ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client who takes haloperidol (Haldol) for the treatment of schizophrenia. Which of the following findings should the nurse document as extrapyramidal symptoms (EPS)? Select all.
Correct Answer: B, C, E
Rationale: The correct findings to document as EPS for a client taking haloperidol are B, C, and E. Fine motor tremors are a common EPS manifestation, indicating potential Parkinsonism. Acute dystonias are sudden, involuntary muscle contractions, a characteristic EPS symptom. Uncontrollable restlessness, known as akathisia, is another EPS effect. Orthostatic hypotension (
A) is not typically associated with EPS but rather with antipsychotic-induced orthostatic hypotension. Decreased level of consciousness (
D) is not a typical EPS manifestation but may indicate sedation.
Question 3 of 5
A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse implement to maintain the patency of the client's airway?
Correct Answer: D
Rationale: The correct answer is D: Promote incentive spirometer use. This intervention helps prevent atelectasis and maintain lung expansion in immobile clients. Isometric exercises (
A) are not directly related to airway patency. Suctioning (
B) every 8 hours is not necessary unless there are secretions. Low-dose heparin (
C) is used for preventing blood clots, not for airway maintenance.
Question 4 of 5
A nurse is reviewing the CDC's immunization recommendations with a young adult client. Which of the following recommendations should the nurse include in this discussion? Select all.
Correct Answer: A, B, C
Rationale: The correct answer includes HPV, MMR, and Varicella because these vaccines are recommended for young adults by the CDC. HPV vaccine helps prevent certain cancers, MMR protects against highly contagious diseases, and Varicella prevents chickenpox. The other choices are incorrect: Haemophilus influenzae type b is typically given to children under 5, and Polio is usually administered in childhood. It's important for the nurse to discuss vaccines based on the client's age and health status.
Question 5 of 5
A nurse is caring for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? Select all.
Correct Answer: A, D
Rationale: Correct Answer Explanation: A nurse should keep the head of the bed elevated at 30 degrees to reduce pressure on the sacrum and coccyx, thus preventing pressure ulcers. Having the client sit on a gel cushion when in a chair helps distribute weight evenly and reduce pressure points. These interventions promote skin integrity by minimizing pressure and friction. Massage of bony prominences can increase the risk of pressure ulcers by causing friction and compromising blood flow. Applying cornstarch can create a moist environment, which can lead to skin breakdown. Repositioning the client at least every 3 hours helps to prevent pressure ulcers by relieving pressure points.