ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for an 82-year-old client in the ER who has an oral body temperature of 38.3°C (101°F), a pulse rate of 114/min, & a respiratory rate of 22/min. He is restless & his skin is warm. Which of the following are appropriate nursing interventions for this client? Select all.
Correct Answer: A, C, E
Rationale:
Correct Answer: A, C, E
Rationale:
A: Obtaining culture specimens before initiating antimicrobials is crucial to identify the specific pathogen causing the infection and guide appropriate treatment.
C: Encouraging the client to limit activity and rest helps reduce metabolic demands, allowing the body to focus on fighting the infection and promoting healing.
E: Assisting the client with oral hygiene frequently is important to prevent further infection and maintain oral health, especially in older adults who may have compromised immune systems.
Summary:
B: Restricting the client's oral fluid intake is not appropriate as hydration is essential for maintaining fluid balance and aiding in infection recovery.
D: Allowing the client to shiver to dispel excess heat is not advised as it can lead to increased metabolic demands and potential complications.
F, G: No other choices are provided in the question.
Question 3 of 5
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Heat stroke is characterized by a high body temperature, which can lead to vasodilation and decreased blood pressure, resulting in hypotension. Bradycardia (choice
B) is unlikely as the body tries to compensate by increasing heart rate. Clammy skin (choice
C) is more indicative of shock rather than heat stroke. Bradypnea (choice
D) is unlikely as the body tries to increase respiratory rate in response to heat stress.
Question 4 of 5
A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse implement to maintain the patency of the client's airway?
Correct Answer: D
Rationale: The correct answer is D: Promote incentive spirometer use. This intervention helps prevent atelectasis and maintain lung expansion in immobile clients. Isometric exercises (
A) are not directly related to airway patency. Suctioning (
B) every 8 hours is not necessary unless there are secretions. Low-dose heparin (
C) is used for preventing blood clots, not for airway maintenance.
Question 5 of 5
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the act of intentionally causing someone to fear that they will be physically harmed. In this case, the AP's threat of putting a diaper on the client if he doesn't use the urinal properly next time constitutes an act of assault because it instills fear in the client.
Choice B, Battery, involves actual physical harm, which is not present in this scenario.
Choice C, False imprisonment, involves restricting someone's freedom of movement, which is not the case here.
Choice D, Invasion of privacy, refers to intruding into someone's private affairs, which is not relevant in this situation.