ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is 5 days postop following abdominal surgery. The surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the nurse to initiate after collecting wound & blood specimens for culture & sensitivity. Which of the following assessment findings should the nurse expect? Select all.
Correct Answer: A, B, C
Rationale: The correct answer is A, B, C. A postop wound infection typically presents with increased incisional pain (
A), fever & chills (
B), and reddened wound edges (
C). Pain may be due to inflammation caused by the infection. Fever and chills are systemic signs of infection. Reddened wound edges indicate inflammation and possible infection spreading.
Choices D and E are incorrect as increased serosanguineous drainage (
D) may be seen in the normal healing process, and a decrease in thirst (E) is not typically associated with wound infection.
Question 2 of 5
A nurse is instructing a postop client about the sequential compression device the provider has prescribed. Which of the following statements should indicate to the nurse that the client understands the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This thing will keep the blood pumping through my leg." This statement indicates understanding because sequential compression devices help prevent blood clots by promoting blood flow in the legs.
Choice A is incorrect as the device does not prevent skin sores.
Choice C is incorrect because the device does not prevent muscle weakness.
Choice D is incorrect as the device does not specifically target joint health.
Question 3 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 4 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 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.