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 at high risk for aspiration. Which of the following is an appropriate nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to tuck her chin when swallowing. This intervention helps prevent aspiration by closing off the airway during swallowing, reducing the risk of food or liquid entering the lungs. Tucking the chin also helps direct the food towards the esophagus. Giving thin liquids (
A) can increase the risk of aspiration. Using a straw (
C) can also increase the risk as it can bypass the natural swallowing mechanism. Encouraging the client to lie down after meals (
D) can lead to aspiration as gravity may cause food or liquid to enter the airway.
Question 2 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 3 of 5
A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which of the following should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. Linear clusters of vesicles with crusting are classic symptoms of herpes zoster, also known as shingles, caused by the reactivation of the varicella-zoster virus. The linear distribution follows the nerve pathways affected by the virus. This presentation is distinct from an allergic reaction (
A), which typically manifests as hives or red, itchy skin patches. Ringworm (
B) presents as circular, scaly patches and is caused by a fungus, not a virus like herpes zoster. Systemic lupus erythematosus (
C) is an autoimmune disease that does not typically present with linear clusters of vesicles.
Question 4 of 5
A nurse is performing a neurosensory examination for a client. Which of the following tests should the nurse perform to test the client's balance? Select all.
Correct Answer: A, B
Rationale: The correct tests to assess balance are the Romberg test and the heel-to-toe walk. The Romberg test evaluates the client's ability to maintain balance with eyes closed, assessing proprioception. The heel-to-toe walk tests balance, coordination, and gait, evaluating the client's ability to walk in a straight line. The Snellen test assesses visual acuity, not balance. Spinal accessory function evaluates shoulder movement, not balance. The Rosenbaum test is used to assess near vision, not balance.
Question 5 of 5
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which of the following information should the nurse include in her counseling?
Correct Answer: D
Rationale: The correct answer is D: Carbon monoxide binds with hemoglobin in the body. This is crucial information to include in counseling as carbon monoxide competes with oxygen for binding to hemoglobin, leading to decreased oxygen delivery to tissues.
Choice A is incorrect because carbon monoxide is odorless.
Choice B is incorrect as water heaters should be inspected annually.
Choice C is incorrect as carbon monoxide primarily affects the ability of blood to carry oxygen, not the lungs themselves.