ATI RN Fundamental Proctored Exam With NGN Graded -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Stop the feeding. When a nurse suspects aspiration in a client receiving enteral feedings, the highest priority intervention is to immediately stop the feeding to prevent further aspiration and potential respiratory compromise. This action helps to prevent additional complications and allows for further assessment and appropriate interventions. Auscultating breath sounds (choice
A) may confirm the presence of aspiration but stopping the feeding takes precedence. Obtaining a chest x-ray (choice
C) may be necessary later for further evaluation but is not the immediate priority. Initiating oxygen therapy (choice
D) may be needed depending on the client's respiratory status, but stopping the feeding is the first crucial step in managing aspiration.

Correct Answer: B

Rationale: The correct answer is B: Checking with the provider when a single dose requires administration of multiple tablets. This action indicates an understanding of med error prevention because it ensures the medication is being administered correctly as per the provider's instructions. By verifying with the provider for doses that require multiple tablets, the nurse is practicing safe medication administration and preventing dosing errors.

Explanation for other choices:
A: Taking all meds out of the unit-dose wrappers before entering the client's room - This is incorrect as it increases the risk of medication mix-ups and errors.
C: Administering a med, then looking up the usual dosage range - This is incorrect as it should be done before administering the medication to ensure the correct dosage is given.
D: Relying on another nurse to clarify a med prescription - This is incorrect as each nurse should take responsibility for verifying and understanding medication orders independently.

Correct Answer: 0.3

Rationale:
Correct Answer: 0.3 mL


Rationale:
To calculate the mL to administer, divide the dose needed (10 mg) by the concentration available (40 mg/mL). 10 mg / 40 mg/mL = 0.25 mL. Since the available concentration is rounded to the nearest tenth (0.3 mL), this is the amount the nurse should administer.

Summary of other choices:
A: Incorrect, as it does not follow the correct calculation process.
B: Incorrect, as it does not consider the concentration of the medication.
C: Incorrect, as it does not involve the necessary division calculation.
D: Incorrect, as it does not relate the dose needed to the concentration available.
E: Incorrect, as it does not provide a logical explanation for the calculation.
F: Incorrect, as it lacks the step-by-step calculation process.
G: Incorrect, as it does not explain how to determine the mL to administer.

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.

Correct Answer: B, C, E

Rationale: The correct answer is B, C, and E. Right supervision/evaluation ensures appropriate oversight, accountability, and feedback. Right direction/communication involves clear instructions and feedback. Right circumstances consider factors like workload, resources, and environment.
Choice A ("Right client") is incorrect as it is not one of the 5 rights of delegation.
Choice D ("Right time") is important but does not specifically fall under the 5 rights framework. In summary, choices B, C, and E are crucial elements that align with the principles of effective delegation, while choices A and D are not directly related to the concept of the 5 rights of delegation.