ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. The rationale is that occupational therapists specialize in helping individuals with physical limitations achieve independence in daily activities, such as self-feeding. They can assess the client's needs, recommend appropriate adaptive devices, and provide training on how to use them effectively. Referring the client to an occupational therapist ensures personalized and effective intervention.
Choices A, B, and C are incorrect as they do not have the specific expertise in addressing self-feeding difficulties due to rheumatoid arthritis.
Question 2 of 5
A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation?
Correct Answer: B, C, E
Rationale: The correct answer is B, C, and E. Right supervision/evaluation ensures appropriate oversight, accountability, and feedback. Right direction/communication involves clear instructions and feedback. Right circumstances consider factors like workload, resources, and environment.
Choice A ("Right client") is incorrect as it is not one of the 5 rights of delegation.
Choice D ("Right time") is important but does not specifically fall under the 5 rights framework. In summary, choices B, C, and E are crucial elements that align with the principles of effective delegation, while choices A and D are not directly related to the concept of the 5 rights of delegation.
Question 3 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.
Question 4 of 5
A nursing instructor is reviewing documentation w/a group of nursing students. Which of the following legal guidelines should they follow when documenting a client's record? Select all.
Correct Answer: B, C
Rationale:
Correct Answer: B, C
Rationale:
B: Putting the date and time on all entries is crucial for legal purposes to establish a timeline of events and ensure accuracy in documentation.
C: Documenting objective data and excluding opinions maintains objectivity and prevents subjective biases from influencing the client's record.
Summary:
A: Covering errors with correction fluid is not recommended as it can be perceived as an attempt to conceal mistakes, compromising the integrity of the record.
D: Using excessive abbreviations can lead to misinterpretation and errors in communication, compromising the clarity and accuracy of the record.
E: Waiting until the end of the shift to document can result in important information being forgotten or inaccurately recorded, impacting the quality of care provided.
Question 5 of 5
A nurse is instructing an AP in caring for a client who has a low platelet count as a result of chemotherapy. Which of the following is the nurse's priority instruction for measuring vital signs for this client?
Correct Answer: A
Rationale: The correct answer is A: "Don't measure the client's temperature rectally." This is the priority instruction because clients with low platelet counts are at risk for bleeding easily. Rectal temperature measurements pose a higher risk for causing bleeding compared to other methods. It is crucial to avoid any unnecessary harm to the client.
Choice B is incorrect because counting the radial pulse and multiplying by 2 is a common method for measuring heart rate, but it is not the priority in this situation.
Choice C is incorrect because whether the client knows their respirations are being counted or not does not affect the accuracy of the vital sign measurement.
Choice D is incorrect because letting the client rest before measuring their blood pressure is a good practice, but it is not as critical as avoiding rectal temperature measurements in this scenario.