ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which 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 is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution along a dermatome is a key feature distinguishing it from other conditions. Allergic reaction (
A) typically presents with hives or erythema, not vesicles. Ringworm (
B) presents with a circular, scaly rash. Systemic lupus erythematosus (
C) is an autoimmune disease with a different presentation.
Question 2 of 5
Nurse caring for a client who reports severe sore throat, pain with swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?
Correct Answer: D
Rationale: The correct answer is D: Illness. In this stage, the client exhibits specific signs and symptoms of infection, such as severe sore throat, pain with swallowing, and swollen lymph nodes. This indicates active replication of the pathogen and the body's immune response. Other choices are incorrect because: A: Prodromal is the initial stage with vague, non-specific symptoms. B: Incubation is the period between exposure to the pathogen and the onset of symptoms. C: Convalescence is the recovery stage after the illness.
Question 3 of 5
Nurse educator is reviewing with a newly hired nurse the difference in clinical manifestations of localized vs. systemic infection. The nurse indicates understanding when she states that which are manifestations of systemic infection? (Select all that apply.)
Correct Answer: A,B,E
Rationale: The correct answer is A, B, and E. Fever is a hallmark sign of a systemic infection as the body's response to infection. Malaise, a general feeling of discomfort, is also common in systemic infections due to the body's immune response. An increase in pulse and respiratory rate occurs in systemic infections as the body tries to combat the infection. Edema and pain/tenderness are more indicative of localized infections and are not typically seen in systemic infections.
Therefore, choices C and D are incorrect in this context.
Question 4 of 5
Nurse caring for client just admitted after falling. This client is oriented 3x & can follow directions. Which action(s) by nurse are appropriate to decrease risk of fall? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Correct
Answer: C, D, E
Rationale:
C: Ensuring the client's call light is within reach allows them to easily call for assistance, reducing the risk of falls.
D: Providing the client with nonskid footwear enhances traction, decreasing the likelihood of slipping and falling.
E: Completing a fall-risk assessment helps identify specific factors contributing to the client's fall risk, enabling tailored interventions for prevention.
Incorrect
Choices:
A: Placing a belt restraint on the client when sitting on the commode can lead to loss of autonomy and increase agitation, potentially escalating fall risk.
B: Keeping the bed in a low position with full side rails up may restrict the client's movement and independence, leading to frustration and potential attempts to climb out, increasing the risk of falls.
Question 5 of 5
Nurse manager is reviewing care of client with seizures with nurses on unit. Which statements by nurse requires more instruction?
Correct Answer: B
Rationale: The correct answer is B because leaving the client during a seizure to go to the nurses' station for assistance is unsafe. The nurse should stay with the client to ensure safety. A: Placing the client on their side helps prevent aspiration. C: Administering prescribed meds is appropriate. D: Being prepared to insert an airway is essential in case of respiratory compromise.