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 receiving morphine via a PCA infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates understanding of the PCA device. The client acknowledges the need to communicate with the nurse if pain persists after using the device, indicating awareness of the device's purpose and the importance of monitoring pain levels.
Choice A shows hesitation, which may delay effective pain management.
Choice B suggests fear of overdose but lacks understanding of the device's safety features.
Choice D poses a safety risk by involving an unauthorized person in medication administration.
Choices E, F, and G are irrelevant as they do not address the proper use of the PCA device.
Question 2 of 5
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication administration record, which of the following medications should the nurse administer?
Correct Answer: C
Rationale: The correct answer is C: Morphine 2 mg IV. Morphine is the most appropriate choice for managing severe pain postoperatively due to its potency and rapid onset of action when administered intravenously. Meperidine (
A) has a shorter duration of action and is associated with more side effects. Fentanyl patch (
B) has a slow onset and is not suitable for immediate relief. Oxycodone (
D) is an oral medication and may not be appropriate for a client with severe pain who cannot swallow.
Question 3 of 5
A nurse prepares to administer an injection of morphine (Duramorph) to a client who reports pain. Prior to administering, the nurse is called to another room to assist another client onto a bedpan. She asks a 2nd nurse to give the injection. Which of the following actions should the 2nd nurse take?
Correct Answer: A
Rationale: The correct answer is A: Offer to assist the client needing the bedpan. This is the appropriate action for the 2nd nurse to take because patient care and safety should always be the top priority. By offering to help the client in need of assistance onto the bedpan, the 2nd nurse ensures that both clients are attended to promptly and with dignity. This demonstrates professionalism, teamwork, and a patient-centered approach to care.
Summary of other choices:
B: Administer the injection prepared by the other nurse - Incorrect because the 2nd nurse should not administer a medication prepared by someone else without verifying the dose, patient identification, and other important details.
C: Prepare another syringe & administer the injection - Incorrect as it is not within the 2nd nurse's scope of practice to give medications without proper preparation and verification.
D: Tell the client needing the bedpan she will have to wait for her nurse - Incorrect as it disregards the immediate needs of the client and does
Question 4 of 5
An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question?
Correct Answer: D
Rationale:
Correct Answer: D. Replacing the cartridge and tubing on a PCA pump
Rationale: LPNs are not typically trained to safely manage PCA pumps, which involve intricate medication delivery systems. This task requires advanced skills and knowledge that are within the scope of practice for an RN, not an LPN.
Summary of other choices:
A: Assisting a client with an incentive spirometer is within the LPN's scope of practice.
B: Collecting a clean-catch urine specimen is a routine task that an LPN can perform.
C: Providing nasopharyngeal suctioning for a client with pneumonia is within the LPN's scope of practice.
Question 5 of 5
A nurse is teaching a young adult client about health promotion & illness prevention. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: It is important to schedule routine health care visits even if I'm feeling well. This statement indicates an understanding of health promotion and illness prevention as it emphasizes the importance of preventive care to maintain overall health. Regular health check-ups can help detect early signs of illness and address any potential health concerns before they become serious.
Incorrect choices:
A: I already had my immunizations as a child, so I'm protected in that area. This choice shows a misunderstanding as immunizations may need to be updated throughout adulthood.
C: If I'm having any discomfort, I'll just go to an urgent care center. This choice focuses on reactive care rather than preventive measures.
D: If I am feeling stressed, I will remind myself that this is something I should expect. This choice does not address health promotion or illness prevention strategies.
Summary:
Choice B is correct as it highlights the importance of proactive health maintenance through routine check-ups, while the other choices lack a focus on preventive