ATI Fundamentals Proctored Exam Study Guide 3 -Nurselytic

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ATI Fundamentals Proctored Exam Study Guide 3 Questions

Extract:


Question 1 of 5

Nurse wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects may the nurse touch without breaching sterile technique? (Select all that apply.)

Correct Answer: C,D,E

Rationale: The nurse can touch the inner wrapping of an item on the sterile field because it is considered part of the sterile field. This is acceptable because the wrapping is sterile and does not compromise the sterile technique. The nurse can also touch the irrigation syringe on the sterile field as it is considered a sterile instrument within the field. Lastly, the nurse can touch one gloved hand with the other gloved hand because both hands are considered sterile if the gloves were put on properly. The other choices are incorrect because touching the bottle containing sterile solution can contaminate it, touching the edge of sterile drape at the base of the field can introduce microorganisms onto the field, and touching anything outside the sterile field can breach sterile technique.

Question 2 of 5

Nurse is admitting older adult who lost 4.5 kg since last admission 6 months ago. Which questions should nurse ask to investigate source of weight loss?

Correct Answer: A, C, D, E

Rationale:
Correct Answer: A, C, D, E


Rationale:
A: "Do you eat alone or with someone?" - Helps assess social support and potential issues with mealtime companions.
C: "Have you started any new meds in past 6 months?" - Investigates medication side effects that may lead to weight loss.
D: "What foods have you eaten in past 24 hours?" - Provides insight into dietary habits and possible nutritional deficiencies.
E: "Are you on a fixed income?" - Explores financial constraints impacting food choices and access to nutritious meals.

Summary:
B: Do you watch TV while eating your meals? - Not directly related to investigating weight loss in this scenario.
F: - No information provided.
G: - No information provided.

Question 3 of 5

Nurse manager of med-surg unit is assigning care responsibilities for oncoming shift. Client is awaiting transfer back to unit from PACU following thoracic surgery. To which staff member should nurse assign to this client?

Correct Answer: B

Rationale: The correct answer is B: RN. A registered nurse (RN) is the most suitable staff member to care for a client awaiting transfer from PACU after thoracic surgery due to their advanced training and skills in managing complex post-surgical care. RNs are trained to assess, monitor, and provide specialized care to patients with critical needs, such as those recovering from surgery. The charge nurse (choice
A) may have administrative duties and may not be available to provide direct patient care. LPNs (choice
C) have a more limited scope of practice compared to RNs and may not have the necessary skills to care for a post-thoracic surgery patient. Assistive personnel (AP) (choice
D) are not qualified to provide the level of care and monitoring required for a patient in this condition.

Question 4 of 5

Nurse planning diversionary activities for children on an inpatient unit. Which should nurse incorporate as appropriate play activities for toddler? (Select all that apply.)

Correct Answer: C,D,E

Rationale:
Rationale:
C: Filling & emptying containers is appropriate for toddlers as it helps with sensory exploration and fine motor skills.
D: Playing with blocks promotes creativity, problem-solving, and hand-eye coordination.
E: Looking at books encourages language development and cognitive skills.
Incorrect

Choices:
A: Building simple models may be too advanced for toddlers.
B: Working with clay may pose a choking hazard.
Summary: The correct activities cater to toddlers' developmental needs, while the incorrect choices either lack age-appropriateness or pose safety concerns.

Question 5 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.

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