ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Heat stroke is characterized by the body's inability to regulate its temperature due to prolonged exposure to high temperatures. This leads to excessive sweating and dehydration, resulting in a drop in blood pressure (hypotension). Bradycardia (
B) is a slow heart rate, which is not typically seen in heat stroke. Clammy skin (
C) is common in heat exhaustion, not heat stroke. Bradypnea (
D) is slow breathing, which is not a common sign of heat stroke.
Therefore, hypotension is the most appropriate choice as it aligns with the pathophysiology of heat stroke.
Question 2 of 5
A home health nurse is discussing the dangers of food poisoning w/a client. Which of the following info should the nurse include in her counseling? Select all.
Correct Answer: B, C, E
Rationale: The correct choices are B, C, and E. B is correct because immunocompromised individuals have weakened immune systems, making them more susceptible to severe complications from food poisoning. C is correct because pasteurized dairy products are less likely to contain harmful bacteria that can cause food poisoning. E is correct because proper food handling, such as separating raw and fresh foods to prevent cross-contamination, can help reduce the risk of food poisoning. A is incorrect because most food poisoning is actually caused by bacteria, not viruses. D is incorrect because while healthy individuals may recover from food poisoning, the recovery time can vary and may not always be within a few weeks.
Question 3 of 5
A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable & infectious diseases. Which of the following illustrate the rationale for reporting? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answers are A, B, C, and E. Reporting communicable diseases like SARS is crucial for planning and evaluating control and prevention strategies. It helps in determining public health priorities by identifying trends and areas that require attention. Reporting ensures proper medical treatment for the affected individuals and their contacts, preventing further spread. Additionally, monitoring for common-source outbreaks allows for timely intervention to limit the spread of the disease.
Choices D, F, and G are incorrect as they do not directly relate to the rationale for reporting communicable diseases in this context.
Question 4 of 5
A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of care? Select all.
Correct Answer: B, C, E
Rationale: The correct answers are B, C, and E.
B: Wearing a mask within 3 ft of the client helps prevent the transmission of pertussis through respiratory droplets.
C: Placing a surgical mask on the client during transportation reduces the spread of the infection to others.
E: Wearing a gown when handling secretions helps prevent contamination and spread of the infection.
Incorrect choices:
A: Negative air pressure is not necessary for the care of a pertussis patient.
D: Sterile gloves are not required for handling soiled linens in pertussis cases.
Question 5 of 5
A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which of the following should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. The presentation of linear clusters of fluid-containing vesicles with crusting is characteristic of herpes zoster, also known as shingles. This viral infection is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution of the vesicles along a dermatome is a key feature of herpes zoster. The other choices are incorrect because: A: Allergic reactions typically present with hives or itching, not vesicles with crusting. B: Ringworm presents as circular, red, scaly patches, not linear clusters of vesicles. C: Systemic lupus erythematosus is an autoimmune disease that manifests with a butterfly rash on the face, joint pain, and other systemic symptoms, not vesicles.
Therefore, the nurse should suspect herpes zoster based on the presentation described.