ATI RN
ATI Fundamentals Proctored Exam 2023 Quizlet
1. What is the most common cause of dementia among elderly persons?
- A. Parkinson’s disease
- B. Multiple sclerosis
- C. Amyotrophic lateral sclerosis (Lou Gehrig’s disease)
- D. Alzheimer’s disease
Correct answer: D
Rationale: Alzheimer’s disease is the most common cause of dementia among elderly persons. It is a progressive neurodegenerative disorder that affects memory, thinking, and behavior. While Parkinson’s disease, multiple sclerosis, and amyotrophic lateral sclerosis are serious conditions, they are not typically associated with dementia in the same way Alzheimer’s disease is. Therefore, the correct answer is D.
2. What is the most important legal responsibility for the healthcare team after a patient's death in a hospital?
- A. Obtaining consent for an autopsy
- B. Notifying the coroner or medical examiner
- C. Labeling the body appropriately
- D. Ensuring the attending physician issues the death certificate
Correct answer: D
Rationale: After a patient's death in a hospital, the most crucial legal responsibility for the healthcare team is ensuring that the attending physician issues the death certificate. The death certificate is a vital legal document that confirms the cause of death and is required for legal and administrative purposes, including the completion of the patient's medical records and facilitating the family's ability to proceed with funeral arrangements and insurance claims. While other actions such as obtaining consent for an autopsy, notifying the coroner or medical examiner, and labeling the body appropriately are important, ensuring the timely and accurate issuance of the death certificate takes precedence in this scenario.
3. Before rigor mortis occurs, what is the nurse responsible for?
- A. Providing a complete bath and dressing change
- B. Placing one pillow under the body’s head and shoulders
- C. Removing the body’s clothing and wrapping the body in a shroud
- D. Allowing the body to relax normally
Correct answer: B
Rationale: Before rigor mortis occurs, the nurse is responsible for placing a pillow under the body's head and shoulders. This action helps maintain proper positioning, prevent postmortem changes, and ensure a dignified appearance. Providing a complete bath and dressing change, removing clothing, or wrapping the body in a shroud are tasks typically performed after rigor mortis sets in or later in the postmortem care process. Allowing the body to relax normally does not address the immediate need for proper positioning before rigor mortis occurs.
4. During a seizure, what is the primary intervention?
- A. Protect the patient from injury
- B. Insert an airway
- C. Elevate the head of the bed
- D. Withdraw all pain medications
Correct answer: A
Rationale: The primary intervention during a seizure is to protect the patient from injury. This involves creating a safe environment by moving harmful objects away, cushioning the head, and staying with the patient until the seizure ends. Inserting an airway is only necessary if the patient's airway is obstructed, not routinely during a seizure. Elevating the head of the bed is not a priority during an active seizure as it won't affect the seizure's outcome. Withdrawing all pain medications is not a standard practice unless there are specific contraindications related to the seizure itself.
5. According to the principles of standard precautions, when should gloves be worn by healthcare providers?
- A. Providing a back massage
- B. Feeding a client
- C. Providing hair care
- D. Providing oral hygiene
Correct answer: D
Rationale: Gloves should be worn when providing oral hygiene as it involves potential exposure to bodily fluids, aligning with the standard precautions to prevent the transmission of infections. Providing a back massage, feeding a client, and providing hair care do not typically involve direct exposure to bodily fluids, so wearing gloves is not necessary in these scenarios according to standard precautions.