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 having difficulty breathing. The client is lying in bed & is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Assist the client to Fowler's position. This is the priority intervention because positioning the client in Fowler's position helps improve lung expansion and oxygenation by allowing for better ventilation. Elevating the head of the bed to a 45-degree angle helps reduce the work of breathing and increases the efficiency of oxygen therapy. Increasing the oxygen flow (choice
A) may provide more oxygen but does not address the underlying cause of the breathing difficulty. Promoting removal of pulmonary secretions (choice
C) is important but not the immediate priority. Obtaining a specimen for arterial blood gases (choice
D) can provide valuable information but is not the priority when the client is experiencing difficulty breathing.
Question 2 of 5
A client who is postop following a knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team may assist the client in understanding the medication's effects? Select all.
Correct Answer: A, C, D
Rationale:
Correct Answer: A, C, D
Rationale:
1. Provider (
A): The provider, such as a physician or surgeon, is responsible for prescribing the medication and can explain its effects to the client.
2. Pharmacist (
C): Pharmacists are experts in medications and can provide detailed information about the drug's effects, interactions, and side effects.
3. RN (
D): Registered nurses are involved in direct patient care and can educate the client about the medication's effects and monitor for any adverse reactions.
Summary:
B: CNA - While CNAs provide valuable patient care, they may not have the expertise to explain medication effects.
E: Respiratory therapist - Respiratory therapists primarily focus on respiratory care and may not have the necessary knowledge about pain medication effects.
Question 3 of 5
A nurse is talking with a client who reports constipation. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Fresh fruit & whole wheat toast. Fresh fruits and whole wheat toast are high in fiber, which helps promote regular bowel movements and prevent constipation. Fiber adds bulk to the stool, making it easier to pass through the digestive system. Fresh fruits also contain natural sugars and water, which aid in digestion. Macaroni & cheese (choice
A) is a high-fat, low-fiber option that can contribute to constipation. Rice pudding & ripe bananas (choice
C) and roast chicken & white rice (choice
D) are low in fiber and may not effectively alleviate constipation.
Question 4 of 5
A nurse in a senior center is counseling a group of older adults about their nutritional needs and considerations. Which of the following information should the nurse include? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Older adults are more prone to dehydration due to decreased kidney function and decreased sensation of thirst.
B: While older adults may need the same amount of most vitamins and minerals, they may require more of certain nutrients like vitamin D and calcium.
C: Many older adults, especially women, need calcium supplementation to prevent osteoporosis.
Summary of Incorrect
Choices:
D: Older adults actually need fewer calories as they age due to decreased metabolism and physical activity.
E: There is no specific recommendation for older adults to consume a low-carbohydrate diet.
Question 5 of 5
A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of care? Select all.
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
B: Wearing a mask within 3 ft of the client helps prevent the spread of pertussis through respiratory droplets.
C: Placing a surgical mask on the client during transportation helps contain respiratory secretions and prevent transmission.
E: Wearing a gown during care involving secretions protects the nurse from potential contamination.
Incorrect
Choices:
A: Negative air pressure isn't necessary for pertussis; it's more for airborne diseases like TB.
D: Sterile gloves are not required for handling soiled linens unless there is a specific infection control protocol in place.