ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 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 2 of 5
As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for a client with dementia. Which component is the priority to determine from their family?
Correct Answer: D
Rationale: The correct answer is D: Any difficulty swallowing. This is the priority component to determine because individuals with dementia are at higher risk of dysphagia, which can lead to aspiration pneumonia. Identifying any swallowing difficulties early on can help prevent complications and ensure appropriate dietary modifications are made.
A: BMI is important, but not the priority as immediate concerns related to swallowing should be addressed first.
B: Usual times for meals/snacks are important for establishing a routine, but not as critical as identifying swallowing issues.
C: Favorite foods are relevant for providing patient-centered care, but not as urgent as assessing swallowing function.
Question 3 of 5
Nurse is caring for a client with SARS. The nurse is aware that healthcare professionals are required to report communicable & infectious diseases. Which of these illustrate the rationale for reporting? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. Reporting communicable diseases helps in planning and evaluating control and prevention strategies by providing data to understand the spread and implement measures. It aids in determining public health priorities by identifying trends and areas needing intervention. Reporting ensures proper medical treatment for affected individuals and helps in monitoring common-source outbreaks to prevent further transmission.
Choices D, F, and G are incorrect as they do not directly relate to the rationale for reporting communicable and infectious diseases.
Question 4 of 5
Nurse is receiving provider prescription by phone for morphine for client who is reporting moderate to severe pain. Which of the following actions are appropriate? (Select all that apply.)
Correct Answer: A, B, C
Rationale: The correct actions are A, B, and C.
A: Repeating details of the prescription back to the provider ensures accuracy and reduces errors.
B: Having another nurse listen to the phone prescription provides a second verification to prevent mistakes.
C: Obtaining the prescriber's signature on the prescription within 24 hours is necessary for documentation and legal purposes.
Incorrect choices:
D: Declining the verbal prescription is inappropriate as it is essential for managing the client's pain promptly.
E: Informing the charge nurse about the prescription is not necessary as the immediate focus should be on accurately receiving and documenting the prescription.
Question 5 of 5
A home health nurse is discussing dangers of carbon monoxide poisoning with client. Which of following info should nurse include in her counseling?
Correct Answer: D
Rationale: The correct answer is D: Carbon monoxide binds with Hgb in the body. This is crucial information to include in counseling as carbon monoxide binds with hemoglobin in the blood, reducing the blood's ability to carry oxygen. This can lead to tissue hypoxia and potentially fatal consequences.
Choice A is incorrect because carbon monoxide is odorless.
Choice B is not directly related to carbon monoxide poisoning prevention.
Choice C is not the primary mechanism of harm from carbon monoxide poisoning.