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: The correct answer is D: Social worker. The social worker can help the older adult client access community resources such as meal delivery services, food assistance programs, or senior centers that provide nutritious meals. The social worker can also assess the client's social support system and address any other psychosocial needs that may impact his ability to prepare meals. Referring to a registered dietitian (choice
A) may address the nutritional aspect but not the underlying social issues. Occupational therapists (choice
B) focus on improving activities of daily living, physical therapists (choice
C) focus on physical rehabilitation, which are not directly related to meal preparation difficulties.
Question 2 of 5
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. Occupational therapists specialize in helping individuals with physical limitations to maximize their ability to perform daily activities, such as self-feeding. They can assess the client's specific needs, recommend appropriate adaptive devices, and provide training on how to use them effectively. Social workers (
A) focus more on psychosocial support, certified nursing assistants (
B) provide direct care but may not have the expertise in adaptive devices, and registered dietitians (
C) focus on nutrition-related issues.
Therefore, the occupational therapist (
D) is the most appropriate member of the interprofessional care team to address the client's self-feeding difficulties due to rheumatoid arthritis.
Question 3 of 5
A client who is postop following a knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team may assist the client in understanding the medication's effects? Select all.
Correct Answer: A, C, D
Rationale: The correct answer is A, C, and D. The provider, pharmacist, and RN are key members of the interprofessional care team who can assist the client in understanding the medication's effects. The provider can explain the rationale for prescribing the medication and address any concerns the client may have. The pharmacist can provide detailed information about the medication, including potential side effects and interactions. The RN can monitor the client's response to the medication, educate them on how to take it properly, and address any immediate concerns.
Choices B, E, and F are incorrect because CNAs and respiratory therapists typically do not have the expertise to provide in-depth medication counseling to clients.
Question 4 of 5
A client who has had a cerebrovascular accident has persistent problems w/dysphagia. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team? Select all.
Correct Answer: C, D
Rationale: The correct answer is C and D. The occupational therapist (
C) can help with improving the client's ability to eat independently by providing adaptive equipment and strategies. A speech-language pathologist (
D) is crucial for assessing and treating dysphagia to prevent aspiration and improve swallowing function. The social worker (
A) may address psychosocial needs but does not directly address dysphagia. The CNA (
B) primarily assists with daily living activities.
Question 5 of 5
A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answer includes choices A, B, and C because Certified Nursing Assistants (CNAs) are typically responsible for assisting with activities of daily living such as bathing, ambulating, and toileting. These tasks are within the scope of practice for CNAs and are essential for maintaining the comfort and well-being of patients.
Choice E, measuring vital signs, is also a common task performed by CNAs as it helps monitor the patient's health status and provides valuable information to the healthcare team.
Choices D and F are incorrect as CNAs are not typically responsible for determining pain levels, which is typically done by nurses or physicians, and choice G is not provided. Overall, the correct choices align with the typical responsibilities of CNAs in providing direct patient care and support.