ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse enters a client's room & finds him sitting in his chair. He states, 'I fell in the shower, but I got myself back up & into my chair.' How should the nurse document this in the client's chart?
Correct Answer: B
Rationale: The correct answer is B because it accurately reflects the client's statement while also acknowledging their ability to self-recover. Documenting the client's own account is essential for accurate recording of events.
Choice A does not capture the client's recovery, which is a crucial detail.
Choice C is incorrect as it is important to document any information provided by the client, even if not witnessed.
Choice D inaccurately assumes the client is currently resting comfortably.
Question 2 of 5
A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of her right shoulder. Which of the following activities is this problem likely to affect?
Correct Answer: C
Rationale: The correct answer is C: Fastening her bra behind her back. Internal rotation of the shoulder is necessary for this activity. Internal rotation is when the shoulder rotates inward towards the body. When assessing internal rotation, the nurse is testing the range of motion in this direction. Activities like mopping floors, brushing hair, and reaching into a cabinet primarily involve shoulder flexion and abduction, not internal rotation.
Therefore, fastening a bra behind the back, which requires internal rotation, is the likely activity to be affected by the reported pain during internal rotation evaluation.
Question 3 of 5
A nurse is teaching a client about taking multiple oral meds at home to include time-release capsules, liquid meds, enteric-coated pills, & narcotics. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Eating crackers with pain pills helps reduce stomach irritation commonly associated with narcotics. The client demonstrates an understanding of the importance of taking precautions to minimize side effects.
Incorrect
Choices:
A: Opening time-release capsules can alter drug release, affecting effectiveness.
B: Mixing liquid meds with food can affect absorption and potency.
C: Crushing enteric-coated pills can lead to irritation of the stomach lining.
E, F, G: No information provided.
Question 4 of 5
A nurse is evaluating a client's neurosensory system. To evaluate stereognosis, she would ask the client to close his eyes & identify which of the following items?
Correct Answer: D
Rationale:
Correct Answer: D - A familiar object she places in his hand
Rationale: Stereognosis is the ability to identify objects by touch without visual input. Asking the client to identify a familiar object placed in their hand tests this ability. By closing their eyes, the client relies solely on tactile sensations to recognize the object. This test requires intact sensory pathways and cognitive processing to interpret the information received through touch.
Summary of Other
Choices:
A: A word whispered close to the ear tests auditory processing, not stereognosis.
B: Tracing a number on the palm tests tactile recognition but not stereognosis.
C: Vibration sensation on the foot tests proprioception, not stereognosis.
Question 5 of 5
A nursing instructor is reviewing documentation w/a group of nursing students. Which of the following legal guidelines should they follow when documenting a client's record? Select all.
Correct Answer: B, C
Rationale:
Correct Answer: B, C
Rationale:
B: Putting the date and time on all entries is crucial for legal purposes to establish a timeline of events and ensure accuracy in documentation.
C: Documenting objective data and excluding opinions maintains objectivity and prevents subjective biases from influencing the client's record.
Summary:
A: Covering errors with correction fluid is not recommended as it can be perceived as an attempt to conceal mistakes, compromising the integrity of the record.
D: Using excessive abbreviations can lead to misinterpretation and errors in communication, compromising the clarity and accuracy of the record.
E: Waiting until the end of the shift to document can result in important information being forgotten or inaccurately recorded, impacting the quality of care provided.