ATI RN Fundamental Proctored Exam With NGN Graded -Nurselytic

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ATI RN Fundamental Proctored Exam With NGN Graded Questions

Question 1 of 5

A provider is discharging a client with a prescription for home oxygen therapy via nasal cannula. Client & family teaching by the nurse should include which of the following? Select all.

Correct Answer: C, D, E

Rationale: The correct answers are C, D, and E.
C: Checking the position of the cannula often is important to ensure proper oxygen delivery.
D: Reporting nasal stuffiness, nausea, or fatigue is crucial as they could indicate complications.
E: Posting 'no smoking' signs is essential as oxygen is highly flammable.
A: Applying petroleum jelly can be dangerous as it can interfere with oxygen flow.
B: Removing the nasal cannula during mealtimes can lead to hypoxemia.
F and G are not provided in the question.

Question 2 of 5

A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication administration record, which of the following medications should the nurse administer?

Correct Answer: C

Rationale: The correct answer is C: Morphine 2 mg IV. Morphine is the most appropriate choice for managing severe pain postoperatively due to its potency and rapid onset of action when administered intravenously. Meperidine (
A) has a shorter duration of action and is associated with more side effects. Fentanyl patch (
B) has a slow onset and is not suitable for immediate relief. Oxycodone (
D) is an oral medication and may not be appropriate for a client with severe pain who cannot swallow.

Question 3 of 5

A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? Select all.

Correct Answer: B, C, E

Rationale:
Correct Answer: B, C, E


Rationale:
B: Nail polish should not be used near a client receiving oxygen as it is flammable and can ignite easily, posing a fire hazard.
C: A 'No smoking' sign should be placed on the front door to remind everyone that smoking is prohibited in the presence of oxygen, reducing the risk of fire.
E: A fire extinguisher should be readily available in the home to quickly extinguish any fire that may occur due to oxygen use, ensuring safety.

Incorrect

Choices:
A: Family members who smoke must be at least 10 ft from the client when oxygen is in use is important, but it is more crucial to prevent any source of ignition near oxygen.
D: Cotton bedding & clothing should not be replaced with items made from wool specifically due to oxygen use. It is unnecessary and not related to oxygen safety.

Question 4 of 5

A nurse is preparing to administer digoxin (Lanoxin) to a client who states, 'I don't want to take that med. I do not want one more pill.' Which of the following responses by the nurse is appropriate in this situation?

Correct Answer: D

Rationale: The correct answer is D: "Tell me your concerns with taking this med." This response demonstrates therapeutic communication by acknowledging the client's feelings and opening up a dialogue to address their concerns. By actively listening to the client's reasons for not wanting to take the medication, the nurse can provide education, address misconceptions, and work collaboratively with the client to find a solution. This approach promotes client autonomy and informed decision-making.


Choice A is incorrect as it dismisses the client's feelings and does not address their concerns.
Choice B is inappropriate as it shows a lack of empathy and understanding.
Choice C is incorrect as it ignores the client's refusal of the specific medication. These responses do not promote effective communication or client-centered care.

Question 5 of 5

A nurse in a senior center is counseling a group of older adults about their nutritional needs and considerations. Which of the following information should the nurse include? Select all.

Correct Answer: A, B, C

Rationale:
Correct Answer: A, B, C


Rationale:
A: Older adults are more prone to dehydration due to decreased kidney function and decreased sensation of thirst.
B: While older adults may need the same amount of most vitamins and minerals, they may require more of certain nutrients like vitamin D and calcium.
C: Many older adults, especially women, need calcium supplementation to prevent osteoporosis.

Summary of Incorrect

Choices:
D: Older adults actually need fewer calories as they age due to decreased metabolism and physical activity.
E: There is no specific recommendation for older adults to consume a low-carbohydrate diet.

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