ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which of the following information should the nurse include in her counseling?
Correct Answer: D
Rationale: The correct answer is D: Carbon monoxide binds with hemoglobin in the body. This is crucial information to include in counseling as carbon monoxide competes with oxygen for binding to hemoglobin, leading to decreased oxygen delivery to tissues.
Choice A is incorrect because carbon monoxide is odorless.
Choice B is incorrect as water heaters should be inspected annually.
Choice C is incorrect as carbon monoxide primarily affects the ability of blood to carry oxygen, not the lungs themselves.
Question 2 of 5
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Report observations to the nurse manager on the unit. This action is crucial for patient safety and the well-being of the drowsy nurse. By reporting to the nurse manager, appropriate steps can be taken to address the issue, such as evaluating the nurse's workload, offering support or counseling, or implementing policies to prevent such incidents in the future.
Choice A is incorrect as simply reminding the nurse may not address the underlying issue.
Choice B is less effective as it may delay necessary intervention.
Choice D is incorrect as patient safety is a collective responsibility. Reporting to the nurse manager is the best course of action to ensure proper handling of the situation.
Question 3 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 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 is receiving morphine via a PCA infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates understanding of the PCA device. The client acknowledges the need to communicate with the nurse if pain persists after using the device, indicating awareness of the device's purpose and the importance of monitoring pain levels.
Choice A shows hesitation, which may delay effective pain management.
Choice B suggests fear of overdose but lacks understanding of the device's safety features.
Choice D poses a safety risk by involving an unauthorized person in medication administration.
Choices E, F, and G are irrelevant as they do not address the proper use of the PCA device.