ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse in a senior center is counseling a group of older adults about their nutritional needs and considerations. Which of the following information should the nurse include? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Older adults are more prone to dehydration due to decreased kidney function and decreased sensation of thirst.
B: While older adults may need the same amount of most vitamins and minerals, they may require more of certain nutrients like vitamin D and calcium.
C: Many older adults, especially women, need calcium supplementation to prevent osteoporosis.
Summary of Incorrect
Choices:
D: Older adults actually need fewer calories as they age due to decreased metabolism and physical activity.
E: There is no specific recommendation for older adults to consume a low-carbohydrate diet.
Question 2 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 3 of 5
A nurse is collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changes associated w/aging? Select all.
Correct Answer: B, C, D
Rationale: The correct answers are B, C, and D. Vision and hearing decline is common with aging due to changes in the sensory organs. Slower fine finger movement is expected as decreased motor coordination occurs. Short-term memory decline is characteristic of aging as cognitive processes may slow down. Slower light touch and superficial pain sensation are not typical age-related changes. These sensations are primarily affected by nerve function rather than aging.
Question 4 of 5
A nurse is preparing to administer methylprednisolone acetate (Depo-Medrol) 10 mg by IV bolus. The amount available is 40 mg/mL. How many mL should the nurse administer?
Correct Answer: 0.3
Rationale:
Correct Answer: 0.3 mL
Rationale:
To calculate the mL to administer, divide the dose needed (10 mg) by the concentration available (40 mg/mL). 10 mg / 40 mg/mL = 0.25 mL. Since the available concentration is rounded to the nearest tenth (0.3 mL), this is the amount the nurse should administer.
Summary of other choices:
A: Incorrect, as it does not follow the correct calculation process.
B: Incorrect, as it does not consider the concentration of the medication.
C: Incorrect, as it does not involve the necessary division calculation.
D: Incorrect, as it does not relate the dose needed to the concentration available.
E: Incorrect, as it does not provide a logical explanation for the calculation.
F: Incorrect, as it lacks the step-by-step calculation process.
G: Incorrect, as it does not explain how to determine the mL to administer.
Question 5 of 5
A nurse is assessing a client who is reporting severe pain despite analgesia. The nurse can best assess the intensity of the client's pain by:
Correct Answer: C
Rationale: The correct answer is C because offering the client a pain scale to measure his pain allows for a standardized and quantifiable assessment of pain intensity. Pain scales such as the Numeric Rating Scale or Visual Analog Scale help the client express their pain level, facilitating better communication between the client and the nurse. This approach ensures a more objective evaluation of pain, enabling appropriate pain management interventions to be implemented.
As for the other choices:
A: Asking what precipitates the pain focuses on triggers rather than intensity.
B: Questioning about the location of pain is important but does not directly assess pain intensity.
D: Using open-ended questions may provide valuable information but does not offer a standardized measure of pain.
In summary, the other choices do not provide a direct and standardized assessment of pain intensity, making them less effective in this scenario.