2023 ATI Mental Health Proctored Exam with Answers (144 Solved Questions)

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ATI FUNDAMENTALS PROCTORED CUMULATIVE FINAL EXAM COMPLETE QNS &ANS FINAL LATEST 2023•Thenurseispreparinga4yearoldforsurgery.Whichtechniqueismostappropriate?•a.allowthechildtohandlesafemedicalequipmentb.limittheteaching toone 1hoursessionc.explaintothe childthatshewillbeputtosleepfortheprocedured.useananatomically correctdoll to explaintheprocedure•Thenurseisadmittingapatientwithamethicillin-resistantStaphylococcusaureus(MRSA)infection isolatedinhisstageIIIpressureulcer.Thenurseplacesthepatienton:a.contact precautions.b.airborne precautions.c.droplet precautions.d.protectiveenvironment.•Thenurseiscaringforaschool-agedchild whohasinjuredtherightlegafter abicycleaccident.Whichsignsandsymptomswillthenurseassessfortodetermineifthechildisexperiencingalocalizedinflammatoryresponse?•Malaise,anorexia,enlargedlymphnodes,andincreasedwhitebloodcells•Chestpain,shortnessofbreath,andnauseaandvomiting•Dizzinessanddisorientationtotime,date,andplace•Edema,redness,tenderness,andlossoffunction•A diabetic patient presents tothe clinic for a dressing change. The wound is locatedon therightfootandhaspurulentyellowdrainage.Whichactionwill thenursetaketo preventthespreadofinfection?•Positionthepatientcomfortablyonthestretcher.•Explaintheprocedurefordressingchange tothepatient.•Reviewthemedicationlistthatthepatientbroughtfromhome.•Donglovesandotherappropriatepersonalprotectiveequipment.•Thenurseiscaringforapatientinlaboranddelivery.Whennearcompletinganassessmentofthepatient’scervix,theelectronicinfusiondevicebeingusedontheintravenous(IV)infusionalarms.Whichsequenceofactionsismostappropriateforthenurse totake?•Completetheassessment,removegloves,andsilencethealarm.

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•Discontinuetheassessment,silencethealarm,andassesstheintravenoussite.•Completetheassessment,removegloves,washhands,andassesstheintravenousinfusion.•Discontinuetheassessment,removegloves,usehandgel,andassesstheintravenousinfusion.•Thenurseisdressed andispreparing tocare forapatientintheperioperativearea.Thenursehasscrubbedhandsand hasdonnedasterilegownandgloves.Whichactionwill indicateabreakinsteriletechnique?•Touchingcleanprotectiveeyewear•Standingwithhandsabove waistarea•Acceptingsterilesuppliesfromthesurgeon•Stayingwiththesteriletableonceitisopen•Thenurseiscaringforapatientwithanincision.Whichactionswillbestindicateanunderstandingofmedicalandsurgical asepsisforasteriledressingchange?•Donningcleangoggles, gown,and glovestodressthewound•Donningsterilegownandgloves toremove thewounddressing•Utilizingcleanglovestoremovethedressingandsterilesupplies forthenewdressing•Utilizingcleanglovestoremovethedressingandcleansuppliesforthenewdressing•Thenurseiscaringforapatientwhohasjustdeliveredaneonate.Thenurseischeckingthepatientforexcessivevaginaldrainage.Whichprecautionwillthenurseuse?•Contact•Droplet•Standard•Protectiveenvironment•Thenurseisperforminghandhygienebeforeassistingahealthcareproviderwithinsertionofachest tube. While washing hands, the nurse touches the sink. Which actionwill the nurse takenext?•Informthehealthcareproviderandrecruitanothernursetoassist.•Rinseanddryhands,andbeginassistingthehealthcareprovider.•Extendthehandwashingprocedureto5minutes.•Repeathandwashingusingantisepticsoap.•Thenurseiscaringforapatientoncontactprecautions.Whichactionwillbemostappropriatetopreventthespreadofdisease?•Placethepatientinaroomwithnegativeairflow.•Wearagown,gloves,facemask,andgogglesforinteractionswiththepatient.•Transportthepatientsafelyandquicklywhengoingtotheradiologydepartment.

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•Useadedicatedbloodpressurecuffthat staysinthe roomandisusedforthatpatientonly.•ThenurseiscaringforapatientwhohasculturedpositiveforClostridiumdifficile.Whichactionwillthenursetakenext?•Instructassistivepersonneltousesoapandwaterratherthansanitizer.•WearanN95respiratorwhenenteringthepatientroom.•Placethe patientondropletprecautions.•Teachthepatientcoughetiquette.•Thenurseiscaringforapatientwhohasabloodbornepathogen.Thenursesplashesbloodabovetheglovetointactskinwhilediscontinuinganintravenous(IV)infusion.Whichstep(s)willthenursetakenext?•Obtainanalcoholswab,removethebloodwithanalcoholswab,andcontinuecare.•Immediatelywashthesitewithsoapandrunningwater,andseekguidancefromthemanager.•Donothing;accidentallygettingsplashedwithbloodhappensfrequentlyandispartofthejob.•Delaywashingofthesiteuntil thenurseisfinishedproviding caretothepatient.•Thenursehasreceivedareportfromtheemergencydepartmentthatapatientwithtuberculosiswill be coming to the unit. Which items will the nurse need to care for thispatient? (Select allthatapply.)•Privateroom•Negative-pressureairflowinroom•Surgicalmask,gown,gloves,eyewear•N95respirator,gown,gloves,eyewear•Communicationsignsfordropletprecautions•Communicationsignsforairborneprecautions•Whenprovidinghygieneforanolder-adultpatient,thenursecloselyassessestheskin.Whatisthe•rationaleforthenurse’saction?•Outerskinlayerbecomesmoreresilient.•Lessfrequentbathing mayberequired.•Skinbecomeslesssubjecttobruising.•Sweatglandsbecomemoreactive.•Thepatienthasbeenbroughttotheemergencydepartmentfollowingamotorvehicleaccident.The patient is unresponsive. The driver’s license states that glasses are neededto operate amotor

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vehicle,butnoglasseswerebroughtinwiththepatient.Whichactionshouldthenursetakenext?•Standtothesideofthepatient’seyeandobservethecornea.•Concludethattheglasseswerelostduringtheaccident.•Notifytheambulancepersonnelformissingglasses.•Askthepatientwheretheglassesare.•Thenurseiscaringforapatientwhoisimmobile.Thenursefrequentlychecksthepatientforimpairedskinintegrity.Whatistherationaleforthenurse’saction?•Inadequatebloodflowleadstodecreasedtissueischemia.•Patientswithlimitedcaloricintakedevelopthickerskin.•Pressurereducescirculationtoaffectedtissue.•Verbalizationofskincareneedsisdecreased•Thenurseiscaringforapatientwhohasdiabetesmellitusandcirculatoryinsufficiency,withperipheralneuropathyandurinaryincontinence.Onwhichareasdoesthenursefocuscare?•Decreasedpainsensationandincreasedriskofskinimpairment•Decreasedcaloricintakeandacceleratedwoundhealing•Highriskforskininfection andlowsaliva pHlevel•Highriskforimpaired venousreturnand dementia•Thenurseiscaringforapatientwhohasundergonesurgeryforabrokenlegandhasacastinplace.What shouldthe nursedotopreventskinimpairment?•Assesssurfacesexposedtotheedgesofthe castforpressureareas.•Keepthepatient’sbloodpressurelowtopreventoverperfusionoftissue.•Donotallowturning inbedbecause that mayleadtoredislocationoftheleg.•Restrictthepatient’sdietaryintaketoreducethenumberoftimesonthebedpan.•The nurse is providing oral care to an unconscious patient and notes that the patienthasextremelybadbreath.Whichtermwillthenurseusewhenreportingtotheoncomingshift?•Cheilitis•Halitosis•Glossitis•Dentalcaries•Thepatientisbeingtreatedforcancerwithweeklyradiationtherapytotheheadandchemotherapytreatments.Whichassessmentisthepriority?•Feet•Nailbeds•Perineum•Oralcavity

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•The nurse is caring for an older-adultpatient with Alzheimer’s disease who is ambulatorybutrequirestotalassistancewithactivitiesofdailyliving(ADLs).Thenursenoticesthatthepatientisedentulous.Whichareashouldthenurseassess?•Assessoralcavity.•Assessroomfordrafts.•Assessanklesforedema.•Assessforreducedsensations.•A nurse is providing perineal careto a female patient. Which washing technique will thenurseuse?•Backtofront•Inacircularmotion•Frompubic area torectum•Upwardfromrectumto pubicarea•Thepatientisreportinganinabilitytoclearnasalpassages.Whichactionwillthenursetake?•Usegentlesuctiontopreventtissuedamage.•Instructpatienttoblownoseforcefullytoclearthepassage.•Placeadrywashclothunderthenose toabsorbsecretions.•Insertacotton-tipped applicatorto theback ofthenose.•Anurseisperforminganadmissionassessment on a middle-age patient.Anormalchangeseeninthis agegroupincludeswhichofthefollowing?(Selectallthatapply.)a.Aprogressivedecrease in skinturgorb.Decreasedvisualacuityc.Decreasedabilitytosolvepracticalproblemsd.Decreased strength of abdominalmusclese.Lossof accommodation•A nurse is teaching young adultsabout health risks. Which statement from a youngadultindicatesacorrectunderstandingoftheteaching?•“It’sprobablysafeformetostartsmoking.Atmyage,there’snotenoughtimeforcancertodevelop.”•“Mymotherhadappendicitissothisincreasesmychancefordevelopingappendicitis.”•c. “Controllingthe amountofstressin mylife maydecreasethe riskof illness.”d.“Idon’t dodrugs.Idodrinkcoffee,butcaffeineisnotadrug.”•A nurse is choosing an appropriate topic fora young-adult health fair. Which topicshould thenurseinclude?•Retirement•Menopause

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•Climactericfactors•Unplannedpregnancies•Duringaroutinephysicalassessment,thenurseobtainingahealthhistorynotesthata50-year-oldfemalepatientreportspainandrednessintherightbreast.Whichactionisbestforthenursetotakeinresponse to this finding?•Assessthepatientasthoroughlyaspossible.•Explaintothepatientthatbreasttendernessisnormalatherage.•Tellthepatientthatrednessisnotacauseforconcernandisquitecommon.•Informherthatrednessistheprecursortonormalunilateralbreastenlargement•A young-adult patient is broughtto the hospital by police after crashing the car in a high-speedchasewhentryingtoavoidarrestforspousalabuse.Whichactionshouldthenursetake?•Questionthepatientaboutdruguse.•Offerthepatientacupofcoffeetocalmnerves.•Discretelyassessthepatientforsexuallytransmittedinfections.•Dealwiththeissueathand,notaskingaboutpreviousillnesses•A nurse is assessing the cognitive changes in a preschooler.Which standard will the nurseuse todeterminenormal?•Theabilitytothinkabstractlyanddealeffectivelywithhypotheticalproblems•Theabilityto thinkinalogicalmanneraboutthehereandnow•The ability to assume the view of anotherperson•d.The abilityto classifyobjectsbysizeorcolor•Thenurseisobservinga2-year-oldhospitalizedpatientintheplayroom.Whichactivitywillthenursemost likely observe?•Seekingoutsamesexchildrentoplay with•Participatingastheleaderofasmallgroupactivity•c.Sittingbesideanotherchildwhileplayingwithblocksd.Separatingbuildingblocksintogroupsbysizeandcolor•Whichactionshouldthenursetakewhenteachinga5-year-oldpatientaboutascheduledsurgery?•Donotdiscusstheprocedurewiththechildtodecreaseanxiety.•Letthechildknowthesurgerywillbeat9:00AMinthemorning.•Insistthat theparentswait outsidethe roomtoensure privacyofthechild.•d.Allowthechildtotouchandholdmedicalequipmentsuchasthermometers.•Whilereceivingashiftreportonapatient,thenurseisinformedthatthepatienthasurinaryincontinence.Uponassessment,which findingwillthenurse expect?•AnindwellingFoleycatheter•Reddenedirritatedskinonbuttocks

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•Tinybloodclotsinthepatient’surine•Foul-smellingdischargeindicativeofinfection•Whichclinicalmanifestationwillthenurseexpecttoobserveinapatientwithexcessivewhitebloodcellspresentin the urine?•Reducedurinespecificgravity•Increasedbloodpressure•Abnormalbloodsugar•d.Fever with chills•ThenursewillanticipateinsertingaCoudécatheterforwhichpatient?•An8-year-oldmaleundergoinganesthesiaforatonsillectomy•A 24-year-old femalewho is going into labor•c.A56-year-oldmale withanenlargedprostated.An86-year-oldfemaleadmittedforaurinarytractinfection•A nurse is evaluating a nursing assistive personnel’s(NAP) care for a patient with anindwellingcatheter.WhichactionbytheNAPwillcausethenurse tointervene?•Emptyingthedrainagebagwhen halffull•Kinkingthecathetertubingtoobtainaurinespecimen•Placingthedrainagebagonthesiderailofthepatient’sbed•Securingthecathetertubingtothepatient’sthigh•Whichnursingactionswillthenurseimplementwhencollectingaurinespecimenfromapatient?(Selectallthatapply.)•Growingurine culturesforupto12hours•Labelingallspecimenswithdate,time,andinitials•Allowingthepatientadequatetimeandprivacytovoid•Wearing gown, gloves, and mask for all specimenhandling•e.Transportingspecimenstothelaboratoryinatimelymannerf.Collectingthespecimenfromthedrainagebagofanindwellingcatheter•Thenurseisobtaininga24-hoururinespecimencollectionfromthepatient.Whichactionsshouldthenurse take?(Select allthat apply.)•Keepingtheurinecollectioncontaineronicewhenindicated•Withholdingallpatientmedicationsfortheday•Irrigatingthesampleasneededwithsterilesolution•Testingtheurinesamplewithareagentstripbydippingitintheurine•Askingthepatienttovoidanddiscardingthaturinetostartthecollection•Thenurseisplanningcareforagroupofpatients.Whichtaskwillthenurseassigntothenursingassistivepersonnel?•Measuringcapillarybloodglucoselevel•Measuringnasoenterictubeforinsertion

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