ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse talking with parents of 6 mo infant about gross motor development. Which gross motor skills are expected in next 3 mo? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. At 6 months, typical gross motor development includes rolling from back to front (
A), bearing weight on legs (
B), and sitting unsupported (
D). Rolling helps strengthen core muscles and coordination. Bearing weight on legs is a precursor to standing and walking. Sitting unsupported demonstrates good head and trunk control.
Choices C and E are not typically expected by 9 months. Walking holding onto furniture (
C) usually occurs around 9-12 months, and sitting down from a standing position (E) is a more complex skill that emerges later.
Question 2 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 3 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 4 of 5
During evaluation, nurse must gather info about the client to...
Correct Answer: A
Rationale: The correct answer is A because during evaluation, nurses must gather information about the client to identify whether client outcomes have been met. This step helps assess the effectiveness of interventions and the progress towards achieving the desired goals. Gathering this information allows nurses to make informed decisions about the next steps in the client's care.
Choice B is incorrect because organizing resources to implement interventions is part of the planning phase, not evaluation.
Choice C is incorrect as establishing client-centered outcomes is part of the planning phase as well.
Choice D is incorrect because determining the priority of care and appropriate interventions is part of the assessment phase, not evaluation.
Question 5 of 5
Nurse is reviewing hand hygiene techniques with a group of APs. Which instructions should the nurse include when discussing handwashing? (Select all that apply.)
Correct Answer: B,D
Rationale:
Correct Answer: B,D
Rationale:
B: Washing hands with soap & water for at least 15 seconds is essential to effectively remove dirt, germs, and contaminants.
D: Using a clean paper towel to turn off hand faucets after washing prevents re-contamination of hands.
Summary:
A: Applying 3-5 mL of liquid soap is not specified and may lead to excessive or insufficient soap usage.
C: Rinsing with hot water is unnecessary and may cause skin irritation.
E: Allowing hands to air dry is acceptable but not a critical instruction for handwashing.