ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable & infectious diseases. Which of the following illustrate the rationale for reporting? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answers are A, B, C, and E. Reporting communicable & infectious diseases is crucial for planning and evaluating control & prevention strategies to contain the spread of the disease. It helps determine public health priorities by allocating resources accordingly. Reporting also ensures proper medical treatment for affected individuals to prevent complications and further transmission. Additionally, monitoring for common-source outbreaks allows for timely intervention to prevent widespread infections.
Choices D, F, and G are incorrect as they do not directly relate to the rationale for reporting communicable & infectious diseases.
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 preparing to administer a med to a client. The med was scheduled for administration at 0900. Which of the following are acceptable administration times for this med? Select all.
Correct Answer: A,D
Rationale: The correct answers are A (905) and D (840) because they fall within the acceptable timeframe for administering the medication. The general rule for medication administration is usually within 30 minutes before or after the scheduled time.
Choice A (905) is within this range as it is 5 minutes after 0900, and choice D (840) is also within this range as it is 20 minutes before 0900.
Choices B (825) and E (935) are outside the 30-minute window.
Choice C (1,000) is significantly delayed and could potentially affect the medication's effectiveness.
Therefore, choices B, C, and E are incorrect due to being outside the acceptable administration times.
Question 4 of 5
A nurse is caring for a client who is receiving continuous enteral feedings. What is the highest priority intervention when the nurse suspects aspiration?
Correct Answer: B
Rationale: The correct answer is B: Stop the feeding. When a nurse suspects aspiration in a client receiving enteral feedings, the highest priority intervention is to immediately stop the feeding to prevent further aspiration and potential respiratory compromise. This action helps to prevent additional complications and allows for further assessment and appropriate interventions. Auscultating breath sounds (choice
A) may confirm the presence of aspiration but stopping the feeding takes precedence. Obtaining a chest x-ray (choice
C) may be necessary later for further evaluation but is not the immediate priority. Initiating oxygen therapy (choice
D) may be needed depending on the client's respiratory status, but stopping the feeding is the first crucial step in managing aspiration.
Question 5 of 5
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Report observations to the nurse manager on the unit. This action is crucial for patient safety and the well-being of the drowsy nurse. By reporting to the nurse manager, appropriate steps can be taken to address the issue, such as evaluating the nurse's workload, offering support or counseling, or implementing policies to prevent such incidents in the future.
Choice A is incorrect as simply reminding the nurse may not address the underlying issue.
Choice B is less effective as it may delay necessary intervention.
Choice D is incorrect as patient safety is a collective responsibility. Reporting to the nurse manager is the best course of action to ensure proper handling of the situation.