ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Question 1 of 5
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an AP?
Correct Answer: C
Rationale: The correct answer is C: Reapplying a condom catheter for a client with urinary incontinence. This task involves non-invasive, routine care that can be safely delegated to an assistive personnel (AP). The nurse should ensure that the AP is trained and competent in performing this procedure.
Choice A: Feeding a client with aspiration pneumonia requires assessment and monitoring for signs of aspiration, which should be done by a licensed nurse due to the risk of complications.
Choice B: Reinforcing teaching with a client using a quad cane involves critical thinking, assessment of the client's understanding, and ensuring safety, which should be done by a licensed nurse.
Choice D: Applying a sterile dressing to a pressure ulcer requires sterile technique, assessment of wound status, and potential need for wound care interventions, which should be performed by a licensed nurse.
Question 2 of 5
A nurse is preparing to assess a patient for orthostatic hypotension. Which piece of equipment will the nurse obtain to assess for this condition?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure cuff.
To assess for orthostatic hypotension, the nurse needs to measure the patient's blood pressure in different positions - lying down, sitting, and standing. This is done using a blood pressure cuff to monitor any significant drop in blood pressure upon changing positions. A thermometer (choice
A) is used to measure temperature and is not relevant to assessing orthostatic hypotension. Elastic stockings (choice
B) are used for compression therapy in conditions like venous insufficiency and do not help in assessing orthostatic hypotension. Sequential compression devices (choice
D) are used for preventing deep vein thrombosis and improving circulation, not for assessing orthostatic hypotension.
Question 3 of 5
A nurse is caring for a client 24h post-op following abdominal surgery and suspects inadequate pain management. Which findings support this suspicion?
Correct Answer: B,C,E
Rationale: The correct answer is B, C, and E.
Choice B indicates nonadherence with coughing and deep breathing, which is essential for preventing postoperative complications such as pneumonia.
Choice C suggests the client is not taking pain medication as frequently as prescribed, indicating inadequate pain relief.
Choice E shows an elevated heart rate, which can be a sign of uncontrolled pain.
Choices A and D do not directly relate to inadequate pain management post-op. A client being agitated (choice
A) can have various causes, and tenderness in the right lower leg (choice
D) is not specific to poor pain management.
Question 4 of 5
Nurse observes smoke coming from under the door of the staff lounge. What is the priority action by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Evacuate the clients. This is the priority action because ensuring the safety of the clients is the nurse's primary responsibility. Evacuating the clients from the area of potential danger is crucial to prevent harm. A: Extinguishing the fire should be left to trained personnel. B: Pulling the fire alarm is important, but evacuating clients takes precedence. D: Closing doors may help contain the fire but doesn't ensure immediate safety.
Question 5 of 5
Nurse collecting data to evaluate middle adult's psychosocial development. Nurse should expect middle adults to demonstrate which capabilities? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct choices, C and E, align with Erikson's theory of psychosocial development for middle adulthood.
Choice C, "Welcome opportunities to be creative & productive," reflects Erikson's stage of generativity versus stagnation, where individuals in middle adulthood seek to contribute to society and leave a legacy.
Choice E, "Become involved in community issues & activities," relates to the desire for social involvement and making a positive impact on the community.
Choices A, B, and D are incorrect because they do not align with the typical capabilities of middle adults according to Erikson's theory.
Choice A contradicts the idea of middle adults striving for independence and self-reliance, while choice B reflects feelings of regret or despair, which are more characteristic of Erikson's later stages.
Choice D, while important, does not capture the full scope of middle adulthood psychosocial development as outlined by Erikson.