ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A client who has had a cerebrovascular accident has persistent problems w/dysphagia. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team? Select all.
Correct Answer: C, D
Rationale: The correct answer is C (Occupational therapist) and D (Speech-language pathologist). An occupational therapist can help the client with dysphagia by providing strategies for safe eating and drinking. A speech-language pathologist is crucial for evaluating and treating swallowing difficulties. The social worker (
A) may not have the expertise in dysphagia management. A CNA (
B) is not trained to address dysphagia. The other choices are not provided, but they would likely not have the specific skills needed to address dysphagia effectively.
Question 2 of 5
A nurse who is admitting a client who has a fractured femur obtains a blood pressure reading of 140/94 mmHg. The client denies any history of hypertension. Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if she is having pain. The elevated blood pressure reading could be attributed to pain and anxiety related to the fractured femur. By assessing if the client is in pain, the nurse can address the root cause of the high blood pressure. Requesting antihypertensive or anti-anxiety medication without evaluating the client's pain level would not address the underlying issue. Simply rechecking the blood pressure without addressing the potential pain would not provide a solution. Asking about pain is the initial step in managing the client's elevated blood pressure in this context.
Question 3 of 5
A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which of the following should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. Linear clusters of vesicles with crusting are classic symptoms of herpes zoster, also known as shingles, caused by the reactivation of the varicella-zoster virus. The linear distribution follows the nerve pathways affected by the virus. This presentation is distinct from an allergic reaction (
A), which typically manifests as hives or red, itchy skin patches. Ringworm (
B) presents as circular, scaly patches and is caused by a fungus, not a virus like herpes zoster. Systemic lupus erythematosus (
C) is an autoimmune disease that does not typically present with linear clusters of vesicles.
Question 4 of 5
A nurse educator is reviewing with a newly hired nurse the difference in clinical manifestations of a localized vs. a systemic infection. The nurse indicates understanding when she states that which of the following are clinical manifestations of a systemic infection? Select all.
Correct Answer: A, B, E
Rationale: The correct answer is A, B, E. Fever, malaise, and an increase in pulse and respiratory rate are typical clinical manifestations of a systemic infection. Fever indicates the body's response to an infection, malaise reflects a general feeling of discomfort or illness, and an increase in pulse and respiratory rate can be signs of the body's effort to fight the infection. Edema and pain/tenderness are more commonly associated with localized infections rather than systemic ones. In summary, the correct choices reflect the body's overall response to a systemic infection, while the other options are more indicative of localized infections.
Question 5 of 5
A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should the nurse include when explaining the procedure to the client?
Correct Answer: D
Rationale: The correct answer is D: The specimen cannot be contaminated. This is crucial because fecal occult blood testing requires a clean sample to accurately detect blood in the stool. Contamination can lead to false results, affecting the interpretation of the test. Eating more protein (choice
A) is irrelevant to the test procedure. One stool specimen (choice
B) may not be enough for accurate testing. A red color change (choice
C) is not necessarily indicative of a positive test result. By ensuring the specimen is not contaminated, the client can obtain reliable test results.