ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
When entering client's room to change dressing
Correct Answer: C
Rationale: The correct answer is C because keeping the sterile field at least 6 ft away from the client's bedside helps prevent contamination of the field during the dressing change. Placing the sterile field far away reduces the risk of microorganisms coming into contact with the dressing materials, maintaining aseptic technique.
Choices A, B, D, and E do not directly address the primary concern of maintaining the sterility of the field during the dressing change.
Choice A focuses on the client's symptoms, which are not directly related to maintaining the sterility of the field.
Choice B is vague and does not provide specific guidance on maintaining sterility.
Choice D addresses the client's behavior rather than the physical setup of the sterile field.
Choice E involves a different measure for infection control, which is not the primary concern in this scenario.
Question 2 of 5
A nurse is preparing to reposition a patient. Which task can the nurse delegate to the nursing assistive personnel?
Correct Answer: B
Rationale: The correct answer is B: Changing the patient's position. This task can be delegated to nursing assistive personnel as it involves physically moving the patient, which does not require advanced nursing knowledge or assessment skills. Nursing assistive personnel are trained to assist with activities of daily living, including repositioning patients safely.
Choices A, C, and D involve assessments and critical thinking skills that should be performed by a licensed nurse. Identifying immobility hazards (
C) and assessing circulation (
D) require higher-level nursing judgment and expertise.
Therefore, delegating these tasks to nursing assistive personnel may compromise patient safety and appropriate care.
Question 3 of 5
The nurse is caring for a group of medical-surgical patients. The unit has been notified of a fire on an adjacent wing of the hospital. The nurse quickly formulates a plan to keep the patients safe. Which actions will the nurse take? Select all that apply
Correct Answer: A, B, C, D
Rationale: The correct answers are A, B, C, and D. A: Closing all doors helps contain the fire and smoke. B: Noting evacuation routes ensures a safe exit plan. C: Noting oxygen shut-offs prevents fueling the fire. D: Moving bedridden patients in their bed ensures their safety during evacuation. These actions prioritize patient safety and prevent harm during a fire emergency. Other choices are incorrect: E: Waiting for the fire department can waste crucial time. F: Using type B fire extinguishers for electrical fires can be dangerous and ineffective.
Question 4 of 5
A mother tells nurse that her 2 yo has temper tantrums. Child says 'no' every time mother tries to help her get dressed. Nurse explains that developmentally the toddler is...
Correct Answer: A
Rationale: The correct answer is A: Trying to gain her independence. At the age of 2, toddlers start asserting their independence and autonomy. By saying 'no' and resisting help with getting dressed, the child is exhibiting typical behavior for this stage of development. This behavior is a sign that the child is trying to assert her own will and demonstrate her independence. It is important for the nurse to reassure the mother that this behavior is normal and part of the child's healthy development.
Choices B, C, and D are incorrect because they do not align with the typical developmental milestones of a 2-year-old.
Choice B, developing a sense of trust, is more characteristic of infancy and early childhood.
Choice C, manifesting anger management problem, is not supported by the information provided and is an overinterpretation of the child's behavior.
Choice D, attempting to finish a project she started, does not apply to the situation described and is not developmentally appropriate for a 2-year-old.
Question 5 of 5
A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?
Correct Answer: D
Rationale: The correct answer is D because moving each joint just to the point of resistance during passive range of motion helps prevent injury and ensures the patient's comfort. This technique allows for gentle stretching of the muscles and ligaments without causing pain or discomfort.
Choice A is incorrect because it puts unnecessary strain on the patient.
Choice B is incorrect as it can lead to injury and is not appropriate for passive ROM exercises.
Choice C is incorrect as quick movements may cause discomfort for the patient. Overall, choice D is the most appropriate technique for providing passive ROM exercises safely and effectively.