ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? Select all that apply
Correct Answer: B, C, E, F
Rationale: The correct answer includes documenting when the patient was placed in restraints (
B) to ensure accurate monitoring and compliance with regulations, noting the presence of bilateral radial pulses (
C) to assess circulation, recording unsuccessful attempts to distract the patient (E) to document interventions tried, and documenting when the patient was released from restraints and range-of-motion exercises completed (F) for continuity of care.
Choices A and D are not essential information related to the patient's care in restraints, as the family member going to lunch does not impact the patient's immediate care and the presence of straps with quick-release buckles is standard equipment.
Question 2 of 5
Occupational health nurse is caring for employee with chemical burn from unknown chemical. Which intervention should nurse include in care plan?
Correct Answer: C
Rationale: The correct answer is C: Brush chemical off skin & clothing. This intervention is crucial as it helps to remove the source of the chemical burn, preventing further damage. Irrigating with water (choice
A) may spread the chemical or react with it, worsening the burn. Washing with antibacterial soap (choice
B) may not effectively remove the chemical. Applying a neutralizing agent (choice
D) can be harmful as it may cause a chemical reaction leading to more severe injuries.
Therefore, brushing the chemical off the skin and clothing is the safest and most effective initial intervention to prevent further harm.
Question 3 of 5
Nurse is caring for client with many risk factors for CV disease. When planning health promotion & disease prevention strategies for this client, which intervention should nurse include? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct interventions are A, B, C, and E. A: Helping the client see the benefits of their actions can motivate them to engage in health-promoting behaviors. B: Identifying support systems can provide the client with necessary support to make lifestyle changes. C: Suggesting and recommending community resources can offer additional tools for disease prevention. E: Teaching stress management strategies is important as stress is a risk factor for CV disease.
Choices D, F, and G are incorrect as setting goals for the client should be a collaborative process involving the client, suggesting and recommending community resources can be more beneficial than devising goals for the client, and the question doesn't mention anything that would make choices F and G relevant.
Question 4 of 5
Nurse uses head-to-toe approach to conduct physical assessment of a client who will undergo surgery in 1 week. Which of following attitudes did nurse demonstrate?
Correct Answer: D
Rationale: The correct answer is D: Discipline. By using a head-to-toe approach for physical assessment, the nurse demonstrates discipline in following a systematic and thorough process. This approach ensures no areas are missed and all necessary information is gathered. Confidence (
A), perseverance (
B), and integrity (
C) are important traits but not directly related to the specific method of assessment used. Confidence is about self-assurance, perseverance is about determination, and integrity is about honesty and ethics. In this scenario, discipline is key for a structured and comprehensive assessment process.
Question 5 of 5
Nurse transferring client from acute-care hospital to rehab facility. Which of following info about client should nurse include in transfer report?
Correct Answer: A,C,D
Rationale: The correct answer is A, C, and D. Including that the client is alert and oriented is crucial for the rehab facility to understand the client's cognitive status. Mentioning the shellfish allergy (choice
C) is important for avoiding allergic reactions. Reporting the client's request for morphine every 4 hours (choice
D) is necessary for pain management.
Choices B and E are not as critical for the transfer report as they do not directly impact the client's immediate care needs.
Choice F is redundant with choice C, and choice G is vague and does not provide specific information necessary for the client's care.