ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse educator presenting on basic first aid for new home health nurses. She evaluates teaching as effective when new nurse states client who has heat stroke will have which of following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. In heat stroke, the body's temperature regulation fails, leading to vasodilation and dehydration. This results in decreased blood pressure (hypotension) as the body struggles to cool down.
Choices B (Bradycardia), C (Clammy skin), and D (Bradypnea) are not typical signs of heat stroke. Bradycardia is a slower heart rate, which is usually not seen in heat stroke as the body tries to cool itself. Clammy skin may be present in heat exhaustion but not necessarily in heat stroke. Bradypnea, or slow breathing, is not a common symptom of heat stroke, which is more associated with rapid breathing due to the body's attempt to cool down.
Question 2 of 5
Home health nurse is discussing dangers of food poisoning with client. Which info should nurse include in counseling? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E.
B: Immunocompromised individuals have weakened immune systems, making them more susceptible to severe complications from food poisoning.
C: Clients at risk should consume only pasteurized dairy products to avoid harmful bacteria. Unpasteurized dairy can contain pathogens.
E: Separating raw and fresh foods prevents cross-contamination, reducing the risk of foodborne illnesses.
Incorrect:
A: Most food poisoning is caused by bacteria, not viruses.
D: Healthy individuals may recover faster, typically within a few days, not weeks.
Question 3 of 5
Nurse is caring for client receiving enteral tube feedings due to dysphagia. Which of following bed positions is appropriate for safe care of this client?
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler's position. This position helps prevent aspiration during enteral tube feedings by aiding in proper digestion and reducing the risk of reflux. Semi-Fowler's position also helps facilitate optimal absorption of nutrients. Supine position (
A) can increase the risk of aspiration. Semi-prone (
C) and Trendelenburg (
D) positions are not recommended for enteral feedings as they can lead to complications such as regurgitation and aspiration.
Question 4 of 5
Nurse is caring for client sitting in chair & asks to return to bed. Which is priority action for nurse to take at this time?
Correct Answer: D
Rationale: The correct answer is D: Assess client's ability to help with transfer. The priority action for the nurse is to evaluate the client's capability to assist with the transfer safely. This assessment is crucial to prevent any potential injury to the client during the transfer process. By determining the client's ability to help, the nurse can make an informed decision on the level of assistance required.
Choice A (Obtain walker), B (Call for additional personnel), and C (Use transfer belt) are all important interventions but assessing the client's ability to help is the priority as it informs the next steps in the transfer process. Without knowing the client's capacity to assist, the nurse cannot effectively determine the appropriate interventions needed.
Overall, assessing the client's ability to help with the transfer ensures the safety and well-being of the client during the transfer process.
Question 5 of 5
Nurse is completing discharge teaching to client with COPD. Client verbalizes understanding of orthopneic position when he states, 'When I have difficulty breathing at night, I will...'
Correct Answer: C
Rationale: The correct answer is C: Sit on side of my bed & rest my arms over pillows on top of my raised bedside table. Orthopneic position is sitting upright with arms supported, which helps improve lung expansion and ease breathing.
Choice A is incorrect as lying on the back can worsen breathing difficulties.
Choice B is incorrect as lying flat on the stomach hinders breathing.
Choice D is incorrect as lying on the side does not provide the same lung expansion as sitting upright.