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 postoperative. Which of the following nursing interventions reduce the risk of thrombus development? Select all.
Correct Answer: B, E
Rationale:
Correct Answer: B, E
Rationale:
1. Applying elastic stockings (
Choice
B) helps promote circulation, reducing stasis in the lower extremities, thus lowering the risk of thrombus formation.
2. Assisting the client to change position often (
Choice E) prevents prolonged immobility, which is a major risk factor for thrombus development.
Incorrect
Choices:
A: Instructing the client not to use the Valsalva maneuver (
Choice
A) is unrelated to thrombus prevention.
C: Reviewing lab values for total protein level (
Choice
C) is important for overall health monitoring, but not specific to thrombus prevention.
D: Placing pillows under the client's knees & lower extremities (
Choice
D) may help with comfort but does not directly reduce thrombus risk.
Question 2 of 5
A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? Select all.
Correct Answer: C, E
Rationale:
Correct Answer: C, E
Rationale:
1.
Choice C: A concave lumbar spine posteriorly is expected in a healthy musculoskeletal system as it indicates the natural curvature of the lumbar spine.
2.
Choice E: Muscles being slightly larger on the dominant side is a common finding due to increased use and strength development.
Incorrect
Choices:
A. A concave thoracic spine posteriorly is abnormal as the thoracic spine should have a slight convex curve posteriorly.
B. An exaggerated lumbar curvature is abnormal and can indicate conditions like lordosis.
D. An exaggerated thoracic curvature is abnormal and can indicate conditions like kyphosis.
Summary:
The correct choices align with the expected findings in a healthy musculoskeletal system, while the incorrect choices describe abnormal or atypical presentations that could indicate underlying issues.
Question 3 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Applying the oxygen source loosely if SPO2 decreases ensures adequate oxygenation during the procedure.
B: Using surgical asepsis to remove and clean the inner cannula prevents infection and maintains airway patency.
C: Cleaning the outer surfaces in a circular motion from the stoma site outward prevents contamination of the tracheostomy site.
Summary:
D: Replacing tracheostomy ties is not necessary each time and can cause unnecessary trauma to the patient's skin.
E: Cutting a slit in gauze squares is not a standard practice and may increase the risk of infection.
In summary, choices D and E are incorrect as they are not essential steps in tracheostomy care.
Question 4 of 5
A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He states that it is difficult to prepare adequate nutritious meals at home for just 1 person. To which of the following members of the health care team should the nurse refer him?
Correct Answer: D
Rationale:
Correct Answer: D (Social worker)
Rationale: The social worker is the most appropriate referral for the older adult facing difficulty in preparing nutritious meals. Social workers can assess the client's social needs, such as access to community resources, meal delivery services, or support groups. They can also help with financial assistance or other social services to ensure the client's well-being.
Summary of other choices:
A: Registered dietitian - While a dietitian can provide nutritional guidance, the client's issue is not solely about dietary recommendations but also about access to nutritious meals.
B: Occupational therapist - OTs focus on assisting clients with daily living activities and functional independence, not specifically addressing the client's meal preparation concerns.
C: Physical therapist - PTs focus on rehabilitation and physical function, not directly related to the client's nutritional challenges.
Question 5 of 5
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse assign this client?
Correct Answer: B
Rationale: The correct answer is B: RN. The Registered Nurse (RN) is the most appropriate staff member to care for a client awaiting transfer from the PACU following thoracic surgery due to their advanced training and skills in assessing and managing complex post-operative conditions. RNs are qualified to monitor vital signs, assess for complications, administer medications, and provide specialized care. Assigning this client to the RN ensures they receive the highest level of care and attention.
Why the other choices are incorrect:
A: Charge nurse - The charge nurse may have administrative responsibilities and may not be available to provide direct patient care.
C: LPN - While LPNs can provide valuable nursing care, they may not have the same level of training and scope of practice as an RN for managing post-operative clients.
D: AP - Advanced Practice nurses may have the expertise, but they may not be directly involved in the day-to-day care of post-operative clients on a med-surg unit.