ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 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.
Question 2 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.
Question 3 of 5
A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? Select all.
Correct Answer: C, E
Rationale:
Correct Answer: C, E
Rationale:
1.
Choice C: A concave lumbar spine posteriorly is expected in a healthy musculoskeletal system as it indicates the natural curvature of the lumbar spine.
2.
Choice E: Muscles being slightly larger on the dominant side is a common finding due to increased use and strength development.
Incorrect
Choices:
A. A concave thoracic spine posteriorly is abnormal as the thoracic spine should have a slight convex curve posteriorly.
B. An exaggerated lumbar curvature is abnormal and can indicate conditions like lordosis.
D. An exaggerated thoracic curvature is abnormal and can indicate conditions like kyphosis.
Summary:
The correct choices align with the expected findings in a healthy musculoskeletal system, while the incorrect choices describe abnormal or atypical presentations that could indicate underlying issues.
Question 4 of 5
A client who has had a cerebrovascular accident has persistent problems w/dysphagia. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team? Select all.
Correct Answer: C, D
Rationale: The correct answer is C (Occupational therapist) and D (Speech-language pathologist). An occupational therapist can help the client with dysphagia by providing strategies for safe eating and drinking. A speech-language pathologist is crucial for evaluating and treating swallowing difficulties. The social worker (
A) may not have the expertise in dysphagia management. A CNA (
B) is not trained to address dysphagia. The other choices are not provided, but they would likely not have the specific skills needed to address dysphagia effectively.
Question 5 of 5
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Flush the tube before & after each med. Flushing the tube before medication administration ensures there are no residues that might interfere with the medication. Flushing after helps clear the tube of any remnants, preventing clogs.
Choice B is incorrect as medications should not be mixed with enteral feedings to avoid interaction.
Choice C is incorrect as tablets should be crushed and dissolved in water before administration.
Choice D is incorrect as medications should be crushed and dissolved individually to ensure accurate dosing.