ATI RN
ATI Fundamentals Proctored Exam 2024
1. After routine patient contact, how long should hand washing last at least?
- A. 30 seconds
- B. 1 minute
- C. 2 minutes
- D. 3 minutes
Correct answer: A
Rationale: Proper hand washing for 30 seconds is recommended after routine patient contact as it effectively removes pathogens. This duration ensures thorough cleaning without excessive time consumption, promoting infection control and prevention.
2. All of the following statements are true about donning sterile gloves except:
- A. The first glove should be picked up by grasping the inside of the cuff.
- B. The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.
- C. The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist.
- D. The inside of the glove is considered sterile.
Correct answer: D
Rationale: When donning sterile gloves, it is essential to maintain sterility. The correct way to don sterile gloves includes grasping the outside of the cuff to put on the first glove and inserting the gloved fingers under the cuff outside the glove to put on the second glove. Adjustments should be made by sliding the fingers under the sterile cuff. It is crucial to remember that once the inside of the glove is touched during the donning process, it is no longer considered sterile.
3. A healthcare provider is caring for a client following a thoracentesis. Which of the following manifestations should the healthcare provider NOT recognize as risks for complications?
- A. Dyspnea
- B. Localized bloody drainage on the dressing
- C. Fever
- D. Hypotension
Correct answer: Localized bloody drainage on the dressing
Rationale: After a thoracentesis, some expected complications include dyspnea, fever, and hypotension. Localized bloody drainage on the dressing is a common and expected finding post-thoracentesis due to the procedure's nature of puncturing the chest wall. Therefore, the healthcare provider should not consider this finding as a risk for complications.
4. When administering digoxin 0.125 mg PO to an adult client, for which of the following findings should the nurse report to the provider?
- A. Potassium level 4.2 mEq/L.
- B. Apical pulse 58/min
- C. Digoxin level 1 ng/mL
- D. Constipation for 2 days
Correct answer: Digoxin level 1 ng/mL
Rationale: Monitoring the digoxin level is crucial as it helps determine the drug's effectiveness and potential toxicity. A digoxin level of 1 ng/mL is within the therapeutic range. However, levels above this range can lead to toxicity, causing adverse effects like nausea, vomiting, visual disturbances, and dysrhythmias. Therefore, the nurse should report a digoxin level of 1 ng/mL to the provider for further evaluation and potential dose adjustment.
5. A client with tuberculosis is receiving a new prescription for isoniazid (INH). The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
- A. You might notice yellowing of your skin.
- B. You might experience pain in your joints.
- C. You might notice tingling of your hands.
- D. You might experience loss of appetite.
Correct answer: You might notice tingling of your hands.
Rationale: Tingling of the hands is a common adverse effect of isoniazid (INH) due to its potential to cause peripheral neuropathy. This sensation can be an early sign of nerve damage, and thus, the client should be instructed to report it promptly to the healthcare provider for further evaluation and management.