ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication administration record, which of the following medications should the nurse administer?
Correct Answer: C
Rationale: The correct answer is C: Morphine 2 mg IV. Morphine is the most appropriate choice for managing severe pain postoperatively due to its potency and rapid onset of action when administered intravenously. Meperidine (
A) has a shorter duration of action and is associated with more side effects. Fentanyl patch (
B) has a slow onset and is not suitable for immediate relief. Oxycodone (
D) is an oral medication and may not be appropriate for a client with severe pain who cannot swallow.
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 is collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changes associated w/aging? Select all.
Correct Answer: B, C, D
Rationale: The correct answers are B, C, and D. Vision and hearing decline is common with aging due to changes in the sensory organs. Slower fine finger movement is expected as decreased motor coordination occurs. Short-term memory decline is characteristic of aging as cognitive processes may slow down. Slower light touch and superficial pain sensation are not typical age-related changes. These sensations are primarily affected by nerve function rather than aging.
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 instructing a group of nursing students in measuring a client's respiratory rate. Which of the following guidelines should the nurse include? Select all.
Correct Answer: A, B, C
Rationale: The correct answer includes guidelines A, B, and C. Placing the client in semi-Fowler's position allows for easier chest expansion. Having the client rest an arm across the abdomen helps to promote relaxation and allows for easier observation of respiratory movements. Observing one full respiratory cycle before counting the rate ensures an accurate assessment. Guidelines D and E are incorrect. Counting the rate for one minute is unnecessary if the rate is regular; it can be counted for 30 seconds and then doubled. Reporting sighs is not a standard practice in measuring respiratory rate and is not relevant to the assessment.