ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse providing pre-op teaching for client scheduled for mastectomy next day. Which client statement indicates client is ready to learn?
Correct Answer: C
Rationale: The correct answer is C because the client's question about the duration of surgery shows readiness to learn about the procedure. This indicates they are seeking information to prepare themselves mentally and emotionally.
Choice A is focused on personal concerns, not learning.
Choice B is about post-op care, not readiness for pre-op teaching.
Choice D is unrelated to the situation.
Question 2 of 5
A Client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse providing pre-op care regarding informed consent? (Select all that apply.)
Correct Answer: A, B
Rationale:
Correct Answer: A, B
Rationale:
A: Making sure the surgeon obtained the client's consent is crucial to ensure the client is fully aware and has given permission for the procedure.
B: Witnessing the client's signature on the consent form verifies that the client voluntarily and knowingly consented to the surgery.
Summary:
C: Explaining risks/benefits and D: Describing consequences are important but typically the responsibility of the healthcare provider, not the nurse. E: Discussing alternatives is also typically done by the healthcare provider.
Question 3 of 5
Nurse is caring for newly admitted client with history of falls. Which is priority action by nurse?
Correct Answer: A
Rationale: The correct answer is A: Complete fall-risk assessment. This is the priority action because it allows the nurse to identify specific factors contributing to the client's fall risk. By conducting a thorough assessment, the nurse can develop a personalized care plan to prevent future falls. Educating the client and family (
B) and completing physical assessment (
C) are important but assessing fall risk takes precedence. Surveying client's belongings (
D) is not as urgent as identifying fall risk factors.
Question 4 of 5
Nurse has noticed several times in past week when another nurse on unit seemed drowsy & unable to focus. Today, she found nurse asleep in chair in break room when she was not on a break. Which of the following actions should nurse take?
Correct Answer: C
Rationale: The correct answer is C: Report observations to nurse manager on unit. This action is important because it addresses the safety concern of the drowsy nurse potentially compromising patient care. The nurse manager is in a position to intervene and ensure that appropriate measures are taken to address the issue and prevent any potential harm to patients.
Choice A is not the best option because simply reminding the drowsy nurse about safe client care may not address the underlying issue of their drowsiness and inability to focus.
Choice B is not as effective as reporting to the nurse manager, as it may delay the necessary intervention and resolution of the situation.
Choice D is incorrect because it dismisses the seriousness of the situation and the responsibility of the nurse to ensure patient safety.
In summary, reporting the observations to the nurse manager is the most appropriate action to take in this situation to prioritize patient safety and address the concerning behavior of the drowsy nurse effectively.
Question 5 of 5
Nurse on peds unit is caring for adolescent with multiple fractures. Which interventions are appropriate for client?
Correct Answer: B, E
Rationale: The correct answer is B and E. Providing a TV and DVDs for the adolescent to watch can help distract him from the pain and boredom, promoting psychological well-being. Allowing him to perform his own morning care promotes independence and self-esteem.
Choice A is incorrect as rooming in with parents may not be suitable for an adolescent seeking independence.
Choice C is incorrect as limiting visitors can lead to social isolation.
Choice D is incorrect as rigidity in routines may not cater to the adolescent's individual needs.