ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse delegating ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D.
B: It is important for the AP to know that the client ambulates with slippers over antiembolic stockings to ensure proper support and prevent complications.
C: Sharing that the client uses a front-wheeled walker when ambulating ensures the AP assists the client safely and appropriately.
D: Informing the AP that the client had pain medication 30 min ago helps in monitoring for any potential side effects or need for further pain management.
Incorrect choices:
A: The roommate's independence is unrelated to the client's ambulation post-knee arthroplasty.
E: The client's allergy to codeine is not relevant to the task of delegating ambulation.
Question 2 of 5
Security officer reviewing actions to take in event of bomb threat by phone. Which statement indicates proper understanding of procedure?
Correct Answer: D
Rationale: The correct answer is D because listening for background noises can provide crucial information for assessing the credibility of the threat and providing valuable details to authorities. A: Hanging up too quickly may prevent gathering vital information. B: Overhead paging can create panic and hinder evacuation. C: Not asking questions limits the ability to gather critical details. E, F, G: Irrelevant. In summary, D is correct as it allows for effective threat assessment and response planning.
Question 3 of 5
Nurse is counseling older adult who describes having difficulty with several issues. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: D
Rationale: The correct answer is D. The priority issue for assessment & intervention is the older adult struggling with helping out in the community. This indicates a potential loss of purpose and meaning in life, which can negatively impact mental health. It may also suggest decreased social engagement, which is crucial for overall well-being in older adults. This issue requires immediate attention to prevent further decline in mental health and overall quality of life.
A: While feeling regret about retirement is important, it does not pose an immediate risk to the individual's well-being.
B: Depending on family for help is common in older age but does not indicate an urgent need for intervention.
C: Grieving the loss of friends is significant, but it may not be the priority issue for immediate intervention.
E, F, G:
Choices are not provided, but they would likely be incorrect as they are not the priority issue for assessment & intervention.
Question 4 of 5
The patient has been in bed for several days and needs to be ambulated. Which action will the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to dangle at the bedside. This is the first action to take to prevent orthostatic hypotension when a patient has been immobile. Dangling helps the body adjust gradually to an upright position, reducing the risk of dizziness or fainting.
Choice A is incorrect because a wider base of support is needed for stability during ambulation.
Choice C is incorrect because isometric exercises do not directly address the need to get the patient out of bed.
Choice D is incorrect as a high-calcium diet is not the immediate priority for a patient needing ambulation.
Question 5 of 5
Mother of 7 mo infant tells nurse that her baby has been fussy with occasional loose stools since she started feeding him fruits & veggies. Which responses by nurse are appropriate? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Explanation:
B: It is important to make a list of foods the baby is eating to identify any potential triggers causing the fussiness and loose stools. This allows for a systematic approach to troubleshooting the issue.
C: Asking if the changes began after starting a particular food helps to pinpoint potential allergens or intolerances that may be causing the symptoms.
D: Inquiring about vomiting is important as it can indicate a more serious underlying issue that may be related to the introduction of new foods.
Incorrect Answers:
A: Adding bananas may not be appropriate as they can worsen loose stools in some infants due to their high fiber content.
E: Not all babies react with indigestion when starting new foods, so this statement is too general and not helpful in addressing the specific situation.