ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nursing instructor is reviewing steps of nursing process with group of students. Students should identify which of following data as objective? (Select all that apply.)
Correct Answer: A, D, E, F
Rationale: The correct answers are A, D, E, and F because they all represent objective data in the nursing process. Objective data are observable and measurable information that can be verified by multiple people.
A: Respiratory rate of 22/min with even, unlabored respirations is measurable and observable.
D: Skin pink, warm, dry - skin condition can be visually assessed and documented.
E: Urine output 300 mL/8 hr is quantifiable and measurable.
F: Dressing clean, dry, intact - the condition of the dressing is observable.
The incorrect choices are B and C because they represent subjective data, which are based on the patient's feelings or experiences and cannot be objectively measured or observed by others.
Question 2 of 5
Nurse caring for client just admitted after falling. This client is oriented 3x & can follow directions. Which action(s) by nurse are appropriate to decrease risk of fall? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Correct Answer: C, D, E
Rationale:
C: Ensuring the client's call light is within reach allows the client to easily call for assistance when needed, reducing the risk of falls.
D: Providing the client with nonskid footwear improves traction and stability, decreasing the risk of slipping and falling.
E: Completing a fall-risk assessment helps identify specific factors that increase the client's risk of falling, enabling tailored interventions to prevent falls.
Incorrect choices:
A: Placing a belt restraint on the client when sitting on the bedside commode is not appropriate as it restricts the client's movement and could lead to further complications.
B: Keeping the bed in a low position with full side rails up may restrict the client's mobility and independence, increasing the risk of falls. Full side rails can also pose entrapment hazards.
Question 3 of 5
Nurse educator is discussing facility protocol for tornados with staff. Which should nurse include in instructions? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. B: Placing blankets over clients in beds ensures they are protected from debris. C: Moving beds away from windows reduces the risk of glass injuries. D: Drawing shades and closing drapes can prevent glass from shattering and causing harm. A: Opening doors to client rooms can increase the risk of debris entering rooms. E: Relocating ambulatory clients back to rooms may expose them to more danger in confined spaces during a tornado.
Question 4 of 5
Nurse reviewing CDC's immunization recommendations with parents of 2 preschoolers. Which recommendations should nurse include in this discussion? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct answers are B (Varicella), C (Polio), and E (Seasonal influenza). Varicella and Seasonal influenza are important vaccinations for preschoolers as they protect against highly contagious diseases. Polio vaccination is crucial to prevent the spread of poliovirus. Haemophilus influenzae type b is typically administered in infancy, not preschool years. Hepatitis A is not a routine vaccination for preschoolers.
Question 5 of 5
Nurse collecting history & physical exam data from middle adult. Nurse should expect to find decreases in which physiologic functions?
Correct Answer: A, C, E
Rationale: The correct answer is A, C, and E. As people age, metabolism decreases due to changes in hormone levels and muscle mass. Gastric secretion also decreases, leading to slower digestion. Glomerular filtration rate decreases, affecting kidney function. The other choices are incorrect. The ability to hear low-pitched sounds typically declines with age, but this is not specific to middle adulthood. Far vision may decline with age, but it is not a consistent finding in middle adulthood.