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 bed rest. Which of the following interventions should the nurse implement to maintain the patency of the client's airway?
Correct Answer: D
Rationale: The correct answer is D: Promote incentive spirometer use. This intervention helps prevent atelectasis and maintain lung expansion in immobile clients. Isometric exercises (
A) are not directly related to airway patency. Suctioning (
B) every 8 hours is not necessary unless there are secretions. Low-dose heparin (
C) is used for preventing blood clots, not for airway maintenance.
Question 2 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.
Question 3 of 5
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Report observations to the nurse manager on the unit. This action is crucial for patient safety and the well-being of the drowsy nurse. By reporting to the nurse manager, appropriate steps can be taken to address the issue, such as evaluating the nurse's workload, offering support or counseling, or implementing policies to prevent such incidents in the future.
Choice A is incorrect as simply reminding the nurse may not address the underlying issue.
Choice B is less effective as it may delay necessary intervention.
Choice D is incorrect as patient safety is a collective responsibility. Reporting to the nurse manager is the best course of action to ensure proper handling of the situation.
Question 4 of 5
A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. The nurse should offer which of the following behaviors by a young adult as an example of appropriate psychosocial development?
Correct Answer: C
Rationale: The correct answer is C because devoting time to establishing an occupation is a characteristic behavior of young adults in Erikson's stage of Intimacy vs. Isolation. During this stage, individuals focus on developing careers and forming intimate relationships.
Choice A is incorrect as it pertains to generativity, a behavior more typical of middle adulthood.
Choice B is incorrect as it reflects the challenges faced in the stage of Generativity vs. Stagnation.
Choice D is incorrect as it reflects the responsibilities associated with the stage of Generativity vs. Stagnation as well.
Question 5 of 5
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the act of intentionally causing someone to fear that they will be physically harmed. In this case, the AP's threat of putting a diaper on the client if he doesn't use the urinal properly next time constitutes an act of assault because it instills fear in the client.
Choice B, Battery, involves actual physical harm, which is not present in this scenario.
Choice C, False imprisonment, involves restricting someone's freedom of movement, which is not the case here.
Choice D, Invasion of privacy, refers to intruding into someone's private affairs, which is not relevant in this situation.