ATI RN
ATI Fundamentals Proctored Exam 2023 Quizlet
1. What is the primary purpose of handwashing?
- A. To promote hand circulation
- B. To prevent the transfer of microorganisms
- C. To avoid touching the client with a dirty hand
- D. To provide comfort
Correct answer: B
Rationale: The primary purpose of handwashing is to prevent the transfer of microorganisms. Proper hand hygiene helps reduce the risk of spreading harmful bacteria and viruses, thus promoting overall health and preventing infections. Choice A is incorrect as handwashing primarily focuses on cleanliness rather than promoting circulation. Choice C is incorrect as it implies that the main concern is avoiding client discomfort rather than preventing infection. Choice D is incorrect as while handwashing can be comforting in some situations, its primary purpose is not to provide comfort but to maintain hygiene.
2. When assessing a client with a history of asthma, which of the following factors should the nurse identify as a risk for asthma?
- A. Gender
- B. Environmental allergies
- C. Alcohol
- D. None of the above
Correct answer: Environmental allergies
Rationale: When assessing a client with a history of asthma, the nurse should identify environmental allergies as a risk factor for asthma. Environmental allergens such as pollen, dust mites, mold, and pet dander can trigger asthma symptoms and exacerbate the condition. Gender, alcohol consumption, and other factors may not directly contribute to the development or exacerbation of asthma.
3. The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for:
- A. Instructing the patient about this diagnostic test
- B. Writing the order for this test
- C. Giving the patient breakfast
- D. All of the above
Correct answer: A
Rationale: The nurse's responsibility in this scenario is to instruct the patient about the diagnostic test ordered by the physician. This includes explaining the purpose of the test, any necessary preparations, and what to expect. The nurse is not responsible for writing the order, as this is the physician's role. Additionally, providing breakfast is not directly related to the platelet count test. Therefore, the correct answer is A, which aligns with the nurse's role in educating and supporting the patient regarding the test.
4. Which of the following blood tests should be performed before a blood transfusion?
- A. Prothrombin and coagulation time
- B. Blood typing and cross-matching
- C. Bleeding and clotting time
- D. Complete blood count (CBC) and electrolyte levels
Correct answer: B
Rationale: Before administering a blood transfusion, it is crucial to perform blood typing and cross-matching to ensure compatibility between the donor's blood and the recipient's blood. This process helps prevent adverse reactions such as transfusion reactions, which can be life-threatening. Prothrombin and coagulation time, bleeding and clotting time, as well as CBC and electrolyte levels are important tests in other clinical contexts, but for blood transfusions, blood typing and cross-matching are essential to ensure patient safety.
5. When discussing group treatment and therapy with a client, which characteristic should the nurse include as being a characteristic of a therapeutic group?
- A. The group is organized in an autocratic structure.
- B. The group encourages members to focus on a particular issue
- C. The group must be led by a licensed psychiatrist.
- D. The group encourages clients to form dependent relationships.
Correct answer: The group encourages members to focus on a particular issue
Rationale: In therapeutic groups, the focus is often on addressing specific issues or topics. This approach allows group members to concentrate on their concerns, share experiences, and work towards common goals. Autocratic structures, mandatory leadership by a licensed psychiatrist, or fostering dependent relationships are not typical characteristics of therapeutic groups.