ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Applying the oxygen source loosely if SPO2 decreases ensures adequate oxygenation during the procedure.
B: Using surgical asepsis to remove and clean the inner cannula prevents infection and maintains airway patency.
C: Cleaning the outer surfaces in a circular motion from the stoma site outward prevents contamination of the tracheostomy site.
Summary:
D: Replacing tracheostomy ties is not necessary each time and can cause unnecessary trauma to the patient's skin.
E: Cutting a slit in gauze squares is not a standard practice and may increase the risk of infection.
In summary, choices D and E are incorrect as they are not essential steps in tracheostomy care.
Question 2 of 5
A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. The nurse should offer which of the following behaviors by a young adult as an example of appropriate psychosocial development?
Correct Answer: C
Rationale: The correct answer is C because devoting time to establishing an occupation is a characteristic behavior of young adults in Erikson's stage of Intimacy vs. Isolation. During this stage, individuals focus on developing careers and forming intimate relationships.
Choice A is incorrect as it pertains to generativity, a behavior more typical of middle adulthood.
Choice B is incorrect as it reflects the challenges faced in the stage of Generativity vs. Stagnation.
Choice D is incorrect as it reflects the responsibilities associated with the stage of Generativity vs. Stagnation as well.
Question 3 of 5
A nurse is reviewing the CDC's immunization recommendations with a young adult client. Which of the following recommendations should the nurse include in this discussion? Select all.
Correct Answer: A, B, C
Rationale: The correct answer includes HPV, MMR, and Varicella because these vaccines are recommended for young adults by the CDC. HPV vaccine helps prevent certain cancers, MMR protects against highly contagious diseases, and Varicella prevents chickenpox. The other choices are incorrect: Haemophilus influenzae type b is typically given to children under 5, and Polio is usually administered in childhood. It's important for the nurse to discuss vaccines based on the client's age and health status.
Question 4 of 5
An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question?
Correct Answer: D
Rationale:
Correct Answer: D. Replacing the cartridge and tubing on a PCA pump
Rationale: LPNs are not typically trained to safely manage PCA pumps, which involve intricate medication delivery systems. This task requires advanced skills and knowledge that are within the scope of practice for an RN, not an LPN.
Summary of other choices:
A: Assisting a client with an incentive spirometer is within the LPN's scope of practice.
B: Collecting a clean-catch urine specimen is a routine task that an LPN can perform.
C: Providing nasopharyngeal suctioning for a client with pneumonia is within the LPN's scope of practice.
Question 5 of 5
A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all.
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Restlessness is an early indication of hypoxemia because the body is trying to compensate for decreased oxygen levels. Tachypnea (rapid breathing) is the body's response to hypoxemia to increase oxygen intake. Pallor is a sign of decreased oxygen saturation in the blood. Bradycardia and confusion are not typically early signs of hypoxemia, as the body usually increases heart rate to compensate for low oxygen levels, and confusion is a later sign indicating severe hypoxemia.