ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Heat stroke is characterized by a high body temperature, which can lead to vasodilation and decreased blood pressure, resulting in hypotension. Bradycardia (choice
B) is unlikely as the body tries to compensate by increasing heart rate. Clammy skin (choice
C) is more indicative of shock rather than heat stroke. Bradypnea (choice
D) is unlikely as the body tries to increase respiratory rate in response to heat stress.
Question 2 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 3 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 4 of 5
To promote the safe use of a cane for a client who is recovering from a minor musculoskeletal injury of the left lower extremity, which of the following instructions should the nurse provide? Select all.
Correct Answer: A, B, D
Rationale:
Correct Answer: A, B, D
Rationale:
A: Holding the cane on the right side helps provide support to the weaker left lower extremity, aiding balance and stability.
B: Keeping 2 points of support on the floor (cane and one leg) reduces the risk of falls and ensures proper weight distribution.
D: Moving the weaker leg forward after advancing the cane helps maintain balance and prevents overloading the injured extremity.
Summary:
C: Placing the cane 15 inches in front of the feet before advancing is incorrect as it may lead to overreaching and loss of balance.
E: Advancing the stronger leg to align with the cane may not provide adequate support to the weaker extremity.
F, G: The choices are left blank as they are not applicable to the question or do not contribute to promoting safe cane use for the client.
Question 5 of 5
A home health nurse is discussing the dangers of food poisoning w/a client. Which of the following info should the nurse include in her counseling? Select all.
Correct Answer: B, C, E
Rationale: The correct answers are B, C, and E.
B: Immunocompromised individuals are at higher risk for complications from food poisoning due to their weakened immune system.
C: Clients at risk should stick to pasteurized dairy products as they are less likely to contain harmful bacteria.
E: Separating raw and fresh foods helps prevent cross-contamination, reducing the risk of food poisoning.
Incorrect:
A: Most food poisoning is actually caused by bacteria, not viruses.
D: While healthy individuals may recover quicker, food poisoning can still have serious consequences.
In summary, the correct answers emphasize the importance of protecting vulnerable individuals, consuming safe dairy products, and practicing proper food handling techniques to prevent food poisoning.