ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nursing instructor is reviewing which actions nurses can initiate w/o provider's prescription. Students should identify which of following as nurse-initiated? (Select all that apply.)
Correct Answer: C, D, E
Rationale:
Correct Answer: C, D, E
Rationale:
- C: Nurses can educate clients on various techniques for relaxation like progressive muscle relaxation without a provider's prescription to promote self-care and stress management.
- D: Performing daily bath after an evening meal is a routine nursing intervention that promotes hygiene and comfort, which can be initiated by a nurse without a prescription.
- E: Re-positioning a client every 2 hours to reduce pressure ulcer risk is a standard nursing practice aimed at preventing complications, and nurses can initiate this intervention without needing a provider's order.
Summary:
- A: Administering morphine sulfate IV and inserting NG tubes are invasive procedures that require a provider's prescription.
- B: Inserting an NG tube is an invasive procedure that necessitates a provider's order.
- F & G: No information provided.
Question 2 of 5
Nurse has prepared a sterile field for assisting a provider with chest tube insertion. Which should the nurse recognize as contaminating the sterile field? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Moistening a cotton ball with sterile NS and placing it on the sterile field introduces moisture and potentially non-sterile elements, contaminating the field.
C: Any delay increases the risk of contamination as the sterile field may no longer be maintained sterile for the intended procedure.
D: Turning away from the sterile field to speak to someone allows for potential contaminants to enter the sterile area.
Incorrect
Choices:
A: While dropping a sterile instrument near the field is not ideal, it may not necessarily contaminate the field.
E: The client's hand brushing against the outer edge of the sterile field is a concern, but it is not a direct cause of contamination in the field.
Question 3 of 5
Nurse contributing to a care plan for a client being admitted to a facility with suspected pertussis. Which should the nurse include in the care plan? (Select all that apply.)
Correct Answer: B,C,E
Rationale:
Correct Answer: B, C, E
Rationale:
1. (
B) Wearing a mask within 3 ft of the client helps prevent the spread of pertussis through respiratory droplets.
2. (
C) Placing a mask on the client during unavoidable transportation reduces the risk of spreading the infection.
3. (E) Wearing a gown during care involving secretions minimizes the nurse's exposure to contaminated fluids, reducing transmission risk.
Incorrect
Choices:
A: Negative air pressure is not necessary for pertussis; it is more applicable for airborne diseases like TB.
D: Sterile gloves are not required for pertussis; standard precautions suffice.
F, G: No additional information provided, so these choices are irrelevant.
Question 4 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.
Question 5 of 5
Nurse collecting data to evaluate middle adult's psychosocial development. Nurse should expect middle adults to demonstrate which capabilities?
Correct Answer: C, E
Rationale: The correct answers are C and E. Middle adults are typically in the generativity vs. stagnation stage according to Erikson's psychosocial theory.
Choice C is correct because middle adults are expected to welcome opportunities to be creative and productive, contributing to society and leaving a legacy. This reflects generativity.
Choice E is also correct as middle adults are likely to become involved in community issues and activities, showing a concern for the welfare of society.
Choices A and B are incorrect as middle adults are not expected to accept diminished strength or feel frustrated about time limitations.
Choice D is incorrect because while finding friendship and companionship is important, it does not solely capture the essence of middle adulthood psychosocial capabilities.