ATI RN
ATI Fundamentals Proctored Exam 2024
1. 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.
2. A healthcare professional is preparing to administer an autologous blood product to a client. Which of the following actions should the professional take to identify the client?
- A. Match the client's blood type with the type and cross-match specimens
- B. Confirm the provider's prescription matches the number on the blood component
- C. Ask the client to state their blood type and the date of their last blood donation
- D. Ensure that the client's identification band matches the number on the blood unit
Correct answer: A
Rationale: When preparing to administer an autologous blood product, it is crucial to correctly identify the client to prevent errors. Matching the client's blood type with the type and cross-match specimens ensures that the blood product is intended for the correct recipient. This step helps in verifying the patient's identity and avoiding any transfusion-related complications. Confirming the blood type through type and cross-matching is a standard practice to ensure patient safety during blood transfusions.
3. When teaching a client with tuberculosis, which statement should the nurse include?
- A. You will need to continue taking the multi-medication regimen for 4 months.
- B. You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication.
- C. You will need to remain hospitalized for treatment.
- D. You will need to wear a mask at all times.
Correct answer: B
Rationale: Monitoring the effectiveness of tuberculosis medication is crucial to ensure the treatment is working properly. Regular sputum samples help in assessing the response to the medication. This monitoring can guide adjustments in the treatment plan if needed. Options A and C are incorrect as they do not reflect essential aspects of tuberculosis treatment. Option D is not a standard recommendation for tuberculosis treatment and may lead to misconceptions.
4. Parenteral penicillin can be administered as an:
- A. IM injection or an IV solution
- B. IV or an intradermal injection
- C. Intradermal or subcutaneous injection
- D. IM or a subcutaneous injection
Correct answer: A
Rationale: Penicillin can be administered intramuscularly or intravenously.
5. If a healthcare provider administers an injection to a patient who refuses, they have committed:
- A. Assault and battery
- B. Negligence
- C. Malpractice
- D. None of the above
Correct answer: A
Rationale: When a healthcare provider administers treatment, such as an injection, against a patient's refusal or will, it constitutes assault and battery. Assault refers to the intentional act that causes a person to fear that they will be touched without consent, while battery involves the actual harmful or offensive contact. In this scenario, administering the injection without the patient's consent is both an assault (causing fear of unwanted contact) and a battery (unwanted physical contact). Therefore, the correct answer is 'Assault and battery.' Negligence refers to a failure to exercise the appropriate level of care expected in a situation, while malpractice involves professional negligence or misconduct.
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