is A: which of the following actions is a priority for nursing? In this scenario, the priority is to identify any urgent or critical issues that require immediate attention to ensure the safety and well-being of the older adult client. By prioritizing actions based on assessment data, the nurse can address any immediate needs or concerns promptly. Orienting the client to the room (
B), conducting a client care conference (
C), reviewing medical orders (
D), and developing a plan of care (E) are important tasks but are not as urgent as addressing any critical issues identified during the assessment. Prioritizing the actions ensures that the client's immediate needs are met first before proceeding with other tasks.
Question 3 of 5
Nurse evaluating how well client learned the info presented in teaching about heart-healthy diet. Client states she understands what to do now. Which actions by nurse should assist evaluation of client's learning?
Correct Answer: B
Rationale: The correct answer is B: Ask client to explain how to select or prepare meals. This action allows the nurse to assess the client's understanding and application of the heart-healthy diet information. By explaining the process of selecting and preparing meals, the client demonstrates practical knowledge and comprehension. Encouraging questions (choice
A) may gauge curiosity but not necessarily understanding. Filling out an evaluation form (choice
C) assesses completion but not comprehension. Inquiring about further resources (choice
D) tests awareness but not application.
Question 4 of 5
A nurse is preparing to reposition a patient. Which task can the nurse delegate to the nursing assistive personnel?
Correct Answer: B
Rationale: The correct answer is B: Changing the patient's position. This task can be delegated to nursing assistive personnel as it involves physically moving the patient, which does not require advanced nursing knowledge or assessment skills. Nursing assistive personnel are trained to assist with activities of daily living, including repositioning patients safely.
Choices A, C, and D involve assessments and critical thinking skills that should be performed by a licensed nurse. Identifying immobility hazards (
C) and assessing circulation (
D) require higher-level nursing judgment and expertise.
Therefore, delegating these tasks to nursing assistive personnel may compromise patient safety and appropriate care.
Question 5 of 5
Nurse wearing sterile gloves in prep for performing sterile procedure. Which of following objects may nurse touch without breaching sterile technique?
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E. A nurse wearing sterile gloves can touch the inner wrapping of an item on the sterile field because the outer surface of the wrapper is considered sterile. This allows the nurse to access the item without contaminating it. The nurse can also touch the irrigation syringe on the sterile field as it is part of the sterile field and has already been deemed sterile. Lastly, the nurse can touch one gloved hand with the other gloved hand as both hands are considered sterile since they are covered by the sterile gloves.
Choices A and B are incorrect because touching the bottle containing sterile solution or the edge of the sterile drape at the base of the field would breach sterile technique by potentially transferring contaminants.