ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: A
Rationale: The correct answer is A because drinking thickened liquids with a straw can increase the risk of aspiration for a client with dysphagia. Thickened liquids are already challenging to swallow, and using a straw can lead to improper control of liquid flow, potentially causing the liquid to enter the airway.
Choice B is correct as it promotes proper positioning for swallowing.
Choice C is correct as tucking the chin helps close off the airway during swallowing.
Choice D is incorrect because taking breaks while eating can actually be beneficial for a client with dysphagia to prevent fatigue and ensure safe swallowing.
Question 2 of 5
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The nurse should see the client with new onset dyspnea 24 hours after a total hip arthroplasty first. Dyspnea following surgery can indicate a potentially life-threatening complication like pulmonary embolism. Prompt assessment and intervention are crucial to prevent further complications. Acute abdominal pain (choice
A) can be urgent but is less likely to be immediately life-threatening compared to dyspnea post-surgery. Pneumonia with oxygen saturation of 96% (choice
B) and a urinary tract infection with low-grade fever (choice
C) may require attention, but they are less urgent compared to potential respiratory distress post-surgery.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: C
Rationale: The correct answer is C: Occupational therapist. An occupational therapist specializes in helping individuals improve their ability to perform daily living activities, such as eating. They assess and address physical, cognitive, and environmental factors affecting a person's ability to function independently. In this case, the client needs to relearn how to use eating utensils, which falls under the expertise of an occupational therapist. Referring the client to a physical therapist (choice
A) would focus more on mobility and strength training, while a speech-language pathologist (choice
B) would address communication and swallowing issues. A social worker (choice
D) typically helps with emotional and social support, not direct rehabilitation for physical tasks.
Question 4 of 5
A nurse is teaching a class about the guidelines for the standards of care for nursing. Which of the following defines the nursing scope of practice?
Correct Answer: D
Rationale: The correct answer is D: State Nurse Practice Acts. State Nurse Practice Acts outline the legal scope of practice for nurses in each state, defining what tasks and responsibilities nurses are allowed to perform. These acts ensure that nurses practice safely and within legal boundaries. The other choices, A, B, and C, are unrelated to defining the nursing scope of practice and do not provide any guidelines or legal framework for nursing care.
Therefore, State Nurse Practice Acts is the correct answer as it directly pertains to the standards of care and legal boundaries for nursing practice.
Question 5 of 5
A nurse is administering multiple types of ophthalmic drugs to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wait 5 min between the administration of each medication. This is important to prevent dilution of the medication and ensure proper absorption in the eye. Waiting between administrations allows each medication to have its full effect before the next one is introduced. Holding the dropper 3 cm away from the eye (
A) is incorrect as it may cause inaccurate dosing. Asking the client to close their eyes tightly after instillation (
B) can prevent proper absorption. Massaging the client's eyelids (
C) can lead to contamination or injury. Waiting 5 min between medications is the best practice to ensure each drug is absorbed effectively.