ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which of the following should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. Linear clusters of vesicles with crusting are classic symptoms of herpes zoster, also known as shingles, caused by the reactivation of the varicella-zoster virus. The linear distribution follows the nerve pathways affected by the virus. This presentation is distinct from an allergic reaction (
A), which typically manifests as hives or red, itchy skin patches. Ringworm (
B) presents as circular, scaly patches and is caused by a fungus, not a virus like herpes zoster. Systemic lupus erythematosus (
C) is an autoimmune disease that does not typically present with linear clusters of vesicles.
Question 2 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 3 of 5
An adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she administers a PRN sedative med that the client has not requested along w/his usual meds. Which of the following tort has the nurse committed?
Correct Answer: B
Rationale: The correct answer is B: False imprisonment. False imprisonment occurs when a person is unlawfully restrained or confined against their will. In this scenario, the nurse administered a sedative to prevent the client from leaving the hospital, which constitutes a form of restraint or confinement without the client's consent. This action violates the client's right to autonomy and freedom of movement.
A: Assault involves the threat of harm or unwanted physical contact, which is not applicable in this scenario.
C: Negligence is the failure to provide reasonable care, which is not the primary issue in this case.
D: Breach of confidentiality involves disclosing private information without consent, which is not relevant to the situation provided.
Question 4 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 5 of 5
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Flush the tube before & after each med. Flushing the tube before medication administration ensures there are no residues that might interfere with the medication. Flushing after helps clear the tube of any remnants, preventing clogs.
Choice B is incorrect as medications should not be mixed with enteral feedings to avoid interaction.
Choice C is incorrect as tablets should be crushed and dissolved in water before administration.
Choice D is incorrect as medications should be crushed and dissolved individually to ensure accurate dosing.