ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A mother tells nurse that her 2 yo has temper tantrums. Child says 'no' every time mother tries to help her get dressed. Nurse explains that developmentally the toddler is...
Correct Answer: A
Rationale: The correct answer is A: Trying to gain her independence. At the age of 2, toddlers start asserting their independence and autonomy. By saying 'no' and resisting help with getting dressed, the child is exhibiting typical behavior for this stage of development. This behavior is a sign that the child is trying to assert her own will and demonstrate her independence. It is important for the nurse to reassure the mother that this behavior is normal and part of the child's healthy development.
Choices B, C, and D are incorrect because they do not align with the typical developmental milestones of a 2-year-old.
Choice B, developing a sense of trust, is more characteristic of infancy and early childhood.
Choice C, manifesting anger management problem, is not supported by the information provided and is an overinterpretation of the child's behavior.
Choice D, attempting to finish a project she started, does not apply to the situation described and is not developmentally appropriate for a 2-year-old.
Question 2 of 5
Nurse is reviewing safety precautions with group of young adults at community health fair. Which recommendations should nurse include specifically for this age group? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. Young adults are more likely to engage in risky activities like skiing, hence wearing a helmet (
B) is crucial for head protection. Carbon monoxide exposure is a concern in any age group, so installing a detector (
C) is important. Young adults may have access to firearms, making it vital to secure them in a safe location (
D) to prevent accidents.
Choices A and E are more relevant for older adults to prevent falls, while F and G are not provided in the question.
Question 3 of 5
The nurse is caring for a group of medical-surgical patients. The unit has been notified of a fire on an adjacent wing of the hospital. The nurse quickly formulates a plan to keep the patients safe. Which actions will the nurse take? Select all that apply
Correct Answer: A, B, C, D
Rationale: The correct answers are A, B, C, and D. A: Closing all doors helps contain the fire and smoke. B: Noting evacuation routes ensures a safe exit plan. C: Noting oxygen shut-offs prevents fueling the fire. D: Moving bedridden patients in their bed ensures their safety during evacuation. These actions prioritize patient safety and prevent harm during a fire emergency. Other choices are incorrect: E: Waiting for the fire department can waste crucial time. F: Using type B fire extinguishers for electrical fires can be dangerous and ineffective.
Question 4 of 5
Nurse is completing discharge teaching to client with COPD. Client verbalizes understanding of orthopneic position when he states, 'When I have difficulty breathing at night, I will...'
Correct Answer: C
Rationale: The correct answer is C because sitting on the side of the bed and resting arms over pillows on top of a raised bedside table is the orthopneic position for a client with COPD. This position allows for optimal lung expansion and makes breathing easier by reducing pressure on the diaphragm. Option A is incorrect as lying on the back with head and shoulders elevated may not provide the same level of relief for breathing difficulties. Option B is incorrect as lying flat on the stomach can further compromise breathing. Option D is incorrect as lying on the side with weight on hips and shoulders does not facilitate optimal lung expansion.
Question 5 of 5
Occupational health nurse is caring for employee with chemical burn from unknown chemical. Which intervention should nurse include in care plan?
Correct Answer: C
Rationale: The correct answer is C: Brush chemical off skin & clothing. This intervention is crucial as it helps to remove the source of the chemical burn, preventing further damage. Irrigating with water (choice
A) may spread the chemical or react with it, worsening the burn. Washing with antibacterial soap (choice
B) may not effectively remove the chemical. Applying a neutralizing agent (choice
D) can be harmful as it may cause a chemical reaction leading to more severe injuries.
Therefore, brushing the chemical off the skin and clothing is the safest and most effective initial intervention to prevent further harm.