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 on a low-residue diet. The nurse should expect to see which of the following foods on the client's meal tray?
Correct Answer: C
Rationale: The correct answer is C: Vanilla custard. A low-residue diet aims to minimize fiber intake, reducing bulk in the stool. Vanilla custard is low in fiber, making it suitable for this diet. Cooked barley (
A) and lentil soup (
D) are high in fiber and not recommended. Pureed broccoli (
B) contains fiber, unsuitable for a low-residue diet. A detailed rationale focuses on the fiber content of each food item, emphasizing the importance of low-fiber choices for this specific dietary restriction.
Question 2 of 5
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Heat stroke is characterized by a high body temperature, which can lead to vasodilation and decreased blood pressure, resulting in hypotension. Bradycardia (choice
B) is unlikely as the body tries to compensate by increasing heart rate. Clammy skin (choice
C) is more indicative of shock rather than heat stroke. Bradypnea (choice
D) is unlikely as the body tries to increase respiratory rate in response to heat stress.
Question 3 of 5
A nurse is instructing a postop client about the sequential compression device the provider has prescribed. Which of the following statements should indicate to the nurse that the client understands the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This thing will keep the blood pumping through my leg." This statement indicates understanding because sequential compression devices help prevent blood clots by promoting blood flow in the legs.
Choice A is incorrect as the device does not prevent skin sores.
Choice C is incorrect because the device does not prevent muscle weakness.
Choice D is incorrect as the device does not specifically target joint health.
Question 4 of 5
A nurse who is admitting a client who has a fractured femur obtains a blood pressure reading of 140/94 mmHg. The client denies any history of hypertension. Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if she is having pain. The elevated blood pressure reading could be attributed to pain and anxiety related to the fractured femur. By assessing if the client is in pain, the nurse can address the root cause of the high blood pressure. Requesting antihypertensive or anti-anxiety medication without evaluating the client's pain level would not address the underlying issue. Simply rechecking the blood pressure without addressing the potential pain would not provide a solution. Asking about pain is the initial step in managing the client's elevated blood pressure in this context.
Question 5 of 5
A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answer includes bathing, ambulating, toileting, and measuring vital signs as activities that CNAs may perform. CNAs are trained to assist with basic activities of daily living such as bathing, toileting, and ambulating to ensure the comfort and well-being of patients. They are also responsible for measuring vital signs to monitor the patient's health status. Choosing option D, determining pain level, would be incorrect as this task typically falls under the responsibility of a nurse who can assess and manage pain effectively. Option F and G are not provided in the question, but it is important to understand the scope of practice for CNAs and how it differs from other healthcare team members.