ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
When entering a client's room to change a dressing, the nurse notes the client is coughing & sneezing. When preparing a sterile field, it's important the nurse...
Correct Answer: C
Rationale: The correct answer is C: Place mask on client to limit the spread of microorganisms into the surgical wound. By placing a mask on the client who is coughing and sneezing, the nurse can help prevent the spread of microorganisms from the client's respiratory secretions into the sterile field during the dressing change. This reduces the risk of contamination and infection of the wound.
Choice A is incorrect because keeping the sterile field 6 ft away may not effectively prevent microorganisms from reaching the field.
Choice B is incorrect as it is unrealistic to expect a client to completely stop coughing and sneezing.
Choice D is incorrect as providing Kleenex does not address the potential spread of microorganisms into the wound.
Question 2 of 5
Nurse is completing discharge teaching to client with COPD. Client verbalizes understanding of orthopneic position when he states, 'When I have difficulty breathing at night, I will...'
Correct Answer: C
Rationale: The correct answer is C: Sit on the side of my bed & rest my arms over pillows on top of my raised bedside table. This position is known as the orthopneic position, which helps improve lung expansion and ease breathing difficulties in COPD patients. Sitting upright with arms supported on pillows on a raised surface allows for better chest expansion and less pressure on the diaphragm, facilitating easier breathing.
A: Lie on my back with head & shoulders elevated on a pillow - This position does not provide as much support for chest expansion and may not be as effective in improving breathing.
B: Lie flat on my stomach with head to one side - This position can restrict breathing and is not recommended for COPD patients.
D: Lie on my side with my weight on my hips & shoulder with my arms flexed in front of me - This position does not promote optimal chest expansion and may make breathing more difficult for COPD patients.
Question 3 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.
Question 4 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.
Question 5 of 5
By 2nd post-op day, a client has not achieved satisfactory pain relief. Based on this evaluation, what should nurse do next according to nursing process?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Assessment is the first step in the nursing process. The nurse must reassess the client to identify the reasons for unsatisfactory pain relief.
2. Reassessment helps in understanding the current status of the client's pain and any contributing factors.
3. Identifying the reasons for inadequate pain relief will guide the nurse in developing an appropriate plan of care.
4. This step ensures a comprehensive understanding of the client's condition and aids in providing individualized care.
Summary of other choices:
B. Waiting to see if pain lessens does not address the underlying reasons for inadequate pain relief.
C. Changing the plan without reassessment may not address the specific causes of the client's pain.
D. Teaching the client about the plan of care is important but should come after reassessment to tailor the education to the client's needs.