ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A client who will undergo neurosurgery the following week tells the nurse in the surgeon's office that he will prepare his advance directives before he goes to the hospital. Which of the following statements by the client indicates to the nurse that he understands advance directives?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates understanding of advance directives because it expresses the client's specific wishes regarding medical treatment, which is a key aspect of advance directives. By stating that he doesn't want to be kept on a breathing machine, the client is making a clear directive about his end-of-life care preferences. This shows that he understands the purpose of advance directives and is able to make informed decisions about his healthcare.
Choice A is incorrect because it shows confusion about who can make decisions, which is not directly related to understanding advance directives.
Choice B is incorrect because it focuses on the surgery rather than the purpose of advance directives.
Choice D is incorrect because it involves getting the regular doctor's approval, which is not necessary for advance directives.
Question 2 of 5
A nurse is monitoring a client who is receiving opioid analgesia for adverse effects of the medication. Which of the following effects should the nurse anticipate? Select all.
Correct Answer: C, D, E
Rationale: The correct answers are C, D, and E. Opioid analgesics can cause respiratory depression (Bradypnea), which the nurse should monitor for. Orthostatic hypotension can occur due to the vasodilatory effects of opioids. Nausea is a common side effect of opioids due to their effect on the gastrointestinal system. Urinary incontinence and diarrhea are not typical adverse effects of opioid analgesia, so choices A and B are incorrect.
Question 3 of 5
A nurse is teaching an adult client how to administer ear drops. Which of the following statements by the client indicates understanding of the proper technique?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Applying gentle pressure to the tragus helps in facilitating the passage of the drops into the ear canal. This action ensures that the drops reach the desired location for effectiveness. Pulling the ear down and back (
Choice
A) is incorrect as it is not recommended for adults. Inserting the nozzle snug into the ear (
Choice
C) can cause injury or discomfort. Placing a cotton ball into the ear canal (
Choice
D) can prevent the drops from reaching the ear.
Question 4 of 5
A client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse who is providing preop care regarding informed consent? Select all.
Correct Answer: A, B
Rationale:
Correct Answer: A, B
Rationale:
A: Making sure the surgeon obtained the client's consent is crucial to ensure that the client has been properly informed about the procedure and has voluntarily agreed to it.
B: Witnessing the client's signature on the consent form is important as it verifies that the client has personally agreed to the procedure after understanding the risks and benefits.
C: While explaining the risks and benefits of the procedure is important, this task is typically performed by the healthcare provider or surgeon, not the nurse providing preop care.
D: Describing the consequences of choosing not to have the surgery is important, but it is usually the responsibility of the healthcare provider or surgeon, not the nurse providing preop care.
E: Informing the client about alternatives to having the surgery is important, but this task is typically performed by the healthcare provider or surgeon, not the nurse providing preop care.
F: No information provided.
G: No information provided.
Summary:
The correct actions for
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.