ATI Fundamental Exit

Free preview · Original latest version

Sample questions from ATI Fundamental Exit

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In the neonatal unit, a newborn is placed under phototherapy for hyperbilirubinemia. Which action best protects the newborn during treatment?

   • A.Apply lotion to prevent skin dryness.
   • B.Turn off the lights whenever the newborn is asleep.
   • C.Keep the newborn fully clothed to maintain body temperature.
   • D.Apply an eye mask and verify that it remains in place.

   Rationale: An eye mask protects the newborn's eyes from the phototherapy light, and the nurse should check its position regularly. Lotion can increase the risk of skin injury or interfere with treatment, and clothing blocks light exposure. Phototherapy should continue as prescribed even when the newborn is asleep.

2. 2.During a home visit, a parent asks how to store household cleaning products safely around a 4-year-old child. Which response is best?

   • A.Store the products under the sink so they are easy for an adult to access.
   • B.Keep the products in a locked cabinet out of the child's reach.
   • C.Transfer small amounts into unmarked spray bottles for convenience.
   • D.Teach the child to recognize product labels and leave the products unlocked.

   Rationale: Household chemicals should remain in their original, labeled containers and be secured in a locked location out of a child's reach. Under-sink storage is unsafe if the cabinet is accessible, and unmarked containers increase the risk of accidental ingestion or misuse. Teaching label recognition does not replace secure storage for a preschool-age child.

3. 3.Refer to the client's chart. Which actions should the nurse take to reduce transmission risk while caring for this client? Select all that apply.

   • A.Use droplet precautions only because the client has a cough.
   • B.Keep the room door closed.
   • C.Wear a fit-tested N95 respirator when entering the room.
   • D.Wear a surgical mask instead of a respirator for all room entry.
   • E.Place the client in a negative-pressure room.

   Rationale: The positive sputum nucleic acid test and persistent cough support airborne precautions for suspected pulmonary tuberculosis, so staff should use a fit-tested N95 respirator and the client should be in a negative-pressure room. Keeping the door closed helps maintain the room's airflow containment. A surgical mask does not provide the respiratory protection required for airborne precautions, and droplet precautions alone are insufficient.

4. 4.A client states, "I feel dizzy when I stand up after taking my new blood pressure medicine." Which instruction is the safest immediate response?

   • A.Restrict fluids until the dizziness resolves.
   • B.Walk quickly for several minutes to help the body adjust.
   • C.Sit or lie down when dizziness occurs and rise slowly from lying or sitting.
   • D.Skip the next dose and restart the medication when dizziness stops.

   Answer and rationale are in the full material.

5. 5.In a long-term care facility, an older adult with an unsteady gait is prescribed a bed alarm. Which action best supports the client's safety?

   • A.Place the call light and personal items within reach and respond promptly to the alarm.
   • B.Use the alarm as a substitute for scheduled toileting and rounding.
   • C.Raise all four side rails to prevent the client from getting out of bed.
   • D.Keep the bed in its highest position so staff can assist more easily.

   Answer and rationale are in the full material.