ATI RN
ATI Fundamentals Exam Special Unit ADN Questions
Extract:
Question 1 of 5
Which patient scenario of a surgical patient in pain is most indicative of critical thinking?
Correct Answer: B
Rationale: Asking the patient what pain-relief methods, pharmacological and nonpharmacological, have worked best in the past: This approach assesses the patient’s individual experience and applies personalized care, which is a hallmark of critical thinking. Explaining to the patient that self-reporting of severe pain is not consistent with the minor procedure that was performed: Pain is subjective and should always be believed and assessed rather than dismissed based on procedure type. This does not demonstrate critical thinking. Administering pain-relief medication according to what was given last shift: Pain levels fluctuate, and medication effectiveness must be reassessed each time. Simply repeating the previous shift’s orders does not involve critical thinking. Offering pain-relief medications based on the provider’s orders: While following orders is necessary, critical thinking involves assessing the patient’s pain level and determining the most appropriate intervention rather than blindly administering medication.
Question 2 of 5
The nurse is completing a skin risk assessment using the Braden Scale. The patient has slight sensory impairment, has skin that is rarely moist, walks occasionally, and has slightly limited mobility, along with excellent intake of meals and no apparent problem with friction and shearing. Which score will the nurse document for this patient?
Correct Answer: D
Rationale: Sensory perception: Slightly limited (score of 3). Moisture: Rarely moist (score of 4). Activity: Walks occasionally (score of 3). Mobility: Slightly limited (score of 3). Nutrition: Excellent intake (score of 4). Friction and shear: No apparent problem (score of 3). Adding these scores together: 3 + 4 + 3 + 3 + 4 + 3 = 20.
Therefore, the nurse should document a score of 20 for this patient.
Question 3 of 5
Convert from Fahrenheit to Celsius: 98.6
Correct Answer: 37
Rationale: Solution: (98.6 - 32) × 5/9 = 37°C. Answer: 37°C.
Question 4 of 5
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: D
Rationale: All recently used clothing, bedding, and towels must be washed in hot water': Lice and nits can survive on fabric surfaces, so washing clothing, bedding, and towels in hot water (≥130°F/54°
C) and drying on high heat is recommended to eliminate them. 'I will treat all the family members to be on the safe side': Treatment is only recommended for individuals who have active lice or close, prolonged contact with the infected child. Treating everyone unnecessarily may lead to overuse of medications. 'My child must be free from nits before returning to school': The CDC and AAP do not recommend 'no-nit' policies, as nits alone do not indicate active infestation. Children can return to school after appropriate treatment begins. '
Toys that can't be dry cleaned or washed must be thrown out': Non-washable items should be sealed in a plastic bag for 2 weeks to kill lice, rather than being thrown away.
Question 5 of 5
A nurse is using professional standards to influence clinical decisions. What is the rationale for the nurse's actions?
Correct Answer: C
Rationale: Uses critical thinking for the highest level of quality nursing care: Professional standards provide guidelines for best practices, ensuring nurses apply critical thinking and clinical judgment to improve patient outcomes. Utilizing evidence-based practice based on nurses' needs: Professional standards focus on patient-centered care, not the nurse's needs. Evidence-based practice should prioritize patient safety and effectiveness. Establishes minimal passing standards for testing: While professional standards guide nursing education and testing, their primary role is to guide clinical decision-making for patient care. Bypasses the patient's feelings to promote ethical standards: Ethical nursing practice includes patient advocacy, not bypassing patient emotions or concerns.