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 and D. The occupational therapist (
C) can help with improving the client's ability to eat independently by providing adaptive equipment and strategies. A speech-language pathologist (
D) is crucial for assessing and treating dysphagia to prevent aspiration and improve swallowing function. The social worker (
A) may address psychosocial needs but does not directly address dysphagia. The CNA (
B) primarily assists with daily living activities.
Question 2 of 5
A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answer includes choices A, B, and C because Certified Nursing Assistants (CNAs) are typically responsible for assisting with activities of daily living such as bathing, ambulating, and toileting. These tasks are within the scope of practice for CNAs and are essential for maintaining the comfort and well-being of patients.
Choice E, measuring vital signs, is also a common task performed by CNAs as it helps monitor the patient's health status and provides valuable information to the healthcare team.
Choices D and F are incorrect as CNAs are not typically responsible for determining pain levels, which is typically done by nurses or physicians, and choice G is not provided. Overall, the correct choices align with the typical responsibilities of CNAs in providing direct patient care and support.
Question 3 of 5
A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? Select all.
Correct Answer: C, E
Rationale:
Correct
Answer: C, E
Rationale:
C: A concave lumbar spine posteriorly is expected in a young adult male due to the normal lordotic curve in the lumbar region for weight-bearing support.
E: Muscles slightly larger on his dominant side is an expected finding as asymmetry in muscle size and strength is common due to dominant limb use.
Incorrect
Choices:
A: A concave thoracic spine posteriorly is not a normal finding and may indicate poor posture or spinal deformity.
B: An exaggerated lumbar curvature is not expected in a young adult male and may suggest a potential spinal issue.
D: An exaggerated thoracic curvature is not typical in a young adult male and may indicate abnormal spinal curvature.
Question 4 of 5
A nurse is evaluating a client's neurosensory system. To evaluate stereognosis, she would ask the client to close his eyes & identify which of the following items?
Correct Answer: D
Rationale: The correct answer is D: A familiar object she places in his hand. Stereognosis is the ability to recognize objects by touch without visual cues. By asking the client to identify a familiar object placed in his hand with his eyes closed, the nurse is testing his ability to perceive and interpret tactile sensations. This assessment helps evaluate the client's sensory perception and integration in the neurosensory system. The other choices are incorrect because they do not specifically assess stereognosis.
Choice A involves auditory perception, choice B involves tactile perception but not recognition of objects, and choice C involves vibratory perception rather than object recognition through touch.
Question 5 of 5
A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of her right shoulder. Which of the following activities is this problem likely to affect?
Correct Answer: C
Rationale: The correct answer is C. Fastening her bra behind her back. Internal rotation of the shoulder is necessary for this activity as it involves reaching the arm behind the body. Mopping the floors (
A) and brushing the back of her hair (
B) primarily require shoulder abduction and flexion. Reaching into a cabinet above the sink (
D) involves shoulder flexion and abduction, not internal rotation.