ATI RN Fundamental Proctored Exam With NGN Graded -Nurselytic

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ATI RN Fundamental Proctored Exam With NGN Graded Questions

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Question 1 of 5

A nurse educator is teaching a module on safe med administration to newly hired nurses. Which of the following statements by the newly hired nurse indicate understanding of the nurse's responsibility when implementing med therapy? Select all.

Correct Answer: A,B,E

Rationale: The correct answers are A, B, and E. A indicates understanding of monitoring for side effects, B for therapeutic effects, and E for refusing unsafe meds. These actions align with a nurse's responsibilities in medication administration to ensure patient safety.
Choice C, prescribing dose, is incorrect as nurses do not have prescribing authority.
Choice D, changing dose based on adverse effects, is incorrect as this requires a healthcare provider's order.

Question 2 of 5

An adolescent who has diabetes mellitus is 2 days postop following an appendectomy. The client is tolerating a regular diet. He has ambulated successfully around the unit with assistance. He requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale of 1-10 after receiving the med. His incision is approximated & free of redness, with scant serous drainage on the dressing. Which of the following risk factors for poor wound healing does this client have? Select all.

Correct Answer: B, C

Rationale: The correct answers are B and C. Impaired circulation (
B) can lead to poor wound healing by limiting the delivery of oxygen and nutrients to the wound site. In this case, the adolescent has undergone surgery, which can disrupt circulation. Impaired/suppressed immune system (
C) can also hinder wound healing as the immune response is crucial for fighting off infection and promoting healing. The client's successful ambulation and toleration of a regular diet suggest good overall health, reducing the risk of malnutrition (
D) and poor wound care (E). Extremes in age (
A) are not relevant in this case.

Question 3 of 5

A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all.

Correct Answer: A,B,E

Rationale: The correct answers are A, B, and E. Restlessness is an early indication of hypoxemia because the body is trying to compensate for decreased oxygen levels. Tachypnea (rapid breathing) is the body's response to hypoxemia to increase oxygen intake. Pallor is a sign of decreased oxygen saturation in the blood. Bradycardia and confusion are not typically early signs of hypoxemia, as the body usually increases heart rate to compensate for low oxygen levels, and confusion is a later sign indicating severe hypoxemia.

Question 4 of 5

A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the 1st-pass effect?

Correct Answer: B

Rationale: The correct answer is B. The 1st-pass effect refers to the metabolism of a drug in the liver before it reaches systemic circulation. Administering drugs via nonenteral routes bypasses the liver, avoiding inactivation.
Choice A discusses receptor activity, not the 1st-pass effect.
Choice C relates to drug elimination, not the 1st-pass effect.
Choice D mentions safety margins, not drug metabolism.

Question 5 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.

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