ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A client who is postop following a knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team may assist the client in understanding the medication's effects? Select all.
Correct Answer: A, C, D
Rationale:
Correct Answer: A, C, D
Rationale:
1. Provider (
A): The provider, such as a physician or surgeon, is responsible for prescribing the medication and can explain its effects to the client.
2. Pharmacist (
C): Pharmacists are experts in medications and can provide detailed information about the drug's effects, interactions, and side effects.
3. RN (
D): Registered nurses are involved in direct patient care and can educate the client about the medication's effects and monitor for any adverse reactions.
Summary:
B: CNA - While CNAs provide valuable patient care, they may not have the expertise to explain medication effects.
E: Respiratory therapist - Respiratory therapists primarily focus on respiratory care and may not have the necessary knowledge about pain medication effects.
Question 2 of 5
A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following are appropriate steps for the nurse to take? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Warming the enema helps prevent cramping and discomfort during instillation.
B: Positioning the client on the left side with the right leg flexed forward helps facilitate easier insertion of the enema.
C: Lubricating the rectal tube or nozzle helps prevent injury and discomfort during insertion.
Incorrect
Choices:
D: Slowly inserting the rectal tube about 2 inches is incorrect as it may not be deep enough to reach the sigmoid colon.
E: Hanging the enema container 24 inches above the client's anus is incorrect as it may cause rapid flow leading to discomfort and cramping.
Question 3 of 5
A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations should the nurse include specifically for this age group? Select all.
Correct Answer: B, C, D
Rationale: The correct recommendations for young adults are wearing a helmet while skiing (
B), installing a carbon monoxide detector (
C), and securing firearms in a safe location (
D). Young adults are more likely to engage in risky activities like skiing, hence wearing a helmet is crucial for injury prevention. Carbon monoxide poisoning is a risk for all age groups, but young adults may be less aware of the dangers, making it important to install detectors. Additionally, young adults may have access to firearms, so securing them in a safe location is vital to prevent accidents or misuse. The other options (A, E) are more relevant for older adults to prevent falls, and may not be as critical for young adults who are more at risk for the mentioned activities.
Question 4 of 5
A nurse is preparing to perform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? Select all.
Correct Answer: A, D, E
Rationale: The correct guidelines for endotracheal suctioning are A, D, and E. A is correct because applying suction while withdrawing the catheter helps prevent trauma to the airway. D is correct to prevent the risk of infection by using a new catheter for each suctioning attempt. E is correct to limit the number of suctioning attempts to prevent hypoxia and airway trauma.
Choice B is incorrect as suctioning should be based on assessment rather than routine timing.
Choice C is incorrect as strict sterile technique, not just medical asepsis, is required for suctioning.
Question 5 of 5
An adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she administers a PRN sedative med that the client has not requested along w/his usual meds. Which of the following tort has the nurse committed?
Correct Answer: B
Rationale: The correct answer is B: False imprisonment. False imprisonment occurs when a person is unlawfully restrained or confined against their will. In this scenario, the nurse administered a sedative to prevent the client from leaving the hospital, which constitutes a form of restraint or confinement without the client's consent. This action violates the client's right to autonomy and freedom of movement.
A: Assault involves the threat of harm or unwanted physical contact, which is not applicable in this scenario.
C: Negligence is the failure to provide reasonable care, which is not the primary issue in this case.
D: Breach of confidentiality involves disclosing private information without consent, which is not relevant to the situation provided.