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 been sitting in a chair for 3 hours. Which of the following problems is the client at risk for developing?
Correct Answer: C
Rationale: The correct answer is C: Pressure ulcer. Prolonged sitting can lead to decreased blood flow and pressure on bony prominences, increasing the risk of pressure ulcers. Stasis of secretions (
A) may occur but is not directly related to sitting position. Muscle atrophy (
B) is more common with immobility. Fecal impaction (
D) is a risk with immobility but not specific to sitting for an extended period.
Question 2 of 5
A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following is the body's priority energy reserve?
Correct Answer: D
Rationale: The correct answer is D: Carbohydrates. Carbohydrates are the body's priority energy reserve because they are easily broken down into glucose, which is the primary source of energy for the body's cells. When carbohydrates are consumed, they are converted into glycogen and stored in the muscles and liver for quick energy release. In contrast, fats are a more efficient long-term energy source, proteins are primarily used for tissue repair and growth, and glycogen is a short-term energy source stored in the muscles and liver.
Therefore, carbohydrates are the body's priority energy reserve for immediate energy needs.
Question 3 of 5
A nursing instructor is reviewing documentation w/a group of nursing students. Which of the following legal guidelines should they follow when documenting a client's record? Select all.
Correct Answer: B, C
Rationale:
Correct Answer: B, C
Rationale:
B: Putting the date and time on all entries is crucial for legal purposes to establish a timeline of events and ensure accuracy in documentation.
C: Documenting objective data and excluding opinions maintains objectivity and prevents subjective biases from influencing the client's record.
Summary:
A: Covering errors with correction fluid is not recommended as it can be perceived as an attempt to conceal mistakes, compromising the integrity of the record.
D: Using excessive abbreviations can lead to misinterpretation and errors in communication, compromising the clarity and accuracy of the record.
E: Waiting until the end of the shift to document can result in important information being forgotten or inaccurately recorded, impacting the quality of care provided.
Question 4 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.
Question 5 of 5
A nurse is preparing to insert an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse perform prior to beginning the procedure? Select all.
Correct Answer: A, B
Rationale:
Correct Answer: A, B
Rationale:
A: Review a signal the client can use if feeling any distress is important for client safety and to ensure the client can communicate any discomfort during the procedure.
B: Laying a towel across the client's chest protects the client's clothing and bedding from any gastric contents that may leak during the procedure.
C: Administering oral pain meds is not necessary prior to inserting an NG tube for gastric decompression unless specifically ordered by the healthcare provider.
D: Obtaining a Dobhoff tube is not required for a standard NG tube insertion for gastric decompression.
E: Having a petroleum-based lubricant available is important for lubricating the NG tube but is not a priority before starting the procedure.