Page |1
ATI Learning System RN: Fundamentals 1,
2, and Final Questions and Correct
Answers/ Latest Update / Already Graded
first priority action when performing tracheostomy care
Ans: 1. perform hand hygiene
-The nurse should also- don sterile gloves, open all sterile
supplies and solutions, and stabilize the tracheostomy tub e but
they all will come after hand hygiene in order to prevent
contamination of the trach tube
what should a nurse's priority action be when they notice a patient's
pulse is irregular?
Ans: auscultate the apical pulse and listen for 1 minute to
obtain and accurate rate and document the irregularity in the
chart
-check peripheral pulses bilaterally to determine equality of
blood perfusion
-check pedal pulses to determine circulation in pts lower
extremities
-a doppler ultrasound should be used when a pt has a
nonpalpable pulse/ very difficult to palpate
All rights reserved © 2025/ 2026 |
, Page |2
first nursing action when receiving a new patient
Ans: 1. obtain the pts information
-other steps that follow this include: identify goals of care,
document nursing findings, evaluate effectiveness of care
transferring a patient from a stretcher to a bed following an abdominal
surgery
Ans: lock the wheels of the stretcher and the bed
-pt should cross their arms over the chest to prevent injury
-stretcher should be no more than 1.3 cm above the height of
bed
-logroll technique used to prevent injury of pts requiring
immobilization of neck, back, spine
priority nursing action for a patient admitted with decreased
circulation of the left leg
Ans: evaluate pedal pulses
All rights reserved © 2025/ 2026 |
, Page |3
-nurse should also obtain a medical history, assess vitals and
assess for leg pain but these aren't the first priority
What action by a newly licensed nurse during tracheostomy care
requires intervention?
Ans: obtaining cotton balls for tracheostomy care
-cotton balls can be aspirated possible causing tracheal abscess
-high-strength peroxide solution is used to clean inner cannula
-trach care is sterile procedure and sterile gloves are needed
-pipe cleaners, small sterile brush can be used to rem ove
thick/crusty secretions from inner cannula
what should a nurse do first, prior to being transferred for a chest xray?
Ans: ID the pt using 2 pt identifiers
-pt safety is key and a pt should only receive what has been
prescribed to them
-nurse should explain the procedure, nurse should have the pt
ready for the procedures, and should ask if the pt has any
questions
All rights reserved © 2025/ 2026 |
, Page |4
secondary prevention of the seasonal influenza
Ans: screening groups of older adults in a nursing care facility
for early influenza manifestations
-2ndary prevention focusses on preventing complications of
illness and providing care to prevent illness from becoming
severe
-holding a comm clinical and administering a vaccine is ex. of
primary prevention
-education on the dangers of influenza is ex. of primary
prevention
-finding rehabilitation programs for older adults w/ influenza
complications is ex of tertiary prevention
proper surgical hand-washing tehcnique
Ans: nurse washes w/ hands held higher than elbows
-water and soapsuds wash frain away from clean area to dirty
area
-nails should be stroked w/ 15 strokes and each other part of the
hand w/ 10 strokes
-scrub hands first then work your way to the elbows
-scrubbing is done w/ special brush and mechanical friction is
necessary
All rights reserved © 2025/ 2026 |
ATI Learning System RN: Fundamentals 1,
2, and Final Questions and Correct
Answers/ Latest Update / Already Graded
first priority action when performing tracheostomy care
Ans: 1. perform hand hygiene
-The nurse should also- don sterile gloves, open all sterile
supplies and solutions, and stabilize the tracheostomy tub e but
they all will come after hand hygiene in order to prevent
contamination of the trach tube
what should a nurse's priority action be when they notice a patient's
pulse is irregular?
Ans: auscultate the apical pulse and listen for 1 minute to
obtain and accurate rate and document the irregularity in the
chart
-check peripheral pulses bilaterally to determine equality of
blood perfusion
-check pedal pulses to determine circulation in pts lower
extremities
-a doppler ultrasound should be used when a pt has a
nonpalpable pulse/ very difficult to palpate
All rights reserved © 2025/ 2026 |
, Page |2
first nursing action when receiving a new patient
Ans: 1. obtain the pts information
-other steps that follow this include: identify goals of care,
document nursing findings, evaluate effectiveness of care
transferring a patient from a stretcher to a bed following an abdominal
surgery
Ans: lock the wheels of the stretcher and the bed
-pt should cross their arms over the chest to prevent injury
-stretcher should be no more than 1.3 cm above the height of
bed
-logroll technique used to prevent injury of pts requiring
immobilization of neck, back, spine
priority nursing action for a patient admitted with decreased
circulation of the left leg
Ans: evaluate pedal pulses
All rights reserved © 2025/ 2026 |
, Page |3
-nurse should also obtain a medical history, assess vitals and
assess for leg pain but these aren't the first priority
What action by a newly licensed nurse during tracheostomy care
requires intervention?
Ans: obtaining cotton balls for tracheostomy care
-cotton balls can be aspirated possible causing tracheal abscess
-high-strength peroxide solution is used to clean inner cannula
-trach care is sterile procedure and sterile gloves are needed
-pipe cleaners, small sterile brush can be used to rem ove
thick/crusty secretions from inner cannula
what should a nurse do first, prior to being transferred for a chest xray?
Ans: ID the pt using 2 pt identifiers
-pt safety is key and a pt should only receive what has been
prescribed to them
-nurse should explain the procedure, nurse should have the pt
ready for the procedures, and should ask if the pt has any
questions
All rights reserved © 2025/ 2026 |
, Page |4
secondary prevention of the seasonal influenza
Ans: screening groups of older adults in a nursing care facility
for early influenza manifestations
-2ndary prevention focusses on preventing complications of
illness and providing care to prevent illness from becoming
severe
-holding a comm clinical and administering a vaccine is ex. of
primary prevention
-education on the dangers of influenza is ex. of primary
prevention
-finding rehabilitation programs for older adults w/ influenza
complications is ex of tertiary prevention
proper surgical hand-washing tehcnique
Ans: nurse washes w/ hands held higher than elbows
-water and soapsuds wash frain away from clean area to dirty
area
-nails should be stroked w/ 15 strokes and each other part of the
hand w/ 10 strokes
-scrub hands first then work your way to the elbows
-scrubbing is done w/ special brush and mechanical friction is
necessary
All rights reserved © 2025/ 2026 |
