ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse educator is reviewing with a newly hired nurse the difference in clinical manifestations of a localized vs. a systemic infection. The nurse indicates understanding when she states that which of the following are clinical manifestations of a systemic infection? Select all.
Correct Answer: A, B, E
Rationale: The correct answer is A, B, E. Fever, malaise, and an increase in pulse and respiratory rate are typical clinical manifestations of a systemic infection. Fever indicates the body's response to an infection, malaise reflects a general feeling of discomfort or illness, and an increase in pulse and respiratory rate can be signs of the body's effort to fight the infection. Edema and pain/tenderness are more commonly associated with localized infections rather than systemic ones. In summary, the correct choices reflect the body's overall response to a systemic infection, while the other options are more indicative of localized infections.
Question 2 of 5
A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answer includes bathing, ambulating, toileting, and measuring vital signs as activities that CNAs may perform. CNAs are trained to assist with basic activities of daily living such as bathing, toileting, and ambulating to ensure the comfort and well-being of patients. They are also responsible for measuring vital signs to monitor the patient's health status. Choosing option D, determining pain level, would be incorrect as this task typically falls under the responsibility of a nurse who can assess and manage pain effectively. Option F and G are not provided in the question, but it is important to understand the scope of practice for CNAs and how it differs from other healthcare team members.
Question 3 of 5
A client who had abdominal surgery 24 hr ago reports a pulling sensation & pain in his surgical incision. The nurse checks the client's surgical wound and finds the wound separated with viscera protruding. Which of the following interventions is appropriate? Select all.
Correct Answer: A, D
Rationale:
Correct Answer: A, D
Rationale:
A: Covering the area with saline-soaked sterile dressings helps to protect the exposed tissues from further contamination and dehydration.
D: Positioning the client supine with hips & knees bent helps reduce tension on the wound site and prevent further protrusion of viscera.
Incorrect
Choices:
B: Applying an abdominal binder snugly can increase pressure on the wound site, potentially worsening the separation and protrusion.
C: Using sterile gloves to apply pressure may further damage the exposed tissues and should be avoided.
E: Offering a warm beverage is not appropriate in this emergency situation and does not address the immediate need for wound management.
Question 4 of 5
A nurse is preparing to administer digoxin (Lanoxin) to a client who states, 'I don't want to take that med. I do not want one more pill.' Which of the following responses by the nurse is appropriate in this situation?
Correct Answer: D
Rationale: The correct answer is D: "Tell me your concerns with taking this med." This response demonstrates therapeutic communication by acknowledging the client's feelings and opening up a dialogue to address their concerns. By actively listening to the client's reasons for not wanting to take the medication, the nurse can provide education, address misconceptions, and work collaboratively with the client to find a solution. This approach promotes client autonomy and informed decision-making.
Choice A is incorrect as it dismisses the client's feelings and does not address their concerns.
Choice B is inappropriate as it shows a lack of empathy and understanding.
Choice C is incorrect as it ignores the client's refusal of the specific medication. These responses do not promote effective communication or client-centered care.
Question 5 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.