ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A client who had abdominal surgery 24 hr ago reports a pulling sensation & pain in his surgical incision. The nurse checks the client's surgical wound and finds the wound separated with viscera protruding. Which of the following interventions is appropriate? Select all.
Correct Answer: A, D
Rationale:
Correct Answer: A, D
Rationale:
A: Covering the area with saline-soaked sterile dressings helps to protect the exposed tissues from further contamination and dehydration.
D: Positioning the client supine with hips & knees bent helps reduce tension on the wound site and prevent further protrusion of viscera.
Incorrect
Choices:
B: Applying an abdominal binder snugly can increase pressure on the wound site, potentially worsening the separation and protrusion.
C: Using sterile gloves to apply pressure may further damage the exposed tissues and should be avoided.
E: Offering a warm beverage is not appropriate in this emergency situation and does not address the immediate need for wound management.
Question 2 of 5
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which of the following information should the nurse include in her counseling?
Correct Answer: D
Rationale: The correct answer is D: Carbon monoxide binds with hemoglobin in the body. This is crucial information to include in counseling as carbon monoxide competes with oxygen for binding to hemoglobin, leading to decreased oxygen delivery to tissues.
Choice A is incorrect because carbon monoxide is odorless.
Choice B is incorrect as water heaters should be inspected annually.
Choice C is incorrect as carbon monoxide primarily affects the ability of blood to carry oxygen, not the lungs themselves.
Question 3 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 answers are B, C, and E.
B: Immunocompromised individuals are at higher risk for complications from food poisoning due to their weakened immune system.
C: Clients at risk should stick to pasteurized dairy products as they are less likely to contain harmful bacteria.
E: Separating raw and fresh foods helps prevent cross-contamination, reducing the risk of food poisoning.
Incorrect:
A: Most food poisoning is actually caused by bacteria, not viruses.
D: While healthy individuals may recover quicker, food poisoning can still have serious consequences.
In summary, the correct answers emphasize the importance of protecting vulnerable individuals, consuming safe dairy products, and practicing proper food handling techniques to prevent food poisoning.
Question 4 of 5
A nurse is caring for a client who is receiving morphine via a PCA infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates understanding of the PCA device. The client acknowledges the need to communicate with the nurse if pain persists after using the device, indicating awareness of the device's purpose and the importance of monitoring pain levels.
Choice A shows hesitation, which may delay effective pain management.
Choice B suggests fear of overdose but lacks understanding of the device's safety features.
Choice D poses a safety risk by involving an unauthorized person in medication administration.
Choices E, F, and G are irrelevant as they do not address the proper use of the PCA device.
Question 5 of 5
A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Repeating the prescription details back ensures accurate communication and confirms understanding.
B: Having another nurse listen provides a second verification to prevent errors or misinterpretations.
C: Obtaining the prescriber's signature is essential for legal documentation and accountability.
Summary:
D: Declining the prescription is inappropriate as it disregards the client's pain management needs.
E: Informing the charge nurse alone does not fulfill the necessary steps to ensure safe medication administration.