ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should the nurse include when explaining the procedure to the client?
Correct Answer: D
Rationale: The correct answer is D: The specimen cannot be contaminated. This is crucial because fecal occult blood testing requires a clean sample to accurately detect blood in the stool. Contamination can lead to false results, affecting the interpretation of the test. Eating more protein (choice
A) is irrelevant to the test procedure. One stool specimen (choice
B) may not be enough for accurate testing. A red color change (choice
C) is not necessarily indicative of a positive test result. By ensuring the specimen is not contaminated, the client can obtain reliable test results.
Question 2 of 5
A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should the nurse include when explaining the procedure to the client?
Correct Answer: D
Rationale: The correct answer is D: The specimen cannot be contaminated. This is crucial because fecal occult blood testing requires a clean sample to accurately detect blood in the stool. Contamination can lead to false results, affecting the interpretation of the test. Eating more protein (choice
A) is irrelevant to the test procedure. One stool specimen (choice
B) may not be enough for accurate testing. A red color change (choice
C) is not necessarily indicative of a positive test result. By ensuring the specimen is not contaminated, the client can obtain reliable test results.
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 is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the nurse should expect which of the following findings? Select all.
Correct Answer: B, C, D
Rationale: The correct answers are B, C, and D. Diarrhea leads to fluid loss, causing dehydration. Hypotension results from decreased blood volume. Fever may indicate infection causing diarrhea. Poor skin turgor is a sign of dehydration. Bradycardia (
A) is unlikely due to dehydration. Peripheral edema (E) is more associated with fluid retention, not dehydration.
Question 5 of 5
A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. What is the nurse's highest assessment priority before performing this procedure?
Correct Answer: B
Rationale:
Correct Answer: B - Verify the placement of the NG tube.
Rationale: Ensuring proper NG tube placement is crucial before administering enteral feedings to prevent complications such as aspiration. The nurse should confirm the tube's position by checking for gastric aspirate pH or using an X-ray. This step is essential for the client's safety.
Incorrect
Choices:
A: Checking the feeding container's duration is important for assessing feeding integrity but not as critical as verifying tube placement.
C: Diarrhea assessment is important for monitoring the client's gastrointestinal status but does not take precedence over tube placement verification.
D: Client's alertness and orientation are vital for overall assessment but not directly related to enteral feeding safety.