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ATI RN Fundamentals Focus Review 2025
Question And Answer Spring Semester
Proficiency Level 3 Cms 100% VALID UB EXAM
A nurse is preparing a poster about fire safety for a community health fair. The nurse should include on the poster that which of the following components contains needed elects for fire to occur? (SATA)
- Carbon dioxide
- Nitrogen
- Cooking oil
- Oxygen
- Heat Cooking oil Oxygen Heat A nurse is assisting with teaching a class about evidence based protocols established by the CDC to prevent healthcare associated infections (HAIs). Which of the following infections should the nurse include? (SATA)
- Influenza infection
- Catheter associated urinary tract infection
- Mycobacterium tuberculosis infection
- Central line associated bloodstream infection
- Surgical site infection Catheter associated urinary tract infection Central line associated bloodstream infection Surgical site infection A nurse is assisting with teaching a class about warning signs from a co- worker that might indicate future workplace violence. Which of the following behaviors should the nurse include?
- Legitimate absenteeism
- Strict adherence to facility policies
- Consistent adequate work performance
- frequent reports of not being treated fairly frequent reports of not being treated fairly The nurse should include that persistent complaining and voicing that they are not being treated fairly is a warning sign for possible future workplace violence by a co-worker.
- Ineffective insulin usage
- Dysphagia following a stroke
- Dehydration due to diarrhea Blood transfusion incompatibility Wrong site surgery Ineffective insulin usage A nurse is assisting with teaching a class about events that require an occurrence report. Which of the following events should the nurse include? (SATA)
- A clients visitor falls in the hallway
- A nurse forgets their computer password
- A client develops an unexpected reaction to a medication
- A clients dentures are lost
- An antibiotic was administered to a client 30 min after the scheduled time A clients visitor falls in the hallway A client develops an unexpected reaction to a medication A clients dentures are lost
A nurse is preparing to administer medications to a client. Which of the following information should the nurse use to identify the client? (SATA)
- The client's full name
- The client's date of birth
- The client's telephone number
- The client's diagnosis
- The client's room number The client's full name The client's date of birth The client's telephone number A nurse is a assisting with emergency care of a client who has been exposed to a chemical toxin. Which of the following actions should the nurse take?
- Rinse the clients skin with water
- Remove the clients clothing by pulling it over their head
- Dispose of the clients clothing in a single biohazard bag
- Prepare to administer potassium iodide to the client Rinse the clients skin with water
- The edges of stairs are marked with brightly colored tape The edges of stairs are marked with brightly colored tape The nurse should instruct the client to mark edges of stairs with brightly colored tape to alert the client of the steps and reduce the risk of fall. A nurse is caring for a client who has an indwelling urinary catheter in place. Which of the following actions is the priority for the nurse to take to reduce the clients risk of developing a healthcare associated infection?
- Wipe down the clients bedside table with an antiseptic wipe.
- Conduct informal audits of medical records to identify the number of healthcare associated infections
- Perform hand hygiene Instruct the client on ways to reduce the risk for infection Perform hand hygiene According to evidence-based practice, hand hygiene among medical professionals, clients, and visitors is the priority intervention to reduce the risk for the client to develop a healthcare-associated infection. A nurse is checking a clients allergy bracelet before administering a medication and finds the client is allergic to that medication. The nurse does not administer the medication to the client. This is an example of which of the following unexpected events?
- Near miss event
- Client safety event
- Adverse event
- Sentinel event Near miss event A near-miss event is an error that could have harmed the client which almost occurs, but was caught and avoided. The nurse noted the client had an allergy to the medication prior to administering it, avoiding harm to the client. A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?
- Record the time and length of the seizure
- Restrain the clients extremes
- Place the client in the prone position
- Monitor the clients hemoglobin level Record the time and length of the seizure The nurse should monitor the length of time of the seizure to evaluate the type of seizure and determine treatment required.
- Tie the restraints to the side rails on the clients bed
- Remove the restraints with each vital sign check
- Use a square knot to secure the restraints
- Make sure one finger can fit under the restraints Remove the restraints with each vital sign check The nurse should remove the restraints and check the client's skin and circulation with each vital sign and at least every 2 hr to monitor for client injury. A nurse is planning to implement the transforming care at the bedside plan on a medical-surgical unit. Which of the following interventions should the nurse include in the plan?
- Require nurses to spend 50% of their time at the bedside of clients
- Perform change of shift report at the nurses station
- Complete client round every 4 hr
- Use a standardized communication tool Use a standardized communication tool The Transforming Care at the Bedside plan recommends using a standardized communication tool, such as the Identity, Situation, Background, Assessment, Recommendation, and Readback (ISBARR) tool. Using a standardized communication tool enhances communication, which results in improved client outcomes.
A nurse is planning to use the identity, situations, background, assessment, recommendation, read back (ISVARR) tool to communicate with a provider about a client. Which of the following information is included in the assessment component of ISBARR?
- The client's admitting diagnosis
- The client's medical history
- The clients laboratory test results
- The clients response to reatement The clients laboratory test results General client impression and significant findings such as diagnostic tests, laboratory results, and vital signs are included in the assessment component of the ISBARR communication tool. A nurse discovers a small sire in a clients room. After removing the client to safety, which of the following actions should the nurse take next?
- Extinguish the fire
- Close the windows in the client's room
- Close the client's door
A nurse is preparing to administer a premixed medication to a client. The nurse should check the label for which of the following information? (SATA)
- The date the medication was mixed
- The client's age
- The client's room number
- The dose of the mixed medication
- The time the medication was mixed The date the medication was mixed The dose of the mixed medication The time the medication was mixed A nurse is caring for a client who is postoperative and requests spiritual support. Which of the following statements should the nurse make?
- ''Im not trained in providing spiritual support, but you can call the chaplin.''
- ''Tell me what I can do to help fulfill your need for support.''
- ''Lets talk about this later and focus instead on your wound healing.''
- ''I'm not very spiritual so I will find another nurse who can help you.'; ''Tell me what I can do to help fulfill your need for support.''
Clients can obtain spiritual support from many things and people. The only way the nurse can find out what the client needs is to ask, and this is an example of an appropriate, therapeutic response. A nurse manager is planning an in service about culturally competent care, Which of the following cultural competencies should the manager describe as enabling a nurse to interact with client from other cultures?
- Cultural awareness
- Cultural encounter
- Cultural knowledge
- Cultural desire Cultural encounter Cultural encounters allow the nurse interaction with clients from cultures other than the nurse's own. A nurse is caring for a client who is emotionally distraught. Which of the following uses of touch should the nurse implement to convey caring?
- Briefly holding the client's hand
- A lengthy front-facing hug
- Terminal illness
- Death of a client
- Financial arrangements
- Hardship Ethical dilemma Terminal illness Death of a client Hardship A nurse is caring for a client whose religious belief prohibits them fro receiving blood products. The client states, ''My adult children dont agree with my beliefs and want me to receive a transfusion.'' Which of the following responses should the nurse make?
- ''Your children opinions do not matter.''
- ''You should receive blood products if it will save your life.''
- ''You have the right to choose what treatments are best for you.''
- ''Your health care provider will make the final choice on treatments that are in your best interest.'' ''You have the right to choose what treatments are best for you.''
The client's beliefs and preferences are most important, and the nurse should respect these and advocate for the client, regardless of the outcome. A nurse is caring for a client who has a prescription for opioid analgesia. The client tells the nurse, '' I dont want to take that medication because it makes me sleepy.'' Which of the following responses should the nurse make?
- ''You need to take the medication so that you will not be in pain.''
- ''This medication does not affect your reasoning ability.''
- ''Controlling pain is more important right now than your mental state.''
- ''I will speak to your provider to see if there is a different medication to treat your pain.'' ''I will speak to your provider to see if there is a different medication to treat your pain.'' The nurse is advocating for the client by acknowledging the client's wishes and providing a possible solution. A nurse is providing information to a client who is from the Baby Boomer generation about a newly prescribed medication. Using the information about generational preferences, which of the following methods of teaching should the nurse use?
- Palliative care
- Medically futile care
- Potentially inappropriate treatment
- Quality of life Palliative care Palliative care involves providing treatments that offer pain relief or enhance the quality of life, but do not provide a cure. A nurse is assisting with developing a quality improvement (QI) plan to reduce the incidence of medication errors in an acute care unit. The nurse should recognize that which of the following actions is included in the identifying steps of QI process?
- Developing a plan to implement change
- Evaluating the results of the change
- Recognizing a need for change
- Implementing the plan of change Recognizing a need for change Recognizing a problem and a need for change is included in the identifying step of the QI process.
A nurse is assistting on a quality improvement committee to decrease the number of client falls occurring at night, After identifying the problem, which of the following is the next step the nurse should take?
- Implement the practice change
- Evaluate the results of the change
- Complete a literature review
- Communicate the outcomes with others Complete a literature review Evidence-based practice indicates the next step the nurse should take is to complete a literature review using credible sources of evidence. A nurse is using evidence based practice (EBP) to address the incident of catheter-associated infections on a surgical unit. According to EBP, which of the following actions should the nurse take first?
- Identify a clinical problem
- Collect best evidence relevant to the question
- Evaluate studies to determine validity
- Share the findings with others Identify a clinical problem
