ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse educator is conducting a parenting class for new parents. Which of the following statements made by a participant indicates a need for further clarification & instruction?
Correct Answer: B
Rationale:
Correct Answer: B. Once my baby can sit up, he should be safe in the bathtub.
Rationale: This statement indicates a need for further clarification because sitting up doesn't guarantee safety in the bathtub. Babies can still slip or drown even when they can sit. It's important to never leave a baby unattended in the tub, regardless of their ability to sit up.
Summary of other choices:
A: Starting swimming lessons when the baby can close her mouth underwater is not recommended. Babies should not be submerged in water until they are older.
C: Testing the water temperature before placing the baby in the bath is a good practice for safety.
D: Removing the mobile from over the bed when the infant starts to push up is a good safety measure to prevent any hazards.
Question 2 of 5
The skin barrier covering a client's intestinal fistula keeps falling off when she stands up to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only when the client is supine in bed. The nurse telephoned the physical therapist about the difficulties containing the drainage from the fistula, so the therapist didn't ambulate the client today. The client sat in a chair during lunch w/an absorbent pad over the fistula. The client ate all the food on her tray. The wound care nurse confirmed that she will see the client later today. The client states she feels frustrated at not having physical therapy, but the nurse thinks the client welcomed having a day to rest. Which of the following information should the nurse include in the change-of-shift report? Select all.
Correct Answer: A, B, D
Rationale:
Correct Answer: A, B, D
Rationale:
A: The physical therapist not ambulating the client is crucial information as it indicates a change in the client's care plan due to the skin barrier issue.
B: The skin barrier's behavior in different positions is relevant to understanding the problem and potential solutions.
D: The wound care nurse's visit is important as it shows ongoing management of the skin barrier issue.
Summary:
C: The client's feelings about physical therapy are not as critical as the actual care provided.
E: The client's food intake is not directly related to the issue with the skin barrier.
F, G: No information is provided about these options in the scenario.
Question 3 of 5
A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. What is the nurse's highest assessment priority before performing this procedure?
Correct Answer: B
Rationale:
Correct Answer: B - Verify the placement of the NG tube.
Rationale: Ensuring proper NG tube placement is crucial before administering enteral feedings to prevent complications such as aspiration. The nurse should confirm the tube's position by checking for gastric aspirate pH or using an X-ray. This step is essential for the client's safety.
Incorrect
Choices:
A: Checking the feeding container's duration is important for assessing feeding integrity but not as critical as verifying tube placement.
C: Diarrhea assessment is important for monitoring the client's gastrointestinal status but does not take precedence over tube placement verification.
D: Client's alertness and orientation are vital for overall assessment but not directly related to enteral feeding safety.
Question 4 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 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.